Deck 25: Procedural Coding Basics

Question 1

Breast reduction

A) 19316
B) 19318
C) 19328
D) 19330

Answer 1

19318

Question 2

Serum folic acid

A) 82735
B) 82760
C) 82746
D) 82803

Answer 2

82746

Question 3

Hospital discharge day management, 45 minutes

A) 99238
B) 99239
C) 99234
D) 99235

Answer 3

99239

Question 4

Urinalysis

A) 81000
B) 81005
C) 82000
D) 81001

Question 5

Established patient office visit, problem-focused history and examination, straightforward decision making

A) 99211
B) 99212
C) 99213
D) 99214

Question 6

New patient office visit, comprehensive history, examination, and moderate-complexity decision making

A) 99201
B) 99202
C) 99203
D) 99204

Question 7

Initial hospital observation care, new patient

A) 99217
B) 99218
C) 99219
D) 99220

Question 8

Febrile agglutinins, including Rocky Mountain spotted fever

A) 86000
B) 86001
C) 86010
D) 86011

Question 9

New patient, initial inpatient consultation

A) 99251
B) 99252
C) 99253
D) 99254

Question 10

Eustachian tube inflation, transnasal, with catheterization

A) 69399
B) 69401
C) 69400
D) 69405

Question 11

Biopsy of external ear

A) 69090
B) 69100
C) 69140
D) 69150

Question 12

Chest x-ray examination, single view, frontal

A) 71000
B) 71100
C) 71010
D) 71011

Question 13

Suture of a recent wound on the eyelid

A) 67938
B) 67930
C) 67950
D) 67961

Question 14

Pelvimetry, with or without placental localization

A) 74710
B) 74740
C) 74742
D) 74775

Question 15

New patient office visit, comprehensive history and examination, high-complexity decision making

A) 99202
B) 99203
C) 99204
D) 99205

Question 16

Liver function study with hepatobiliary agents, with serial images

A) 78201
B) 78205
C) 78220
D) 78223

Question 17

Triglycerides

A) 84476
B) 84477
C) 84478
D) 84479

Question 18

New patient office visit, problem-focused history and examination, straightforward decision making

A) 99201
B) 99202
C) 99203
D) 99204

Question 19

Thoracentesis, puncture of pleural cavity for aspiration, initial or subsequent

A) 32003
B) 32002
C) 32001
D) 32000

Question 20

Cardiopulmonary resuscitation

A) 93000
B) 93015
C) 92960
D) 92950

Question 21

Cyanide

A) 82595
B) 82600
C) 82615
D) 82530

Question 22

Initial nursing facility care, detailed or comprehensive history or examination, straightforward or low-complexity decision making

A) 99304
B) 99305
C) 99306
D) 99307

Question 23

Psychoanalysis

A) 90845
B) 90846
C) 90847
D) 90849

Question 24

Initial pediatric inpatient critical care

A) 99296
B) 99295
C) 99294
D) 99293

Question 25

Which of the following is a method of closed treatment of fractures?

A) Without manipulation and/or traction
B) With manipulation and/or traction
C) Fixation device placed across fracture site
D) Both A and B
E) All of the above

Question 26

Basic metabolic panel

A) 80048
B) 80050
C) 80051
D) 80053

Question 27

Which of the following sections uses the code range between 70000 and 79999?

A) Anesthesia section
B) Surgery section
C) Radiology section
D) Pathology section
E) Medicine section

Question 28

Qualitative and quantitative codes for drug testing are found in which of the following CPT sections?

A) Pathology
B) Surgical
C) Anesthesia
D) Medicine

Question 29

Acne surgery, removal of multiple milia, comedones, cysts, pustules

A) 10080
B) 10061
C) 10040
D) 11001

Question 30

Subsequent nursing facility care, comprehensive interval history and examination, high-complexity medical decisions

A) 99310
B) 99309
C) 99308
D) 99307

Question 31

Which of the following levels of history includes a review of the systems that relate to the chief complaint?

A) Problem-focused history
B) Expanded problem-focused history
C) Detailed history
D) Comprehensive history

Question 32

Medical records used for procedural coding can include which of the following?

A) Encounter form
B) Progress notes
C) Pathology report
D) Radiology report
E) All of the above

Question 33

New patient office visit, expanded problem-focused history and examination, straightforward decision making

A) 99201
B) 99202
C) 99203
D) 99204

Question 34

Total splenectomy

A) 38115
B) 38102
C) 38101
D) 38100

Question 35

Established patient, home patient, problem-focused interval history and examination, straightforward medical decision making

A) 99347
B) 99348
C) 99349
D) 99350

Question 36

Which of the following codes can be used to help measure performance and outcomes?

A) Category I codes
B) Category II codes
C) Category III codes
D) Both A and B

Question 37

When searching the Alphabetic Index, "humerus" is an example of which of the following?

A) Procedure or service
B) Organ or anatomical site
C) Condition, illness, or injury
D) Eponym, synonym, abbreviation, or acronym

Question 38

An eponym will be used in which of the following CPT divisions?

A) Alphabetic Index
B) Tabular List
C) Category subsection
D) Both A and B

Question 39

When wounds of more than one classification are repaired, list the less complicated repair as the primary procedure and the more complicated repair as the secondary procedure. When multiple wounds are repaired, add together the lengths of those in the same classification.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The first statement is false; the second is true.

Question 40

Which of the following HCPCS codes range from A4000 to A8999?

A) Ambulance transport
B) Medical supplies
C) Surgical supplies
D) Durable medical equipment
E) Both B and C

Question 41

Revised codes are not highlighted in the CPT manual.

Question 42

Which of the following modifiers indicates a professional component and is used when a separate technician performs the service but the provider reviews the report and makes an accurate diagnosis?

A) -50
B) -62
C) -26
D) -RT, -LT

Question 43

Which of the following codes is assigned to an urgent care facility as the place of service?

A) 01
B) 13
C) 20
D) 23

Question 44

Downcoding and upcoding are illegal practices, and medical assistants can be prosecuted for either practice.

Question 45

A detailed history takes the shortest amount of time.

Question 46

The CPT is divided into eight sections.

Question 47

The place of service never changes for physician billing.

Question 48

Downcoding can increase reimbursements.

Question 49

It is acceptable to code from the Alphabetic Index.

Question 50

Subcategories are the lowest level of code description and specificity.