Deck 18: Pathology Laboratory

Question 1

In which code range is Definitive Drug Testing found?

A) 80320-80377
B) 80400-80439
C) 80047-80081
D) 80150-80299

Answer 1

80320-80377

Question 2

Which organization identifies the names of each human gene?

A) Global Health Partners
B) World Health Organization
C) Human Genome Organization
D) International Health Organization

Answer 2

Human Genome Organization

Question 3

All of the following are key terms coders should look for in provider documentation to locate a definitive or confirmed diagnosis except:

A) impression
B) substantiated
C) conclusion
D) reported as

Answer 3

substantiated

Question 4

What subsection of the Pathology/Laboratory section is located in code range 88104-88199?

A) Cytogenic studies
B) Anatomic Pathology
C) Cytopathology
D) Surgical Pathology

Question 5

When the service provided is a CLIA-waived test, which modifier is used to report this?

A) QA
B) TC
C) AB
D) QW

Question 6

Codes 81000-81099 contain which subsection of the Pathology/Laboratory section?

A) Urinalysis
B) Cytogenic studies
C) Molecular Pathology
D) Chemistry

Question 7

Codes in the Transfusion Medicine subsection are further defined by all of the following except:

A) screening
B) preparation or collection
C) parasitology
D) blood typing

Question 8

In the Pathology/Laboratory section of CPT, in which code range is the Chemistry subsection found?

A) 81200-82099
B) 82009-84999
C) 85002-85999
D) 86000-86849

Question 9

The Electrolyte Panel (80051) includes:
Carbon dioxide (82374)
Chloride (82435)
Potassium (84132)
Sodium (84295)
Select the appropriate code for chloride, potassium, and sodium tests:

A) 82435
B) 80051, 82435, 84295
C) 80051
D) 82435, 84132, 84295

Question 10

Select the correct four sections of the neoplasm table:

A) Uncertain Behavior, Primary Malignant, Secondary Malignant, Benign
B) Malignant, Carcinoma in Situ, Benign, Uncertain Behavior
C) Malignant, Benign, Uncertain Behavior, Unspecified Behavior
D) Unspecified Behavior, Uncertain Behavior, Primary Malignant, Secondary Malignant, Benign

Question 11

The identification of a microorganism by colony morphology growth on selective media, Gram stains, or up to three tests is:

A) presumptive identification
B) suspected identification
C) definitive identification
D) confirmed identification

Question 12

Codes in the Anatomic Pathology subsection represent what type of services?

A) laboratory
B) physician
C) outside laboratory
D) facility

Question 13

What is another term for "a frozen piece of a specimen?"

A) somatics
B) necropsy
C) block
D) specimen

Question 14

What does the term "unspecified behavior" mean?

A) the neoplasm exhibits both benign and malignant behavior
B) the direction of the neoplasm's continued growth is uncertain
C) the type of neoplasm is not documented
D) the type of neoplasm is not known

Question 15

In which code range is the Reproductive Medicine Procedures subsection of the Pathology/Laboratory section located?

A) 89250-89398
B) 89049-89240
C) 88720-88749
D) 80400-80439

Question 16

Only interpretation and report are performed on a molecular pathology test. Which modifier is appropriate to append to the reported CPT code?

A) 90
B) 26
C) 91
D) TC

Question 17

In an organ panel test, how many of the tests must be performed in order for that code to be selected?

A) a minimum of 3
B) all tests
C) a majority, calculated by the total number of tests listed
D) a minimum of

Question 18

If all of the panel tests have been performed and an additional test was performed on the same date of service, how would the coder accurately code this scenario?

A) all tests would be coded for individually, including the tests identified in the panel code
B) only the additional test would be coded
C) only the panel tests would be coded
D) one panel code would be assigned and one code for the additional test would be assigned

Question 19

What is the primary difference between codes 80047 and 80048?

