Understanding Health Insurance

Procedures and services submitted on a claim must be linked to the __________ that justifies the need for the service or procedure.

With what type of codes are procedures/services identified by a five-digit CPT code and descriptor nomenclature (these are codes traditionally associated with the CPT and organized within six sections)?

Which are "performance measurements" tracking codes that are assigned an alphanumeric identifier with a letter in the last field?

What type of codes contain "emerging technology," are temporary codes assigned for data collection, and are still used by some third-party payers?

Most CPT procedures and services are classified as __________ codes, which include a complete description of the procedure or service.

To save space in CPT, some descriptions are not printed in their entirety next to a code number, and a(n) __________ code appears below a another code, requiring the coder to refer back to the common portion of the code description that is located before the semicolon.

A bullet located to the left of a code number identifies codes that were __________.

A triangle located to the left of a code number identifies a code description that has been __________.

Horizontal triangles surround revised __________.

A semicolon is used to save space in CPT, which means __________.

The plus symbol identifies __________ for procedures that are commonly, but not always, performed at the same time and by the same surgeon as the primary procedure.

The forbidden symbol identifies codes that are not to be used with modifier __________.

The bull's-eye symbol located next to a code number indicates that the procedure __________.

Moderate (conscious) sedation is the administration of moderate __________, which results in a drug-induced depression of consciousness.

The flash symbol indicates codes that classify products that are pending __________ approval but have already been assigned a CPT code.

The hollow circle symbol next to a CPT code indicates a(n) __________ or recycled CPT code.

The number symbol precedes CPT __________ codes, which appear out of numerical order.

Which define terms and explain the assignment of codes for procedures and services located in a particular section of the CPT manual?

Which type of procedure or service code is assigned when the provider performs a procedure or service for which there is no CPT code?

When an unlisted procedure or service code is reported, a __________ must accompany the claim to describe the nature, extent, and need for the procedure or service along with the time, effort, and equipment necessary to provide the service.