question

The Coders responsibility is to ensure that the data are as accurate as poosible

answer

True

question

The Federal Register is the official publication for all Presidential Docum.

answer

True

question

Natioonal unit values have been assigned for each service by Medicare

answer

True

question

Fraud is an intentional deception or misrepresentive on that an individual knows to be false or does not believe to be true

answer

True

question

Kickbacks from patients are allowed under certain circumstance according to Medicare guidelines

answer

False

question

When using an unlisted code a _____must accompany the claim A. Modifier B. Operative Report C. Special Report D all of the above

answer

C. Special Report

question

The surgical package includes: A. General anesthesia B. Typical follow-up care C. E/M visit requiring decision for surgery D. All of the above

answer

B. Typical follow-up Care

question

Local anesthesia is defined in the CPT guidelines as A local infiltration B metacarpal/digital block C topic anesthesia D all the above

answer

D. All of the above

question

The usual global surgery period for a major procedure is A 10 Days B. 30 Days C. 60 days D. 90 Days

answer

D. 90 Days

question

The global surgery period includes A. All routine preoperative and postoperative care B. Serious complications requiring a return to the operating room C. Staged procedures D. All of the above

answer

A. All routine preoperative and postoperative care

question

Incision and drainage codes are divided into subcategories according to the A. Size of the lesion B. condition for which the procedure is performed C. depth of the incision D. amount of the drainage

answer

B. Condition for which the procedure is performed

question

When an excision is being performed the 'margins" refer the ______required to adequately excise the lesion based on the physicians judgment A. Widest diameter B. narrowest margin C. Square centimeters D. length

answer

B. Narrowest margin

question

What two items are needed to correctly code for local treatment of burns? A. Length and width of burn B. width and depth of burn C. percentage of body surface and depth of burn D. Percentage of body surface and width of burn

answer

C. Percentage of body surface and depth of burn

question

This information is placed after some codes in the CPT manual and contains helpful information A. Parenthetical information B. Guidelines C. Index location D. bracketed information

answer

A. Parenthetical information

question

What code is used to report routine postoperative care A. No code B. 99312 C. 99024 D. 99211

answer

C. 99024

question

What are divisions of the surgery sections of CPT based on A. Body area B. physician subspecialty area C. body system D. third-party payer requirements

answer

C. Body System

question

Excision of pilonidal cyst that was a complicated procedure A. 11770 B. 11771 C. 11772 D. 10081

answer

C. 11772

question

When the words "separate procedure" appear after the descriptor of a code, yoou know which of the following about that code A. The procedure was only service provided on that day B. The procedure provided was on a day other than the major procedure C. The procedure was a minor procedure that would only be coded if it was the only service provided

answer

C. The procedure was a minor procedure that would only be coded if it was the only service provided

question

Excision including closure of benign lessons of the skin including this type of anesthesia A. Local B. General C. Spinal D. None of the above

answer

A. Local

question

The CPT code that is used to report material and supplies by the physician for which no other more specific CPT code exists is: A. 99070 B. 99080 C. 99071 D. 99000

answer

A. 99070

question

A triangle before a code indicates that the code is or has been A. Major B. Partial C. discontinued D. Revised

answer

D. Revised

question

The incentive to Medicare participating is: A. Direct payment is made on all claims B. A 5% higher fee schedule C. Faster processing D. All of the above

answer

D. All of the above

question

Part B services are billed using A. RBRVS, GPCI, and RVUs B. ICD-9-CM, CPT, HCPCS C. MS-DRGs D. APCs

answer

B. ICD-9CM, CPT, HCPCS

question

Who is the largest third-party payer in the nation A. Blue Cross Blue Shield B. Aetna C. Cigna D. The Government

answer

D. The Government

question

The physician fee schedule is updated each April 15 and is composed of A. The relative value unit for each service B. A geographic adjustment factor to adjust for regional variations in the cost of operating a health care facility C. A national conversion factor D. All of the above

answer

D. All of the above

question

Medicare sets the payment level for assistants at surgery at a percentage of the fee schedule for the _______surgical services A. Global B. United C. Partial D. Subsequent

answer

A. Global

question

What are the items that the Medicare beneficiaries are responsible to pay before Medicare will begin to pay for services A. Personal care items B. Deductibles, drug costs, personal care items C. Premiums D. Deductibles, premiums, and coinsurance

answer

D. Deductibles, premiums, and coinsurance

question

Medicare funds are collected by A. US Food and drug administration B. Social Security Administration C. National Center for health statistics D. Department of the Treasury

answer

B. Social Security Administration

question

Which of the following is NOT a stated goal of the Physician Payment Reform? A. Decrease Medicare expenditures B. Assure quality health care at a reasonable cost C. Limit provider provider liabilities D. Redistribute physician payment more equitably

answer

C. Limit provider liabilities

question

The Medicare prescription drug improvement, and Modernization Act of 2003 established these new benefits available under the Medicare program A. Part A B. Part B C. Part C D. Part D

answer

D. Part D

question

This Program is also known as Medicare Advantage A. Part A B. Part B C. Part C D. Part D

answer

C. Part C

question

The correct code for repairing the following lacerations: 4.2 simple repair of the trunk, 1.3 simple repair of the arm, and 2.8 intermediate repair of the scalp A. 12032, 12001-51, 12002-51 B. 12004 C. 12034 D. 12032, 12002-51

answer

D. 12032, 12002-51

question

When reporting a staged procedure what modifier is added to the CPT code? A. -25 B-51 C. -58 D. -76

