question

CPT codes that start with a 7 are found in what Section?

answer

Radiology

question

Unusual or rare procedure is performed requires a...?

answer

Special report

question

What association publishes the CPT?

answer

American Medical Association

question

What type of code has the FULL code description?

answer

Stand alone codes

question

What type of code has ONLY A PORTION of the code description?

answer

Indented codes

question

What would providers enter on an insurance form to show payers which services or procedures were performed?

answer

CPT code(s) and/or HCPCS code(s)

question

The use of a coding system allows you to communicate...?

answer

Quickly and Exactly about Every Detailed Service

question

The first edition of the CPT was published in what year?

answer

1966

question

The updated CPT manual is available for purchase in what month?

answer

November

question

1996 Health Insurance Portability and Accountability Act

answer

a standard for communicating health care data, as represented in CPT, was necessary to address requirements

question

What is the word that means assigning multiple codes when one code would do?

answer

unbundling

question

Term that describes services provided to the patient by the physician BEFORE surgery

answer

Pre-operative

question

Term that describes services provided to the patient by the physician AFTER surgery

answer

Post-operative

question

Do all third-party payers recognize all modifiers as listed in the CPT manual?

answer

No, the third-party payer may interpret the modifiers in any way they wish

question

The more complex subsections referred to in the surgery section text were Integumentary, Musculoskeletal, Respiratory, Cardiovascular, Digestive, and...?

answer

Female genital

question

Information that is necessary to correctly code in the section, and info not repeated elsewhere is located in the...?

answer

Guidelines

question

When a note is present, that note must be...?

answer

Read and Followed if the coding is to be accurate

question

Unlisted procedure codes in the surgery guidelines are listed by...?

answer

anatomic site

question

Includes an adequate definition or description of the nature, extent, need, time, effort, and equipment necessary to provide the service

answer

Pertinent information in the "special report"according to the CPT manual

question

There two types of procedures that are designated for the purpose of a surgical package

answer

Minor and major procedures

question

CPT code for surgical tray

answer

99070

question

HCPCS code for surgical tray

answer

A4550

question

Predefined number of days before and after a surgical procedure is the...?

answer

global period

question

This type of anesthesia is not part of the surgical package

answer

General anesthesia

question

Term meaning Worsening as described in the text

answer

exacerbation

question

The surgical package includes one related...?

answer

Pre-operative E/M service, operative (intra-operative) procedure, and immediate Post-operative follow-up care

question

Term meaning splitting open of the surgical wound

answer

dehiscence

question

Inclusion or exclusion of a procedure in the CPT does or does not imply health insurance coverage or no health insurance coverage?

answer

coverage is not implied; the CPT manual is a list of procedures and services with a corresponding number only

question

What type of microscope has a subsection of the Surgery section?

answer

Operating scope

question

According to Surgery guidelines, follow-up care for what procedure includes only that care which is usually a part of that type of surgical procedure?

answer

Therapeutic surgical procedures

question

According to Surgery guidelines, codes designated as separate procedure...?

answer

should not be reported in addition to the code for the total procedure or service of which it is considered an integral component.

question

According to medicare guidelines ____ complications of a surgical procedure are usually included in the reimbursement for a major surgical procedure

answer

Minor complications

question

The subsections in the surgery section are usually divided according to...?

answer

Medical specialty or body

question

Information within parentheses is referred to as...?

answer

Parenthetical Expression or Phrase

question

Before assigning this type of code, you must be certain that a more specific Category 1 or Category 3 code is not available

answer

unlisted procedure code

question

This designation within the CPT indicates a procedure that is only reported when it is performed as the only procedure or when another procedure performed at the same time is unrelated to this procedure?

answer

Separate procedure

question

Largest section of the 6 sections in CPT manual

answer

Surgery section

question

Does medicare reimburse for every surgical tray?

answer

No

question

What type of destruction is a part of a surgical procedure, and different methods of destruction are not ordinarily listed separately?

answer

Surgical destruction

question

Care of the condition for which a diagnostic procedure was performed or of other_______ conditions is not included and may be listed separately

answer

concominant conditions

question

Follow-up care for therapeutic surgical procedures includes only that care which is usually part of the...?

