Question 1

Subheading Special Ophthalmological Services include all of the following procedures/services except:

Accepted Answer

Subheading Special Ophthalmological Services typically includes specialized procedures or treatments such as angioscopy, retinal nerve scans, and fitting of contact lenses for treatment of disease. A general comprehensive exam, however, is considered a basic ophthalmological service rather than a special one.

Question 2

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

Accepted Answer

The answer of Select the type of dialysis that uses...

Question 3

Which procedure is a combination of real-time and Doppler studies?

Accepted Answer

A duplex scan combines real-time imaging with Doppler studies to evaluate blood flow and the structure of blood vessels.

Question 4

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 provide diagnostic or treatment options without the need for surgical entry into the body, making them less risky and often with shorter recovery times compared to invasive surgical procedures. Examples include ultrasound, MRI, and noninvasive blood glucose monitoring.

Question 5

Motility studies of the esophagus, stomach, ______, and colon are included in the Gastroenterology subheading of the Medicine section:

Accepted Answer

Motility studies of the esophagus, stomach, duodenum, and colon are included in the Gastroenterology subheading of the Medicine section, as these are key areas of focus in the study of gastrointestinal function and disorders.

Question 6

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

Accepted Answer

Cardiopulmonary resuscitation (CPR) is a life-saving technique used in emergencies when someone's heartbeat or breathing has stopped. It is not specific to cardiology or coronary therapy but is a broader therapeutic service. Therefore, the correct procedure code for CPR would be found under "Other Therapeutic Services," as it encompasses a wide range of treatments not limited to specific organ systems or conditions.

Question 7

Vestibular function tests are reported in which subheading of the Medicine section?

Accepted Answer

Vestibular function tests are categorized under Special Otorhinolaryngologic Services in the Medicine section because they are related to the ear, which falls under the specialty of otorhinolaryngology.

Question 8

For codes describing transesophageal echocardiograms of the Cardiovascular subsection of the Medicine section, the codes are further subdivided by all of the following except:

Accepted Answer

The codes for transesophageal echocardiograms are not subdivided by "interpretation and report only" as a standalone category.

Question 9

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

Accepted Answer

Codes in the General Ophthalmological Services subheading are further subdivided by whether the patient is new or established, which affects the coding and billing process.

Question 10

The subheading Special Ophthalmological Services (92015-92145) includes which service?

Accepted Answer

The subheading Special Ophthalmological Services (92015-92145) includes intermediate visual field examinations, which are related to eye and vision care.

Question 11

Select the subdivision of spirometry that is not used in the Pulmonary Diagnostic Testing and Therapies subsection of CPT:

Accepted Answer

The answer of Select the subdivision of spirometry that is...

Question 12

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.

Question 13

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, including anaphylaxis. Common methods include skin tests (such as scratch tests) and injecting allergens just below the skin, but not directly into the bloodstream.

Question 14

Under the supervision of a physician, a nurse administers an influenza vaccine to a 66-year-old male patient. From which code range will the coder assign the CPT code to describe the immunization administration?

Accepted Answer

Codes 90471-90474 are used for the administration of vaccines. These codes are part of the CPT (Current Procedural Terminology) codes used to describe medical, surgical, and diagnostic services and are the correct range for coding the administration of an influenza vaccine by a nurse under a physician's supervision.

Question 15

All of the following are subheadings of codes with which code 90785, Interactive complexity, is to be used except:

Accepted Answer

Code 90785 for Interactive complexity is specifically used in conjunction with psychiatric services, such as diagnostic evaluations, psychotherapy, and psychotherapy when performed with evaluation and management services. It is not used with biofeedback services, which involve different techniques and are coded differently.

Question 16

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 an evaluation and management service (annual physical exam) in addition to a separate and distinct service (immunization), making modifier 25 the correct choice to append to the Evaluation and Management code.

Question 17

Which type of dialysis uses the lining of the abdominal cavity to introduce a solution to remove waste and excessive fluid?

Accepted Answer

Peritoneal dialysis uses the lining of the abdominal cavity (the peritoneum) to filter waste and excess fluid from the blood.

Question 18

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 reported separately from surgical procedures and do not typically require a modifier to indicate they are distinct services.

Question 19

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 20

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 change tissues, such as in physical therapy treatments.

Quiz 19: Medicine