answer

C. -58

question

Destruction of 7 actinic keratoses: A. -17004 B. 17000 x 7 units C. -17000, 17003, x7 units D. -17000, 17003 x 6units

answer

D. -17000, 17003 x 6 units

question

Which modifier indicates a significant, separately identifiable E/M service A. -25 B. -51 C. -50 D. -47

answer

A. -25

question

If you want to bill the removal of skin tags using codes 11200 and 11201. you would need to know with absolute certainty A. The method of removal B. whether or not local C. the number of tags removed D. The precise area

answer

C. The number of tags removed

question

Mr. Anderson has dropped a hammer on his big toe resulting in the collection of blood beneath the nail A. 11740 B. 11760 C. 11765 D. 11730

answer

A. 11740

question

Jessica Reynolds is a 33 y/o woman with two children. She has been using implantable contraceptives for five years A. 11976, 11975 B. 11977 C. 11983 D. 11982, 11981

answer

B. 11977

question

Suffix meaning a technique involving molding or surgically forming A. -rrhaphy B. -centesis C. -plasty D. None of the above

answer

C-plasty

question

Oter layer of skin A. dermis B. epidermis C. subcutaneous layer D. derm

answer

B. epidermis

question

A graft taken from the patient's own body is called: A. Split graft B. Xenograft C. autograft D. pinch graft

answer

C. Autograft

question

IgA, IgD, IgE, IgG, IgM

answer

I. Immunoglobulins

question

H2O

answer

H. Water

question

FX

answer

F. Fracture

question

Hx

answer

E. History

question

mmHg

answer

D. millimeters of mercury

question

LLL

answer

Left lower lobe )lung)

question

grav. 1,2.3

answer

A. first, second, third pregnancy

question

g, gm

answer

C. gram

question

mEq

answer

G. milliequivalent

question

Modifier -22

answer

Increased Procedural Services

question

Modifier -23

answer

Unusual Anesthesia Modifier

question

Modifier -24

answer

Unrelated E/M Services by the Same Physician During a Postoperative Period

question

Modifier -25

answer

Significant Separately Identifiable E/M Service by the Same Physician on the Same Day of the Procedure or Other Service

question

Modifier -26

answer

Professional Component

question

Modifier -32

answer

Mandated Services

question

Modifier -47

answer

Anesthesia by Surgeon

question

Modifier -50

answer

Bilateral Procedure

question

Modifier -51

answer

Multiple Procedures

question

Modifier -52

answer

Reduced Services

question

Modifier -53

answer

Discontinued Procedure

question

Modifier -54

answer

Surgical Care Only

question

Modifier -55

answer

Postoperative Management Only

question

Modifier -56

answer

Preoperative Management Only

question

Modifier -57

answer

Decision for Surgery

question

Modifier -58

answer

Staged or Related Procedure or Service by the Same Physician During the Postoperative Period

question

Modifier -59

answer

Distinct Procedural Service

question

Modifier -62

answer

Two Surgeons

question

Modifier -63

answer

Procedure Performed on Infants Less than 4 kg

question

Modifier -66

answer

Surgical Team

question

Modifier -76

answer

Repeat Procedure or Service by Same Physician

question

Modifier -77

answer

Repeat Procedure by Another Physician

question

Modifier -78

answer

Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the postoperative Period

question

Modifier -79

answer

Unrelated Procedure or Service by the Same Physician During the Postoperative Period

question

Modifier -80

answer

Assistant Surgeon

question

Modifier -81

answer

Minimum Assistant Surgeon

question

Modifier -82

answer

Assistant Surgeon (When Qualified Resident Surgeon Not Available)

question

Modifier -90

answer

Reference (Outside) Laboratory

question

Modifier -91

answer

Repeat Clinical Diagnostic Laboratory Test

question

Modifier -92

answer

Alternative Laboratory Platform Testing

question

Modifier -99

answer

Multiple Modifiers

question

Surgical Team

answer

When more than two physicians, with technicians and specialized equipment, work together to complete a complicated procedure and each physician has a specific portion of the surgery to complete, they are term what?

question

Modifier -22

answer

This modifier indicates an increased service and is overused and results in an increase in payment of 20% to 30%. As such, the assignment of this modifier comes under particularly close scrutiny by third-party payers. What is this modifier?

question

Modifier -54

answer

Payment for the intraoperative or surgery portion of the surgical procedure is being requested.

question

Modifier -59

answer

Only to other than E/M codes

question

What is the weight in pounds of a 4-kilogram infant?

answer

8.8 lbs.

question

Modifier -55

answer

(Postoperative Management Only) should be assigned when a provider other than the surgeon is responsible for postoperative management.

question

NCCI

answer

National Correct Coding Initiative

question

National Correct Coding Initiative (NCCI)

answer

Implemented by the American Medical Association

question

Modifier -52

answer

A service that has been partially reduced at the physician's discretion is reflected by the modifier

question

Modifiers -23, -52, and -73

answer

When the provider performs a procedure or service for which there is no CPT code, the coder should assign

question

National Correct Coding Initiative (NCCI)

answer

Automated edits that identify pairs of services that normally should not be billed by the same physician for the same patient on the same day are part of the

question

What is a functional modifier

answer

It is a pricing modifier, which means that the third-party payer considers it when determining reimbursement

question

Modifier -62

answer

When two primary surgeons are required during an operative, each performing distinct parts of a reportable procedure, modifier ___________ should be assigned.

question

Modifier -76

answer

When a procedure was repeated because of special circumstances involving the original service and the same physician performed the repeat procedure, modifier ____ should be recorded.

