Question 1

Linkage is:

Accepted Answer

Linkage refers to the process of supporting the medical necessity of the service provided with the appropriate diagnosis, ensuring that the services billed are directly related to the diagnosis and treatment of the patient's condition.

Question 2

A patient undergoes carpal tunnel decompression on the right hand on 6/3/12 with Dr. Smith. On 6/7/12, the patient calls Dr. Smith's office complaining of severe cramping and tingling in his right hand. Dr. Smith's partner, Dr. Curry, is available that afternoon and performs a repeat carpal tunnel decompression on the right hand. What modifier will need to be appended to the second carpal tunnel surgery code?

Accepted Answer

The answer of A patient undergoes carpal tunnel decompression on...

Question 3

Modifier 54 communicates:

Accepted Answer

Modifier 54 is used to indicate that a physician or other qualified healthcare provider is billing for the surgical care only, excluding preoperative and postoperative care.

Question 4

Appendix M contains:

Accepted Answer

The answer of Appendix M contains:
...

Question 5

What does Appendix F contain?

Accepted Answer

The answer of What does Appendix F contain?
...

Question 6

Code 60240 Thyroidectomy, total or complete is from the ______ section of the CPT manual.

Accepted Answer

The code 60240 for Thyroidectomy, total or complete, is found in the Endocrine section of the CPT (Current Procedural Terminology) manual, as it pertains to procedures on the endocrine system, specifically the thyroid gland.

Question 7

An unrelated Evaluation and Management service by the same physician during the postoperative period is represented by modifier:

Accepted Answer

Modifier 24 is used to indicate an unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period.

Question 8

Code range 50010-53899 represents what section of the CPT manual?

Accepted Answer

The answer of Code range 50010-53899 represents what section of...

Question 9

Modifier 25 describes:

Accepted Answer

Modifier 25 is used to indicate that on the day of a procedure, the patient's condition required a significant, separately identifiable evaluation and management service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. In the given options, choice C (Patient presents to the office with poison ivy and while there has a wart on the plantar surface of the foot removed) best fits this description, as it involves providing an additional, distinct service (removal of a wart) during a visit initially intended for another purpose (treatment of poison ivy).

Question 10

Category III codes are listed in the 0042T-______ range:

Accepted Answer

Category III codes in the CPT (Current Procedural Terminology) manual are temporary codes for emerging technologies, services, and procedures, and they are listed in the range 0042T to 0713T.

Question 11

The description for modifier 23 is:

Accepted Answer

Modifier 23 is used to indicate that a procedure that normally does not require anesthesia services was performed under unusual circumstances that necessitated anesthesia.

Question 12

Appendix N is:

Accepted Answer

The answer of Appendix N is:
...

Question 13

Which index includes instructions on the use of the CPT index?

Accepted Answer

The Alphabetic Index in the CPT (Current Procedural Terminology) includes instructions on how to use the CPT index, guiding users on how to look up procedures and services.

Question 14

0001F-9007F are Category ____ codes:

Accepted Answer

0001F-9007F are Category II codes, which are used for performance measurement and data collection in healthcare.

Question 15

Appendix C contains information about:

Accepted Answer

Appendix C of the CPT manual contains clinical examples of Evaluation and Management services.

Question 16

Modifiers are found in which Appendix?

Accepted Answer

Modifiers are found in Appendix A.

Question 17

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

Eponyms are names derived from the name of a person, typically the name of a person who discovered a disease, developed a medical procedure, or was the first patient diagnosed with a condition.

Question 18

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 is 69210 -50 because the procedure involved the removal of impacted cerumen using instrumentation, not irrigation/lavage, and it was performed bilaterally. The -50 modifier indicates a bilateral procedure.

Question 19

All of the following are true of parenthetical notes except:

Accepted Answer

Parenthetical notes are typically located below the code or code range to which they apply, not above.

Question 20

The Digestive section is found in which code range?

Accepted Answer

The Digestive section in the CPT (Current Procedural Terminology) code manual is found in the range 40490-49999. This range includes procedures related to the digestive system.

Quiz 4: Foundations of CPT