Deck 4: Current Procedural Terminology Cpt Basics

Question 1

Category III codes are used for performance measurement and quality of care studies.

Answer 1

False

Question 2

There are several ways to locate a code in the index such as by procedure or service, anatomical site, condition, eponym, condition, or ____________________.

Answer 2

abbreviation

Question 3

When a physician determines that surgery is required and performs the procedure on the same day, which modifier would be appended to the E/M code?

A) -57
B) -24
C) -25
D) -54

Answer 3

-57

Question 4

The official coding guidelines for CPT-4 is published in the

A) AHA Coding Clinic
B) Global Services Data Book
C) CPT Assistant
D) Relative Value Guide

Question 5

Modifiers located in the Appendix and in the inside cover are applicable to all physicians and specialities and are assigned by physicians depending on site of service.

Question 6

CPT defines surgery as incision, excision, amputation, endoscopy, repair, suture, manipulation, destruction, and ____________________.

Question 7

CPT coding guidelines are located in front of the codebook as in ICD-9-CM.

Question 8

CPT surgical package rules apply to all Level I CPT-4 codes.

Question 9

The symbol indicates that a code is not permitted to be used alone and must be reported with the primary procedure code.

Question 10

How many modifiers are allowed to be reported per code?

A) One
B) Two
C) Three
D) no limit

Question 11

All HCPCS Level I and Level II codes are alphanumeric.

Question 12

What is the correct code description for CPT code 31205?

A) Extranasal, total
B) Ethmoidectomy; intranasal, anterior and extranasal,total
C) Ethmoidectomy; extranasal, total
D) Ethmoidectomy intranasal and extranasal, total

Question 13

What modifier would be most appropriate in the following scenario? Physician performs a tubal ligation on a patient ,and 3 weeks later the patient returns to the office. She now has an infected Bartholin's gland cyst. The following week the same physician performs a Bartholin's gland marsupialization.

A) No modifier needed since they are on different dates of service
B) -79
C) -51
D) 58

Question 14

CPT Category I codes are updated twice a year, each January 1 and July 1.

Question 15

CCI and CPT definitions and logic for the surgical package are not always in agreement.

Question 16

The CPT-4 Professional Edition is a better code book and has additional guidelines and symbols used to guide coders.

Question 17

From what section of CPT would an orthopedic surgeon report codes?

A) Musculoskeletal section only
B) Radiology
C) Integumentary
D) All answers are correct.

Question 18

CPT code descriptions must match exactly to the description of the procedure performed in order to assign a code.

Question 19

A HCPCS II code for Lidocaine or Xylocaine is assigned in addition to CPT code 99070 when used as a local anesthetic for an office procedure.

Question 20

Physicians are the only representatives from the medical community permitted to write to the AMA regarding CPT changes or additions, or for clarification on code assignment.

Question 21

Codes indicating emerging technology

A) separate procedure
B) unlisted code
C) modifier
D) add-on code
E) code range
F) Category III code
G) Category II code

Question 22

More than one code referenced that may be chosen as appropriate

A) separate procedure
B) unlisted code
C) modifier
D) add-on code
E) code range
F) Category III code
G) Category II code

Question 23

Codes used in performance measurement and quality tracking

A) separate procedure
B) unlisted code
C) modifier
D) add-on code
E) code range
F) Category III code
G) Category II code

Question 24

Located in each chapter and most subsections of CPT

A) separate procedure
B) unlisted code
C) modifier
D) add-on code
E) code range
F) Category III code
G) Category II code

Question 25

May be billed independent of a more comprehensive procedure if appropriate with -59 modifier

A) separate procedure
B) unlisted code
C) modifier
D) add-on code
E) code range
F) Category III code
G) Category II code

Question 26

Not reported separately from the primary procedure

A) separate procedure
B) unlisted code
C) modifier
D) add-on code
E) code range
F) Category III code
G) Category II code

Question 27

Assists in clarifying or describing circumstances surrounding a service

A) separate procedure
B) unlisted code
C) modifier
D) add-on code
E) code range
F) Category III code
G) Category II code

Question 28

A special report is necessary to send to insurance carriers when a procedure is relatively new or rarely reported. This report must include description of the nature, extent and need for the procedure, time, effort, and equipment necessary, symptoms, physical findings, concurrent findings, diagnostic and therapeutic procedures, final diagnosis, and _____________________________________________.