question

How many main sections are in the CPT manual

answer

6

question

What is the function of an add-on code

answer

Identifies a code that is never used alone

question

Who publishes CPT

answer

AMA

question

What year was CPT first developed and published

answer

1966

question

CPT stand for

answer

Current Procedural Terminology

question

In which CPT appendix would all modifiers be found

answer

Appendix A

question

Who requires a special report with the use of unlisted codes

answer

Third-party payers

question

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

answer

Hyphen

question

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

answer

Comma

question

Category 1 CPT codes have _____ digits

answer

5

question

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

answer

Reimbursed

question

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

answer

CMS-1500

question

Level 2 codes are not used in which setting

answer

Inpatient

question

Which of the following would be used to code drugs

answer

J codes

question

Modifiers are used to indicate what type of information

answer

Bilateral procedures, multiple procedures, and service greater than usually required

question

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

answer

Surgery

question

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

answer

-26

question

Revised text

answer

>< (solid arrows pointing towards each other)

question

Revised code

answer

^ (solid arrow pointing up)

question

New code

answer

Bullet ( solid dot)

question

Add-on code

answer

+

question

Modifier -51 exempt

answer

circle with a line thru it

question

00144

answer

Anesthesia

question

78999

answer

Radiology

question

81099

answer

Pathology/laboratory

question

95199

answer

Medicine

question

A(n) ______ (two words) must accompany claims when using an unlisted procedure code

answer

Special report

question

The correct order from the largest to the smallest division of the CPT hierarchy in the CPT manual is _____.

answer

Section, subsection, subheading, category

question

Appendix C of the CPT manual contains examples of ______ codes

answer

E/M

question

There are two types of codes, but only _____ codes have the full description

answer

Stand-alone

question

There are various types of anesthesia, and these include general, regional, or local sedation

answer

True

question

Anesthesia services include postoperative visits to the patient by the anesthesiologist

answer

True

question

Only one CPT procedure code may be represented by one anesthesia code

answer

False

question

Local anesthesia is a type of anesthesia that provides a decreased level of consciousness

answer

False

question

These elements would be part of the ____ history: employment, education, use of drugs

answer

Social

question

The HPI must be documented in the medical record by

answer

The physician

question

The examination is the _____ portion of the E/M service

answer

Objective

question

The level of E/M service is based on

answer

Documentation, key components, contributing factors

question

When time is calculated for anesthesia services, the time begins when

answer

The anesthesiologist begins preparing the patient for anesthesia

question

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

answer

CRNA

question

The society that publishes the relative value guide for anesthesia services is the

answer

American Society of Anesthesiologists

question

An established patient is one who has received professional service from the physician or another physician of the exact same specialty and subspecialty in the same group within the past ______ years

answer

3

question

The term used to describe a patient who has NOT been formally admitted to a health care facility is _____

answer

Outpatient

question

Which one is NOT a key component of an E/M code

answer

Office visit

question

Elements of the patient history are included below except

answer

Lab tests

question

A new patient is one who as received professional services from the physician or another physician in the same group within the past 3 years

answer

False

question

Place these examination levels in the correct order to indicate the extent and complexity of the patient exam. (Low to high)

answer

Problem focused, expanded problem focused, detailed, comprehensive

question

A review of systems is an inventory of patient problems identified through a series of questions seeking to identify signs and symptoms that the patient has

answer

False

question

Which of the following is not considered a place of device considered in CPT code assignment

answer

Radiology department

question

Evaluation and management codes are found in which range of codes in the CPT book

answer

99201 through 99499

question

Complete the following blanks that refer to the three factors that the coder must consider in the assignment. _____ of service, _____ of service, _____ status

answer

Place, type, patient

question

Medical decision making (MDM) is based on the _____ the physician must consider about the management of the patient's condition

answer

Number of diagnoses, risk of morbidity, amount of data

question

The _____ is a statement describing the reason for the encounter and is a history element

answer

Chief complaint

question

The four types of patient status are: _______, _______, _______, and _______

answer

New, established, inpatient, outpatient

question

The request for advice or opinion from on physician to another physician is this type of service

answer

Consultation

question

Information given in the notes preceding a subsection contain special instructions that are unique to particular codes or groups of codes

answer

True

question

Local anesthesia is defined in the CPT guidelines as

answer

Local infiltration, metacarpal/digital block, topical anesthesia

question

Incision and drainage codes are divided into subcategories according to the

answer

Condition for which the procedure is performed

question

The global surgery period includes

answer

All routine preoperative and postoperative care

question

The surgical package includes

answer

Typical follow-up care

question

The usual global surgery period for a major procedure is

answer

90 days

question

Third-party payers determine the contents of a surgical package

answer

True

question

This information is placed after some codes in the CPT manual and contains helpful information

answer

Parenthetical information

question

If a Category lll code (temporary or emerging technology) exists you must use that code instead of an unlisted procedure code to identify procedures for which there is no specific CPT code

answer

True

question

What are the divisions of the Surgery section based on

answer

Body system

question

When using an unlisted code a(n) _____ must accompany the claim

answer

Special report

question

When the words "special procedure" appear after the descriptor of a code, you know which of the following about that code

answer

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 packages

answer

Preoperative, intraoperative, and postoperative services

question

There is no tissue remaining for pathological examination after this method has been used

answer

Destruction

question

When an excision is being performed, the "margins" refer to the _____ required to adequately excise the lesion based on the physician's judgement

answer

Narrowest margin

question

Which is NOT considered as part of a wound repair

answer

Malignancy

question

When coding lesions you must know all of the following except

answer

Histology of the lesion

question

Plaques and scars are classified as lesions of the skin

answer

True

question

When performing an excision of a lesion, a complex or complicated closure is included in the CPT code

answer

False

question

Ligature strangulation would be used to remove which type of condition

answer

Skin tags

question

What two items are needed to correctly code for local treatment of burns

answer

Percentage of body surface and depth of burn

question

The usual global surgery period for a minor procedure is

answer

10

question

General anesthesia is included in the surgical package

answer

False

question

Moh's micrographic surgery involves the use of a microscope during a surgical case to determine the level at which cancerous cells can no longer be found. The surgery is performed by two separate surgeons

answer

False

question

Skin grafts/flaps

answer

Area in square cm

question

Lesion removal

answer

Diameter in cm

question

Wound repair

answer

Length in cm

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