Deck 15: The Respiratory System

Question 1

Who publishes Current Procedural Terminology (CPT)?

A) World Health Organization
B) American Public Health Association
C) American Medical Association
D) Department of Health and Human Services

Answer 1

American Medical Association

Question 2

ICD codes are descriptive of the:

A) presenting disease or condition
B) presenting symptoms
C) form of treatment used
D) medications used in treatment

Answer 2

presenting disease or condition

Question 3

Which section of Volume II of the ICD-9-CM manual includes the Index to External Causes of Injuries and Poisonings?

A) section 1
B) section 2
C) section 3
D) section 4

Answer 3

section 3

Question 4

A _____ is used to inform third-party payers that circumstances for a particular code have been altered.

A) modifier
B) translator
C) qualifier
D) provision

Question 5

Tools known as crosswalks or ____ will be used to help convert an ICD-9-CM/PCS code to an ICD-10-CM/PCS code.

A) general equivalence mappings
B) electronic codes
C) sidebars
D) conduits

Question 6

Services performed in the office are generally marked on a patient's encounter form by the:

A) provider
B) clinical medical assistant
C) administrative medical assistant
D) patient

Question 7

The International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) will remain in use in the United States until October 1 of what year?

A) 2012
B) 2013
C) 2014
D) 2017

Question 8

The National codes are approved and maintained jointly by all but which of the following organizations?

A) Centers for Medicare and Medicaid Services (CMS)
B) Health Insurance Association of America
C) Blue Cross Blue Shield Association
D) National Hospital Association

Question 9

Assigning CPT procedural codes that do not match patient documentation for the purpose or increasing reimbursement is known as:

A) downcoding
B) upcoding
C) unbundling
D) bundling

Question 10

The Evaluation and Management (E/M) section codes are divided into ____ categories of provider services.

A) 8
B) 11
C) 17
D) 24

Question 11

When coding, the primary reason for the office visit is listed first, and other reasons are listed in what order?

A) chronological order
B) numerical order
C) alphabetical order
D) order of importance

Question 12

As a result of the Medicare Modernization Act of 2004, new, revised, and deleted codes must be implemented every year on which date?

A) June 21
B) April 15
C) July 4
D) January 1

Question 13

When records are reviewed by third-party payers, if a procedure is not documented, it:

A) will be reimbursed at only 50% of the standard rate
B) will be reimbursed at only 10% of the standard rate
C) is considered to never have been performed
D) must be resubmitted with a statement of explanation from the provider

Question 14

All of these statements are true about ICD-10-CM, except:

A) ICD-10-CM will help reduce coding errors.
B) ICD-10-CM provides greater coding accuracy and specificity.
C) When implemented, the United States will be the only nation using the ICD-10-CM coding system.
D) ICD-10-CM will result in improved efficiency of care and lower costs.

Question 15

Which HCPCS Level II codes are temporary codes for procedures, services, and supplies?

A) J codes
B) G codes
C) L codes
D) M codes

Question 16

In which volume of the ICD-9-CM will you find the Classification of Drugs by the American Hospital Formulary?

A) Volume I
B) Volume II
C) Volume III
D) Volume IV

Question 17

Which level of the Healthcare Common Procedural Coding System (HCPCS) includes National codes?

A) Level I
B) Level II
C) Level III
D) Level IV

Question 18

When coding, you isolate the main term from the provider's statement and then look it up in the:

A) table of contents
B) index
C) subterm directory
D) explanation of abbreviations

Question 19

Most physician offices utilize the version of the ICD-9-CM manual that has only which two volumes?

A) I and III
B) I and II
C) II and III
D) III and IV

Question 20

The ICD-9-CM:

A) is considered sufficiently specific and detailed
B) reflects current knowledge of disease processes and medical terminology
C) allows comparisons of costs and outcomes of different medical technologies
D) is running out of capacity

Question 21

Match each section of the CPT manual with the correct range of codes.
Pathology and Laboratory

A)99201-99499
B)00100-01999, 99100-99140
C)10021-69990
D)70010-79999
E)80047-89398
F)90281-99199, 99500-99607

Question 22

Identify whether each of the following is a format characteristic of the ICD-9-CM, ICD-10-CM, or both. (Answers may be used more than once.)
Characters 2-7 are alpha or numeric

A)ICD-9-CM
B)ICD-10-CM
C)both ICD-9-CM and ICD-10-CM

Question 23

Match each section of the CPT manual with the correct range of codes.
Surgery

A)99201-99499
B)00100-01999, 99100-99140
C)10021-69990
D)70010-79999
E)80047-89398
F)90281-99199, 99500-99607

Question 24

Match each section of the CPT manual with the correct range of codes.
Medicine

A)99201-99499
B)00100-01999, 99100-99140
C)10021-69990
D)70010-79999
E)80047-89398
F)90281-99199, 99500-99607

Question 25

Identify whether each of the following is a key component or contributory factor in E/M code descriptions. (Answers can be used more than once.)
Level of examination performed

