Question 1

This Appendix contains a list of codes that have a lightning bolt symbol, indicating the product referenced in the code is pending FDA approval:

Accepted Answer

The choice "K" is the correct answer as it is the only one listed in the Appendix with a lightning bolt symbol, indicating the product is pending FDA approval.

Question 2

The description for Modifier 26 is:

Accepted Answer

Modifier 26 is used to indicate the professional component of a service, typically when a procedure has both a professional and technical component.

Question 3

According to HCPCS guidelines, which of the following is true of Level I - CPT codes?

Accepted Answer

Level I - CPT codes include Category I, Category II, and Category III codes. Category II and III codes are part of the CPT code set, which is Level I of the HCPCS.

Question 4

When a local orthopedist follows up on a patient after his return home, following surgery while on vacation out of state, the following modifier would be applied to the service:

Accepted Answer

Modifier 55 is used for postoperative management only, indicating that the physician is providing care during the postoperative period but did not perform the surgery.

Question 5

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

Accepted Answer

The answer of Each section of the CPT manual is...

Question 6

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 7

In the CPT manual, the _____ symbol designates that a code has been revised.

Accepted Answer

The triangle symbol in the CPT manual indicates that a code has been revised.

Question 8

The description for Modifier 90 is:

Accepted Answer

Modifier 90 is used to indicate that laboratory tests were performed by a party outside of the reporting physician or other healthcare professional's practice. This modifier is attached to laboratory test codes to signify that the tests were sent to an external laboratory for analysis.

Question 9

Accurate translation of the medical record into codes accomplishes all of the following except:

Accepted Answer

Accurate translation of medical records into codes is crucial for deciding reimbursement, gathering statistical and research data, and creating an insurance profile for the patient. However, it does not guarantee reimbursement, as this depends on various factors including insurance policy coverage and the specifics of the medical case.

Question 10

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 option A, the neurosurgeon and thoracic surgeon are both acting as primary surgeons, with the thoracic surgeon creating the approach for the neurosurgeon to perform the spine procedure.

Question 11

In CPT, the facing triangles designate:

Accepted Answer

The answer of In CPT, the facing triangles designate:
...

Question 12

CPT code 36400 Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; femoral or jugular vein, is found in the ________ section.

Accepted Answer

CPT code 36400 is found in the Cardiovascular section as it involves venipuncture of the femoral or jugular vein, which are part of the cardiovascular system.

Question 13

What is the description of Modifier 76?

Accepted Answer

Modifier 76 is used to indicate a repeat procedure or service by the same physician.

Question 14

The acronym for Healthcare Common Procedure Coding System is:

Accepted Answer

The correct acronym for Healthcare Common Procedure Coding System is HCPCS.

Question 15

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 to standardize medical procedures for billing and documentation.

Question 16

A coder would reference Appendix ____ when he/she is looking for the third order of the brachial family.

Accepted Answer

Appendix L in the CPT (Current Procedural Terminology) coding manual is specifically designed to provide a comprehensive list of vascular families, which includes the brachial family. This appendix helps coders accurately identify and code procedures related to vascular families, including the third order of the brachial family.

Question 17

The CPT manual sections are divided into subsections based on:

Accepted Answer

The CPT (Current Procedural Terminology) manual is organized into sections that are further divided into subsections based on various criteria including anatomical sites, procedures, conditions, eponyms, or descriptive headings. This organization helps users navigate the manual and find specific codes related to medical procedures and services.

Question 18

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 would be the name of the person after whom the disease, condition, or procedure is named.

Question 19

The description for modifier 23 is:

Accepted Answer

Modifier 23 is used to indicate that a procedure that is usually performed without anesthesia required unusual anesthesia.

Question 20

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

Accepted Answer

The answer of The Musculoskeletal section is in the code...

Quiz 4: Foundations of CPT