question

Modifier -32

answer

Workers' Compensation referred a patient to a physician for a mandatory examination to determine the legitimacy of a claim (insurance certification). What modifier would be added to the code for the examination service?

question

Modifier -47

answer

Dr. Ramus administers regional anesthesia by intravenous injection (also known as Bier's local anesthesia) for a surgical procedure on the patient's lower arm. Dr. Ramus then performs the surgical procedure. What modifier would be added to the surgical code.

question

Modifier -25

answer

A patient came to the office twice in one day to see the same physician for unrelated problems. What modifier would be added to the code for the second office visit?

question

Modifier -51 - There are three significant times when multiple procedures are reported:

answer

1. Same Operation, Different Site 2. Multiple Operation(s), same Operative Session 3. Procedure Performed Multiple Times

question

Modifier -54, -55, and -56

answer

When reporting his or her own individual services, each physician would use the same procedure code for the surgery, letting the modifier indicate to the third-party payer the part of the surgical package that each personally performed.

question

Appendix A

answer

What appendix in the CPT manual contains a complete list of all modifiers?

question

Preoperative Services

answer

What is the term that describes the services provided to a patient by the physician before surgery?

question

When listing multiple CPT modifiers, you would list them from:

answer

Highest to lowest

question

Which of the following statements is true about modifier?

answer

may be used to describe those times when the physician elects to terminate a procedure due to the well-being of the patient

question

Dr. Wells began surgery on an 86-year-old female with severe hypertension. The patient was satisfactorily anesthetized and the site opened to view. Shortly thereafter, the patient's blood pressure dropped significantly, and the physician was unable to stabilize the patient. The procedure was discontinued.

answer

Modifier -53

question

The patient is a 10-month-old boy who fell while trying to walk. He cut the bottom of his lip open. Sutures are necessary, but due to the patient's age and excessive movement, general anesthesia is needed.

answer

Modifier -23

question

A patient has a hernia repair and 2 days later must be returned to the operating room for a dehiscence of the incision. When coding the secondary hernia repair, which modifier would you add onto the surgical codes?

answer

Modifier -78

question

A surgeon performed a repair of an enterocele using an abdominal approach and reported the service with 57270. Then patient was morbidly obese with a BMI of 42, and due to this circumstance, the procedure took a significant amount of additional time to perform.

answer

Modifier -22

question

During a radical right descended orchiectomy for an extensive malignant tumor (54435), the patient began to hemorrhage. After considerable time and effort, the hemorrhage was controlled.

answer

Modifier -22

question

The modifier -RT and LT are:

answer

Right and Left, Never used with Modifier -50, and HCPCS modifiers

question

Which group of modifier, are most likely NOT to be recognized by insurance carriers?

answer

Modifiers -63, -53, -54, -55, and -56

question

Modifiers -54 and -55 most likely would be used.

answer

By two different physicians, on separated claims

question

Modifier -TC means:

answer

Technical Component

question

Adding modifier ______________, Unusual Services modifier, indicates "additional effort or time":

answer

Modifier -22; May still not be compensated at a higher rate, even with a report, if the carrier doesn't agree.

question

The modifier -23, ____________ would not be appropriate for the use of a accupuncture

answer

Unusual anesthesia

question

Modifier -24 should always be used with:

answer

Evaluation and Management codes.

question

Modifier -25

answer

Used for the initial evaluation of a problem for which a procedure is performed.

question

If general anesthesia is applied, modifier -23 should be used when your CPT manual notes under the CPT code:

answer

Procedure "usually performed without anesthesia or under local anesthesia."

question

Some CPT codes are "Technical Service only". This means:

answer

Only the "facility", most often a hospital, would bill for services (use of the equipment.)

question

The use of a magnifying surgical loupe qualifies the use of modifier -20, microsurgery:

answer

Modifier -20 has been deleted from CPT and can no longer be used.

question

Which of the following modifiers are considered informational only (will not impact reimbursement)?

answer

Modifiers -24, -32, and -57

question

What the percentage amounts allocated for Modifier -54, -55, and -56, respectively?

answer

70%, 20%, 10%

question

What the percentage amounts for modifier -54?

answer

Intraoperative: 70%

question

What the percentage amounts for modifier -55?

answer

Postoperative: 20%

question

What the percentage amounts for modifier -56?

answer

Preoperative: 10%

question

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

answer

Unbundling

question

What is another term for the time after the surgery that the physician provides services to the patient?

answer

Postoperative Services

question

A patient is admitted and has bilateral arthroscopy of the knees due to Baker's cysts.

answer

Modifier -50

question

A radiological examination of the gastrointestinal tract was ordered by a third-party payer for a confirmation of Crohn's disease (regional enteritis) of the large bowel.

answer

Modifier -32

question

Anesthesia provided by the ENT physician during a tympanoplasty for repair of a tympanic membrane perforation.

answer

Modifier -47

question

A patient is seen at the direction of Workers' Compensation for a complete physical examination for insurance certification.

answer

Modifier -32

question

The patient returns to the operating room for removal of deep pins during the postoperative period, due to complication (dislodged) after an open repair of a humerus fracture.

answer

Modifier -78

question

A patient has a surgical procedure on Turesday, and later that day the physician must take the patient back to the operating room to repeat (redo) a coronary bypass, due to complications of initial procedure.

answer

Modifier -76

question

The patient underwent a bilateral tympanoplasty.

answer

Modifier -50

question

If you must use two or more modifiers to describe a service, you would use which modifier to indicate this circumstance?

