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CPT CODING questions with correct
answers
If 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. - Answer False According to the surgery guidelines, surgical destruction may be considered part of a surgical procedure. - Answer True The words that follow a code number in the CPT manual called: - Answer Procedure/service descriptor Who requires a special report with the use of unlisted codes? - Answer Third- party payers A listed of the unlisted procedures for use in a specific section of the CPT manual is contained in: - Answer Guidelines In which CPT appendix would all modifiers be found? - Answer Appendix A CPT stands for: - Answer Current Procedural Terminology Where is specific coding information about each section located? - Answer Guidelines Who publishes CPT? - Answer AMA
Health care providers are _____ based on the codes submitted on a claim form for procedures and services rendered. - Answer Reimbursed Category I CPT codes have ____ digits. - Answer 5 Which of the following is NOT a reason for the CPT coding system? - Answer Increased reimbursement The rules that govern coding in various health care settings are: - Answer Variable An Unlisted Procedure Code: - Answer 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: - Answer Nomenclature According to the Radiology Guidelines, these are methods that qualify as "with contrast." - Answer Intravascularly, Intra-articularly, Intrathecally Which code is an example of an add-on code? - Answer 15201 Level II codes are not used in which setting? - Answer Inpatient Modifiers are used to indicate what type of information? - Answer Bilateral
Bruising would be an element of review of this organ system - Answer Hematologic The HPI must be documented in the medical record by - Answer The Physician The examination is the ____ portion of the E/M service - Answer Objective Medical decision making(MDM) is based on the ____ Physician must consider about the management of the patient's condition - Answer Number of diagnoses Risk of morbidity Amount of data The hospital Inpatient Services subsection is used for patients admitted to - Answer An acute care facility The request for advice or opinion from one Physician to another Physician is this type of service - Answer Consultation Critical care codes are reported based on - Answer 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: - Answer Skilled nursing facility Intermediate care facility Long-term care facility When a Physician performs a preventive care service, the extent of the exam is determined - Answer Age
According to information in 99468, what is the age of neonate - Answer 28 days or younger Mr. Smith presents to the Emergency Department at the local hospital for chest pain and see by the ED Physician on duty. The physician obtains an extended HPI, an extended ROS, and a pertinent PFSH. What is the level of history? - Answer Detailed The Physician must consider multiple diagnoses and management options. There is a moderate amount of data tp be reviewed and the risk of complications or death is moderate. What is the level of MDM? - Answer Moderate What CPT code is assigned to an ED service that has a detailed history and exam with a moderate level of MDM - Answer 99284 A person can live without a spleen. - Answer True A common abbreviation for a transurethral electrosurgery of the prostate is TURP.
- Answer False One of the most common conditions of the prostate is BPH. - Answer True Nephrectomy is the excision of the renal pelvis. - Answer False Code 54699 is the correct code to report an unlisted procedure of the male genital system. - Answer False
When a diagnostic colonoscopy is coded, the code includes: - Answer Anoscopy Proctosigmoidoscopy Sigmoidoscopy The procedure used to develop an artificial opening through the abdominal wall is:
- Answer Exteriorization What two words are important factors in coding hernia repair? - Answer Incarcerated/Strangulated When urodynamics are performed and the physician only interprets the results, the correct modifier would be: - Answer - To report the cystourethroscopic removal of a self-retaining indwelling ureteral stent, the correct codes would be 52310 or 52315. What modifier would be applied? - Answer - The type of treatment used to treat prostate cancer by placing the radioactive elements directly into the prostate. - Answer Brachytherapy When lithotripsy is performed, the patient may be surrounded by: - Answer Liquid What do the letters in UPP stand for? - Answer Urethral Pressure Profile The term that describes the study of the motion and flow of urine is: - Answer Urodynamics
A code that has all of the words that describe the code that follows is what type of code? - Answer Stand Alone Procedures that are experimental, newly approved, or seldom used are reported with what type of code? - Answer Unlisted/ Category III Which punctuation mark between codes in the index of CPT manual indicates a range of codes avaliable? - Answer Hyphen According to the CPT manual, modifier, -91 is not to be used when test are _____ to confirm initial results? - Answer Rerun According to the E/M guidelines, time is not a descriptive component for the ____ department levels of E/M service. - Answer Emergency Multiple modifiers are indicated with which modifier - Answer - Local anesthesia is a type of anesthesia that provides a decreased level of consciousness. - Answer False Qualifying anesthesia circumstances are adjunct codes and are used when the administration of the anesthesia is more difficult - Answer True Third-party payer determine the contents of a surgical package - Answer True The codes for wound exploration can be reported for exploration of any type of wound - Answer False
The correct code for an unlisted procedure for the breast is - Answer 19499 Which treatment of a fracture requires the fracture to be exposed to view or open at the remote site for nailing across the fracture? - Answer Open Which of the following terms describes traction by use of strapping, elastic wraps, or tape? - Answer Skin 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 This type of graft is often taken from the upper thigh area - Answer Fascia lata Fracture codes are based on - Answer Treatment type Open treatment of a fracture is when the - Answer Fracture site is surgically opened and visualized or open remotely Where is the bimalleolar bone located - Answer Ankle 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 Arthrocentesis is - Answer An injection into the joint
A ___ arthroscopy is always included in a surgical arthroscopy - Answer Diagnostic 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 The mediastinum is located between the lungs. - Answer True The stem cell harvesting in 38205 is the collection of stem cells from the bone marrow. - Answer False The mucosal and submucosal tissue of the lips and cheeks are included in the oral cavity. - Answer True The correct code for an intraoperative colonic lavage is 44701. - Answer True With the exception of incisional and ventral hernias, the use of mesh or other prosthesis is not separately reported when performing hernia repairs. - Answer True For a fine needle aspiration of the salivary gland, the correct code would be 42400.
