Question 1

When did HCPCS become mandatory for coding and billing?

Accepted Answer

A)  1966 
B)  1996 
C)  1980 
D)  It is not mandatory. 
A)  1966 
B)  1996 
C)  1980 
D)  It is not mandatory. B

Question 2

DME is the abbreviation for

Accepted Answer

A)  doctors machines and equipment. 
B)  durable machines and equipment. 
C)  durable medical equipment. 
D)  doctors medical equipment. 
A)  doctors machines and equipment. 
B)  durable machines and equipment. 
C)  durable medical equipment. 
D)  doctors medical equipment. C

Question 3

A graft was performed 10 days following an allograft application to allow the underlying tissues time to heal. The surgeon knows at the time of the allograft that the grafting will be performed within 10 to 15 days. What is a correct modifier?

Accepted Answer

A)  -22 Increased Procedural Services 
B)  -58 Staged procedure 
C)  -52 Reduced services 
D)  -50 Bilateral Procedure 
A)  -22 Increased Procedural Services 
B)  -58 Staged procedure 
C)  -52 Reduced services 
D)  -50 Bilateral Procedure B

Question 4

Under CPT's definition, after a consultation, who takes responsibility for the patient's care?

Accepted Answer

A)  The consulting physician 
B)  The nurse practitioner 
C)  the referring physician 
D)  The specialist 
A)  The consulting physician 
B)  The nurse practitioner 
C)  the referring physician 
D)  The specialist

Question 5

The Evaluation and Management section was first introduced in what year?

Accepted Answer

A)  1970 
B)  1966 
C)  1946 
D)  1992 
A)  1970 
B)  1966 
C)  1946 
D)  1992

Question 6

Which of the following is not a key component in E/M coding?

Accepted Answer

A)  medical decision making 
B)  treatment 
C)  history 
D)  exam 
A)  medical decision making 
B)  treatment 
C)  history 
D)  exam

Question 7

In CPT, the term ___________ describes services that a provider performs at the request of another provider after which the patient is returned to the requesting provider's care.

Accepted Answer

A)  consultation 
B)  referral 
C)  critical care 
D)  office visit 
A)  consultation 
B)  referral 
C)  critical care 
D)  office visit

Question 8

How many parts do radiological procedures have?

Accepted Answer

A)  only one 
B)  up to four 
C)  three 
D)  two 
A)  only one 
B)  up to four 
C)  three 
D)  two

Question 9

What was set up to give health care providers a coding system that describes specific products, supplies, and services that patients receive?

Accepted Answer

A)  CPT 
B)  Level I 
C)  HCPCS 
D)  ICD-10-CM 
A)  CPT 
B)  Level I 
C)  HCPCS 
D)  ICD-10-CM

Question 10

Durable medical equipment (DME), such as wheelchairs, is reported using

Accepted Answer

A)  ICD-10-CM codes. 
B)  local Medicare carrier codes. 
C)  CPT codes. 
D)  HCPCS codes. 
A)  ICD-10-CM codes. 
B)  local Medicare carrier codes. 
C)  CPT codes. 
D)  HCPCS codes.

Question 11

A __________ is a procedure that is usually part of a surgical package but may also be performed separately.

Accepted Answer

A)  complication 
B)  global package 
C)  separate procedure 
D)  modifier 
A)  complication 
B)  global package 
C)  separate procedure 
D)  modifier

Question 12

Codes in CPT's Anesthesia section generally cover

Accepted Answer

A)  all of these are correct. 
B)  routine postoperative care. 
C)  preoperative evaluation and planning. 
D)  care during the procedure. 
A)  all of these are correct. 
B)  routine postoperative care. 
C)  preoperative evaluation and planning. 
D)  care during the procedure.

Question 13

Common descriptors in CPT begin with a(n)

Accepted Answer

A)  capital letter 
B)  number. 
C)  minus sign. 
D)  plus sign. 
A)  capital letter 
B)  number. 
C)  minus sign. 
D)  plus sign.

Question 14

CPT Level I modifiers are made up of how many digits?

Accepted Answer

A)  two digits 
B)  modifiers are not used with Level I codes 
C)  one digit 
D)  three digits 
A)  two digits 
B)  modifiers are not used with Level I codes 
C)  one digit 
D)  three digits

Question 15

In the CPT entry 50400 Pyeloplasty (Foley Y-pyeloplasty) the words in parentheses are referred to as

Accepted Answer

A)  descriptor. 
B)  procedure. 
C)  narrative. 
D)  diagnosis. 
A)  descriptor. 
B)  procedure. 
C)  narrative. 
D)  diagnosis.

Question 16

With E/M coding, physicians must

Accepted Answer

A)  analyze. 
B)  all of these are needed. 
C)  make decisions. 
D)  gather information. 
A)  analyze. 
B)  all of these are needed. 
C)  make decisions. 
D)  gather information.

Question 17

What kinds of services support treatment, like rehabilitation, occupational therapy, and nutrition therapy?

Accepted Answer

A)  ancillary services 
B)  dental procedures 
C)  evaluation and management services 
D)  secondary services 
A)  ancillary services 
B)  dental procedures 
C)  evaluation and management services 
D)  secondary services

Question 18

In CPT, a single code grouping laboratory tests is called a(n)

Accepted Answer

A)  panel. 
B)  E/M code. 
C)  E code. 
D)  V code. 
A)  panel. 
B)  E/M code. 
C)  E code. 
D)  V code.

