Question 1

Bilateral procedure is the description for which modifier?

Accepted Answer

A)  66 
B)  80 
C)  58 
D)  50 
A)  66 
B)  80 
C)  58 
D)  50 D

Question 2

To find a list of codes that are marked with a plus symbol, a coder would reference:

Accepted Answer

A)  Alphabetic Index 
B)  Appendix A 
C)  Appendix K 
D)  Appendix D 
A)  Alphabetic Index 
B)  Appendix A 
C)  Appendix K 
D)  Appendix D D

Question 3

A coder who codes primarily for an orthopedic surgeon who frequently performs nerve conduction studies in the office would reference which Appendix when assigning the appropriate CPT codes for the nerve conduction studies?

Accepted Answer

A)  Appendix I 
B)  Appendix K 
C)  Appendix J 
D)  Appendix L 
A)  Appendix I 
B)  Appendix K 
C)  Appendix J 
D)  Appendix L C

Question 4

Modifier 62 is assigned in which scenario:

Accepted Answer

A)  During an anterior thoracic spine procedure, the neurosurgeon requests that a thoracic surgeon create the approach to the spine 
B)  During coronary artery bypass, the cardiothoracic surgeon gains access to the site while the assisting surgeon harvests the saphenous vein and provides additional assistance as needed throughout the entire procedure 
C)  During coronary artery bypass, the cardiothoracic surgeon gains access to the site while the assisting surgeon harvests the saphenous vein 
D)  A neurosurgeon requests the assistance of a nonresident surgeon for a difficult and extensive procedure for which no available residents are qualified to assist 
A)  During an anterior thoracic spine procedure, the neurosurgeon requests that a thoracic surgeon create the approach to the spine 
B)  During coronary artery bypass, the cardiothoracic surgeon gains access to the site while the assisting surgeon harvests the saphenous vein and provides additional assistance as needed throughout the entire procedure 
C)  During coronary artery bypass, the cardiothoracic surgeon gains access to the site while the assisting surgeon harvests the saphenous vein 
D)  A neurosurgeon requests the assistance of a nonresident surgeon for a difficult and extensive procedure for which no available residents are qualified to assist

Question 5

Accurate translation of the medical record into codes accomplishes all of the following except:

Accepted Answer

A)  Decides reimbursement 
B)  Guarantees reimbursement 
C)  Gathers statistical and research data 
D)  Creates an insurance profile for the patient 
A)  Decides reimbursement 
B)  Guarantees reimbursement 
C)  Gathers statistical and research data 
D)  Creates an insurance profile for the patient

Question 6

To find a list of codes that are marked with a plus symbol, a coder would reference:

Accepted Answer

A)  Alphabetic Index 
B)  Appendix D 
C)  Appendix K 
D)  Appendix A 
A)  Alphabetic Index 
B)  Appendix D 
C)  Appendix K 
D)  Appendix A

Question 7

Appendix C contains information about:

Accepted Answer

A)  Product pending FDA approval 
B)  Clinical examples of Evaluation and Management services 
C)  Summary of CPT codes exempt from Modifier 63 
D)  Vascular families 
A)  Product pending FDA approval 
B)  Clinical examples of Evaluation and Management services 
C)  Summary of CPT codes exempt from Modifier 63 
D)  Vascular families

Question 8

What is the description of Modifier 66?

Accepted Answer

A)  Surgical team 
B)  Minimum assistant surgeon 
C)  Two surgeons 
D)  Assistant surgeon 
A)  Surgical team 
B)  Minimum assistant surgeon 
C)  Two surgeons 
D)  Assistant surgeon

Question 9

Harry is being seen for follow up in the doctor's office today after sustaining a broken wrist three weeks ago. Harry suffered this injury by falling off a ladder while at work. His services are being covered under his employer's Workers' Compensation insurance. The coder should append a modifier _____ to each service Harry receives for this condition.

