PROCEDURE CODING EXAM (CH 12, 15, 16 AND 17) QUESTIONS AND ANSWERS A+, Exams of Health sciences

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PROCEDURE CODING EXAM (CH 12, 15, 16 AND 17) QUESTIONS AND ANSWERS At Part of the provider's defense against accusations that patients were not treated correctly. - ANS-V YW Medical Records Hardware and software owned bythe practice or facility on which various programs are set up. - ANS- ¥ Turnkey Systems One of AHIMA's certifications. - ANS-V “ National Cancer Registrars Association Performance measures forthe delivery of health care by me dical professionals. - ANS-V YW Medical Standards of Care Identifying the clinical signs, symptoms, disease processes, and treatments of patients’ conditions. - ANS-¥ W Coding Skill Built on a strong foundation of medical terminology, anatomy, and physiology. - ANS-“W / Pathophysiology Perform general business support functions, such as human resources (the hiring of personnel), public relations, purchasing and legal services. - ANS-/% / Administrative Departments A continual process of providing clinical services, billing, collecting payments, and paying for the cost of operations. - ANS-W ¥ Revenue Cycle Financial reward to physicians forfollowing the best medical practices to ensure patients' health. - ANS- V WV Pay-For-Performance Measurements Provide medical, surgical, rehabilitation, and psychiatric services for patients. - ANS-V “Clinical Departments A Category III code will be archived for how many years from its date of publication or revision inthe CPT code manual unless itis demonstrated that atemporary code is still needed? - ANS-W 45 A mobile clinicperformed an HIV antibody immunoassay laboratory test using a kit or transportable single-use-kit. Which of the following modifiers would be assigned? - ANS-¥ W-92 A providershaves several lesions from the patient's back and at the same sessionbiopsies alesion on the chest. Is a modifier required for the second code, and, if so, whichone? - ANS-¥ “-59 A surgeon performs part of a planned procedure. What modifier should be reported? - ANS-V¥ /-52 After mammography findings of a density in both breasts, a patient undergoes puncture aspiration of a cyst ineach breast. What code should be reported? - ANS-W ¥ 19000, -50 An orthopedist examines a patientand determines that he has a ruptured C3-C4 intervertebral disk with severe radiating pain to the right arm. The orthopedist fully examinesthe patient's history and performs x-rays anda complete physical. After reviewing the films, the orthopedist re quests that a neurologist perform the actual surgery because the orthopedist does not routinely perform surgery on the cervical spine. The orthopedist will submit the surgical code for this procedure along with which modifier? - ANS- Vv -56 Codes 15002-15005 are used to describe what services? - ANS-~ “Wound preparation requiring skin graft. During the performance ofa left lung lobectomy, a surgeon discontinues the surgery when he realizes the patientis going into shock. What code should be reported? - ANS-V ¥ 32480, -53 Procedure codes may be located in the CPT manual by using any of six methods, one being abbreviations. - ANS-/ “True Registered Health Information Administrators (RHIAs) interact with only the clinical and administrative levels of an organization. - ANS-V “False The O symbol found throughoutthe CPT manual indicates the code is a new code for thatyear. - ANS-¥ Vv False What is the correct way to code an anesthesia modifier used for the CRNA's services under the medical direction of an anesthesiologist? - ANS-/ “QX What isthe modifierthat is used when a bronchoscopy is performed under general anesthesia? - ANS- Vv -23 A patient's history of long-term uncontrolled asthma requiresthe -P3 modifier. - ANS-V ¥ True After laboranalgesiais provided andthe patient is suddenly ready to deliver muchearlierthan expected, the coder should add +99140 to the anesthesiacode. - ANS-V ¥ False Attend modifier -QS to represent monitored anesthesia care with code 31622 fora diagnostic bronchoscopy. - ANS-W “True Code 00562 is the correct code fora 50-year old patient who undergoes aortic valve replacement without a pump oxygenator. - ANS-V / False Codes +01968 and +01969 are reported with the delivery codes 59500 and 59510. - ANS-¥ & False Moderate sedation does not include minimal sedation or monitored anesthesia care. - ANS-W “True Qualifying circumstances add-on codes are not considered modifiers. - ANS-VW WTrue Reportan E/M code for an anesthesia preoperative services provided just before surgery. - ANS-“W¥ False Use of #99100 with 00834 is the correct way to code fora hernia repair for an 11-month old child. - ANS- Vv False When coding for anesthesia services provided for multiple procedures, use only the anesthesia code for the most complex procedure. - ANS-V “True Represents the various types of professional services performed by physicians and otherhealthcare professionals. - ANS-/ % CPT Code Set Evaluation and management (E/M) codes. - ANS-V “Cognitive Codes Summary of CPT codesexempt from modifier -63.- ANS-/ “Appendix F A physician bills and is paid the full amount onthe fee schedule. - ANS-/ “Fee-For-Schedule Appended to surgeon's E/Mcodes during postoperative period for services unrelated to surgery. - ANS- V V Modifier-24 A patient underwentan excision of skin lesion, which has a 10-day global period. Within the 10 days, the patient returned for evaluation of the excised area. What modifier, if any, would be reported? - ANS-¥ V Donot report a modifier The cardiologist performed heart catheterization in the hospital on her patient. What modifier is required whenthe cardiologist reports her services? -ANS-W /-26 Two months ago, a patient underwent an abdominal aortic aneurysm repair, which has a 90-day global period. The patient returned to the surgeon's office for evaluation of a right leg circulatory problem related to his diabeticcondition. What modifier should be reported? - ANS-W W -24 What modifier would be reported for the repair of an abdominal aortic aneurysm and alsoa repair of theinferiormesenteric artery? - ANS-WW-51 Which modifier is appropriate fora gallbladder removal provided during the global period of afoot amputation? -ANS-/ “-79 Which modifier is appropriate fora second planned debridement provided during the global period of thefirst debridement?-ANS-VY 58 Which modifier is appropriate forspinal fusion performed by twosurgeons of different specialties? - ANS-¥ 4-62 Which of the following codes is a designed separate procedure? - ANS-W #49000 Which of the following criteriamust be met to be included inthe CPT Code Set? -ANS-V “ The procedure or service must be commonly performed by many physicians across the country.