question

To properly code lesion excision, you must know the behavior and the narrowest margin about the lesion, in addition to the following:

answer

site, number, diameter

question

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.

answer

total

question

This surgical procedure is performed to reshape the nose.

answer

rhinoplasty

question

There are minor and _____________ procedure designations for the purposes of a surgical package.

answer

major

question

What does the abbreviation EP mean as it relates to cardiovascular services?

answer

electrophysiology

question

Open treatment of a fracture is when the:

answer

fracture site is surgically opened and visualized or opened remotely

question

What is the word that means absence of pain?

answer

Analgesia

question

What type of cardiology is a diagnostic specialty that uses radioactive elements to aid in the diagnosis of cardiology conditions?

answer

nuclear

question

A surgical sinus endoscopy includes a sinusotomy (when appropriate) and diagnostic endoscopy.

answer

True

question

The repaired wound should be measured or converted to:

answer

centimeters

question

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

answer

Inpatient

question

What word means "in dying state"?

answer

moribund

question

The incentive to Medicare participating providers is:

answer

all of the above

question

____ is a procedure in which fluid is withdrawn from the space around the heart through a needle, and a catheter is left in to allow for continued drainage.

answer

Pericardiocentesis

question

Who is the largest third-party payer in the nation?

answer

the government

question

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

answer

percentage of body surface and depth of burn

question

Fast becoming the treatment of choice for many orthopedic surgical procedures is what type of procedure?

answer

endoscopy/arthroscopy

question

When coding a change of battery in a pacemaker, both the removal and the re-implantation are coded.

answer

True

question

Autografts are also known as homografts.

answer

False

question

Are all HCPCS modifiers numeric?

answer

no

question

The codes for wound exploration can be reported for exploration of any type of wound.

answer

False

question

Codes for arthrodesis include the bone graft and instrumentation, and these cannot be coded separately.

answer

False

question

The number of postoperative days usually assigned for the global period following implantation of a pacemaker is:

answer

90

question

____ cardiology is entering the body to make a correction or for examination.

answer

Invasive

question

The pulse generator of a pacemaker is also referred to as:

answer

the battery

question

Who publishes CPT?

answer

AMA

question

The procedure in which the surgeon withdraws fluid from the pericardial space by means of a needle inserted percutaneously into the space is called:

answer

pericardiocentesis

question

A diagnostic arthroscopy is not always included in a surgical arthroscopy.

answer

False

question

contains an artery and vein neurovascular pedicle flap contains an artery, vein, and nerve.

answer

Island pedicle flap

question

the removal of excess skin and to support the muscles of the upper eyelid

answer

blepharoplasty

question

the entire lesion is removed for biopsy

answer

excisional biopsy

question

an incision is made into the lesion and a small portion of the lesion is taken out

answer

incisional biopsy

question

removal of wrinkles by pulling the skin tight and removing the excess

answer

rhytidectomy

question

surgical procedure in which the physician removes excess skin from the neck

answer

cervicoplasty

question

removal of the bone that underlies the ulcer area

answer

ostectomy

question

This type of graft is often taken from the upper thigh area.

answer

fascia lata

question

The surgical package includes:

answer

typical follow-up care

question

epidermis and part of the dermis

answer

split thickness

question

epidermis and all of the dermis

answer

full thickness

question

The area from which the healthy skin has been taken for grafting

answer

donor site

question

the area of defect that receives the graft.

answer

recipient site

question

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

answer

narrowest margin

question

Shaving codes are further defined according to ___________ of the lesion.

answer

location and size

question

If the physician performs a lavage of the maxillary sinus, what is he/she doing?

answer

washing the maxillary sinus

question

Arthroscopy is a desirable treatment choice by physicians and patients because the:

answer

all of the above

question

greater than layered closure

answer

Complex

question

nonlayered closure

answer

Simple

question

layered closure

answer

Intermediate

question

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

answer

parenthetical information

question

A diagnostic endoscopic procedure is reported only when:

answer

no surgical procedure is performed during the same operative session

question

Supervision and interpretation codes for angiography are located where in the CPT manual?

