Question 1

The Musculoskeletal section is in the code range 20100- __________:

Accepted Answer

The Musculoskeletal section in the CPT (Current Procedural Terminology) code range is 20100-29999.

Question 2

Each section of the CPT manual is divided into subsections based on all of the following except:

Accepted Answer

The CPT (Current Procedural Terminology) manual is organized primarily by descriptive headings, anatomical sites, and eponyms, but not by routes of administration. Routes of administration are more relevant to pharmacology and medication administration than to the categorization of procedural codes.

Question 3

0001F-7025F are Category ____ codes:

Accepted Answer

The answer of 0001F-7025F are Category ____ codes:
...

Question 4

Linkage is:

Accepted Answer

Linkage refers to the process of connecting the medical necessity of a service provided with the appropriate diagnosis to justify the service.

Question 5

Modifier 25 describes:

Accepted Answer

Modifier 25 is used to indicate that on the day of a procedure, a significant, separately identifiable evaluation and management service was provided by the same physician or other qualified health care professional. This is applicable in scenario A, where a patient comes in for one issue (poison ivy) and receives an additional, separate treatment (wart removal) during the same visit.

Question 6

The proper name of the person who first identified the condition or disease, the physician who first developed the treatment or procedure for the condition, or the first patient diagnosed with the condition, is called a(n):

Accepted Answer

An eponym is a word derived from the name of a person, whether real or fictional, who is somehow associated with the thing named. In the context of diseases, conditions, or medical procedures, an eponym is the name of the person who first identified the condition, developed its treatment, or was the first patient diagnosed with it.

Question 7

CPT is what level of the Healthcare Common Procedure Coding System?

Accepted Answer

CPT (Current Procedural Terminology) codes are Level I of the Healthcare Common Procedure Coding System (HCPCS), used for billing purposes to describe medical, surgical, and diagnostic services.

Question 8

In CPT, the ____ symbol designates a new code for the current edition of the manual:

Accepted Answer

The bullet symbol is used in CPT coding to designate a new code for the current edition of the manual.

Question 9

Multiple procedures are represented by modifier:

Accepted Answer

Modifier 51 is used to indicate that multiple procedures were performed during the same surgical session.

Question 10

Modifier 99 is described as:

Accepted Answer

Modifier 99 is used to indicate that multiple modifiers are being used to provide more specific details about a procedure.

Question 11

A four-year-old girl presents to the provider's office complaining of severe right ear pain. Upon examination, impacted cerumen is present in both the right and left ears. The physician removes the impacted cerumen bilaterally using instrumentation. The coder identifies the following codes to describe this visit: 69210 Removal of impacted cerumen, unilateral 69209 Removal impacted cerumen using irrigation/lavage ,unilateral The coder should:

Accepted Answer

The correct coding for the removal of impacted cerumen bilaterally using instrumentation is 69210 with modifier -50, which indicates a bilateral procedure.

Question 12

Modifier 62 is assigned in which scenario:

Accepted Answer

Modifier 62 is used when two surgeons work together as primary surgeons performing distinct parts of a procedure. In choice A, the neurosurgeon and thoracic surgeon are both acting as primary surgeons, with the thoracic surgeon creating the approach and the neurosurgeon performing the primary procedure on the spine.

Question 13

The CPT manual sections are divided into subsections based on:

Accepted Answer

The CPT (Current Procedural Terminology) manual sections are divided into subsections based on anatomical sites, procedures, conditions, eponyms, or descriptive headings, allowing for a structured and detailed categorization of medical procedures and services.

Question 14

The following scenario would require use of modifier 47, Anesthesia by surgeon:

Accepted Answer

Modifier 47 is used when the surgeon provides anesthesia for a procedure, as in the case of administering a nerve block during a neuroplasty procedure.

Question 15

In CPT, the star symbol:

Accepted Answer

The star symbol in CPT indicates codes that can be used for telemedicine services when used with modifier 95.

Question 16

CPT code updates occur in which quarter of each year?

Accepted Answer

The answer of CPT code updates occur in which quarter...

Question 17

In CPT, an addition to the code that is used to show that the service or procedure performed was altered in some way is a(n):

Accepted Answer

Modifiers are used in CPT coding to indicate that a service or procedure has been altered by some specific circumstance but not changed in its definition or code.

Question 18

The description for Modifier 26 is:

Accepted Answer

Modifier 26 is used to indicate the "Professional Component" of a service, meaning it covers the professional services provided by the physician, excluding any technical component (such as equipment or facility use).

Question 19

Appendix F includes:

Accepted Answer

The answer of Appendix F includes:
...

Question 20

Modifier 56, Preoperative care only, would be applicable in which situation:

Accepted Answer

Modifier 56 is used to indicate that a physician or other qualified healthcare professional provided only the preoperative care for a patient. In option A, the physician performs the preoperative workup and then refers the patient to another surgeon for the actual procedure, fitting the definition of preoperative care only.

Quiz 4: Foundations of CPT