question

There are various types of anesthesia, and theseinclude general, regional, or local sedation. True or False.

answer

True

question

Qualifyinganesthesiacircumstances are adjunct codes and are usedwhen the administration of the anesthesia is more difficult. True or False.

answer

True

question

Parenthetical phrases that sometimesfollow a codeor code group provide further information about codes that may be applicable.True or False.

answer

True

question

Unlisted codesare assigned to identify procedures for which there is no more specific code.True or False.

answer

True

question

Third party payers determine the contents of a surgical package. True or False.

answer

True

question

According to the surgery guidelines, surgical destruction may be considered part of a surgical procedure. True or False.

answer

True

question

Only one CPT procedure code may be represented by one anesthesia code. True or False.

answer

False.

question

Information given in the notes preceding a subsection is also contained in the section guidelines. true or false

answer

false

question

procedures that are experimental, newly approved, or seldom used are reported with what type of code? a. unlisted/category III codes b. technical

answer

a. unlisted/category III codes

question

Which of the following represents three of the six elements that a special report must contain? a. condition, service, description b. anatomic site, service, extent c. nature, extent, need d. service, extent, procedure

answer

c. nature, extent, need

question

a list of the unlisted procedures for use in a specific section of the CPT manual is contained in:: a. appx A b. appx B c. guidelines d. introduction

answer

c. guidelines

question

in which cpt appendix would all modifiers be found?

answer

appendix A

question

where is specific coding information about each section located?

answer

guidelines

question

health care providers are _____ based on the codes submitted on a claim form for procedures and services rendered. a. judged b. rated c. taxed d. reimbursed

answer

d. reimbursed

question

how many main sections are in the cpt manual? a. 6 b. 7 c. 9 d. 10

answer

a. 6 sections in the cpt manual

question

a modifier: a. subtracts from the definition of the code b. adds to the cpt code number c. provides additional information to the third party payer d. increases third party payer reimbursement

answer

c. provides additional informationto the third party payer

question

according to the e/m guidelines, time is not a descriptive component for the ____department levels of e/m service: a. emergency b. outpatient c. inpatient d.none of these

answer

a. emergency

question

the range of codes 10021-69990 would be found in this section of the cpt manual. a. radiology b. medicine c. pathology d. surgery

answer

d. surgery

question

modifiers are used to indicate what type of information? a. bilateral procedure b. multiple procedures c. service greater than usually required d. all of the above

answer

d. all of the above

question

modifier 79, unrelated procedure or service by the same physician during the postop period, is used on what type of service? a. e/m b. surgery c. anesthesia d. all of the above

answer

b. surgery

question

modifier 32 is used to indicate a service is mandated. which of the following is an example of when a service is mandated? a. another physician requests a second opinion b. an insurnace company requires a second opinion prior to surgery c. the patient requests a second opinion. d. all of the above

answer

b. an insurance company requires a second opinion prior to surgery

question

modifier 59, distinct procedural service, is used to indicate that: a. services that are usually bundled into one payment were provided as separate services b. a subsequent surgery was planned or staged c. a service was repeated d. a patient is taken back to the operating room for surgical treatment of a complication resulting from a previous surgery

answer

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

question

modifer 58, staged or related procedure or service by the same physician during the postoperative period, is used to indicate: a. that a patient is taken back to the operating room for surgical treatmentof a complication resulting from a previous surgery b. that services procided usually bundled into one payment were provided as separate services c. a service was repeated d. that a subsequent surgery was planned at the time of the first surgery

answer

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

question

the modifier that indicates only the professional component of the service was provided is: a. 550 b. 51 c. 22 d. 26

answer

d. 26 Professional component only

question

the examination is the ____portion of the e/m service. a. subjective b. objective c. assessment d. plan

answer

b. objective

question

Medical decison making (MDM) is based on the ____the physician must consier about the mgt. of a pat. condition. a. number of diagnoses b. risk of morbidity c. amount of data d. all of the above

answer

d. all of the above

question

the request for advice or opinion from one physician to another physician is this type of service: a. counseling b. concurrent care c. coordination of care d. consultation

answer

d.consultation

question

critical care codes are reported based on: a. the 3 key components - history exam MDM b. time c. amount of documentation d. procedures peerformed

answer

b. time

question

codes from the e/m subsection nursing facilitiesseervice are used to report services provided in nursing facilities that used to be known as: a. skilled nursingfacility b. intermediate care facility c. longterm care facility d. all of the above