answer

Modifier -99

question

A surgeon performs a procedure on a neonate weighing 9kg; the procedure was extremely complicated. What modifier would you use to indicate this service, which has an increased level of complexity?

answer

Modifier -22

question

Dr. Storely performed cataract surgery on 10/31/2008 and Dr. Jones provided postoperative care following discharge. What modifier would you use to indicate the postoperative care following discharge?

answer

Modifier -55

question

Dr. Merideth serves as an assistant surgeon to Dr. Taylor. What modifiers; would you add to the procedure code to indicate Dr. Merideth's status during the procedure?

answer

Modifier -80

question

The third-party payer requires the use of HCPCS/National modifiers; the surgeon performed a surgical procedure on the patient's left thumb. What Level II modifier would indicate the left thumb?

answer

Modifier -FA

question

What Level II modifier indicates the upper left eyelid?

answer

Modifier -E1

question

Which modifier is requests payment for the full fee of the subsequent service because it was unassociated with the first procedure. A new global period should start when modifier _____ is submitted

answer

Modifier -79

question

The CPT manual was developed by the

answer

American Medical Association (AMA)

question

CPT stands for

answer

Current Procedural Terminology

question

Providers of health care are paid based on the codes submitted for _____________ or procedures provided to the patient.

answer

services

question

The first CPT was published in this year

answer

1966

question

In which year were CPT codes incorporated as Level I codes into the Healthcare Procedure Coding Sytem (HCPCS)?

answer

1983

question

The CPT manual often reflects the technologic advances made in medicine with these codes:

answer

Category 3 Codes

question

The CPT manual is ever changing and is updated annually to reflect technologic advances and editorial _______.

answer

Revisions

question

What type of codes end with 99?

answer

Unlisted Procedure

question

Coding information that pertains to an entire section is located in the ___________.

answer

Guidelines

question

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

answer

Category 2 Codes

question

What is the name of the two-digit number or a digit and a number that is located after the CPT code number and provides more detail about the code?

answer

Modifier

question

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

answer

Special Report

question

Appendix A

answer

lists all modifiers that are used to alter or modify codes.

question

Appendix B

answer

additions to, deletions from, and revisions of the CPT manual.

question

Appendix C

answer

clinical examples of many of the Evaluation and Management (E/M) codes.

question

Appendix D

answer

lists all add-on codes.

question

Appendix E

answer

complete list of Modifier -51 exempt codes.

question

Appendix F

answer

summary of CPT codes that are Modifier -63 exempt.

question

Modifier -51 indicates what?

answer

More than one procedure was performed.

question

Modifier -63 identifies what?

answer

Procedures that are performed on infants who weigh less than 4 kg or 8.8 pounds and represents a significant increase in the physician's works and complexity of service/procedure.

question

Appendix G

answer

Summary of Moderate Sedation Codes. (Procedure that requires conscious sedation.)

question

Appendix H

answer

Category 2 Codes.

question

Category 2 codes

answer

optional tracking codes that are used to identify performance measures of clinical components that may be typically included in evaluation and management services. (Removed)

question

Category 1 codes

answer

for the most part, define professional services.

question

Appendix I

answer

Genetic Testing Code Modifiers

question

Appendix J

answer

Electrodiagnostic Medicine Listing of Sensory, Motor, and Mixed Nerves.

question

Appendix K

answer

Product Pending FDA Approval

question

Appendix L

answer

Vascular Families

question

Appendix M

answer

Summary of crosswalked deleted CPT codes.

question

Appendix N

answer

Resequenced CPT codes

question

Modifiers

answer

provide additional information to the third-party payer about services provided to the patient. At times a five digit code may not reflect completely the service or procedure provided.

question

CPT modifiers are listed in descending or ascending numeric order?

answer

Descending.

question

Definition of a chief complaint using the E/M Guidelines:

answer

Chief Complaint is a concise statement describing the symptom, problem, condition, diagnosis, or other factor that is the reason for the encounter, usually stated in the patient's words.

question

According to the Surgery Guidelines, surgical destruction is a part of a surgical procedure and ____________ methods of destruction are not ordinarily listed separately.

answer

different

question

According to the Radiology Guidelines, who must sign a written report to have the report considered part of the radiologic procedure?

answer

the interpreting individual

question

Under whose supervision are the Pathology and Laboratory services provided?

answer

Physician

question

What is the code listed in the Medicine Guidelines that is to be used to identify materials supplied by the physician that are beyond those ordinarily included in the service provided?

answer

99070

question

Describe a stand-alone code.

answer

They have the full description.

question

Describe an intended code.

answer

They are listed under associated stand-alone codes.

question

Words following the semicolon in stand-alone codes can indicate the following three things:

answer

Alternative anatomical sites, alternative procedures, or a description of the extent of the service.

question

What is the two-digit modifier that indicates two primary surgeons?

answer

-62

question

If the CPT code is 43820 (gastrojejunostomy without vagotomy) and two primary surgeons performed the services, the service could be stated this way:

answer

43820-62

question

Bilateral inguinal herniorrhaphy:

answer

-50

question

A postoperative ureterotomy patient has to be returned to the operating room (unplanned) for a complication related to the initial procedure during the postoperative period:

answer

-78

question

A decision to perform surgery is made during an evaluation and management service on the day before or the day of surgery:

answer

-57

question

A surgical team is required:

answer

-66

question

Physician A actively assists physician B during a surgical procedure:

answer

-80

question

Symbols with definitions are located at the bottom of the page in the CPT manual; True or False?

answer

True

question

A category III code would be reported rather than a Category I __________ code.

