Deck 8: Introduction to CPT

Question 1

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 1

False

Question 2

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

Answer 2

third-party payers

Question 3

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

Answer 3

hyphen

Question 4

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 5

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

Question 6

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 7

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 8

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 9

Category I CPT codes have ____ digits.

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

Question 10

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

Question 11

What year was CPT first developed and published?

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

Question 12

CPT stands for:

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

Question 13

Who publishes CPT?

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

Question 14

In which CPT appendix would all modifiers be found?

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

Question 15

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 16

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 17

Where is specific coding information about each section located?

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

Question 18

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

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

Question 19

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 20

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 21

Which section Guidelines contain the definition of the chief complaint.

A)Evaluation and Management
B)Surgery
C)Pathology and Laboratory
D)Medicine

Question 22

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 23

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

Question 24

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 25

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 26

How many main sections are in the CPT manual?

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

Question 27

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 28

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 29

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

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

Question 30

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 31

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

Question 32

How often are Category III codes released?

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

Question 33

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

Question 34

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 35

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 36

The range of codes 10004-69990 would be found in this section of the CPT manual.

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

Question 37

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

A)Add-on
B)Renumbered
C)Resequenced
D)Evaluation and Management

Question 38

The two-digit modifier for a return to the operating room for an unplanned related procedure during a postoperative period is ____________________.(Make sure to include a dash in front of your modifier answer.-XX)

Question 39

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

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

Question 40

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 41

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 42

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 43

When two surgeons work together as primary surgeons performing distinct parts of a procedure, each surgeon would report modifier ____________________ with his/her procedure code.(Make sure to include a dash in front of your modifier answer.-XX)

Question 44

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

Question 45

Match the term to the correct symbol.
Revised code

A)
B)
C)
D)
E)

Question 46

Match the codes to the correct section in which they are used.
00144

A)Medicine
B)Radiology
C)Pathology/Laboratory
D)Anesthesia

Question 47

Match the term to the correct symbol.
Revised text

A)
B)
C)
D)
E)

Question 48

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 49

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

Question 50

There are two types of codes, but only ____________________ (two words, use hyphen between) codes have the full description.

Question 51

Match the term to the correct symbol.
New code

A)
B)
C)
D)
E)

Question 52

Match the codes to the correct section in which they are used.
81099

A)Medicine
B)Radiology
C)Pathology/Laboratory
D)Anesthesia

Question 53

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

A)
B)
C)
D)
E)

Question 54

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

Question 55

Match the codes to the correct section in which they are used.
78999

A)Medicine
B)Radiology
C)Pathology/Laboratory
D)Anesthesia

Question 56

The index of the CPT manual is in alphabetic order with the ____________________ (two words) listed first and then further divided by subterm.

Question 57

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

A)
B)
C)
D)
E)

Question 58

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 ____________________.(Make sure to include a dash in front of your modifier answer.-XX)

Question 59

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

Question 60

Match the codes to the correct section in which they are used.
95199

A)Medicine
B)Radiology
C)Pathology/Laboratory
D)Anesthesia

Question 61

Match the following CPT divisions to the order of how they are divided.
section

A)first division in the CPT
B)second division in the CPT
C)third division in the CPT
D)fourth division in the CPT

Question 62

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 63

Using the Surgery guidelines, match the unlisted surgery procedure codes to the correct code description.
69949

A)eyelid
B)cardiac
C)inner ear
D)nervous system

Question 64

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 65

Using the Surgery guidelines, match the unlisted surgery procedure codes to the correct code description.
64999

A)eyelid
B)cardiac
C)inner ear
D)nervous system

Question 66

Match the following CPT divisions to the order of how they are divided.
category

A)first division in the CPT
B)second division in the CPT
C)third division in the CPT
D)fourth division in the CPT

Question 67

Match the following CPT divisions to the order of how they are divided.
subsection

A)first division in the CPT
B)second division in the CPT
C)third division in the CPT
D)fourth division in the CPT

Question 68

Using the Surgery guidelines, match the unlisted surgery procedure codes to the correct code description.
67999

A)eyelid
B)cardiac
C)inner ear
D)nervous system

Question 69

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

Question 70

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 71

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 72

Match the following CPT divisions to the order of how they are divided.
subheading

A)first division in the CPT
B)second division in the CPT
C)third division in the CPT
D)fourth division in the CPT

Question 73

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 74

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 75

Select the six basic location methods to locate main terms in the index of CPT.

A)abbreviation
B)italic type
C)synonym
D)service/procedure
E)disease
F)anatomic site
G)bullet point
H).eponym

Question 76

Using the Surgery guidelines, match the unlisted surgery procedure codes to the correct code description.
33999

A)eyelid
B)cardiac
C)inner ear
D)nervous system