Deck 5: Introduction to CPT

Question 1

CPT stands for:

A)Current Physician's Terminology
B)Current Procedure Terminology
C)Current Procedural Terminology
D)Current Procedural Terms

Answer 1

Current Procedural Terminology

Question 2

Which of the following represents three of the six elements that a special report must contain?

A)condition, service, description
B)anatomic site, service, extent
C)nature, extent, need
D)service, extent, procedure

Answer 2

nature, extent, need

Question 3

If a coder is unable to locate a code that describes the exact service provided, it is acceptable to use a code that approximates the service provided.

Answer 3

False

Question 4

Which term reflects the technologic advances made in medicine that are incorporated into the CPT manual?

A)revisions
B)modifiers
C)special reports
D)guidelines

Question 5

Health care providers are ____ based on the codes submitted on a claim form for procedures and services rendered.

A)judged
B)rated
C)taxed
D)reimbursed

Question 6

In which CPT appendix would additions, deletions, and revisions be found?

A)Appendix A
B)Appendix B
C)Appendix C
D)Appendix D

Question 7

This act mandated the adoption of national uniform standards for electronic transmission of financial and administrative health information.

A) HPIAA
B) HAPIA
C) HIAPA
D) HIPAA

Question 8

What year was CPT first developed and published?

A)1966
B)1970
C)1983
D)none of the above

Question 9

The words that follow a code number in the CPT manual are called:

A)procedure/service descriptor
B)listing order
C)format descriptor
D)identified descriptor

Question 10

Who requires a special report with the use of unlisted codes?

A)AMA
B)third-party payers
C)CPT manual
D)National Center for Health Care

Question 11

Which punctuation mark between codes in the index of the CPT manual indicates two codes are available?

A)period
B)ampersand
C)comma
D)semicolon

Question 12

Where is specific coding information about each section located?

A)Introduction
B)Procedural section
C)Guidelines
D)Index

Question 13

A list of the unlisted procedures for use in a specific section of the CPT manual is contained in:

A)Appendix A
B)Appendix B
C)Guidelines
D)Introduction

Question 14

A code that has all of the words that describe the code that follows is what type of code?

A)developed
B)isolated
C)stand alone
D)complete

Question 15

Who publishes CPT?

A)WHO
B)AMA
C)CMS
D)HHS

Question 16

Which punctuation mark between codes in the index of the CPT manual indicates a range of codes is available?

A)period
B)hyphen
C)comma
D)semicolon

Question 17

Category I CPT codes have ____ digits.

A)5
B)6
C)4
D)7

Question 18

According to the Surgery guidelines, surgical destruction may be considered part of a surgical procedure.

Question 19

In which CPT appendix would all modifiers be found?

A)Appendix A
B)Appendix B
C)Appendix C
D)Appendix D

Question 20

Procedures that are experimental, newly approved, or seldom used are reported with what type of code?

A)unlisted/Category III
B)technical
C)modified
D)variable

Question 21

The ____________________ section Guidelines contain the definition of a separate procedure.

Question 22

The two-digit modifier for a return to the operating room for an unplanned related procedure during a postoperative period is ____________________.

Question 23

According to the Radiology Guidelines, these are the methods that qualify as "with contrast."

A)intravascularly, intra-articularly, intrathecally
B)oral, rectal, intramuscular
C)other route, intravascularly, intrathecally
D)intra-articularly, intravenously, interarticularly

Question 24

The rules that govern coding in various health care settings are:

A)variable
B)static
C)unchanging
D)nationally established

Question 25

According to the notes preceding the Category III codes in the CPT manual, the digits of the Category III codes are not intended to reflect the placement of the code in the Category I section of the CPT:

A)heading
B)subsection
C)nomenclature
D)category

Question 26

Which code is an example of an add-on code?

A)11301
B)11000
C)15100
D)15201

Question 27

Which of the following is NOT a reason for the CPT coding system?

A)increased reimbursement
B)comparative analysis
C)data for research
D)improved communication

Question 28

How often are Category III codes released?

A)annually
B)twice a year
C)every 3 years
D)as often as necessary

Question 29

An unlisted procedure code:

A)is a procedure or service not found in the CPT manual
B)is located in the Section Guidelines
C)is located at the end of a subsection or subheading
D)all of the above

Question 30

How many main sections are in the CPT manual?

A)6
B)7
C)9
D)10

Question 31

A modifier:

A)subtracts from the definition of the code
B)adds to the CPT code number
C)provides additional information to the third-party payer
D)increases third-party payer reimbursement

Question 32

The two-digit modifier used by an Ambulatory Surgery Center (ASC) or hospital outpatient unit for a discontinued procedure prior to the administration of anesthesia is ____________________.

Question 33

The universal health insurance paper form for submission of outpatient services is the:

A)HCFA-1500
B)CMS-1400
C)CMS-1500
D)CMS-1450 (UB-04)

Question 34

The range of codes 10021-69990 would be found in this section of the CPT manual.

