Download PROCEDURE CODING EXAM (CH 12, 15, 16 AND 17) QUESTIONS AND ANSWERS A+ and more Exams Health sciences in PDF only on Docsity! PROCEDURE CODING EXAM (CH 12, 15, 16 AND 17) QUESTIONS AND ANSWERS
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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.