A) Code 80048 cannot be billed unless code 80047 is billed
B) Code 80047 contains a test for calcium attached to proteins
C) Code 80048 contains a test for free-flowing calcium
D) Code 80048 contains a test for calcium attached to proteins

Question 20

Outside Laboratory is communicated by modifier:

A) 90
B) TC
C) 91
D) QW

Question 21

Molecular Pathology codes include all analytical services, which include all of the following except:

A) amplification
B) cell lysis
C) centrifuge analysis
D) nucleic acid stabilization

Question 22

The terms "gross examination, microscopic examination, and frozen section" are often used in provider documentation to describe:

A) somatics
B) specimens
C) cytopathology
D) surgical pathology

Question 23

Surgical Pathology is located in what code range of CPT?

A) 89049-89240
B) 88720-88749
C) 88300-88399
D) 88230-88299

Question 24

When a diagnosis has not been confirmed or the pathology report is documented as normal, how should the coder proceed with code selection?

A) assign a code for the suspected or ruled-out condition
B) assign the ICD code used for the patient's most recent visit
C) assign a code for the presenting sign or symptom
D) hold the chart until a definitive diagnosis is made

Question 25

The In Vivo subsection is located in what code range of CPT?

A) 88720-88749
B) 88230-88299
C) 88300-88399
D) 89049-89240

Question 26

The extracellular matrix of blood is called:

A) plasma
B) red blood cells
C) platelets
D) white blood cells

Question 27

What are variants associated with altered gene function that lead to functional deficits or disease?

A) cytogenics
B) specimens
C) somatics
D) mutations

Question 28

A series of specific tests ordered to assist in the determination of a diagnosis are called:

A) diagnostic panels
B) identification panels
C) feedback panels
D) organ panels

Question 29

In what instance is it acceptable to assign a code for abnormal test results?

A) when a patient is referred to an outpatient clinic for further testing
B) when signs and symptoms are not able to be determined
C) when a provider documents that no further tests are needed
D) when further tests are negative after an initial abnormal test result

Question 30

What is the term for a neoplasm that exhibits both benign and malignant behavior and the direction of its continued growth is uncertain?

A) unhealthy behavior
B) substandard behavior
C) uncertain behavior
D) unpredictable behavior

Question 31

How may a coder report additional related procedures that are necessary to confirm the results of a pathology/laboratory test performed?

A) up to three tests performed for verification purposes may be billed separately
B) all tests are billed as one unit of service
C) all tests performed may be billed separately
D) all tests of the same type are billed as one unit of service

Question 32

Coagulation is:

A) a process of blood clotting
B) the study of the immune system
C) the study of disorders of the blood
D) qualitative analysis of the blood

Question 33

What is the correct acronym for the Human Genome Organization?

A) HGEO
B) HUGO
C) HGO
D) HGOG

Question 34

What is another term for a postmortem examination?

A) chromatography
B) cytopathology
C) necropsy
D) surgical pathology

Question 35

Where are Other Procedures located in the Pathology/Laboratory section of CPT?

A) 88720-88749
B) 88300-88399
C) 88230-88299
D) 89049-89240

Question 36

Anatomic Pathology is located in which of the below code ranges?

A) 88000-88099
B) 87003-87999
C) 88230-88299
D) 88104-88199

Question 37

What is the primary purpose of services found in the Pathology and Laboratory section of CPT?

A) to increase the reimbursement of claims submitted by the treating physician
B) to assist with research and development of new pharmaceutical treatments
C) to give additional diagnostic and treatment management information to the treating physician
D) to provide greater specificity in treatment decisions to the patient

Question 38

Laboratory testing involving genes is reported in the codes under the ______ subsection of the Pathology/Laboratory section of CPT:

A) Chemistry
B) Immunology
C) Molecular Pathology
D) Microbiology

Question 39

Where can a coder find the Microbiology subsection of the Pathology/Laboratory section of CPT?

