Ophthalmic Coding Specialist Practice Test

What does a black dot preceding a CPT code represent?

1. It indicates a new CPT code has been established

2. It signifies an add-on code exempt from Modifier -51

3. It indicates a change in payment policy

4. It signifies that a billing error has occurred

The correct answer is: It indicates a new CPT code has been established

A black dot preceding a CPT code indicates that a new code has been established. This notation is essential for healthcare providers and coding professionals as it highlights updates to the coding system, ensuring they are aware of new services or procedures that can be billed. Understanding this function is crucial, as it helps ensure accurate coding and billing practices. By recognizing new codes, coders can properly document patient encounters and ensure that healthcare facilities are reimbursed appropriately for the services they provide. In contrast, add-on codes, which are exempt from Modifier -51, have a specific symbol (typically a plus sign) but are not indicated by a black dot. Similarly, changes in payment policy are communicated through different coding conventions or guidelines rather than a simple black dot. Additionally, there is no correlation between black dots and billing errors; errors are typically handled through revisions and validations in coding practices, not through the designation of new codes.