answer

unlisted

question

Special reports must be submitted with claims for procedures that are unusual, new, seldom used, or use Category I ____________ codes or Category _______ codes.

answer

unlisted; III

question

The symbol used between two code numbers to indicate that a range is available is a _________?

answer

hyphen (-)

question

Using figure 13-31 (bottom of page) Identify, in this order, #13, #14, #15, #16

answer

Subsection, Section, Subheading, Category

question

The symbol that indicates a product is pending FDA approval is the __________________?

answer

Lightening bolt

question

A complete list of the codes disgnated with the symbol that indicates a product is pending FDA approval is listed in this appendix of the CPT manual ____________.

answer

Appendix K

question

The Genetic Testing Code Modifiers are listed in this appendix of the CPT manual. ____________.

answer

Appendix I

question

total

answer

Anesthesia services are based on ____________time the patient is under the anesthesiologist's care. Calculation of units of time is determined by the third-party payer.

question

begins preparing the patient to receive anesthesia, continues through the procedure, and ends when the patient is no longer under the personal care of the anesthesiologist.

answer

Anesthesia time begins when the anesthesilogist ___________________and continues ______________ the procedure, and ends when ______________________________________________

question

-47

answer

According to the Anesthesia Guidelines, what is the one modifier that is not used with anesthesia procedures? _______

question

physical status

answer

"P1" is an example of what type of modifier? ___________ _____________

question

moribund

answer

What word means "in a dying state"?

question

systemic

answer

What word means "affecting the body as a whole"?

question

6

answer

The letter "P" in combination with what number indicates a brain-dead patient?

question

qualifying

answer

What type of circumstance identifies a component of anesthesia service that affects the character of the service?

question

anatomic

answer

Anesthesia procedures are divided by what type of site?

question

complex, combined total (or total time)

answer

According to the Anesthesia Guidelines, the Separate or Multiple Procedures section, when multiple surgical procedures are performed during a single anesthetic administration, the anesthesia code representing the most ____________ procedure is reported and the time reported is the ________________ or _________________ for all procedures.

question

No

answer

Is it true that a physician who personally administers the anesthesia to the patient upon whom he or she is operating cannot bill the third-party payer? (if True, why; if False, why, AND is there any additional information you might want to add?)

question

Relative Value Guide (RVG)

answer

What is the name of the guide that is published by the American Society of Anesthesiologists and provdides the weights of various anesthesia services?

question

body area

answer

Is the examination of the back an organ system or body area examination?

question

new, established, outpatient, inpatient

answer

The four types of patient status are?

question

initial, subsequent

answer

The first outpatient visit is called the ________visit, and the seond visit is called the _________visit.

question

status, place of service, type of service

answer

The first three factors a coder must consider when coding are patient ______, ________ __ ________, and _________ __ ________.

question

4

answer

How many types of histories are there?

question

expanded problem focused history

answer

Which history is more complex: The problem focused history or the expanded problem focused history?

question

problem focused, expanded problem focused, detailed, comprehensive

answer

The four types of examinations, in order of difficulty (from least difficult to most difficult) are as follows:

question

problem focused

answer

The examination that is limited to the affected body area is the ___________ ____________ .

question

very low birth weight

answer

What does VLBW stand for?

question

straightforward

answer

What medical decision making involves a situation in which the diagnosis and management options are minimal, data amount and complexity that must be reviewed are minimal/none, and there is a minimal risk to the patient of complications or death?

question

inpatient

answer

What term is used to describe a patient who hs been formally admitted to a hospital?

question

surgical team, 66

answer

When more than two physicians, with technicians and specialized equipment, work together to complete a complicated procedure and each physician has a specific portion of the surgery to complete, they are termed what ____________ ___________, and the modifier is -_______.

question

No, because it states in the notes for modifier 22 that this modifier should not be appended to an E/M Service

answer

Can modifier -22 be assigned to 99291, 99292 codes ( which are E/M service codes)

question

-22

answer

This modifier indicates an increased service and is overused and results in an increase in payment of 20% to 30%. As such, the assignment of this modifier comes under particularly close scrutiny by third-party payers. What is this modifier?

question

intraoperative or surgery

answer

When modifier -54 is assigned, payment for the __________________ portion of the surgical procedure is being requested.

question

She is incorrect because modifier 32 is only assigned for mandated services, such as police and Workers Compensation and not for requests made by patient, family member, or another physician.

answer

Joan is a new coder at the local clinic. You have been assigned to review her coding before it is submitted to the third-party payer. You note that she assigned modifier -32 to E/M consultation code 99244. The medical record indicates that the request for the second opinion was made by the patient's spouse. Is Joan correct in modifier -32 assignment? Why or why not?

question

b

answer

Which of these statements is true about modifier -59? a. It is only appended to E/M codes b. It is only appended to other than E/M codes.

question

8.8 lbs.

answer

What is the weight in pounds of a 4-kilogram infant?

question

c

answer

Which of the following statemtns is NOT true about modifier -53? a. describes circumstances based on the patient's condition. b. may be used to describe those times when the physician elects to terminate a procedure due to the well-being of the patient. c. describes circumstances in which the patient cancelled the procedure. d. may be used to describe ASC reporting of previously scheduled procedure that is partially reduced as a result of extenuating circumstances.

question

False

answer

True or False: Modifier -57 can be added to Surgery section codes?

question

a

answer

When adding multiple CPT modifiers to a cdoe, you would list the modifiers from: a. highest to lowest b. lowest to highest c. makes no difference which is listed first.

question

-76

answer

Modifier used to repeat procedure or service by same physician?