A) 85002-85999
B) 86850-86999
C) 82009-84999
D) 87003-87999

Question 40

Select the correct definition of cytopathology:

A) the study of cells
B) the study of blood
C) the study of diseased cells
D) the study of the immune system

Question 41

When an additional test is performed without the written order of a physician to add further clinical value to the results of the first test, how may the coder report this service?

A) each test may be billed separately
B) only the second test is billed
C) only the first test is billed
D) the tests are billed as one unit of service

Question 42

What is chromatography?

A) laboratory procedure that measures the amount of a drug present
B) laboratory procedure that indicates the presence of a drug
C) analysis of drugs used for therapeutic reasons for anomalies or toxicities
D) a combination of stationary and mobile phases used to analyze a drug class or classes

Question 43

When a positive result occurs and an additional test is done as a follow-up, what is this test called?

A) confirmation
B) conjunction test
C) indicator
D) repeat test

Question 44

The amount of drug present is determined by:

A) cytopathology
B) surgical pathology
C) drug assay
D) necropsy

Question 45

Studies under the subheading Hematology and Coagulation include all of the following except:

A) Red blood cell (RBC) count
B) Automated or manual
C) Complete blood count (CBC)
D) Centrifuge examination

Question 46

Select the correct definition for somatics:

A) a unit submitted for evaluation
B) quantitative analysis
C) genetic code alterations that develop after birth
D) tissue removed during surgery for analysis

Question 47

What is the appropriate code range for the subsection Organ or Disease-Oriented Panels?

A) 80400-80440
B) 80100-80104
C) 80047-80081
D) 80150-80299

Question 48

If a patient has two total bilirubin tests performed on the same day, one in the morning and one in the afternoon, which modifier is appropriate to append to the second CPT code?

A) 26
B) 91
C) QW
D) 90

Question 49

In the Pathology/Laboratory section, which subsection of codes is contained in code range 80400-80439?

A) Molecular Pathology
B) Evocative/Suppression Testing
C) Consultations (Clinical Pathology)
D) Hematology and Coagulation

Question 50

In which code range are Consultations (Clinical Pathology) found?

A) 80150-80299
B) 80503-80506
C) 80305-80307
D) 80400-80439

Question 51

If an exam from the Anatomic Pathology subsection is a forensic exam, for what is it being used?

A) stem cell research evidence
B) pharmaceutical research evidence
C) hormone research evidence
D) legal evidence

Question 52

In what subsection can a coder find codes for blood banking?

A) Immunology
B) Transfusion Medicine
C) Microbiology
D) Hematology and Coagulation

Question 53

Consultations (Clinical Pathology) is further defined as two subdivisions:

A) 15 minutes or less, 30-60 minutes
B) minimal, extensive
C) simple, complex
D) medical decision making, total time

Question 54

A laboratory procedure that identifies the presence of a drug is:

A) quantitative analysis
B) qualitative analysis
C) presence indicator
D) substance indicator

Question 55

Laboratory testing involving genes is also known as:

A) cellular pathology
B) clinical pathology
C) molecular pathology
D) biomedical pathology

Question 56

In the Pathology/Laboratory section, in which code range is the subsection Therapeutic Drug Assays found?

A) 80305-80307
B) 80150-80299
C) 80047-80081
D) 80400-80439

Question 57

Code range 86000-86849 contains which subsection of the Pathology/Laboratory section?

A) Cytogenic studies
B) Immunology
C) Chemistry
D) Transfusion Medicine

Question 58

What is another name for "organ panels?"

A) body system panels
B) complete panels
C) testing panels
D) disease-oriented panels

Question 59

Codes in the Surgical Pathology subsection include all of the following services except:

A) reporting
B) containment
C) examination
D) accession

Question 60

Code range 85002-85999 contains which subsection of the Pathology/Laboratory section?

A) Other Procedures
B) Immunology
C) Hematology and Coagulation
D) In Vivo

Question 61

Under what subheading are Pap smears reported?

