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37 Cards in this Set
- Front
- Back
Which HCPCS codes were discontinued in December 2003
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Level III
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Which organization is responsible for developing and maintaining the HCPCS level II codes
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CMS
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Which is a member of the HC PCS national panel
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American Medical Association
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Which organization is responsible for providing suppliers and manufacturers with assistance in determining HC PCS level two codes to be used
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PDAC
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Which HC PCS level two codes are used by state Medicaid agencies and mandated by the state law to separately identify mental health services
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H codes
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The first alphabetic character NCPCS code identifies the code
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Section of HC PCS level II
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Drugs are listed in the HC PCS table of drugs according to
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Generic name
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A regional MAC will receive claims that contain which HC PCS level two codes
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B, E, K, L
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If a provider is not registered with a regional MAC, a patient will receive medical equipment when the
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Prescription is taken to a local DEMPOS dealer
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If a particular service has both a CPT code and a HC PCS level II code, the provider will
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Follow instructions provided by the payer
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If a HC PCS drug code description states "per 50 MG" and is administered in an 80 MG does, which quantity (e.g.,units) is reported on the CMS 1500 claim form
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2
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HC PCS level two is considered a _______ system
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nomenclature
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Which professional organization maintains level 2 "D" codes
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American dental Association
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How many regional MAC's are assigned by CMS to process DME claims
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Four
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Which is an example of durable medical equipment (DME)
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Blood glucose monitor
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Permanent HC PCS level two codes are updated annually on
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January 1
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Which code range is assigned to "administrative, miscellaneous, and investigational" HCPCS procedures or services
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A9000–A9999
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Which modifiers used to describe the services of a clinical psychologist
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-AH
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Which modifiers used to describe the right upper eyelid
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-E3
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HC PCS level two codes are organized by type, depending on the purpose of the codes and the entity responsible for establishing and maintaining them. The four types include _________.
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Permanent national, miscellaneous, temporary codes, and modifiers
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The CPT Coding manual contains __________ sections
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Six
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Instructions provided at the beginning of each section, which define terms particular to that section and provide explanation for codes and services that apply to that section, are called ___________.
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Guidelines
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Rather than using unlisted procedure or service CPT codes, Medicare and other third-party payers require providers to
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Report HCPCS level II codes
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CPT modifiers are used to indicate that
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The description of the procedure performed has been altered
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Which component is included in the surgical package?
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Uncomplicated postoperative care
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Which modifier is reported if a third-party payer requires a second opinion for a surgical procedure
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-32 mandated services
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The time frame during which all postoperative services are included in the surgical package is the global __________.
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Period
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Use your CPT coding manual to identify the technique for removing a skin lesion that involves transverse incision or horizontal slicing to remove epidermal or dermal lesion, which is called
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Shaving
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Use your CPT coding manual to locate and review coding notes that apply to Repair (Closure) codes (located in the Integumentary subsection of the Surgery section). The proper way to report the repair of multiple lacerations at the same anatomic site is to
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Add together the length of each laceration and report a single code
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Use your CPT coding manual to locate and review coding notes that apply to the Musculoskeletal System subsection of the Surgery section to identify the term for "the attempted reduction or restoration of a fracture or joint dislocation by the application of manually applied forces
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Manipulation
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CPT codes that are optional and are used for tracking performance measurements are called _________ codes.
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Category II
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A bullet located to the left of a code number identifies
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New procedures and services
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An anesthesiologist provided general anesthesia services to a 70-year-old female with mild systemic disease who underwent total knee replacement. Which physical status modifier would be reported with procedure code 01402
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-P2
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Medicare part a coverage is available to individuals under the age of 65 who
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Have end-stage renal disease and meet requirements
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Which information must be obtained about the beneficiary to confirm Medicare eligibility over the phone?
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Date of birth
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What length of time is the medicare initial enrollment period (IEP)?
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7 months
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The medicare "spell of illness" is also known as the
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Benefit period
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