A)Radiology
B)Medicine
C)Pathology
D)Surgery

Question 35

According to the CPT manual, modifier -91 is not to be used when tests are ____ to confirm initial results.

A)ordered
B)rerun
C)directed
D)selected

Question 36

What is the function of an add-on code?

A)identifies those services that are provided with a more major service
B)indicates additional body-surface measurements, such as an additional 10%
C)identifies a code that is never used alone
D)serves as a primary code under certain conditions

Question 37

Pathology code for a pathology examination for BRCA2 full sequence gene analysis. ____________________

Question 38

According to the E/M Guidelines, time is not a descriptive component for the ____ department levels of E/M service.

A)emergency
B)outpatient
C)inpatient
D)none of these

Question 39

A(n) ____________________ (two words) must accompany claims when using an unlisted procedure code.

Question 40

The ____________________ section Guidelines contain the definition of the chief complaint.

Question 41

These codes are Category I procedure codes that are considered unusual, experimental, or new and do not have a specific code to be assigned. ____________________

Question 42

Appendix C of the CPT manual contains examples of ____________________ codes.

Question 43

Using Appendix A of the CPT manual, match the correct two-digit modifiers to the correct name of the modifier.
Repeat procedure by the same individual

A)-76
B)-51
C)-54
D)-50

Question 44

Using Appendix A of the CPT manual, match the correct two-digit modifiers to the correct name of the modifier.
Surgical care only

A)-76
B)-51
C)-54
D)-50

Question 45

Match the term to the correct symbol.
Revised code

A)
B)
C)
D)
E)

Question 46

Match a, b, and c to the correct description that the words represent. In each of the three examples below, the words that follow the semicolon will indicate one of the following:
3xxxx Laryngoscopy, indirect (separate procedure); diagnostic
3xxxx with biopsy
3xxxx with removal of foreign body
3xxxx with vocal cord injection

A) description of extent of service
B) alternative anatomic site
C) alternative procedure

Question 47

According to the CPT Surgery Guidelines, what is the code for the following unlisted procedures: Unlisted laparoscopic procedure, liver?
Code: ____________________

Question 48

Using Appendix A of the CPT manual, match the correct two-digit modifiers to the correct name of the modifier.
Bilateral procedure

A)-76
B)-51
C)-54
D)-50

Question 49

The correct order from the largest to smallest division of the CPT hierarchy in the CPT manual is ____________________. (List your answers using the capital letters of the alphabet that correspond to the division, separated by commas.)

A) category
B) subsection
C) section
D) subheading

Question 50

Match the term to the correct symbol.
Add-on code

A)
B)
C)
D)
E)

Question 51

There are two types of codes, but only ____________________ codes have the full description.

Question 52

Match the term to the correct symbol.
New code

A)
B)
C)
D)
E)

Question 53

According to the CPT Surgery Guidelines, what is the code for the following unlisted procedures: Unlisted procedure, arthroscopy?
Code: ____________________

Question 54

According to the CPT Surgery Guidelines, what is the code for the following unlisted procedures: Unlisted procedure, neck or thorax?
Code: ____________________

Question 55

Match a, b, and c to the correct description that the words represent. In each of the three examples below, the words that follow the semicolon will indicate one of the following:
2xxxx Strapping; thorax
2xxxx low back
2xxxx shoulder
2xxxx elbow or wrist

A) description of extent of service
B) alternative anatomic site
C) alternative procedure

Question 56

Match the term to the correct symbol.
Revised text

A)
B)
C)
D)
E)

Question 57

When two surgeons work together as primary surgeons performing distinct parts of a procedure, each surgeon would report modifier ____________________ with his/her procedure code.

Question 58

Match a, b, and c to the correct description that the words represent. In each of the three examples below, the words that follow the semicolon will indicate one of the following:
2xxxx Removal of foreign body, foot; subcutaneous
2xxxx deep
2xxxx complicated

A) description of extent of service
B) alternative anatomic site
C) alternative procedure

Question 59

The index of the CPT manual is in alphabetic order with the __________ __________ listed first and then further divided by subterm.

Question 60

Match the term to the correct symbol.
Modifier -51 exempt

A)
B)
C)
D)
E)

Question 61

Using the index of your CPT manual, locate the following terms and match the terms with the correct "See" note.
Stenger Test

A)See Uroflowmetry
B)See Audiologic Function Test; Ear, Nose, and Throat
C)See Lipoprotein, Blood

Question 62

Using Appendix A of the CPT manual, match the correct two-digit modifiers to the correct name of the modifier.
Multiple procedures

A)-76
B)-51
C)-54
D)-50

Question 63

Using the index of your CPT manual, locate the following terms and match the terms with the correct "See" note.
UFR

A)See Uroflowmetry
B)See Audiologic Function Test; Ear, Nose, and Throat
C)See Lipoprotein, Blood

Question 64

Using the index of your CPT manual, locate the following terms and match the terms with the correct "See" note.
VLDL

A)See Uroflowmetry
B)See Audiologic Function Test; Ear, Nose, and Throat
C)See Lipoprotein, Blood