CHAPTER 20 proceduring codes

Is the concept used once the insurance company bases the yield on a lower code rating than that submitted by the provider.

As stated in the bundling definition, is defined as breaking a bundled code into its component parts for higher reimbursement and is not allowed.

Refers to coding a procedure or service at a higher level than that provided to receive a higher level of reimbursement.

When unbundling is done intentionally to receive more payment than is allowed, the claim is likely to be considered

Patient who has seen the physician within the past 3 years.

Patient who, for CPT reporting purposes, has not received professional services from the physician within the past 3 years.

Which part of a physical exam includes vital signs and general appearance of the patient?

Breaking a bundle code into its component parts for higher reimbursement is allowed.

True or false: Evaluation and management (E/M) codes are often considered the most important of all CPT codes because they can be used by all physicians in any medical speciality?

Code linkage of the CPT and ICD code is not necessary.

This symbol tells the user that the code description has been revised in some way from last year.

Which symbol in the CPT marks a new code since the last revision?

In clean claims, each reported service is connected to a diagnosis that supports the procedure as necessary to investigate or treat the patient's condition?

Embolectomy and thromboectomy are found in which section of the CPT manual?

The spleen, bone marrow, and lymph nodes are included in which section of CPT?

Codes related to the liver, pancreas, and abdomen are found in the section of the CPT.

The most commonly coded section of the urinary system is related to the

Coding related to labor and delivery is located in which section of the CPT?

In what section of the CPT manual contains codes related to the brain, spinal cord, and the peripheral nerves?

The use of 5-digit codes for provider healthcare-related procedures is required by