- Answer False Code 45999 is the correct code to report an unlisted laparoscopic procedure of the anus. - Answer False
It is acceptable for the radiologist to communicate his/her opinion via telephone instead of a written report. - Answer False Pathologists have specific codes for clinical pathology consultations. - Answer True Transfusion Medicine codes are located in the Pathology and Laboratory section. - Answer True The postmortem codes 88000-88099 represent physician services only. - Answer True An interactive psychiatric diagnostic interview examination is typically furnished to children - Answer True A ____ procedure is one that is performed independently of and not immediately related to, another service. - Answer Separate What is the modifier used to identify the technical component of a radiologic procedure? - Answer -TC What are the radioisotopes that attach themselves to red blood cells called? - Answer Tracer What is the name of the high-frequency sound waves in an imaging process that is used to diagnose patient illness? - Answer Ultrasound
According to CPT Guidelines, Radiation Oncology codes include normal follow- up care during the course of treatment and ________ following its completion. - Answer Includes 3-month global period How many levels of Surgical Pathology are there? - Answer 6 In what section would you locate codes to report venipunctures and arterial punctures? - Answer Surgery What is the name of the subsection within Pathology/Laboratory that deals with the laboratory work performed to determine cellular changes? - Answer Cytopathology In the Pathology/Laboratory section of the CPT, drugs are listed by their ____ names. - Answer Generic What name is given to cultures for identification of organisms, as well as the identification of sensitivities of the organism to antibiotics? - Answer Culture/Sensitivity Qualitative analysis is defined as: - Answer Analysis of a substance in order to ascertain the nature of chemical constituents Codes in the Pathology/Laboratory section, Evocation/Suppression Testing include which of the following? - Answer Test only What word is used to describe the pushing of liquid into the body over a long period of time? - Answer Infusion
The modifier "-AA" is an example of what type of modifier? - Answer HCPCS The global surgery periods includes - Answer All routine and postoperative care This information is placed after some codes in the CPT manual and contains helpful information - Answer Parenthetical information What code is used to report routine postoperative care? - Answer 99024 Excision including simple closure of benign lesions of the skin include these type of anesthesia - Answer Local What are the divisions of the Surgery section based on? - Answer Body system The CPT code that is used to report materials and supplies by the physician for which no other more specific code exist is - Answer 99070 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 Which of the following represents the contents of the surgical package? - Answer Preoperative Intraoperative Postoperative
Which term describes reduction - Answer manipulation Which treatment of a fracture requires the fracture to be exposed to view or opened at the remote site for nailing across the fracture? - Answer Open Which of the following terms describes traction by the use of strapping, elastic wraps, or tape? - Answer Skin 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 This type of graft is often taken from the upper thigh area? - Answer Fascia lata Fast becoming of treatment of choice for many orthopedic surgical procedures is what type of procedure? - Answer Endoscopy/Arthroscopy Which of the following is not a fracture treatment? - Answer Replantation 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 A hip replacement code is based on the - Answer Medical reason for the surgery Where is the bimalleolar bone located? - Answer Ankle Arthrocentesis is - Answer An injection of the joint
Services in pathology/laboratory are provided by a physician or by technologists under responsible supervision of a physician. - Answer True When reporting organ or disease-oriented panels, if all but one of the tests within the panel is substantiated by the physician's documentation, it is acceptable to assign the code with modifier -52 to the code used to report the service. - Answer False When coding chemistry tests, an analyte is measured in multiple specimens from different sources, or in specimens that are obtained at different times, the analyte is reported separately for each source and for each specimen. - Answer True The use of a hand-held Doppler device that does not produce hard copy output, or that produces a record that does not permit analysis of bidirectional vascular flow, is considered to be part of the physical examination of the vascular system and is not separately reported. - Answer True The modifier reported when a physician component is reported separately is: - Answer - A ___ procedure is one that is performed independently of, and not immediately related to, another service. - Answer Separate The divisions of the Radiation Oncology section of the CPT manual are divided into subsections based on what? - Answer Type of service What is the standard measure of energy in radiation treatment? - Answer MeV Codes 76801 and 76802 include determination of the number of gestational sacs and fetuses, gestational sac/fetal measurements appropriate for gestation <
weeks 0 days, and: - Answer Survey of visible fetal and placental anatomic structure, qualitative assessment of amniotic fluid/gestational sac shape, examination of the maternal uterus and adnexa A needle with a suture attached is passed through an incision into the stomach. The needle is snared and removed via the mouth. A gastrostomy tube is connected to the suture and passed through the mouth into the stomach and out the abdominal wall. What is the correct code for this procedure? - Answer None of the Above The procedure is a percutaneous transhepatic dilation of biliary duct stricture with or without placement of a stent. How would the radiological supervision and interpretation be coded? - Answer 74363 What type of drug test measures the presence of a drug in the specimen? - Answer Qualitative What type of drug test measures the amount of a drug in the specimen? - Answer Quantitative What is the name given to grouped laboratory work that represents those tests commonly performed together? - Answer Panels A sample of tissue from a suspect area can be further divided into which of the following? - Answer Block/ Section Psychiatric diagnostic interview examination includes: - Answer History Mental status Disposition and communication with family or other sources