answer

Radiology section

question

Surgical and fracture repair codes in the musculoskeletal subsection:

answer

include the application and removal of the initial casts, splints, or strapping applied by the treating physician

question

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

answer

systemic

question

Which modifier would you use if polyps were removed from both the left and the right sides of the nose?

answer

-50

question

Wound exploration codes have the following service(s) bundled into the codes:

answer

exploration, including enlargement; debridement, removal of foreign body(ies), minor vessel ligation, repair

question

Select the term that describes a procedure in which a scope is placed into a body cavity.

answer

endoscopy

question

Thoracoplasty is a procedure that is performed to separate the inside of the chest cavity from the lung to permit the collapse of the lung.

answer

False

question

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

answer

CRNA

question

Incision and drainage codes are divided into subcategories according to the:

answer

condition for which the procedure is performed

question

Ambulatory blood pressure monitoring is:

answer

a procedure that is done over a 24-hour period by means of a portable device worn by the patient

question

A bunionectomy is a hallux ____ correction.

answer

valgus

question

The method used by the physician to obtain a lesion biopsy depends on which set of factors?

answer

size and type

question

The anesthesia status modifier that indicates the patient's condition at the time anesthesia was administered is:

answer

physical

question

Which of the following flaps describes a bone graft that is taken along with the skin and tissue that overlies the bone?

answer

free osteocutaneous

question

Local anesthesia is defined in the CPT guidelines as:

answer

all of the above

question

ablasion

answer

destruction

question

peeling or scraping

answer

paring

question

the procedure of removing tissue for histopathology

answer

biopsy

question

the removal of infected, contaminated, damaged, devitalized, necrotic, or foreign tissue from a wound

answer

debridement

question

slicing

answer

shaving

question

inserting a needle into a lesion and withdrawing the fluid

answer

puncture aspiration

question

cutting removal

answer

excision

question

This type of anesthesia is not part of the surgical package.

answer

general

question

If catheterization is performed on the coronary arteries, in which section would you find the codes?

answer

Medicine

question

Pacemaker insertion codes are divided based on the surgical:

answer

approach

question

Electrical or ultrasound stimulation is used to:

answer

promote healing

question

What are the three sections of the CPT manual that you use to code many cardiovascular services?

answer

Surgery, Radiology, Medicine

question

Is it true that a physician who personally administers the anesthesia to the patient upon whom he or she is operating canot bill the third-party payer?

answer

no

question

Percutaneous skeletal fixation describes fracture treatment that is neither open nor closed.

answer

True

question

What is the name of the electrodes that are placed into the atrium and/or ventricle of the heart when a pacemaker is inserted?

answer

leads

question

What does ASA stand for?

answer

The American Society of Anesthesiologists

question

What does CRNA stand for?

answer

Certified registered nurse anesthetist

question

To accurately code procedures for removal of lesions, you must know the ____________ of the excised lesion.

answer

site, number, shape

question

Fracture codes are based on:

answer

treatment type

question

___________ are activities involving the transfer of health care information and __________ means the movement of electronic data between two entities and the technology that supports the transfer.

answer

Transactions, transmissions

question

In which type of catheter placement is the catheter moved, manipulated, or guided into a part of the arterial system other than the vessel punctured?

answer

selective

question

What is the method that a physician uses to control a nosebleed?

answer

all of the above

question

`What are the divisions of the Surgery section based on?

answer

body system

question

Parenthetical phrases that sometimes follow a code or code group provide further information about codes that may be applicable.

answer

True

question

The following is NOT a type of bunionectomy.

answer

Mumford

question

The term that describes destruction by removing, usually by cutting, is:

answer

ablation

question

Where is the information regarding inclusive anesthesia service located within the CPT manual?

answer

Anesthesia Guidelines

question

What is the name of the graft that is taken from the patient's body?

answer

Autograft

question

To accurately code procedures for removal of lesions, you must also know whether the lesion is ___________.

answer

malignant or benign

question

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

answer

HCPCS

question

The epicardial approach involves accessing a vein and inserting a needle with a wire into the vein.