answer

surgical services

question

When adding multiple CPT modifiers to a code you would list the modifiers from...?

answer

Highest to lowest

question

Can modifier 57 decision for surgery be added to surgery section codes?

answer

No, only to Evaluation and Management codes

question

Modifier 54 surgical care only notifies the insurance company to

answer

pay for the intra-operative portion

question

true or false? Listing of subsections that have instructional notes is not included in the surgical section guidelines?

answer

true

question

Before you can assign an unlisted code, you must first be certain there is no more specific code and that there is not a...?

answer

Category 3 code available

question

When using an unlisted or Category 3 code, third-party payers usually require the submission of what?

answer

Special report

question

The CPT manual is ever changing and is updated annually to reflect

answer

technologic advances and editorial revisions

question

CPT stands for

answer

Current Procedural Terminology

question

These codes provide supplemental information and do not substitute for a Category 1 code

answer

Category 2 codes

question

According to the notes preceding the Category 3 codes in the CPT manual, the digits of the Category 3 codes are not intended to reflect the placement of the code in the Category 1 section of the CPT:

answer

Nomenclature

question

List all 6 location methods

answer

Service or Procedure, anatomic site, condition or disease, synonym, eponym, & abbreviation

question

Name the 6 sections of the CPT manual

answer

Evaluation and management, anesthesia, surgery, radiology, pathology and laboratory, & medicine

question

What are essential modifiers?

answer

subterms under the main terms and are indented to the right, they begin with a lowercase letter and are not bolded

question

Synchronous means

answer

occurring at the same time

question

In the ICD-9-CM manual symbols, abbreviations, punctuation, and notations are termed...?

answer

Conventions

question

Exclusion notes and codes that are not usually sequenced as the first listed diagnosis are in what "type"?

answer

Italicized type

question

Bold type is used for all codes and titles in the...?

answer

tabular list volume 1

question

ICD-O

answer

International Classification of Diseases for Oncology; contains codes for the location/ site (topography) and morphology(histology) of tumors

question

colon :

answer

located in tabular list after an incomplete term that needs one or more of the modifiers that follow in order to make the codition assignable to a given category

question

brace }

answer

used in some publications to enclose a series of terms to right of the brace

question

Nonessential modifiers are enclosed in...?

answer

Parentheses ( ) and does not affect code assignment

question

Define etiology

answer

the cause, set of causes, or manner of causation of a disease or condition

question

The word "and" should be interpreted to mean either...?

answer

"and" or "or" when it appears in a title

question

This word indicates that two conditions are included in the code and both conditions must be present to report the code

answer

With; or due to something

question

List all Cross references

answer

See, see also, See Category

question

Diseases, procedures, or syndromes named for persons:

answer

Eponyms

question

true or false? Includes and Excludes notes have no bearing on the code selection

answer

false

question

When it comes to coding a residual health problem that remains after the illness or injury has resolved, which is coded first, residual or late effect code

answer

Residual is the first listed diagnosis

question

List the four cooperating parties that agree on coding principles:

answer

Centers for Medicare and Medicaid Services (CMS), American Medical Association (AMA), American Health Information Management Association (AHIMA), National Center for Health Statistics (NCHS)

question

true or false? A code is invalid if it has not been coded to the full number of digits available for the code

answer

true

question

true or false? It is acceptable to use only the Alphabetic Index to assign ICD-9-CM codes

answer

False

question

true or false? When separate codes exist to identify acute and chronic conditions, the chronic code is sequenced first

answer

False

question

true or false? In the outpatient setting, an impending condition should be coded as if it actually exists?

answer

False

question

true or false? Additional signs and symptoms that may not routinely be associated with the disease process being reported should be coded when present

answer

true

question

Identify the main_____ in the diagnostic statement

answer

terms

question

Review any_______ under the main term in the index

answer

subterms

question

Follow any _______-________ instructions, such as see also

answer

cross-references

question

refer to any instructional notations in the

answer

Tabular

question

Code the diagnosis until all _______ are completely identified

answer

elements

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