Exam 15: Basics of Procedural Coding

Downcoding can increase reimbursements.

Initial pediatric inpatient critical care

Cardiopulmonary resuscitation

Initial hospital observation care,new patient

Breast reduction

The state of the patient as either new or established is called the patient __________.

Total splenectomy

Special symbols used to provide additional information about certain codes are called __________;seven are used in CPT-4 coding.

Downcoding and upcoding are illegal practices,and medical assistants can be prosecuted for either practice.

Which of the following modifiers indicates a professional component and is used when a separate technician performs the service but the provider reviews the report and makes an accurate diagnosis?

The place of service never changes for physician billing.

Anesthesia coding is based on a billing formula.

CPT-4 codes have __________ digits.

__________ codes are separated and reported individually.

Urinalysis

A(n)__________ patient has seen the physician within the past 3 years.

New patient office visit,expanded problem-focused history and examination,straightforward decision making

Established patient office visit,problem-focused history and examination,straightforward decision making

When wounds of more than one classification are repaired,list the less complicated repair as the primary procedure and the more complicated repair as the secondary procedure.When multiple wounds are repaired,add together the lengths of those in the same classification.

Initial nursing facility care,detailed or comprehensive history or examination,straightforward or low-complexity decision making