ch-5 quiz – Flashcard
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In CPT, a bullet (a solid circle) next to a code indicates a(n):
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new code
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HCPCS Level II codes have:
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five characters
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In CPT, a lightning bolt symbol next to a code indicates a(n):
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code pending FDA approval
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How many digits are in Category I codes?
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five
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The divisions of CPT, such as Anesthesia and Radiology, are referred to as:
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sections
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Which symbol means moderate sedation is part of the procedure performed?
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bullet inside a circle
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The following group identifies services for which new HCPCS level II codes are needed:
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CMS HCPCS Workgroup
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In-office labs are guided by federal safety regulations from:
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OSHA
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How many key components are there when evaluating an E/M code?
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three
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Under CPT guidelines, all services related to a surgical procedure are not additionally reimbursed:
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during the global period
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When selecting an E/M for the Emergency Room the coder needs to know:
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none of these are determining factors in E/M Emergency Room coding
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Select the correct modifier: A graft was performed 10 days following an allograft application to allow the underlying tissues time to heal. The surgeon knows at the time of the allograft that the grafting will be performed within 10 to 15 days.
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-58 Staged procedure
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CPT codes from the Anesthesia section have two types of modifiers:
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standard CPT modifiers and physical status modifiers
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The term ________ refers to using a single payment for two or more related procedure codes.
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bundling
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Unbundling is:
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separately reporting anything that is included in the bundled code
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Of the four types of examinations that a physician can perform, which level is the most complete?
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comprehensive
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CPT codes for initial hospital care can be reported:
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only once per hospitalization
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To avoid reduced payment for multiple procedures, the coder should use modifier ______ to indicate distinct: procedures.
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59
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Which of the following items could be found on the HCPCS website?
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-a list of current HCPCS codes -an alphabetical index of HCPCS codes by type of service or product -an alphabetical table of drugs for which there are Level II codes all of these are correct
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With E/M coding, physicians must:
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-gather information -analyze -make decisions all of these are needed
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Which two sections follow the same types of guidelines?
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Radiology and Surgery
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Select the correct modifier: A podiatrist performs a bunionectomy on the great toe and during the same operation corrects a hammertoe on the third toe.
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-51 Multiple procedures
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When listing multiple procedures, the coder wants to do what?
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put the most complex code first
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Select the correct modifier: Attempted to excise a deep vascular malformation of the hand; unable to completely excise secondary to entrapment of other structures; performed partial excision
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-52 Reduced services
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Select the correct modifier: A radiologist reads and prepares a written report for a frontal and lateral chest X-ray.
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-26 Professional component
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Which of the following temporary codes was developed to assist DMERCs?
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K codes
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Which is the correct process for selecting CPT codes?
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determine the procedures and services to report, identify the correct codes, and determine the need for modifiers
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The Anesthesia section's subsections are organized by:
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body site
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Which symbol is used to designate a code's descriptor has changed?
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a triangle
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How many parts there in a radiological procedure?
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two
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Which symbol is used to designate revised text?
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facing triangles
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What is the code range used to report Anesthesia codes?
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00100-01999
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Which appendix in CPT contains the Summary of Modifier 63 exempt codes?
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Appendix F
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In CPT, a plus sign (+) next to a code indicates a(n):
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add-on code
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Select the correct modifier: Patient is to have a diagnostic arthroscopy of the left knee. The physician inserted the arthroscope and the patient went into respiratory distress. The arthroscope was withdrawn and the procedure was terminated.
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-53 Discontinued procedure
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In CPT, what procedure is bundled with the arthroscopy in the following entry? 29860 Arthroscopy, hip, diagnostic with or without synovial biopsy
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a synovial biopsy
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Upon selecting an Evaluation and Management code, three components are considered: the type of history, the physical examination, and the
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medical decision making
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Select the correct modifier: A neurosurgeon and an otorhinolaryngologist are working as co-surgeons in performing transsphenoidal excision of a pituitary neoplasm.
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-62 Two surgeons
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Select the correct modifier: The chest X-ray was performed before placing a chest tube and then again after the chest tube placement to verify the position.
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-76 Repeat procedure
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Which of the following items could be found on the HCPCS website?
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-a list of current HCPCS codes -an alphabetical index of HCPCS codes by type of service or product -an alphabetical table of drugs for which there are Level II codes -all of these are correct