answer

False

question

Medicare funds are collected by:

answer

Social Security Administration

question

The division of malignant lesion excision is based on ________ and ____________.

answer

site, size

question

Using codes from the wound exploration category requires the coder to assess the extent of the procedure.

answer

True

question

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

answer

the anesthesiologist begins preparing the patient for anesthesia

question

Are used to immobilize, support, or protect a body part, thereby allowing rest and healing.

answer

splint

question

Excision of lesions require closures. A complex closure is ____________.

answer

greater than layered

question

The global surgery period includes:

answer

all routine preoperative and postoperative care

question

What is the title for the information that precedes each section?

answer

Guidelines

question

Critical care codes are reported based on:

answer

time

question

To correctly report coronary bypass grafts, you must know the anatomical site from which the vessel being grafted came.

answer

True

question

Dermatologists are the only providers who utilize the codes in the Integumentary System subsection of the CPT manual.

answer

False

question

Which of the following is not a fracture treatment?

answer

replantation

question

Excision of a lesion requires closure. An intermediate closure is ___________.

answer

layered

question

What is the term used to describe the dollar value of each unit?

answer

conversion factor

question

Information given in the notes preceding a subsection is also contained in the section Guidelines.

answer

False

question

A ____ arthroscopy is always included in a surgical arthroscopy.

answer

diagnostic

question

Third-party payers determine the contents of a surgical package.

answer

True

question

Inclusion or exclusion of a procedure in the CPT manual implies health insurance coverage or no health insurance coverage.

answer

False

question

Open means the fracture is not exposed to air.

answer

False

question

Excision of a lesion requires closure. A simple closure is __________.

answer

non layered

question

An orthopedic surgeon cannot report the service of ultrasonic guidance because this is a radiologic procedure, and only a radiologist can report services represented in the Radiology section.

answer

False

question

When a physician performs a preventive care service, the extent of the exam is determined by the:

answer

age

question

____ is the attachment of a spinal fixation device at each end of the area being repaired and at least one other attachment in the area being repaired.

answer

Segmental instrumentation

question

Insertion of a device into the muscle to measure the pressure within the muscle is monitoring of:

answer

interstitial fluid pressure

question

___________ time is that time when the anesthesia care of the patient can be safely turned over to a non-anesthesia provider. This generally never happens in the operating room.

answer

Stop

question

In which of the CPT appendices would additions, deletions, and revisions be found?

answer

Appendix B

question

Modifiers may affect:

answer

the way payment is made by a third-party payer

question

What is the type of sedation that enables the patient to maintain breathing for himself/herself?

answer

Moderate or conscious sedation

question

A hip replacement is coded based on the:

answer

medical reasons for the surgery

question

What are the three classifications of wound repair?

answer

simple, intermediate, complex

question

Arthrocentesis is:

answer

all of the above

question

___________ means induction or administration of a drug to obtain partial or complete loss of sensation.

answer

Anesthesia

question

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

answer

postoperative services/ management or postop

question

In what Surgery subsection would you find the code for the incision and drainage of a nasal abscess using an external approach to the abscess?

answer

Integumentary System

question

The application of a cranial halo is a form of:

answer

external fixation

question

Chemical peels are also known as

answer

Chemexfoliation

question

If the lesion is malignant it is immediately removed.

answer

True

question

Which of the following is not a treatment method for a dislocation?

answer

external fixation

question

Which of the following terms does not describe the nasal turbinates?

answer

exterior

question

Code the correct _____for the procedure.

answer

approach

question

Which treatment of a fracture requires the fracture to be exposed to view or opened at a remote site for nailing across the fracture?

answer

open

question

When multiple therapeutic procedures are performed through a scope during the same operative session, only the major (most extensive) procedure should be reported.

answer

False

question

The term that describes obtaining a tissue sample is:

answer

biopsy

question

If fluoroscopic guidance is used during the insertion of a pacemaker, it is bundled with the primary procedure and cannot be reported separately.

