Question 1

T/F Chapter 1: The current edition of CPT is pocket-sized and contains approximately 4,000 codes.

Accepted Answer

false

Question 2

T/F CPT is updated by CMS, and this occurs in May of each year.

Accepted Answer

false

Question 3

T/F A circle is used to denote an add-on code in CPT.

Accepted Answer

false

Question 4

True or False The semi-colon separates the main term, or common portion, of the CPT code from the additional, or unique portion, of the CPT code.

Accepted Answer

true

Question 5

T/F CPT was first published by the American Health Information Management Association. True or False

Accepted Answer

false

Question 6

HCPCS is the abbreviation for ______________________________________.

Accepted Answer

Correct Healthcare Common Procedure Coding System

Question 7

Category II codes are not mandatory and are considered ________________ codes.

Accepted Answer

tracking

Question 8

When a double triangle appears around information in the CPT manual, this means that the text is new or _______________.

Accepted Answer

revised

Question 9

When the plus symbol appears before a code number, this indicates to the coder that the code is considered a(n) ___________________ code.

Accepted Answer

add-on

Question 10

Clinical examples of the CPT codes for Evaluation and Management services are found in appendix ______ of the CPT manual.

Accepted Answer

C

Question 11

F/T Chapter 2: A CPT modifier is a three-digit code that is appended to a code to indicate that a service or procedure has been altered.

Accepted Answer

false

Question 12

T/F Modifiers are placed in item 24d of the CMS-1500 form.

Accepted Answer

true

Question 13

T/F Third-party payers use different instructions for reporting modifiers.

Accepted Answer

true

Question 14

T/F The CMS form contains three modifier fields. True or False

Accepted Answer

false

Question 15

T/F When reporting more than one modifier, the modifiers must be ranked according to whether or not the modifier will affect the fee for service.

Accepted Answer

true

Question 16

T/F A pricing modifier only increases the fee for the service

Accepted Answer

false

Question 17

T/F When reporting more than one statistical modifier, with no other pricing modifiers, the modifiers can be reported in any order, with the exception of the QT, QW, and SF modifiers.

Accepted Answer

true

Question 18

T/F Modifier 26 is used to indicate the professional component.

Accepted Answer

true

Question 19

T/F Modifier 52 indicates a reduced service.

Accepted Answer

true

Question 20

T/F Procedure codes for procedures performed on neonates and infants less than 4 kg should be modified with modifier 63.

Accepted Answer

true

Question 21

A statistical modifier, also known as a(n) __________________ modifier is used for informational purposes and does not affect the fee.

Accepted Answer

informational

Question 22

Using a CPT manual, select the correct modifier to use for the following case: Dr Smith completed a cholecystectomy on Mary Jones. Because of prolonged bleeding, the procedure took 65 minutes longer than usual. The modifier that should be reported is ____________.

Accepted Answer

22

Question 23

Using a CPT manual, select the correct modifier to use the following case: Dr Won, a radiologist, interpreted a cervical X-ray of the spine. The modifier that should be reported is ________________.

Accepted Answer

26

Question 24

Using a CPT manual, select the correct modifier to use the following case: Dr Woks, performed the postoperative care for a surgical patient. The modifier that should be reported is modifier _____________.

Accepted Answer

55

Question 25

Modifier _________ is used to report a decision for surgery.

Accepted Answer

57

Question 26

E4 is a modifier for what?

Accepted Answer

lower right eyelid

Question 27

F8 modifier is for what?

Accepted Answer

right hand 4th digit

Question 28

P1 is a modifier for what?

Accepted Answer

normal healthy patient

Question 29

P5 is a modifier for what?

Accepted Answer

a moribund patient who is not expected to survive without the surgery

Question 30

GC is a modifier for what?

Accepted Answer

This service was performed in part by a resident under the direction of a teaching physician.

Question 31

Evaluation and management codes are used to code surgical procedures.

Accepted Answer

false

Question 32

A new patient, as defined by CPT is a patient who has not received professional services from a physician, or another physician of the same specialty who belongs to the same group practice, within the past 3 years. True or False

Accepted Answer

true

Question 33

A chief complaint is the reason for the patient encounter.

Accepted Answer

true

Question 34

T/F Social history includes information regarding the patient\'s and patient\'s family\'s marital status, occupation, sexual history, or other social factors.

Accepted Answer

false

Question 35

T/F A detailed examination is the highest level of examination and consists of a multi-system or complete examination of the single organ system.

