Question 1

When a medical practice receives a revised edition of CPT, what activities should follow? Update encounter forms | Update patient billing software | Educate medical professional staff

Accepted Answer

All of these

Question 2

Level I codes in HCPCS are:

Accepted Answer

The CPT codes

Question 3

Select the correct modifier: The physician performed a carpal tunnel release on the right and left median nerves during the same operative session.

Accepted Answer

-50 Bilateral services

Question 4

Select the correct modifier: A graft was performed 10 days following an allograft application to allow the underlying tissues time to heal. The surgeon knows at the time of the allograft that the grafting will be performed within 10 to 15 days.

Accepted Answer

-58 Staged procedure

Question 5

Select the correct modifier: The chest X-ray was performed before placing a chest tube and then again after the chest tube placement to verify the position.

Accepted Answer

-76 Repeat procedure

Question 6

Select the correct modifier: A radiologist reads and prepares a written report for a frontal and lateral chest X-ray.

Accepted Answer

-26 Professional component

Question 7

Select the correct modifier: A neurosurgeon and an otorhinolaryngologist are working as co-surgeons in performing transsphenoidal excision of a pituitary neoplasm.

Accepted Answer

-62 Two surgeons

Question 8

Select the correct modifier: Patient is to have a diagnostic arthroscopy of the left knee. The physician inserted the arthroscope and the patient went into respiratory distress. The arthroscope was withdrawn and the procedure was terminated.

Accepted Answer

-53 Discontinued procedure

Question 9

Select the correct modifier: A podiatrist performs a bunionectomy on the great toe and during the same operation corrects a hammertoe on the third toe.

Accepted Answer

-51 Multiple procedures

Question 10

Which is the correct process for selecting CPT codes?

Accepted Answer

Determine the procedures and services to report, identify the correct codes, and determine the need for modifiers

Question 11

Of the four types of examinations that a physician can perform, which level is the most complete?

Accepted Answer

Comprehensive

Question 12

Upon selecting an Evaluation and Management code, three components are considered: the type of history, the physical examination, and the:

Accepted Answer

Medical decision making

Question 13

In CPT, E/M is the abbreviation for Evaluation and _____.

Accepted Answer

Management

Question 14

Under CPT\'s definition, after a referral, who takes responsibility for the patient\'s care?

Accepted Answer

The physician to whom the patient is referred

Question 15

Under CPT\'s definition, after a consultation, who takes responsibility for the patient\'s care?

Accepted Answer

The attending physician

Question 16

Routine annual physical examinations are reported using which type of E/M codes?

Accepted Answer

Preventative Medicine Services codes

Question 17

Codes in CPT\'s Anesthesia section generally cover:  Preoperative evaluation and planning | Care during the procedure | Routine postoperative care

Accepted Answer

All of these

Question 18

CPT codes from the Anesthesia section have two types of modifiers:

Accepted Answer

Standard CPT modifiers and physical status modifiers

Question 19

Which section of CPT codes is the physical status modifier, such as P1 for normal, healthy patient, exclusively used with?

Accepted Answer

Anesthesia

Question 20

Under CPT guidelines, all services related to a surgical procedure are not additionally reimbursed:

Accepted Answer

During the global period

Question 21

What was set up to give healthcare providers a coding system that describes specific products, supplies, and services that patients receive?

Accepted Answer

HCPCS

Question 22

Durable medical equipment (DME) such as wheelchairs covered by the Medicare program are reported using?

Accepted Answer

HCPCS codes

Question 23

HCPCS Level II codes have:

Accepted Answer

Five characters

Question 24

HCPCS Level II codes begin with:

Accepted Answer

An alphabetic character

Question 25

The following group identifies services for which new HCPCS level II codes are needed:

Accepted Answer

CMS HCPCS Workgroup

Question 26

The CMS HCPCS Workgroup maintains the:

Accepted Answer

Permanent national codes

Question 27

A0300 is an example of which level of HCPCS code?

Accepted Answer

Level II

Question 28

Which of the following items could be found on the HCPCS website?  A list of current HCPCS codes | An alphabetical index of HCPCS codes by type of service or product | An alphabetical table of drugs for which there are Level II codes

Accepted Answer

All of these are correct

Question 29

What does HCPCS use to provide additional information about services, supplies, and procedures?

Accepted Answer

Level II modifiers

Question 30

Which of the following manuals is useful in using HCPCS codes?