question

-62

answer

Modifier for Two surgeons?

question

-26

answer

Modifier for Professional component?

question

-99

answer

Modifier for Multiple modifiers?

question

-59

answer

Modifier for Distinct Procedural Service?

question

-32

answer

Modifier for Mandated Service

question

-25

answer

Modifier for Significant identifiab le E/M service provided by the same physician on the same day as another service or procedure?

question

-81

answer

Modifierfor Minimum Assistant Surgeon?

question

-77

answer

Repeat procedure by another physician?

question

-79

answer

Unrelated procedure or service by the same physician during the postoperative period

question

-23

answer

Unusual anesthesia

question

-78

answer

Unplanned return to the operating room for a related procedure during the postopeative period.

question

-54

answer

Surgical care only.

question

-52

answer

Reduced service.

question

-66

answer

Surgical Team

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

question

Modifiers my affect

answer

the way payment is made

question

Modifiers are used to indicate what type of information

answer

complete the story for insurance carriers to determine reimbursement All the Above

question

Modifier -57, decision for surgery, is used on what type of service

answer

E/M

question

Modifier -79, unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period, is used on what type of service

answer

Surgery

question

Modifier -51, Multiple procedure, is used on what type of services

answer

Surgery services

question

Modifier -80, Assistant surgeon, is used when

answer

2nd surgeon provides assistance to first

question

Modifier -32 is used to indicate a service is mandated. Which of the following is an example of when a service is mandated

answer

insurance company requires 2nd opinion prior to surgery

question

Modifier -25, significant, separately identifiable E/M service by the same individual on the same day of the procedure or other service, is used to report an E/M service that was

answer

Provided on same day as a minor procedure by same surgeon

question

Modifier -59, distinct procedure service, is used to indicate that

answer

services that are usually bundled were billed separate.

question

Modifier -58, staged or related procedure or service by the same physician during the postoperative period, is used to indicate

answer

a subsequent surgery was planned or staged at the time of the first surgery

question

Modifier -52, reduced services, is used to indicate

answer

services were reduced by physician

question

The modifier -AA is an example of what type of modifier

answer

HCPCS

question

Multiple modifier are indicated with which modifer

answer

-99

question

The modifer that indicates only the professional component of the service was provided is

answer

-26

question

The modifier that indicates multiple procedures is

answer

-51

question

Where are some HCPCS modifiers in the CPT book

answer

Appendix A

question

Mr Jones is admitted to the hospital by the orthopedic surgeon for severe hip pain. The ortho surgeon provides an initial hospital visit during which it is determined that Mr. Jones has a fractured hip that will require surgical intervention. Mr. Jones is taken later that day to the OR where Dr. Ortho performs the surgical procedure to repair Mr. Jones' hip. Which modifier would you use for the hosptial visit

answer

-57

question

Mrs Smith presented to her physician's office for an office visit for an upper respiratory infection. The physician examines that patient and prescribes antibiotics. The physician notices the patient has a suspicious looking mole. The physician examined the mole and determined that is should be removed. The mole was removed during the same office visit. The physician bills both the E/M code and a procedure code. Which modifier would you use on the E/M code

answer

-25

question

Mrs Roberts falls at work. She claims that she is alright, but her employer's workers' compensation policy requires that she see a physician to confirm she was not injured when she fell. The physician files a claim to the worker's compensation carrier. Which modifier would you use when reporting the physicians service to the patient.

answer

-32

question

Mr Coslett has multiple surgeries performed during the same operative session. Which modifer would you use

answer

-51

question

What modifier would you use if you were coding only for the professional component of a diagnostic procedure

answer

-26

question

What modifier would you use if you were coding only the technical component of a diagnostice procedure

answer

TC

question

What modifier is used to indicate that services of an outside laboratory were used

answer

-90

question

The words that follow a code number in the CPT manual are called:

answer

procedure/service descriptor

question

A code that has all of the words that describe the code that follows is what type of code?

answer

stand alone

question

Procedures that are experimental, newly approved, or seldom used are reported with what type of code?

answer

unlisted/category III

question

Who requires a special report with the use of unlisted codes?

answer

third-party payers

question

Which of the following represents three of the six elements that a special report must contain?

answer

Nature, extent, need

question

Which punctuation mark between codes in the index of the CPT manual indicates a range of codes is available?

answer

hypen

question

Which punctuation mark between codes in the index of the CPT manual indicates two codes are available?

answer

comma

question

In which CPT appendix would additions, deletions, and revisions be found?

answer

Appendix B

question

In which CPT appendix would all modifiers be found?

answer

Appendix A

question

CPT stands for:

answer

Current Procedural Terminology

question

Which term reflects the technologic advances made in medicine that are incorporated into the CPT manual?

answer

revisions

question

Where is specific coding information about each section located?

answer

guidelines

question

This act mandated the adoption of national uniform standards for electronic transmission of financial and administrative health information.

answer

HIPAA

question

What year was CPT first developed and published?

answer

1966

question

Who publishes CPT?

answer

AMA

question

Health care providers are ____ based on the codes submitted on a claim form for procedures and services rendered.

answer

reimbursed

question

Category I CPT codes have ____ digits.

answer

5

question

The universal health insurance form for submission of outpatient services is the:

answer

CMS-1500

question

Which of the following is NOT a reason for the CPT coding system?

answer

increased reimbursment

question

What is the function of an add-on code?

answer

identifies a code that is never used alone

question

How many main sections are in the CPT manual?

answer

6

question

A modifer:

answer

provides additional information to the third-party payer

question

Modifiers may affect

answer

the way payment is made by a third-party payer

question

Modifiers are used to indicate what type of information?

