Admin Table of Contents
What is a stand alone code?
Stand-alone Code – A code reported without another primary service/procedure code by the same physician or other health care professional.
What is a primary procedure code?
Description. PRIMARY PROCEDURE (OPCS) is the same as attribute CLINICAL CLASSIFICATION CODE. PRIMARY PROCEDURE (OPCS) is the OPCS Classification of Interventions and Procedures code which is used to identify the primary Patient Procedure carried out.
What is a stand alone codes in the CPT manual?
Stand-Alone Code: A code reported without another primary service/procedure code by the Same Individual Physician or Other Health Care Professional.
Which is not a stand alone program?
Software such as plug-ins and expansion packs for video games are not standalone programs since they will not run unless a certain program is already installed.
Which of the following is not a stand alone program?
Answer is “Virus”
How do I find my primary CPT code?
Often, a parenthetical note will identify the primary code(s) with which the add-on code must be reported. For example, following 10004 in the CPT® codebook is a parenthetical instruction “Use 10004 in conjunction with 10021.” On other occasions, however, the codebook doesn’t provide the primary procedure code(s).
What does CPT stand for?
Current Procedural Terminology
Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations.
Why are some codes indented and some are stand alone codes?
Certain codes have related procedures indented below them. These indented codes are important variations on the code above them, and denote different methods, outcomes, or approaches to the same procedure.
What does CPT code stand for?
The first publication, in 1966, of the American Medical Association (AMA) Current Procedural Terminology (CPT®) edition of standardized codes and terms was a means to code procedures (mainly surgical) for medical records, insurance claims, and information for statistical purposes.
Can add-on codes be reported as a stand alone procedure?
“Add-on codes are always performed in addition to the primary service or procedure and must never be reported as a stand-alone code. All add-on codes in the CPT code set are exempt from the multiple procedure concept (modifier 51).”
What is the difference between a primary and add-on code?
The primary and add-on codes must be billed by the same individual physician or other health care professional reporting under the same Federal Tax Identification number. Add-on procedures must be reported with the primary procedure for the same date of service. Add-on codes are designated a “+” symbol in the CPT book.
When will the add-on codes be updated with primary procedure codes?
CMS will update the list of add-on codes with their primary procedure codes on an annual basis on or by January 1 every year based on changes to the CPT Manual or HCPCS Level II Manual . Quarterly updates will be posted as necessary on April 1, July 1, and October 1 each year.
What is a type I add-on code?
Type I – A Type I add-on code has a limited number of identifiable primary procedure codes. The CR lists the Type I add-on codes with their acceptable primary procedure codes.