Ophthalmic Coding Specialist Practice Test

What does a black star prior to a CPT code indicate?

1. May be used to report telemedicine services

2. Indicates that the code is out of sequence

3. Indicates a surgical procedure that requires prior authorization

4. Identifies a code that is only for pediatric patients

The correct answer is: May be used to report telemedicine services

A black star prior to a CPT code signifies that the code may be used to report telemedicine services. This symbol is utilized to alert healthcare providers and coders that the associated code may apply to services delivered remotely, which has become increasingly relevant and important in today's healthcare landscape, especially following the rise of telehealth practices. The inclusion of such symbols in coding helps select appropriate codes for billing and documentation, ensuring that claims are processed correctly under specific guidelines for telemedicine. It's essential for healthcare providers to be aware of these designations to maintain compliance with telehealth regulations and ensure they receive reimbursement for digital health services. The other options describe different indicators or meanings in coding that would not be associated with a black star. For instance, codes that are out of sequence typically do not have special symbols, and surgical procedures requiring prior authorization are often indicated differently, such as through specific documentation or notes rather than a symbol. Similarly, identifiers specifically indicating codes only for pediatric patients are typically marked through different means or flagged in coding references but not with a description related to telemedicine.