Common Proficiency Test (CPT) Quiz 1

The words that follow a code number in the CPT manual are called procedure/service descriptors. These descriptors provide a brief description of the specific procedure or service associated with the code number. They help healthcare professionals understand and identify the nature of the procedure or service being described.

Experimental, newly developed, or seldom used procedures are reported with unlisted/category III codes. These codes are used when there is no specific code available for a particular procedure. It indicates that the procedure is not commonly performed or recognized.

The correct answer is CMS1500. The CMS1500 form is the universal health insurance form for submission of outpatient services. It is used by healthcare providers to bill insurance companies for services rendered to patients. This form includes information such as the patient's demographics, the provider's information, the services provided, and the associated charges.

A "stand alone" code is a code that is complete and does not rely on any external dependencies or modules. It is self-contained and can be executed independently without needing any additional code or resources.

Third party payers require a special report with the use of unlisted codes. This is because third party payers, such as insurance companies, need detailed information about the services provided in order to determine coverage and reimbursement. Unlisted codes are used when there is not a specific code available for a particular procedure or service, and a special report helps provide additional information to justify the use of these unlisted codes.

An add-on code is used in medical coding to identify a code that is never used alone. This means that it can only be used in conjunction with another primary code to provide a more specific description of the service or procedure being performed. The add-on code provides additional information or clarification to the primary code, ensuring accurate and detailed documentation of the healthcare service provided.

The coding rules in health care settings can vary depending on factors such as the specific setting, the type of healthcare service being provided, and any changes in regulations or guidelines. This means that the rules can change or be different in different situations, making them variable.

A special report must contain information about the nature of the subject being reported on, the extent or scope of the issue, and the need or justification for the report. These three elements are crucial in providing a comprehensive and informative special report.