A)key component
B)contributory factor

Question 26

Identify whether each of the following is a key component or contributory factor in E/M code descriptions. (Answers can be used more than once.)
Coordination of care

A)key component
B)contributory factor

Question 27

Identify whether each of the following is a format characteristic of the ICD-9-CM, ICD-10-CM, or both. (Answers may be used more than once.)
Always at least 3 character

A)ICD-9-CM
B)ICD-10-CM
C)both ICD-9-CM and ICD-10-CM

Question 28

Identify whether each of the following is a key component or contributory factor in E/M code descriptions. (Answers can be used more than once.)
Degree of medical decision making involved

A)key component
B)contributory factor

Question 29

Identify whether each of the following is a format characteristic of the ICD-9-CM, ICD-10-CM, or both. (Answers may be used more than once.)
Characters 2-5 are numeric

A)ICD-9-CM
B)ICD-10-CM
C)both ICD-9-CM and ICD-10-CM

Question 30

Identify whether each of the following is a key component or contributory factor in E/M code descriptions. (Answers can be used more than once.)
Level of history obtained

A)key component
B)contributory factor

Question 31

Identify whether each of the following is a format characteristic of the ICD-9-CM, ICD-10-CM, or both. (Answers may be used more than once.)
Total of 3-5 characters

A)ICD-9-CM
B)ICD-10-CM
C)both ICD-9-CM and ICD-10-CM

Question 32

Identify whether each of the following is a format characteristic of the ICD-9-CM, ICD-10-CM, or both. (Answers may be used more than once.)
First character is alpha

A)ICD-9-CM
B)ICD-10-CM
C)both ICD-9-CM and ICD-10-CM

Question 33

Identify whether each of the following is a key component or contributory factor in E/M code descriptions. (Answers can be used more than once.)
Nature of the presenting problem

A)key component
B)contributory factor

Question 34

Identify whether each of the following is a key component or contributory factor in E/M code descriptions. (Answers can be used more than once.)
Counseling

A)key component
B)contributory factor

Question 35

Identify whether each of the following is a format characteristic of the ICD-9-CM, ICD-10-CM, or both. (Answers may be used more than once.)
First character is numeric or alpha

A)ICD-9-CM
B)ICD-10-CM
C)both ICD-9-CM and ICD-10-CM

Question 36

Match each section of the CPT manual with the correct range of codes.
Anesthesiology

A)99201-99499
B)00100-01999, 99100-99140
C)10021-69990
D)70010-79999
E)80047-89398
F)90281-99199, 99500-99607

Question 37

Match each section of the CPT manual with the correct range of codes.
Radiology

A)99201-99499
B)00100-01999, 99100-99140
C)10021-69990
D)70010-79999
E)80047-89398
F)90281-99199, 99500-99607

Question 38

Identify whether each of the following is a format characteristic of the ICD-9-CM, ICD-10-CM, or both. (Answers may be used more than once.)
Use of decimal after 3 characters

A)ICD-9-CM
B)ICD-10-CM
C)both ICD-9-CM and ICD-10-CM

Question 39

Match each section of the CPT manual with the correct range of codes.
Evaluation and Management (E/M)

A)99201-99499
B)00100-01999, 99100-99140
C)10021-69990
D)70010-79999
E)80047-89398
F)90281-99199, 99500-99607

Question 40

Identify whether each of the following is a key component or contributory factor in E/M code descriptions. (Answers can be used more than once.)
Amount of time the physician spent

A)key component
B)contributory factor

Question 41

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS. (Answers may be used more than once.)
Alpha characters are not case-sensitive

A)ICD-9-PCS
B)ICD-10-PCS

Question 42

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS. (Answers may be used more than once.)
Always at least 3 characters

A)ICD-9-PCS
B)ICD-10-PCS

Question 43

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS. (Answers may be used more than once.)
No decimal is used

A)ICD-9-PCS
B)ICD-10-PCS

Question 44

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS. (Answers may be used more than once.)
Each character can be alpha-numeric

A)ICD-9-PCS
B)ICD-10-PCS

Question 45

Identify whether each of the following is a format characteristic of the ICD-9-CM, ICD-10-CM, or both. (Answers may be used more than once.)
Total of 3-7 characters

A)ICD-9-CM
B)ICD-10-CM
C)both ICD-9-CM and ICD-10-CM