answer

all of the above

question

Modifier -57, decision for surgery, is used on what type of service?

answer

E/M

question

Modifier -79, unrelated procedure or service by the same physician during the postoperative period, is used on what type of service?

answer

surgery

question

Modifier -51, Multiple Procedure, is used on what type of services?

answer

surgery

question

Modifier -80, Assistant Surgeon, is used when:

answer

a second surgeon provides assistance to the primary surgeon

question

Modifier -32 is used to indicate a service is mandated. Which of the following is an example of when a service is "mandated?"

answer

An insurance company requires a second opinion prior to surgery

question

Modifier -25, significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service, is used to report an E/M service that was:

answer

provided on the same day as a minor procedure performed by the same physician

question

Modifier -59, distinct procedure service, is used to indicate that:

answer

services that are usually bundled into one payment were provided as separate services

question

Modifier -58, staged or related procedure or service by the same physician during the postoperative period, is used to indicate:

answer

that a subsequent surgery was planned at the time of the first surgery

question

Modifier -52, reduced services, is used to indicate:

answer

a service was reduced without changing the definition of the code

question

The modifier "-AA" is an example of what type of modifier?

answer

HCPCS

question

Multiple modifiers are indicated with which modifier?

answer

-99

question

The modifier that indicates only the professional component of the service was provided is:

answer

-26

question

The modifier that indicates multiple procedures is:

answer

-51

question

Mrs. Roberts falls at work. She claims that she is alright, but her employer's workers' compensation policy requires that she see a physician to confirm she was not injured when she fell. The physician files a claim to the workers' compensation carrier. Which modifier would you use when reporting the physician's service to the patient? ____________________

answer

-32

question

Mr. Coslett has multiple surgeries performed during the same operative session. Which modifier would you use? ____________________

answer

-51

question

When two surgeons work together as primary surgeons performing distinct parts of a procedure, each surgeon would report modifier ____________________ with his/her procedure code.

answer

-62

question

Mr. Jones is admitted to the hospital by the orthopedic surgeon for severe hip pain. The ortho surgeon provides an initial hospital visit during which it is determined that Mr. Jones has a fractured hip that will require surgical intervention. Mr. Jones is taken later that day to the OR where Dr. Ortho performs the surgical procedure to repair Mr. Jones' hip. Which modifier would you use for the hospital visit? ____________________

answer

-57

question

Mrs. Smith presented to her physician's office for an office visit for an upper respiratory infection. The physician examines the patient and prescribes antibiotics. The physician notices the patient has a suspicious looking mole. The physician examined the mole and determined that it should be removed. The mole was removed during the same office visit. The physician bills both an E/M code and a procedure code. Which modifier would you use on the E/M code? ____________________

answer

-25

question

What modifier would you use if you were coding only for the professional component of a diagnostic procedure? ____________________

answer

-26

question

Modifier ______ is used to indicate that services of an outside laboratory were used.

answer

-90

question

If the same procedure is performed on a mirror-image part of the body, which modifier would you use?

answer

50,-50 Hint: If the same procedure is performed on a mirror-image part of the body (such as two knees or two arms), modifier -50, indicating a bilateral procedure, would be reported. See page 256 of the textbook.

question

Assign only the applicable modifier for the following scenario. Do not code the office visit or the diagnosis. Mrs. Roberts falls at work. She claims that she is alright, but her employer's workers' compensation policy requires that she see a physician to confirm she was not injured when she fell. The physician files a claim to the Workers' Compensation carrier. Which modifier would you use when reporting the physician's service to the patient?

answer

-32 Hint: Modifier -32 is commonly used by third-party payers (e.g., Workers' Compensation) who require a physical examination be obtained after a patient is injured from his or her job. See page 256 of the textbook or Appendix A of the CPT® manual.

question

Mr. Coslett has multiple related surgeries performed during the same operative session. Which modifier would you use?

answer

-51 Hint: When more than one procedure is performed during any given operative session, modifier -51 must be reported. See page 257 of the textbook or Appendix A of the CPT® manual.

question

What modifier is used for a staged or related procedure or service by the same physician during the postoperative period?

answer

-58 Hint: -58 is reported for a planned or staged procedure during the post-op period. See page 267 of the textbook or Appendix A of the CPT® manual.

question

What modifier would you use if you were coding for unrelated procedure or service by the same physician during a post-op period?

answer

-79 Hint: Modifier -79 indicates that a procedure unrelated to the initial surgery is performed during the post-op period. See page 273 in the textbook or Appendix A of the CPT® manual.

question

Assign only the applicable modifier for the following scenario. Do not code the office visit, diagnosis, or procedure. Mrs. Smith presented to her physician's office for an office visit for an upper respiratory infection. The physician examines the patient and prescribes antibiotics. The physician notices the patient has a suspicious looking mole. The physician examined the mole and determined that it should be removed. The mole was removed during the same office visit. The physician bills both an E/M code and a procedure code. Which modifier would you use on the E/M code?

answer

-25 Hint: The removal of a suspicious mole is considered a separate procedure since Mrs. Smith's office visit is initially for an upper respiratory infection. See page 254 of the textbook or Appendix A of the CPT® manual.

question

What modifier would you use if you were coding only for the professional component of a radiology service?

answer

-26 Hint: Radiology services consist of two components-professional component and technical component. Modifier -26 indicates that only the professional component is performed. See pages 254-255 or Appendix A of the CPT® manual.

