Ophthalmic Coding Specialist Practice Test

What does a black hashtag prior to a CPT code signify?

1. Indicates that the code requires special documentation

2. Indicates that the code is out of sequence

3. Marks the code as high risk for fraud

4. Represents a non-billable code

The correct answer is: Indicates that the code is out of sequence

A black hashtag prior to a CPT code indicates that the code is out of sequence. This notation serves as a useful visual cue for coders to recognize that the given code does not follow the usual numerical order found in the CPT coding system. CPT codes are organized in a specific sequence, typically in numerical order, based on the categories of procedures they represent. When a code has a black hashtag, it alerts the coder to be cautious and to pay attention to its placement within the coding file. It is important because understanding the context of coding sequences is essential for accurate billing and proper coding practices. Other options relate to different aspects of coding requirements and documentation but do not specifically relate to the sequencing of codes. For instance, requirements for documentation, fraud indicators, or non-billable statuses encompass various coding guidelines but do not utilize the black hashtag notation for indicating order.