answer

True

question

PTCA is an acronym for Percutaneous Transluminal Coronary Angioplasty.

answer

True

question

What is the difference between the code for a soft tissue abscess in the Musculoskeletal System subsection and the codes for abscess in the Integumentary System subsection?

answer

The code in the Musculoskeletal System subsection is associated with deep tissue possibly to the bone.

question

The device that can be inserted into the body to electrically shock the heart into regular rhythm.

answer

implantable defibrillator

question

Skin tags are removed in various ways. What are the ways they can be removed?

answer

scissors, ligature, blades

question

Within the cardiovascular system, what is compared to the branches of a tree?

answer

vascular families

question

The major division of the Cardiovascular subsection is by how a procedure involved a ____ vessel.

answer

coronary or noncoronary

question

Aspiration of a joint:

answer

arthrocentesis

question

The name of the procedure in which mucus is removed from the sinuses by flushing a saline solution through the sinus cavities is ____ therapy. For example, the Proetz procedure (saline irrigation combined with suction).

answer

displacement

question

Arrhythmia ablation is a treatment for:

answer

bradycardia/tachycardia

question

Thoracentesis is performed to withdraw fluid from the pleural space for a variety of conditions including:

answer

respiratory failure

question

A needle biopsy is a way of obtaining a piece of tissue out of the body, using a tiny incision, so the tissue can be examined under a microscope by a pathologist. Because this biopsy is performed through the skin, it is called a percutaneous biopsy.

answer

False

question

Bone grafts for spinal surgery are often coded in conjunction with a surgical procedure. What is the appropriate modifier to apply to the bone graft code?

answer

No modifier

question

HCPCS alphanumeric codes are also known as:

answer

Level II codes

question

You can report a biopsy and an excision performed at the same time as the biopsy.

answer

False

question

all of the subcutaneous tissue and breast tissue are removed and the nipple and skin may or may not be removed

answer

simple mastectomy

question

the skin and muscle is left but all the breast tissue is removed

answer

subcutaneous mastectomy

question

only a portion of the breast tissue is removed

answer

partial mastectomy

question

the breast is removed in addition to the axillary lymph nodes, and the pectoralis minor muscle may or may not be removed

answer

modified radical mastectomy

question

the entire breast is removed in addition to the pectoral muscles and axillary lymph nodes

answer

radical mastectomy

question

The restoration of a fracture or dislocation to its normal anatomic alignment by the application of manually applied force is known as:

answer

manipulation

question

What is the term for the elastic material formed into a sac that is then filled with fluid or air?

answer

tissue expander

question

The procedure in which a scope is passed into the larynx so the physician can look at the larynx is what type of laryngoscopy?

answer

direct

question

Excision of a lobe of the lung

answer

lobectomy

question

Maxillary Sinus

answer

antrum

question

Prefix meaning larynx

answer

laryngo-

question

Tumor on a pedicle that bleeds easily and may become malignant

answer

polyp

question

Prefix meaning lung or air

answer

pneumo

question

Surgical puncture of the thoracic cavity, usually using a needle, to remove fluids

answer

thoracentesis

question

Inspection of the bronchial tree using a bronchoscope

answer

bronchoscopy

question

Prefix meaning nose

answer

rhino-

question

Use of a lighted endoscope to view the pleural spaces and thoracic cavity or perform surgical procedures

answer

thoracoscopy

question

Removal of blockage (embolism) from vessels

answer

embolectomy

question

Inspection of body organs or cavities using a lighted scope that may be placed through an existing opening or through a small incision

answer

endoscopy

question

Covering of the lungs and thoracic cavity that is moistened with serous fluid to reduce friction during respiratory movements of the lungs

answer

pleura

question

Cutting into the thoracic cavity to allow for enlargement of the heart or for drainage

answer

thoracostomy

question

Cutting through the antrum wall to make an opening in the sinus

answer

antrotomy

question

Cavities within the nasal bones

answer

sinuses

question

Surgical incision into the thoracic cavity

answer

thoracotomy

question

A triangle before a code indicates that the code description is or has been:

answer

revised

question

A chest tube may be used as an indwelling method of draining the accumulated fluid in the pleural space.

