Question 1

Per CPT guidelines, it is appropriate to append _______ when reporting an immunization administration code and a vaccine/toxoid code that is performed outside of any other surgical global period:

Accepted Answer

According to CPT guidelines, when reporting an immunization administration code and a vaccine/toxoid code that is performed outside of any other surgical global period, no modifier is necessary. Immunization codes are typically reported without modifiers because they are not considered surgical procedures and do not fall within surgical global periods.

Question 2

Select the correct definition of isopter:

Accepted Answer

Isopter refers to the outer edge of a visual field, which is used in the context of vision and eye examinations to describe the peripheral limits of what an individual can see.

Question 3

A patient is seen in the provider's outpatient office for an annual physical exam. A comprehensive history, a detailed exam, and a moderate medical decision making is performed. Several of the patient's existing conditions are discussed and updates are noted. While in the office, the patient receives an immunization that is due as prescribed by CDC standards. Which modifier is appended to the Evaluation and Management code for this date of service?

Accepted Answer

Modifier 25 is used to indicate that on the day of a procedure, a significant, separately identifiable evaluation and management service was performed by the same physician or other qualified health care professional. In this scenario, the patient received both an annual physical exam (an E&M service) and an immunization, making modifier 25 appropriate to append to the E&M code to reflect the distinct services provided.

Question 4

Codes in the General Ophthalmological Services subheading are further subdivided by:

Accepted Answer

Codes in the General Ophthalmological Services subheading are further subdivided based on whether the patient is new or established, reflecting the different levels of effort, time, and resources typically required for new versus returning patients.

Question 5

Modalities include the application of heat, sound, light, and ________ used to change tissues:

Accepted Answer

Modalities in therapy often involve the use of mechanical or electrical energy to alter tissue properties, making option D the correct choice.

Question 6

Modifiers LC, RC, and LD are used to replace the use of which other HCPCS Level I modifier?

Accepted Answer

Modifiers LC, RC, and LD are specific to the cardiovascular system and are used to indicate left circumflex, right coronary, and left anterior descending arteries, respectively. They are used in place of modifier 59 when more specific anatomical information is needed to describe the procedural site, particularly in the context of percutaneous coronary interventions. Modifier 59 is a distinct procedural service modifier that indicates that a service or procedure was distinct or independent from other services performed on the same day, but it is less specific about anatomical locations.

Question 7

What is a therapy in which a photosensitizing agent is applied to a lesion and the patient returns for light treatment?

Accepted Answer

PDT, or Photodynamic Therapy, involves applying a photosensitizing agent to a lesion and then exposing it to light to treat various conditions, including certain types of cancer and skin issues.

Question 8

All of the following are common methods employed to perform allergy testing except:

Accepted Answer

Injecting a small amount of allergen directly into the bloodstream is not a common method for allergy testing due to the high risk of causing a severe allergic reaction or anaphylaxis. Common methods include skin tests (such as injecting just below the skin or scratching the skin) and inhalation tests.

Question 9

What type of procedure is found in code range 90476-90749 in CPT?

Accepted Answer

The code range 90476-90749 in the Current Procedural Terminology (CPT) manual is designated for Vaccines/Toxoids. This range includes codes for the administration of various vaccines and toxoids to prevent diseases.

Question 10

Codes to report the diagnostic evaluation of cochlear implants are included in which subheading of the Medicine section?

Accepted Answer

The answer of Codes to report the diagnostic evaluation of...

Question 11

Which type of dialysis uses a man-made membrane to filter waste and toxins, remove and maintain fluid, and balance electrolytes by mechanically circulating the blood through a machine and transfusing it back to the body?

Accepted Answer

Hemodialysis uses a man-made membrane to filter waste and toxins from the blood, balance electrolytes, and remove excess fluid by circulating the blood through a dialysis machine and then back into the body.

Question 12

Codes for Cardiovascular Monitoring Services are further subdivided by all of the following except:

Accepted Answer

Cardiovascular Monitoring Services codes are not subdivided by in person or remote monitoring.

Question 13

What is a procedure that does not require a surgical incision or excision?

Accepted Answer

Noninvasive procedures are those that do not require an incision into the body or the removal of tissue. They are designed to avoid breaking the skin or entering the body cavity.

Question 14

In the General Ophthalmological Services subheading, a limited exam focusing on a particular condition or problem, such as an acute condition that does not require a complete examination of the visual system, is referred to as a(n) _____ exam:

Accepted Answer

The answer of In the General Ophthalmological Services subheading, a...

Question 15

The CPT guidelines for dialysis codes instruct that when the patient has had a complete assessment visit during the month and services are provided over a period of less than a month, __________ is the appropriate code range according to the number of visits performed.

Accepted Answer

The correct code range for dialysis services provided over a period of less than a month, after a complete assessment visit, is 90951-90962. These codes are specifically designed for end-stage renal disease (ESRD) services for patients younger than 2 years through 20 years and older, covering various scenarios based on the patient's age and the number of dialysis sessions provided within a month.

Question 16

Select the correct definition of a latency study:

Accepted Answer

Latency studies specifically measure the length of time it takes for a patient to fall asleep, which is crucial in diagnosing sleep disorders such as insomnia.

Question 17

Codes 97032-97039 are used to report modality services in increments of:

Accepted Answer

Codes 97032-97039 are used to report modality services in increments of 15 minutes.

Question 18

In which subheading will a coder find the correct procedure code to describe Cardiopulmonary resuscitation (CPR)?

Accepted Answer

CPR is categorized under "Other Therapeutic Services" because it is a general life-saving procedure that does not fall specifically under services related to cardiography, cardiovascular monitoring, or coronary therapies.

Quiz 19: Medicine