answer

d. all of the above

question

when a physician performs a preventive care service, the extent of the exam is determined by the: a. age b. gender c. gender and age d. lengthof time elapsed since last exam

answer

a. age

question

mr. smith presents to the emergency dept. at the local hospital for chest pain and is seen by the ED physician on duty. The physician obtains an extended HPI, an extended ROS and a pertinent PFSH.what is the level of history? a. problem focused b. expanded problem focused c. detailed d. comprehensive

answer

d. detailed

question

the physician performs an extended exam of the affected body areas and related organ systems. What is the level of the examination? a. problem focused b. expanded problem focused c. detailed d. comprehensive

answer

c. detailed

question

the physician must consider multiple diagnoses and managaement options. There is a moderate amt. of data to be reviewed and the risk of complications or death is moderate.What is the level of MDM? a. straightforward b. low c. moderate d. high

answer

c.moderate complexity

question

when time is calculated for anesthesia services the time begins when: a. the patient arrives in the operating room b. the anesthesiologist begins preparing the patient for anesthesia c. the anesthesiologist begins to administer the anesthesia d. the surgeon makes the first decision

answer

b. the anesthesiologist begins preparing the patient for anesthesia

question

99100 is an example of a: a. qualifying circumstance b. physical modifier c. qualifying modifier

answer

a. qualifying circumstance

question

in the anesthesia section of the CPT manual, the codes are usually divided first by which of the following? a. specific procedure b. anatomic site c. degree of difficulty d. amount of time

answer

b. anatomic site

question

the anestesia formula is: a. p + t + m b. d + p + m c. t + b + m d. b + t + m

answer

d. b + t + m base units + time units + modifying units x conversion factor

question

when using an unlisted code a(n) _____ must accompany the claim. a. modifier b. operative report c. special report d. all of the above

answer

c. special report

question

the global surgery period includes: a. all routine preop and post op care b. serious complications requiring a return to the operating room c. staged procedures d. all of the above

answer

a. all routine preop and postop care

question

what code is used to report routine postop care? a. no code b. 99212 c. 99024 d. 99211

answer

c. 99024 found in Medicine section/ miscellaneous services

question

when the words separate procedure appear after the descriptor of a code, you know which of the following about that code? a. the procedure was the only service provided earlier 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 reported if it was the only service provided d. the procedure is always bundled into any other service provided

answer

c. the procedure was a minor procedure that would only be reported if it was the only service provided

question

which of the following represents the contents of a surgical package? a. preop and postop services b. preop and intraop services c. intraop and postop services d. preop, intraop, and postop services

answer

d. preop, intraop, postop services

question

which punctuastion mark between codes in the index of the cpt manual indicates a range of codes is available? a. period b. hyphen c. comma d. semicolon

answer

b. hyphen

question

which punctuationmark between codes in the index of the cpt manual indicates 2 codes are available? a. period b. ampersand c. comma d. semicolong

answer

c. comma

question

who publishes the cpt? a. who b. ama c. cms d. hhs

answer

b. ama american medical association

question

the universal health insurance form for submission of outpatient services is the: a. hcfa 1500 b. cms 1400 c. cms 1500 d. ub 04

answer

c. cms 1500

question

modifier 51, multiple procedure, is used on what type of service? a. e/m b. surgery c. anesthesia d. all of the above

answer

b. surgery

question

the modifier that indicates multiple procedures is: a. 32 b. 51 c. 22 d. 26

answer

b. mod 51

question

these elements would be part of the ____hisotry: employment, education, use of drugs. a. past b. social c. family d. any of the above

answer

b. social

question

the level of e/m service is based on: a. documentation b. key components c. contributing factors d. all of the above

answer

d. all of the above

question

the HPI must be documented in the medical record by: a. the physician b. any office staff member c. the patient d. any of the above

answer

a. the physician

question

the hospital inpatient services subsection is used for patients admitted to: a. a skilled nursing facility b. a temporary care unit c. an acute care facility d. a hospital observation unit

answer

c. an acute care facility

question

according to information in 99468, what is the age of a neonate? a. 28 days or younger b. less than 7 days c. less than 20 days d. none of the above

answer

a. 28 days or younger

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

according to e/m guidelines a(n) ____exam encompasses a complete single specialty exam or a complete multisystem exam: a. problem focused b. expanded problem focused c. detailed d. comprehensive

answer

d. comprehensive

question

what cpt code is assigned to an ED service that has a detailed hstory and exam with a moderate level of MDM? a. 99284 b. 99291 c. 99283

answer

a. 99284

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? a. special circumstances b. adjunct services c. qualify circumstances d. physical status modifiers