question

Modifier-52

answer

is used to indicate a service was reduced without changing the definition of the code.| Hint: -52 indicates that a service was reduced without changing the definition of the code. See page 261 of the textbook or Appendix A of the CPT® manual.

question

Assign only the applicable modifier for the following scenario. Do not code the office visit, diagnosis, or procedure. Mr. Jones is admitted to the hospital by the orthopedic surgeon for severe hip pain. The ortho surgeon provides an initial hospital visit during which it is determined that Mr. Jones has a fractured hip that will require surgical intervention. Mr. Jones is taken later that day to the operating room (OR) where Dr. Ortho performs the surgical procedure to repair Mr. Jones' hip. Which modifier would you use for the hospital visit?

answer

57,-57 Hint: Because the decision for surgery was made on the same day Mr. Jones was admitted to the hospital, modifier -57 must be reported. See page 266 of the textbook or Appendix A of the CPT® manual.

question

Modifier -90

answer

indicates that services of an outside laboratory were used. Hint: Modifier -90 indicates that services of an outside lab were used. See page 275 of the textbook or Appendix A of the CPT® manual.

question

Mr. Coslett has multiple surgeries performed during the same operative session. Which modifier would you use? modifier -51

answer

modifier -51

question

The modifier that indicates multiple procedures is: Modifier -51

answer

modifier -51

question

Anesthesia code for a tympanostomy of the left ear performed on an 11-month-old female. CPT Codes: 00126, 99100.

answer

CPT Codes: 00126, 99100.

question

Physical status modifier P3 indicates a patient with a(n) ________ systemic disease. Severe

answer

Severe

question

Mr. Jones is admitted to the hospital by the orthopedic surgeon for severe hip pain. The ortho- surgeon provides an initial hospital visit during which it is determined that Mr. Jones has a fractured hip that will require surgical intervention. Mr. Jones is taken to the OR later that day and Dr. Ortho performs the surgical procedure to repair Mr. Jones' hip. Which modifier would you use for the hospital visit? Modifier -57

answer

Modifier -57

question

Assign a CPT anesthesia code for debridement of third-degree burns of right arm, 6% body surface area. CPT Code: 01952.

answer

CPT Code: 01952

question

________ of the CPT manual lists some HCPCS modifiers. Appendix A

answer

Appendix A

question

The society that publishes the Relative Value GuideTM for anesthesia services is the: American Society of Anesthesiologists

answer

American Society of Anesthesiologists

question

Moderate or ________ sedation is a type of sedation that may be provided by the physician performing the procedure. Conscious

answer

Conscious

question

Modifier -58, staged or related procedure or service by the same physician during the postoperative period, is used to indicate: that a subsequent surgery was planned at the time of the first surgery.

answer

that a subsequent surgery was planned at the time of the first surgery.

question

Which codes begin with the number 99 and are used to indicate anesthesia services provided during situations that make the administration of the anesthesia more difficult? Qualifying Circumstances

answer

Qualifying Circumstances

question

What modifier would you use if you were coding only the technical component of a diagnostic procedure? Modifier: TC

answer

Modifier: TC

question

In the Anesthesia section of the CPT manual, the codes are usually divided first by which of the following? Anatomic Site

answer

Anatomic Site

question

Modifier -59, distinct procedure service, is used to indicate that: services that are usually bundled into one payment were provided as separate services.

answer

services that are usually bundled into one payment were provided as separate services.

question

Assign a CPT anesthesia code and applicable modifiers for anesthesia services for a 9- month-old normal child who received anesthesia for hernia repair in the lower abdomen. CPT Code: 00834-P1.

answer

CPT Code: 00834-P1

question

Mrs. Smith presented to her physician's office for an office visit for an upper respiratory infection. The physician examines the patient and prescribes antibiotics. The physician notices the patient has a suspicious looking mole. The physician examined the mole and determined that it should be removed. The mole was removed during the same office visit. The physician bills both an E/M code and a procedure code. Which modifier would you use on the E/M code? Modifier: -25

answer

Modifier -25

question

Modifier -51, Multiple Procedure, is used on what type of services? Surgery

answer

Surgery

question

Modifier -80, Assistant Surgeon, is used when: A second surgeon provides assistance to the primary surgeon.

answer

A second surgeon provides assistance to the primary surgeon.

question

Daily hospital management of epidural, continuous drug administration. CPT Code: 01996.

answer

CPT Code: 01996

question

Assign a CPT anesthesia code and applicable modifiers for anesthesia services for an 81-year-old patient with mild systemic disease who receives anesthesia for revision of total hip arthroplasty. CPT Codes: 01215-P2, 99100

answer

CPT Codes: 01215-P2, 99100

question

When time is calculated for anesthesia services, the time begins when the anesthesiologist begins preparing the patient for anesthesia.

answer

the anesthesiologist begins preparing the patient for anesthesia.

question

What type of nurse can administer anesthesia under the direction of an anesthesiologist? CRNA

answer

CRNA

question

Modifier -79, unrelated procedure or service by the same physician during the postoperative period, is used on what type of service? Surgery

answer

Surgery

question

What modifier would you use if you were coding only for the professional component of a diagnostic procedure? -26

answer

Modifier: -26

question

The modifier"-AA" is an example of what type of modifier? HCPCS

answer

HCPCS

question

1.the more the complex subsection referred to in the text were Integ, Musculo, resipratory, Cardio, Digestive, and

answer

Female genital

question

2. The info in the ___ contains info that is necessary to correctly code in the section, & the info is not repeated elsewhere

answer

Guidelines

question

3.Notes may appear before subsec, subhead, ___ & subcategories

answer

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