A) Chromatography
B) Cytopathology
C) Surgical pathology
D) Drug assay

Question 62

Harvesting or culturing of cells from blood, bone marrow, amniotic fluid, or solid tissue is used in what type of procedures?

A) drug assays
B) surgical pathologies
C) necropsies
D) cytogenic

Question 63

In which code range can a coder find Molecular Pathology?

A) 85002-85999
B) 86000-86849
C) 81105-81479
D) 82009-84999

Question 64

A Lipid panel (80061) includes:
Cholesterol, serum, total (82465)
Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718)
Triglycerides (84478)
On the same date of service, a patient received a serum cholesterol test, HDL cholesterol test, Glucose renal function test (82947), and an acute hepatitis panel (80074). What is the appropriate code assignment for these services?

A) 82947, 80074, 84478
B) 82465, 83718, 80061
C) 82465, 83718, 82947, 80074
D) 80061, 80074, 82947

Question 65

The study of disorders of the blood is called:

A) immunology
B) plasma matrices
C) hematology
D) coagulation

Question 66

In which code range is the Transfusion Medicine subsection of the Pathology/Laboratory section of CPT located?

A) 82009-84999
B) 85002-85999
C) 86850-86999
D) 87003-87999

Question 67

Evocative/Suppression Testing codes are described as:

A) lipids
B) panels
C) intervals
D) groups

Question 68

Studies concerned with cellular abnormalities and pathologic conditions related to genetics are found in which subsection of the Pathology/Laboratory section of CPT?

A) Immunology
B) Surgical Pathology
C) Microbiology
D) Cytogenic Studies

Question 69

A coder needs to ask himself/herself several questions while reading through a report to identify the pathology/laboratory services provided. All of the following are relevant questions except:

A) Which type of consultation was involved?
B) How many tests will be patient's insurance cover?
C) How many tests were performed?
D) Was the study qualitative or quantitative?

Question 70

When a group of tests overlaps two or more panels, what should the coder do to accurately report these tests?

A) report the panel that incorporates the most amount of tests and report two units
B) report the two panels that incorporate the most amount of tests
C) report the panel that incorporates the most amount of tests to fulfill the code definition and report the remaining tests as separate codes
D) code each test individually

Question 71

What is another term for a postmortem examination?

A) surgical pathology
B) necropsy
C) cytopathology
D) chromatography

Question 72

What subsection of the Pathology/Laboratory section is located in code range 88104-88199?

A) Cytogenic studies
B) Anatomic Pathology
C) Surgical Pathology
D) Cytopathology

Question 73

A series of specific tests ordered to assist in the determination of a diagnosis are called:

A) organ panels
B) feedback panels
C) identification panels
D) diagnostic panels

Question 74

Select the correct definition of cytopathology:

A) the study of cells
B) the study of blood
C) the study of the immune system
D) the study of diseased cells

Question 75

Surgical Pathology is located in what code range of CPT?

A) 88720-88749
B) 88230-88299
C) 89049-89240
D) 88300-88399

Question 76

Molecular Pathology codes include all analytical services, which include all of the following except:

A) cell lysis
B) nucleic acid stabilization
C) amplification
D) centrifuge analysis

Question 77

When a coder sees the terms "stationary phase" or "mobile phase" in provider documentation, to what is the provider referring?

A) cytopathology
B) surgical pathology
C) mutations
D) chromatography

Question 78

What does the term "unspecified behavior" mean?

A) the type of neoplasm is not documented
B) the neoplasm exhibits both benign and malignant behavior
C) the direction of the neoplasm's continued growth is uncertain
D) the type of neoplasm is not known

Question 79

A coder needs to ask himself/herself several questions while reading through a report to identify the pathology/laboratory services provided. All of the following are relevant questions except:

A) Was the study qualitative or quantitative?
B) Which type of consultation was involved?
C) How many tests were performed?
D) How many tests will be patient's insurance cover?

Question 80

Outside Laboratory is communicated by modifier:

A) QW
B) 90
C) TC
D) 91