question

Which of the following is an example of unethical or illegal coding? a) Dividing services provided into separate codes when a single code is available b) Inclusion of all relevant complications as documented in the patients medical record c) Using code numbers for the minimum payment allowed d) strict adherence to coding for only procedures performed at your facility

answer

Dividing services provided into separate codes when a single code is available

question

The transformation of verbal descriptions of diseases, injuries, and procedures into numbers is called ________? a) indexing b) posting c) tabulation d) coding

answer

coding

question

Two coding systems are used by phsicians offices. One is for diagnoses and the other is for ___________? a) symtoms b) computer directories c) services and procedures d) appointments

answer

services and procedures

question

Physicians Current Procedural Terminology (CPT) is revised ________? a) annually b) when necessary c) every 6 months d) every 2 years

answer

annually

question

Basic CPT codes use ___________? a) 3 to 5 digits b) 5 digits c) 2 digits d) 3 digits

answer

5 digits

question

Add-on modifier - 26 indicates the _______? a) service is significant and separately identifiable b) unusual nature of the service or procedure c) technical component d) professional component

answer

professional component

question

Codes 99281 through 99285 refer to _______? a) counseling services b) outpatient consultations c) office surgery d) emergency department services

answer

emergency department services

question

In some billing cases it is necessary to add a 2 digit modifier in order to __________? a) indicate usual charges b) prevent miscoding c) give a more accurate description d) meet carrier criteria

answer

give a more accurate description

question

CPT codes, descriptions and two digit modifiers are copyrighted by the _______? a) American Medical Association b) Blue Cross and Blue Shield Organization c) CPT Assistant d) World Hospital Organizaiton

answer

American Medical Association

question

When transferring codes to claim forms he careful to __________? a) include descriptions b) write out all abbreviations c) keep from transposing numbers d) write neatly

answer

keep from transposing numbers

question

Unbundling, exploding, or a la carte coding are __________? a) common b) fraudulent c) necessary d) complex

answer

fraudulent

question

If multiple lacerations are repaired under the same classification and in the same group of anatomic parts a billing and coding specialist should _______? a) add the sum of lengths and report one code b) report a code for each laceration c) include a printed report d) report only the longest laceration

answer

add the sum of lengths and report one code

question

Modifier code - 66 indicates ________? a) procedure performed on infants b) surgical team c) assistant physician d) two surgeons

answer

surgical team

question

Modifier code - 99 indicates ________? a) laboratory work b) surgical tray c) universal application d) multiple modifiers

answer

multiple modifiers

question

Which of the following is NOT needed when coding a laceration repair ________? a) depth of wound b) size of wound c) location of wound d) cause of wound

answer

cause of wound

question

The modifier for a repeat procedure by the same physician is ______? a) -79 b) -78 c) -77 d) -76

answer

-76

question

The purpose of CPT is to ________? a) revise technologic advances b) simplify the CMS-1500 form c) convert medical descriptions into 5 digit codes d) organize insurance billers work

answer

convert medical descriptions into 5 digit codes

question

The CPT coding system is used by all of the following EXCEPT ___________? a) doctors offices and clinics b) outpatient departments c) third party payers d) patients

answer

patients

question

The CPT coding system was developed by the ______? a) American Medical Association b) federal government c) state government d) Social Security Administration

answer

Amerian Medical Association

question

In the CPT manual, a round bullet symbol indicates a ________? a) bundled code b) new code c) revised code d) deleted code

answer

new code

question

A triangle symbol in the CPT manual indicates a _______? a) minor surgical procedure b) decision for surgery c) new code d) revised description

answer

revised description

question

In the CPT manual, where is a complete summary of additions, deletions and revisions located? a) In Appendix B b) In Appendix A c) In the Index d) In the Table of Contents

answer

In Appendix B

question

Which of the following is NOT one of the sections in the CPT manual? a) Evalution and management b) Integumentary system c) Surgery d) Medicine

answer

Integumentary system

question

There are two types of CPT codes: stand-alone and __________? a) sub codes b) parent codes c) stand aside codes d) add on or indeted codes

answer

add on or indented codes

question

In CPT coding, the words following the semicolon may indicate all of the following EXCEPT ___________? a) alternative anatomic site b) alternative procedure c) lesser important procedures d) extent of procedures

answer

lesser important procedures

question

CPT surgical packages are used only by _________? a) third party payers b) physicians c) anethesiologists d) radiologist