answer

c. qualifying circumstances

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

this information is placed after some codes in the cpt manual and contains helpful information: a. parenthetical informatin b. guidelines c. index locations d. bracketed information

answer

a. parenthetical information

question

the cpt code that is used to report materials and supplies by the physician for which no other more specific cpt code exists is: a. 99070 b. 99080 c. 99071

answer

a. 99070

question

a triangle before a code indicates that the code description is or has been: a. major b. partial c. discontinued d. revised

answer

d. revised

question

a ___ must accompany claims when using an unlisted procedure code:

answer

special report

question

the 2 digit modifier for a return to the operating room for an unplanned related procedure during a postop period is:

answer

modifier 78

question

the correct order from the largest to the smallest division of the cpt hierarchy in the cpt manual is ___:

answer

section subsectin subheading category

question

assigna cpt anesthesia code and applicablemodifiers for anesthesia services for an 81 year old pat. with mild systemic diseasewho receives anesthesia for revision of total hip arthroplasty:

answer

anesthesia, hip (01200-01215) code: 01215-P2, 99100

question

there are 2 types of codes, but only ____ codes have the full description.

answer

stand-alone codes

question

the index of the cpt manual is in alphabetic order with the ___ listed first and then further divided by subterm.

answer

main term is listed first

question

the ___ section guidelines in the cpt manual contain the definition of a separate procedure.

answer

surgery

question

mrs. smith presented to her physicians 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

Modifier 25 significant, separately, identifiable e/m

question

a news pat. presents to the physicians office at which time the physician providesa comprehensive history and exam with a high complexity MDM. CPT code _____

answer

99205

question

an initial inpat. consultation with a detailed history, detailed exam and MDM of low complexity. CPT code _____

answer

99253

question

anesthesia for radical hysterectomy

answer

anesthesia, hysterectomy, radical 00846

question

a 40 year old established pat. presents to the physician office for a preventive care exam.

answer

evaluation and management, preventive service (99381-99429) Code: 99396

question

anesthesia for diagnostic arthroscopic procedure of the knee joint.

answer

anesthesia, knee Code: 01382

question

assign a cpt anesthesia code for debridement of 3rd degree burns of right arm, 6 percent body surface area.

answer

anesthesia, burns, debridement and/or excision (01951-01953) code: 01952 NOTE: do not use RT or LT with burn excision or debridement codes b/c total body area is included in the code desription

question

modifier ___is used to indicate that a separately identifiable e/m service was performed by the physician on the same day as the preventive medicine service.

answer

modifier 25

question

daily hospital management of epidural, continuous drug administration.

answer

under anesthesia section, other procedures code: 01996

question

the ___section guidelines contain the definition of the chief complaint.

answer

evaluation and management section guidelines contain the definition of a chief complaint

question

assign the cpt anesthesia code(s) for anesthesia services for a 9 month old normal healthy child who received anesthesia for hernia repair in the lower abdomen.

answer

00834-P1

question

assign a cpt anesthesia code for repair of cleft palate

answer

0172

question

if anesthesia was provided to a pat. who is not expected to survive without the surgical procedure being performed, which physical statusmodifier would be appended to the anesthesia code?

answer

p5

question

according to the cpt surgery guidelines, what is the code for the following unlisted procedures: unlisted laparoscopic procedure, liver?

answer

47379

question

when 2 surgeons work together as primary surgeons performing distinct parts of a procedure, each surgeon would reportmodifer ___ with his/her procedure code.

answer

modifier 62, two surgeons different specialties

question

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

answer

modifier 51 mulitple procedures (surgery codes)

question

codes for qualifying circumstances are located in both the anesthesia guidelines and the ___section of the cpt manual.

answer

medicine

question

anesthesia for bilateral vasectomy

answer

00921

question

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

answer

modifier 26

question

problem focused

answer

exam limited to the affected body area or organ system identified by the chief complaint

question

comprehensive

answer

the most extensive exam that encompasses a complete single specialty exam or complete multisystem exam

question

detailed

answer

an extended exam of the affectedbody area or areas and related organ system(s)

question

expanded problem focused

answer

exam limited to the affected body area or organ system and other related organ systems

question

what are the 3 key components that are present in every patient casse, except counseling encounters or time based codes, and enable the coder to choose the appropriate level of service?

answer

history examination medical decision making

question

what are the 4 levels of history type?

answer

problem focused expanded problem focused detailed comprehensive

question

what are the 4 levels of MDM complexity?

answer

straightforward low moderate high

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