Medical Insurance Billing Trivia Questions

A basic CPT code consists of five digits. CPT codes are used for medical billing and coding purposes. Each code represents a specific medical procedure or service. The five-digit format allows for a wide range of codes to cover various medical treatments and services.

The correct answer is American Medical Association (AMA). CPT codes, descriptions, and two-digit modifiers are developed, owned, and copyrighted by the AMA. The AMA is responsible for maintaining and updating the Current Procedural Terminology (CPT) code set, which is widely used in the healthcare industry for reporting medical procedures and services. The CPT codes provide a standardized way to communicate and bill for healthcare services, ensuring consistency and accuracy in medical coding and billing practices. The AMA also provides guidance and resources to healthcare professionals for proper use and application of the CPT codes.

The correct answer is "Guidelines" because guidelines provide instructions or recommendations on how to correctly code in a specific section. They serve as a set of rules or standards that developers should follow in order to ensure their code is accurate and efficient. Guidelines often include best practices, coding conventions, and specific requirements for coding in a particular section. By referring to the guidelines, developers can ensure that their code meets the necessary criteria and functions properly.

The CPT manual is divided into six main sections. Each section contains specific codes for different medical procedures and services. These sections include Evaluation and Management, Anesthesia, Surgery, Radiology, Pathology and Laboratory, and Medicine. Each section is further divided into subsections to provide more specific codes for different types of procedures within that category. Therefore, the correct answer is 6.

The correct answer for the modifier for a repeat procedure by the same physician is -76. This modifier is used when the same physician performs a repeat procedure on the same patient during the same session. It indicates that the procedure is a repeat of a previous procedure and is necessary for accurate billing and reimbursement.

The correct answer is three because the question asks about the number of Category Codes found in the CPT manual.

Modifier -26 indicates the professional component. This means that the service or procedure being performed is being done solely by the professional, without any technical or facility component. It is used to indicate that the professional is providing a service that is separately identifiable and distinct from any other services or procedures being performed.

The correct answer is "None of the above" because the question asks for the CPT manual appendix that contains a complete list of all modifier -51 exempt codes, and none of the options provided (A, B, C) are the correct appendix.

The symbol "this symbol" in the CPT manual indicates the beginning and ending of a text change.

There are three ICD-9 volumes.