answer

True

question

All "sinus" codes are reported as bilateral procedures only.

answer

false

question

If the wound is grossly contaminated and requires extensive debridement, a separate debridement procedure may be assigned.

answer

true

question

The society that publishes the Relative Value Guide® for anesthesia services is the:

answer

American Society of Anesthesiologists

question

What is the type of sedation that allows a procedure to be performed without pain to the patient, but the patient is not completely asleep?

answer

conscious or moderate

question

There are various ways to remove a skin tag. Is aspiration one of those ways?

answer

no

question

the use of internal devices, such as pins, screws, or wires.

answer

skeletal traction

question

the application of pulling force to hold a bone in alignment

answer

traction

question

involves strapping, elastic wrap, or tape that is fastened to the skin or wrapped around the limb.

answer

skin traction

question

Manipulation is attempted reduction.

answer

true

question

You can report codes for open wound exploration (20100-20103) if the wound is sufficient in size to accomplish the repair and the wound does not need to be enlarged.

answer

false

question

When two procedures are completed during the same surgical session, the most complex procedure is sequenced

answer

first

question

What type of fracture is not exposed to air?

answer

closed fracture

question

Unlisted codes are assigned to identify procedures for which there is no more specific code.

answer

true

question

Which item is NOT considered to be bundled in with a vascular injection?

answer

contrast media

question

What is the name of the surgical procedure for the rearrangement of the nasal septum?

answer

septoplasty

question

Endoscopic procedures are reported on the ____ place(s) to which the scope is advanced.

answer

farthest

question

The displacement of a bone from its normal location in a joint:

answer

dislocation

question

Excision defined as full thickness would be through the:

answer

dermis

question

Where is the bimalleolar bone located?

answer

ankle

question

The HPI must be documented in the medical record by:

answer

the physician

question

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

answer

anatomic site

question

An example of a noninvasive cardiology procedure/service is:

answer

cardiovascular stress test

question

A Holter monitor is similar to an electrocardiogram in that:

answer

leads are attached to the patient

question

The removal of a lesion by transverse incision that did not require sutured closure is reported using codes from which subsection?

answer

Shaving of Epidermal or Dermal Lesions

question

When the words "separate 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

In what other section of the CPT are the moderate or conscious sedation codes located in?

answer

Medicine

question

_____is the cleansing of an area or wound.

answer

Debridement

question

Single-layered closure of heavily contaminated wounds that require extensive cleaning or removal of particulate matter constitutes what type of repair?

answer

intermediate

question

A(n) ____ is a mass of undissolved matter that is present in blood and is transported by the blood.

answer

embolus

question

The usual global surgery period for a major procedure is:

answer

90 days

question

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

answer

destruction

question

What are turbinates?

answer

the bones on the inside of the nose.

question

A "direct" laryngoscopic procedure means that the physician uses a tongue depressor to hold the tongue down and view the epiglottis with a mirror.

answer

false

question

Because most third-party payers do not pay for cosmetic surgery, the physician must carefully document ____ to ensure reimbursement for noncosmetic procedures.

answer

medical necessity

question

The examination is the ____ portion of the E/M service.

answer

objective

question

At an office visit, a decision for surgery was made. The surgical procedure was scheduled 21 days later. Would the office visit service be:

answer

included in the surgical procedure

question

What are the three things that are considered components of wound repair?

answer

litigation, exploration, debridement

question

Code to the full _____ of the procedure.

answer

extent

question

Cardiovascular stress test codes are used for:

answer

both a and b

question

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

answer

special report

question

The taping of a body part used to exert pressure on a body part to give it more stability.

answer

strapping

question

Which of the following terms describes traction by use of strapping, elastic wraps, or tape?

answer

skin

question

A needle biopsy is a way of obtaining a piece of tissue out of the body, using a tiny incision, so the tissue can be examined under a microscope by a pathologist. Because this biopsy is performed through the skin, it is called a percutaneous biopsy.

answer

False

cpt final theory – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards