Question 1

A radiologist reads and prepares a written report for a frontal and lateral chest X-ray. What is a correct modifier?

Accepted Answer

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

Question 2

CPT codes are used to report the following

Accepted Answer

A)  surgical procedures. 
B)  all of these are reported by CPT. 
C)  medical services. 
D)  diagnostic procedures. 
A)  surgical procedures. 
B)  all of these are reported by CPT. 
C)  medical services. 
D)  diagnostic procedures.

Question 3

The CMS HCPCS Workgroup maintains the

Accepted Answer

A)  permanent national codes. 
B)  temporary national codes. 
C)  DME MACs. 
D)  all of these are correct. 
A)  permanent national codes. 
B)  temporary national codes. 
C)  DME MACs. 
D)  all of these are correct.

Question 4

Level I codes in the Health Care Common Procedure Coding System (HCPCS) are

Accepted Answer

A)  new codes. 
B)  alphanumeric codes. 
C)  HCPCS codes. 
D)  Current Procedural Terminology (CPT) codes. 
A)  new codes. 
B)  alphanumeric codes. 
C)  HCPCS codes. 
D)  Current Procedural Terminology (CPT) codes.

Question 5

Most of the surgery section is organized by

Accepted Answer

A)  body system. 
B)  procedure. 
C)  services. 
D)  body site. 
A)  body system. 
B)  procedure. 
C)  services. 
D)  body site.

Question 6

Which appendix in CPT contains the Summary of Modifier 51 exempt codes?

Accepted Answer

A)  Appendix F 
B)  Appendix E 
C)  Appendix G 
D)  Appendix D 
A)  Appendix F 
B)  Appendix E 
C)  Appendix G 
D)  Appendix D

Question 7

When selecting an Evaluation and Management code, three components are considered: the type of history, the physical examination, and the

Accepted Answer

A)  interval history. 
B)  diagnoses options. 
C)  medical decision making. 
D)  family background. 
A)  interval history. 
B)  diagnoses options. 
C)  medical decision making. 
D)  family background.

Question 8

To avoid reduced payment for multiple procedures, the coder should use modifier __________ to indicate distinct procedures.

Accepted Answer

A)  59 
B)  51 
C)  66 
D)  99 
A)  59 
B)  51 
C)  66 
D)  99

Question 9

A complete procedure includes all the following except

Accepted Answer

A)  the operation. 
B)  the use of local anesthetic. 
C)  postoperative complications. 
D)  postoperative care. 
A)  the operation. 
B)  the use of local anesthetic. 
C)  postoperative complications. 
D)  postoperative care.

Question 10

In CPT, some codes have both a technical component and another component representing the physician's skill, time, and expertise. What is the name of this other component?

Accepted Answer

A)  combination 
B)  evaluation and management 
C)  panel 
D)  professional 
A)  combination 
B)  evaluation and management 
C)  panel 
D)  professional

Question 11

Which of the following are used to report services not completely described by any code within a section?

Accepted Answer

A)  Category III codes 
B)  Unlisted procedure codes 
C)  Category II codes 
D)  Category I codes 
A)  Category III codes 
B)  Unlisted procedure codes 
C)  Category II codes 
D)  Category I codes

Question 12

The physician performed a carpal tunnel release on the right and left median nerves during the same operative session. What is a correct modifier?

Accepted Answer

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

Question 13

Unbundling is

Accepted Answer

A)  using an add-on code only. 
B)  separately reporting anything that is included in the bundled code. 
C)  using an inappropriate modifier. 
D)  reporting anything extra. 
A)  using an add-on code only. 
B)  separately reporting anything that is included in the bundled code. 
C)  using an inappropriate modifier. 
D)  reporting anything extra.

Question 14

A neurosurgeon and an otorhinolaryngologist are working as co-surgeons in performing transsphenoidal excision of a pituitary neoplasm. What is a correct modifier?

Accepted Answer

A)  -62 Two surgeons 
B)  -76 Repeat procedure 
C)  -26 Professional component 
D)  -51 Multiple procedures 
A)  -62 Two surgeons 
B)  -76 Repeat procedure 
C)  -26 Professional component 
D)  -51 Multiple procedures

Question 15

Which appendix in CPT contains the Summary of Modifier 63 exempt codes?

Accepted Answer

A)  Appendix D 
B)  Appendix F 
C)  Appendix G 
D)  Appendix E 
A)  Appendix D 
B)  Appendix F 
C)  Appendix G 
D)  Appendix E

Question 16

A podiatrist performs a bunionectomy on the great toe and during the same operation corrects a hammertoe on the third toe. What is a correct modifier?

Accepted Answer

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

Question 17

Laminotomy, one lumbar interspace with decompression of nerve roots, with excessive bleeding and lysis of scar tissue with sharp dissection requires an additional 60 minutes of time in surgery. What is a correct modifier to report the extended time?

Accepted Answer

A)  -58 Staged procedure 
B)  -22 Increased procedural service 
C)  -50 Bilateral procedure 
D)  -52 Reduced services 
A)  -58 Staged procedure 
B)  -22 Increased procedural service 
C)  -50 Bilateral procedure 
D)  -52 Reduced services

Question 18

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

Accepted Answer

A)  the physician to whom the patient is referred 
B)  the emergency room physician 
C)  the physician who referred the patient 
D)  the physician who admits the patient to the hospital 
A)  the physician to whom the patient is referred 
B)  the emergency room physician 
C)  the physician who referred the patient 
D)  the physician who admits the patient to the hospital

Question 19

The Anesthesia section's subsections are organized by

Accepted Answer

A)  procedure. 
B)  body site. 
C)  diagnosis. 
D)  type of anesthesia. 
A)  procedure. 
B)  body site. 
C)  diagnosis. 
D)  type of anesthesia.

Question 20

HCPCS Level II codes begin with

Accepted Answer

A)  either an alphabetic character or numeric character. 
B)  an alphabetic character. 
C)  a numeric character. 
D)  neither an alphabetic character nor numeric character. 
A)  either an alphabetic character or numeric character. 
B)  an alphabetic character. 
C)  a numeric character. 
D)  neither an alphabetic character nor numeric character.

A radiologist reads and prepares a written report for a frontal and lateral chest X-ray. What is a correct modifier?

CPT codes are used to report the following

The CMS HCPCS Workgroup maintains the

Level I codes in the Health Care Common Procedure Coding System (HCPCS) are

Most of the surgery section is organized by

Which appendix in CPT contains the Summary of Modifier 51 exempt codes?

When selecting an Evaluation and Management code, three components are considered: the type of history, the physical examination, and the

To avoid reduced payment for multiple procedures, the coder should use modifier __________ to indicate distinct procedures.

A complete procedure includes all the following except

In CPT, some codes have both a technical component and another component representing the physician's skill, time, and expertise. What is the name of this other component?

Which of the following are used to report services not completely described by any code within a section?

The physician performed a carpal tunnel release on the right and left median nerves during the same operative session. What is a correct modifier?

Unbundling is

A neurosurgeon and an otorhinolaryngologist are working as co-surgeons in performing transsphenoidal excision of a pituitary neoplasm. What is a correct modifier?

Which appendix in CPT contains the Summary of Modifier 63 exempt codes?

A podiatrist performs a bunionectomy on the great toe and during the same operation corrects a hammertoe on the third toe. What is a correct modifier?

Laminotomy, one lumbar interspace with decompression of nerve roots, with excessive bleeding and lysis of scar tissue with sharp dissection requires an additional 60 minutes of time in surgery. What is a correct modifier to report the extended time?

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

The Anesthesia section's subsections are organized by

HCPCS Level II codes begin with

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

A radiologist reads and prepares a written report for a frontal and lateral chest X-ray. What is a correct modifier?

CPT codes are used to report the following

The CMS HCPCS Workgroup maintains the

Level I codes in the Health Care Common Procedure Coding System (HCPCS) are

Most of the surgery section is organized by

Which appendix in CPT contains the Summary of Modifier 51 exempt codes?

When selecting an Evaluation and Management code, three components are considered: the type of history, the physical examination, and the

To avoid reduced payment for multiple procedures, the coder should use modifier __________ to indicate distinct procedures.

A complete procedure includes all the following except

In CPT, some codes have both a technical component and another component representing the physician's skill, time, and expertise. What is the name of this other component?

Which of the following are used to report services not completely described by any code within a section?

The physician performed a carpal tunnel release on the right and left median nerves during the same operative session. What is a correct modifier?

Unbundling is

A neurosurgeon and an otorhinolaryngologist are working as co-surgeons in performing transsphenoidal excision of a pituitary neoplasm. What is a correct modifier?

Which appendix in CPT contains the Summary of Modifier 63 exempt codes?

A podiatrist performs a bunionectomy on the great toe and during the same operation corrects a hammertoe on the third toe. What is a correct modifier?

Laminotomy, one lumbar interspace with decompression of nerve roots, with excessive bleeding and lysis of scar tissue with sharp dissection requires an additional 60 minutes of time in surgery. What is a correct modifier to report the extended time?

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

The Anesthesia section's subsections are organized by

HCPCS Level II codes begin with

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