Accepted Answer

false

Question 36

Information regarding major illnesses, surgeries, injuries, and hospitalizations is part of the _____________________________.

Accepted Answer

past history of the patient

Question 37

The objective portion of a \"SOAP\" note contains the:

Accepted Answer

exam of the patient

Question 38

Constitutional elements of an examination include all EXCEPT which of the following?

Accepted Answer

inspection of the eyes

Question 39

Medical decision making is based on all the following EXCEPT:

Accepted Answer

examination of the patient

Question 40

Which of the following is NOT considered a key component when selecting an evaluation and management code?

Accepted Answer

coordination of care

Question 41

A chronological description of the patient\'s present illness is the ______________.

Accepted Answer

history of present illness

Question 42

A complete PFSH includes:

Accepted Answer

past patient history, family history, social history

Question 43

Which of the following codes would NOT be reported for an inpatient hospital encounter?

Accepted Answer

99213

Question 44

Which of the following would be reported in a clinic?

Accepted Answer

99214

Question 45

Which of the following statements is FALSE in regard to an emergency department service code?

Accepted Answer

A distinction is made between new and established patients.

Question 46

An E and M nursing facility service involving an annual nursing facility assessment which requires a detailed interval history, comprehensive examination and medical decision making that is of low to moderate complexity is reported with code _______________.

Accepted Answer

99318

Question 47

A home visit E and M service that involved a problem focused history and examination of a new patient and straightforward medical decision making would be reported with code _____________.

Accepted Answer

99341

Question 48

A smoking and tobacco use cessation counseling visit of 15 minutes would be reported with code _______________.

Accepted Answer

99407

Question 49

Dr Jones is the admitting physician for patient Sally Smith. On the first day of hospitalization Dr Jones completes a comprehensive history and examination, and the medical decision making is of moderate complexity.

Accepted Answer

99222

Question 50

Mr Hinds is a patient in the ICU who is listed in critical condition. Because of his condition, Dr Jones spends 1 hour in the evaluation of the patient and this is documented in the chart. During this time, Dr Jones reviewed X-rays that were taken, reviewed ECGs, and performed ventilation management

Accepted Answer

99291

Question 51

Define the term observation status.

Accepted Answer

The patient has NOT been admitted to the hospital as an inpatient, but needs to be admitted under \"observation\" for assessment.

Question 52

List and define the 3 Rs that are used for consultation codes.

Accepted Answer

Request-dr receives request from another dr to see patient Render-dr renders an opinion  Response or Report-dr responds to initial/requesting dr via written report

Question 53

Differentiate between the hospital discharge codes 99238 and 99239.

Accepted Answer

99238 is for discharge day 30 minutes or less 99239 is for discharge day more than 30 minutes

Question 54

T/F Anesthesia is administered to patient to relieve pain and to perform surgery. True or False

Accepted Answer

true

Question 55

T/F Medicare requires the use of the CPT anesthesia codes to bill for anesthesia services. True or False

Accepted Answer

true

Question 56

T/F When locating CPT codes for anesthesia, the main terms to reference would be \"Surgery\", then \"Anesthesia\".

Accepted Answer

false

Question 57

T/F  The American Medical Association publishes the Relative Value Guide for the anesthesia codes. True or False

Accepted Answer

false

Question 58

T/F Anesthesiologists bill for their services separately from the surgery charges. True or False

Accepted Answer

true

Question 59

A certified registered nurse anesthetist is a registered nurse with ___________ months of additional training in anesthesiology.

Accepted Answer

36

Question 60

When an anesthetic agent is administered directly into the bloodstream, it is known as ________________.

Accepted Answer

injection

Question 61

The history and exam performed by the anesthesiology staff is part of which component of care?

Accepted Answer

preoperative care

Question 62

During the administration of anesthesia, the case was complicated by emergency conditions. They type of code to report this occurrence with an addition to the anesthesia code would be __________________.

Accepted Answer

qualifying circumstance code

Question 63

An anesthesiologist performed a history and physical exam that took 20 minutes to complete. The procedure required 80 minutes of anesthesia time. The time units used by the insurance company are calculated in 20 minute increments. How many units of time would be reported for this procedure?

Accepted Answer

4

Question 64

Select the appropriate anesthesia CPT code(s). Patient: Tom Smith Age: 6 months Anesthesia: General Procedure: Hernia repair, lower abdomen

Accepted Answer

00834

CPT & HCPCS CODING CH 1-6 EXAM 1 – Flashcards

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