Exam (elaborations)
CPT-4/HCPCS CODING – QUESTIONS/ANSWERS
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CPT-4/HCPCS CODING – QUESTIONS/ANSWERS
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CPT-4/HCPCS CODING – QUESTIONS/ANSWERSIf a coder is unable to locate a code that describes the exact service
provided, it is acceptable to use a code that approximates the service
provided. Correct Ans - False
According to the surgery guidelines, surgical destruction may be
considered part of a surgical procedure. Correct Ans - True
The words that follow a code number in the CPT manual called: Correct
Ans - Procedure/service descriptor
Who requires a special report with the use of unlisted codes? Correct
Ans - Third-party payers
A listed of the unlisted procedures for use in a specific section of the CPT
manual is contained in: Correct Ans - Guidelines
In which CPT appendix would all modifiers be found? Correct Ans -
Appendix A
CPT stands for: Correct Ans - Current Procedural Terminology
Where is specific coding information about each section located?
Correct Ans - Guidelines
Who publishes CPT? Correct Ans - AMA
Health care providers are _____ based on the codes submitted on a claim
form for procedures and services rendered. Correct Ans -
Reimbursed
Category I CPT codes have ____ digits. Correct Ans - 5
Which of the following is NOT a reason for the CPT coding system?
Correct Ans - Increased reimbursement
The rules that govern coding in various health care settings are:
Correct Ans - Variable
,An Unlisted Procedure Code: Correct Ans - Is a procedure or
service not found in the CPT manual
Is located int the Section Guidelines
Is located at the end of the subsection or subheading
According to the notes preceding the Category III codes in the CPT manual,
the digits of the Category III codes are not intended to reflect the
placement code of the Category I section of the CPT: Correct Ans -
Nomenclature
According to the Radiology Guidelines, these are methods that qualify as
"with contrast." Correct Ans - Intravascularly, Intra-articularly,
Intrathecally
Which code is an example of an add-on code? Correct Ans - 15201
Level II codes are not used in which setting? Correct Ans - Inpatient
Modifiers are used to indicate what type of information? Correct Ans -
Bilateral
Multiple Procedures
Service Greater Than Usually required
Modifier -57, decision for surgery, is used on what type of service?
Correct Ans - E/M
Modifier -51, Multiple Procedure, is used on what type of services?
Correct Ans - Surgery
Modifier -80, Assistant Surgeon, is used when: Correct Ans - A
Second Surgeon Provides Assistance to the Primary Surgeon
Modifier -59, distinct procedure service, is used to indicate that:
Correct Ans - Services that are usually bundled into one paymetn were
provided as separate services
, Modifier -58, staged or related procedure or service by the same physician
during the postoperative, is used to indicate: Correct Ans - That a
subsequent surgery was planned at the time of the first surgery
Mulitple Modifiers are indicated with which modifier? Correct Ans -
-99
The modifier that indicates the only professional component of the service
was provided is: Correct Ans - -26
These elements would be part of the ____ history: employment,education,
use of drugs Correct Ans - Social
Bruising would be an element of review of this organ system Correct
Ans - Hematologic
The HPI must be documented in the medical record by Correct Ans -
The Physician
The examination is the ____ portion of the E/M service Correct Ans -
Objective
Medical decision making(MDM) is based on the ____ Physician must
consider about the management of the patient's condition Correct Ans
- Number of diagnoses
Risk of morbidity
Amount of data
The hospital Inpatient Services subsection is used for patients admitted to
Correct Ans - An acute care facility
The request for advice or opinion from one Physician to another Physician
is this type of service Correct Ans - Consultation
Critical care codes are reported based on Correct Ans - Time
Codes from the E/M subsection Nursing Facilities Service are used to
report services provided in nursing facilities that used to be known as:
Correct Ans - Skilled nursing facility
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