Accepted Answer

Both the Medicare Carriers Manual (MCM) and the Coverage Issues Manual (CIM)

Question 31

Which appendix in CPT contains the Summary of Modifier 51 exempt codes?

Accepted Answer

Appendix E

Question 32

Which appendix in CPT contains the Summary of Modifier 63 exempt codes?

Accepted Answer

Appendix E

Question 33

In CPT, what do Category II codes report?

Accepted Answer

Services to track performance measurement

Question 34

In CPT, what do Category III codes report?

Accepted Answer

Emerging technology, services, and procedures

Question 35

The divisions of CPT, such as Anesthesia and Radiology, are referred to as:

Accepted Answer

Sections

Question 36

In the CPT entry 29909 \"Unlisted procedure, arthroscopy\" the words after the number are referred to as the:

Accepted Answer

Descriptor

Question 37

In CPT, a plus sign (+) next to a code indicates a(n):

Accepted Answer

Add-on code

Question 38

In CPT, a bullet (a solid circle) next to a code indicates a(n):

Accepted Answer

New code

Question 39

In CPT, a lightning bolt symbol next to a code indicates a(n):

Accepted Answer

Code pending FDA approval

Question 40

In CPT, a triangle next to a code indicates a(n):

Accepted Answer

Revised code descriptor

Question 41

In CPT, what do facing triangles that appear in front of a code indicate?

Accepted Answer

New/revised text other than a code descriptor

Question 42

In CPT, what type of code is described by the following entry? +33961 each additional 24 hours (List separately in addition to code for primary procedure).

Accepted Answer

Add-on code

Question 43

These two CPT codes have been performed: 11100 for a skin biopsy and +11101 for the biopsy of an additional lesion. In what order should these codes be reported?

Accepted Answer

11100, +11101

Question 44

The CPT code that is listed first for an encounter is the procedure that:

Accepted Answer

Is the most resource-intensive

Question 45

Select the correct modifier: Laminotomy, one lumbar interspace with decompression of nerve roots, with excessive bleeding and lysis of scar tissue with sharp dissection requiring an additional 60 minutes of time in surgery:

Accepted Answer

-22 Increased procedural service

Question 46

Select the correct modifier: Attempted to excise a deep vascular malformation of the hand; unable to completely excise secondary to entrapment of other structures; performed partial excision:

Accepted Answer

-52 Reduced services

Question 47

In CPT, what procedure is bundled with the arthroscopy in the following entry? 29860 Arthroscopy, hip, diagnostic with or without synovial biopsy:

Accepted Answer

A synovial biopsy

Question 48

What is required of the physician in order to report the professional component of a CPT code from the Radiology section?

Accepted Answer

Reading the radiological examination and writing a report of interpretation

Question 49

In CPT, some codes have both a technical component and another component representing the physician\'s skill, time, and expertise. What is the name of this other component?

Accepted Answer

Professional

Question 50

In CPT, a single code grouping laboratory tests is called a(n):

Accepted Answer

Panel

Question 51

What kinds of services support treatment, like rehabilitation, occupational therapy, and nutrition therapy?

Accepted Answer

Ancillary services

Question 52

How many CPT codes are required to report an immunization?

Accepted Answer

Two

Question 53

The use of CPT Category II codes does not affect reimbursement and is:

Accepted Answer

Optional

Question 54

CPT is a publication of the:

Accepted Answer

American Medical Association

Question 55

Which of the following is the HIPAA Mandated code set for physician\'s procedures and services?

Accepted Answer

CPT

Question 56

Which of the following are used to report services not listed in CPT?

Accepted Answer

Unlisted procedure codes

Question 57

CPT codes are used to report the following:  Medical services | Surgical procedures | Diagnostic Procedures

Accepted Answer

All of these are reported by the CPT

Question 58

How many digits are in Category I codes?

Accepted Answer

Five

Question 59

CPT Category I codes are:

Accepted Answer

Numerical

Question 60

Physicians may only code from:

Accepted Answer

A physician can code from any of these sections of CPT

Question 61

Which of the following is NOT a main term in the CPT index?  Anatomical site of the procedure | Abbreviations | Eponyms

Accepted Answer

All of these are main terms

Question 62

Common descriptors in CPT begin with a(n):

Accepted Answer

Capital Letter

Question 63

Which symbol is used to designate a new code?

Accepted Answer

A bullet

Question 64

Which symbol is used to designate a code\'s descriptor has changed?

Accepted Answer

A triangle

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