Question 19

A patient is to have a diagnostic arthroscopy of the left knee. The physician inserted the arthroscope and the patient went into respiratory distress. The arthroscope was withdrawn and the procedure was terminated. What is a correct modifier?

Accepted Answer

A)  -53 Discontinued procedure 
B)  -51 Multiple procedures 
C)  -76 Repeat procedure 
D)  -26 Professional component 
A)  -53 Discontinued procedure 
B)  -51 Multiple procedures 
C)  -76 Repeat procedure 
D)  -26 Professional component

Question 20

Which of the following temporary codes is valid for Medicare claims only?

Accepted Answer

A)  K codes 
B)  C codes 
C)  G codes 
D)  Q codes 
A)  K codes 
B)  C codes 
C)  G codes 
D)  Q codes

When did HCPCS become mandatory for coding and billing?

DME is the abbreviation for

A graft was performed 10 days following an allograft application to allow the underlying tissues time to heal. The surgeon knows at the time of the allograft that the grafting will be performed within 10 to 15 days. What is a correct modifier?

Under CPT's definition, after a consultation, who takes responsibility for the patient's care?

The Evaluation and Management section was first introduced in what year?

Which of the following is not a key component in E/M coding?

In CPT, the term ___________ describes services that a provider performs at the request of another provider after which the patient is returned to the requesting provider's care.

How many parts do radiological procedures have?

What was set up to give health care providers a coding system that describes specific products, supplies, and services that patients receive?

Durable medical equipment (DME), such as wheelchairs, is reported using

A __________ is a procedure that is usually part of a surgical package but may also be performed separately.

Codes in CPT's Anesthesia section generally cover

Common descriptors in CPT begin with a(n)

CPT Level I modifiers are made up of how many digits?

In the CPT entry 50400 Pyeloplasty (Foley Y-pyeloplasty) the words in parentheses are referred to as

With E/M coding, physicians must

What kinds of services support treatment, like rehabilitation, occupational therapy, and nutrition therapy?

In CPT, a single code grouping laboratory tests is called a(n)

A patient is to have a diagnostic arthroscopy of the left knee. The physician inserted the arthroscope and the patient went into respiratory distress. The arthroscope was withdrawn and the procedure was terminated. What is a correct modifier?

Which of the following temporary codes is valid for Medicare claims only?

Introduction to the Medical Billing Cycle

Electronic Health Records, Hipaa, and Hitech: Sharing and Protecting Patients Health Information

Patient Encounters and Billing Information

Diagnostic Coding: Introduction to ICD-10-CM

Visit Charges and Compliant Billing

Health Care Claim Preparation and Transmission

Private Payers/BlueCross BlueShield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Disabilityautomotive Insurance

Payments Ras, Appeals, and Secondary Claims

Patient Billing and Collections

Hospital Billing and Reimbursement

CPT and HCPCS

Filters

Exam 5: Procedural Coding: CPT and HCPCS

When did HCPCS become mandatory for coding and billing?

DME is the abbreviation for

A graft was performed 10 days following an allograft application to allow the underlying tissues time to heal. The surgeon knows at the time of the allograft that the grafting will be performed within 10 to 15 days. What is a correct modifier?

Under CPT's definition, after a consultation, who takes responsibility for the patient's care?

The Evaluation and Management section was first introduced in what year?

Which of the following is not a key component in E/M coding?

In CPT, the term ___________ describes services that a provider performs at the request of another provider after which the patient is returned to the requesting provider's care.

How many parts do radiological procedures have?

What was set up to give health care providers a coding system that describes specific products, supplies, and services that patients receive?

Durable medical equipment (DME), such as wheelchairs, is reported using

A __________ is a procedure that is usually part of a surgical package but may also be performed separately.

Codes in CPT's Anesthesia section generally cover

Common descriptors in CPT begin with a(n)

CPT Level I modifiers are made up of how many digits?

In the CPT entry 50400 Pyeloplasty (Foley Y-pyeloplasty) the words in parentheses are referred to as

With E/M coding, physicians must

What kinds of services support treatment, like rehabilitation, occupational therapy, and nutrition therapy?

In CPT, a single code grouping laboratory tests is called a(n)

A patient is to have a diagnostic arthroscopy of the left knee. The physician inserted the arthroscope and the patient went into respiratory distress. The arthroscope was withdrawn and the procedure was terminated. What is a correct modifier?

Which of the following temporary codes is valid for Medicare claims only?

Introduction to the Medical Billing Cycle

Electronic Health Records, Hipaa, and Hitech: Sharing and Protecting Patients Health Information

Patient Encounters and Billing Information

Diagnostic Coding: Introduction to ICD-10-CM

Visit Charges and Compliant Billing

Health Care Claim Preparation and Transmission

Private Payers/BlueCross BlueShield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Disabilityautomotive Insurance

Payments Ras, Appeals, and Secondary Claims

Patient Billing and Collections

Hospital Billing and Reimbursement

CPT and HCPCS

Filters