CODING EXAM QUESTIONS AND ANSWERS
A code that has all of the words that describe the code that follows is what type of
code? - Answers -Stand alone
Procedures that are experimental, newly approved, or seldom used are reported with
what type of code? - Answers -Unlisted/Category III (with a special report)
Who requires a special report with the use of unlisted codes? - Answers -Third-party
payers
What six elements must a special report contain? - Answers -Nature, extent, need, time,
effort, and equipment used (photos and medical journal articles if relevant)
Which punctuation mark between codes in the index of the CPT manual indicates a
range of codes is available? - Answers -Hyphen
Which punctuation mark between codes in the index of the CPT manual indicates two or
more codes are available? - Answers -Comma
A list of the unlisted procedures for use in a specific section of the CPT manual is
contained in: - Answers -Guidelines
In which CPT appendix would additions, deletions, and revisions be found? - Answers -
Appendix B
In which CPT appendix would all modifiers be found? - Answers -Appendix A
Where is specific coding information about each section located? - Answers -Guidelines
Which act mandated the adoption of national uniform standards for electronic
transmission of financial and administrative health information? - Answers -HIPAA
Who publishes CPT? - Answers -AMA (American Medical Association)
Category I CPT codes have how many digits? - Answers -5
The universal health insurance paper form for submission of outpatient services is the: -
Answers -CMS-1500 (inpatient CMS-1450 UB-04)
What is the function of an add-on code? - Answers -Identifies a code that is never used
alone
How many sections are in the CPT manual? - Answers -6
, What is the purpose of a modifier? - Answers -Provides additional information to the
third-party payer
How often are Category III codes released? - Answers -Twice a year (January and July)
According to the E/M Guidelines, time is not a descriptive component for: - Answers -
Emergency department levels of E/M service
The range of codes 10021-69990 would be found in this section of the CPT manual: -
Answers -Surgery
The index of the CPT manual is in alphabetical order with what listed first? - Answers -
Main term
The codes beginning with 99 are found in what section of the CPT manual? - Answers -
Evaluation/Management
The codes beginning with 0 are found in what section of the CPT manual? - Answers -
Anesthesia
The codes beginning with 7 are found in what section of the CPT manual? - Answers -
Radiology
The codes beginning with 8 are found in what section of the CPT manual? - Answers -
Pathology and Laboratory
The codes beginning with 9 are found in what section of the CPT manual? - Answers -
Medicine
What are the six basic location methods to locate main terms in the index of the CPT? -
Answers -Service/procedure, anatomic site, condition/disease, synonym, eponym,
abbreviation
What does the "triangle" symbol represent? - Answers -Revised code
What does the "bullet" symbol represent? - Answers -New code
What does the "horizontal triangles" symbol represent? - Answers -New or revised text
What does the "plus sign" symbol represent? - Answers -Add-on code
What does the "bullseye" symbol represent? - Answers -Moderate/conscious sedation
What does the "forbidden" symbol represent? - Answers -Exemptions to modifier 51
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