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Ophthalmic Coding Specialist Study Questions

Category - Opthalmological Coding Certification Practice Test

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When a CPT code has the words “separate procedure” in parenthesis after the code description, you:
  1. Do not use this code if it is listed as a separate procedure
  2. Code for all other elements of the procedure except this one
  3. Only code for this procedure if it was the only thing performed
  4. Code for this procedure, even if it was not performed
Explanation
Answer: C - When a CPT code has the words “separate procedure” in parenthesis after the code description, you only code for this procedure if it was the only thing performed. Codes that are designated as “separate procedures” should only be coded if they are the only procedures performed on that part of the body on the specified day. If any other procedure was performed on that part of the body, another procedure code should be used and this “separate procedure” code is considered bundled into the major procedure.
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