answer

third party payers

question

Which of the following is NOT included in the CPT surgery package ___________? a) The operation b) the surgery c) Normal follow-up care d) General anethesia

answer

General anesthesia

question

Which of the following indicates a co-surgeon? a) -80 b) -81 c) -66 d) -62

answer

-62

question

When using CPT codes to indicate an unlisted procedure, the last digit will usually be a _______? a) 9 b) 2 c) 3 d) 4

answer

9

question

Claims including codes for an unusual,new,seldom performed or unlisted procedure should include a _________? a) duplicate copy b) written medical report c) written description by the code number d) numerical summary

answer

written medical report

question

In the CPT index, main terms are listed by _____? a) procedure or service b) organ or anatomic site c) condition, synonym, or abbreviation d) all answers are correct

answer

all answers are correct

question

At the beginning of the CPT index are ________? a) diagrams b) instructions c) definitions d) anatomical listings

answer

instructions

question

Even if only one code is listed for the desired procedure in the index of the CPT manual, the user ____________? a) can select that code b) must refer to the main text c) can expect across references d) notes that code on the claim form

answer

must refer to the main text

question

The CPT manual is divided into how mayn sections? a) 6 b) 5 c) 4 d) 8

answer

6

question

The Evaluation and Management section is organized by type of service, place of service, and __________? a) nature of presenting problem b) time c) patient status d) coordination of care

answer

patient status

question

The key components of documentation that support levels of E?M codes includes the following EXCEPT __________? a) history b) examination c) counseling and coordination of care d) medical decision-making

answer

counseling and coordination of care

question

Components of a medical history inlude all of the following except __________? a) medical decision making b) chief complaint c) family history d) review of systems

answer

medical decision making

question

A key component in coding medical decision-making is _____________? a) patient childhood diseases b) level of complexity c) the physician's level of education d) the amount of time the physician spends with the patient

answer

level of complexity

question

Physician counseling is considered a key component for selecting the level of code assignment for Evaluation and Management services only when ____________? a) the physician is a psychiatrist b) counseling exceeds 50% of the time spent c) the physician does not take a history or perform a physical examination d) the physician is a physchologist

answer

counseling exceeds 50% of the time spent

question

Critical care is coded _____________. a) in quarter hours units b) each time the patient is seen in a 24 hours period c) the minute the patient is determined to have a life threatening emergency d) in minutes starting with 30-74 minutes

answer

in minutes starting with 30-74 minutes

question

In a case requiring critical care coding __________. a) the coder is expected to unbundle b) no other services are included c) ventilator management is not included d) ventilator management is included

answer

ventilator management is included

question

A code indicating a vaginal delivery only, not including obstetric care, is _____________? a) 59409 b) 59410 c) 59610 d) 59561

answer

59409

question

Physicians telephone calls are usually __________? a) coded according to area codes b) not paid by third party payers c) paid by third party payers d) coded using HCPCS Level II codes

answer

not paid by third party payers

question

Care Plan Oversight Sevices for hospice and homebound patients _____________? a) require vast documentation and are typically not paid by third party payers b) are usually paid by the third party payers c) are not listed services in CPT d) are coded once for every 24 hours period the patient is seen

answer

require vast documentation and are typically not paid by third party payers

question

Which of the following conditions would not require critical care? a) Cardiac arrest b) Labor leading to childbirth c) Shock d) Respiratiory failure

answer

Labor leading to childbirth

question

Anesthesia codes are divided by ___________? a) medication b) anatomical site c) drug name d) number of anethesiologists

answer

anatomical site

question

For anesthesia coding purposes, physical status modifiers are used to indicate ________? a) age of patients at time of surgery b) patient's status upon admittance c) patient's status at the time of anesthesia d) patient's status at the time of completion of surgery

answer

patient's status at the time of anesthesia

question

Where in the CPT manual are codes for anethesia provided under difficult circumtances? a) Anesthesia guidelines b) Medicine c) Surgery d) Both anesthesia guidelines and medicine are correct answers

answer

Both anesthesia guidelines and medicine are correct answers

question

Which section of the CPT manual is the largest? a) Medicine b) Evaluation and Management c) Surgery d) Radiolgy

answer

Surgery

question

When one fee is used for a surgical procedure and uncomplicated follow-up care, this is called a __________? a) surgical unit b) global surgical package c) general procedure d) cluster

answer

global surgical package

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