Accepted Answer

A)  32 
B)  78 
C)  62 
D)  57 
A)  32 
B)  78 
C)  62 
D)  57

Question 10

Modifier 56, Preoperative care only, would be applicable in which situation:

Accepted Answer

A)  A physician sees a patient in the office and by ordering lab work and diagnostic tests determines the patient needs a surgical procedure. The physician is located in a rural area where the procedure is not available and transfers the care of the patient to a surgeon 
B)  Within the postoperative period of a hernia repair, the patient reherniates after moving furniture within his home. The patient is seen by a new surgeon who surgically repairs the hernia 
C)  A patient is diagnosed with acute appendicitis, and major surgery is performed the following day 
D)  A patient presents with symptoms of hypoglycemia and is sent to the lab for a fasting blood glucose and then is sent back to the lab later on the same day to check on levels after treatment 
A)  A physician sees a patient in the office and by ordering lab work and diagnostic tests determines the patient needs a surgical procedure. The physician is located in a rural area where the procedure is not available and transfers the care of the patient to a surgeon 
B)  Within the postoperative period of a hernia repair, the patient reherniates after moving furniture within his home. The patient is seen by a new surgeon who surgically repairs the hernia 
C)  A patient is diagnosed with acute appendicitis, and major surgery is performed the following day 
D)  A patient presents with symptoms of hypoglycemia and is sent to the lab for a fasting blood glucose and then is sent back to the lab later on the same day to check on levels after treatment

Question 11

The description for modifier 23 is:

Accepted Answer

A)  Reduced service 
B)  Discontinued service 
C)  Professional component 
D)  Unusual anesthesia 
A)  Reduced service 
B)  Discontinued service 
C)  Professional component 
D)  Unusual anesthesia

Question 12

CPT is what level of the Healthcare Common Procedure Coding System?

Accepted Answer

A)  IV 
B)  II 
C)  III 
D)  I 
A)  IV 
B)  II 
C)  III 
D)  I

Question 13

A coder would reference Appendix ____ when he/she is looking for the third order of the brachial family.

Accepted Answer

A)  N 
B)  G 
C)  D 
D)  L 
A)  N 
B)  G 
C)  D 
D)  L

Question 14

A coder would reference Appendix ____ when he/she is looking for the third order of the brachial family.

Accepted Answer

A)  G 
B)  L 
C)  D 
D)  N 
A)  G 
B)  L 
C)  D 
D)  N

Question 15

In CPT, the facing triangles designate:

Accepted Answer

A)  a code is an additional code to be used with the primary procedure and never to be used alone 
B)  the portion of the text describing a guideline or note has been revised for the current edition of the manual 
C)  Modifier 51 is not to be used with the code 
D)  the verbiage preceding it in a stand-alone code is shared with all dependent codes that follow it 
A)  a code is an additional code to be used with the primary procedure and never to be used alone 
B)  the portion of the text describing a guideline or note has been revised for the current edition of the manual 
C)  Modifier 51 is not to be used with the code 
D)  the verbiage preceding it in a stand-alone code is shared with all dependent codes that follow it

Question 16

Genetic testing code modifiers are found in Appendix:

Accepted Answer

A)  G 
B)  M 
C)  N 
D)  The genetic testing code modifier appendix I has been deleted from the CPT manual. 
A)  G 
B)  M 
C)  N 
D)  The genetic testing code modifier appendix I has been deleted from the CPT manual.

Question 17

Which index includes instructions on the use of the CPT index?

Accepted Answer

A)  Appendix index F 
B)  Alphabetic Index 
C)  Appendix index A 
D)  Appendix index N 
A)  Appendix index F 
B)  Alphabetic Index 
C)  Appendix index A 
D)  Appendix index N

Question 18

Modifier 53, Discontinued service, is appropriate in this scenario:

Accepted Answer

A)  Patient, while away from home, fractures the bimalleolar, which is repaired surgically. Surgeon will not be following patient postoperatively. 
B)  After an open biopsy of a breast mass, the patient returns in the postoperative period for a total lumpectomy 
C)  After the start of a surgical procedure, the surgeon stops the procedure due to the patient's condition 
D)  Patient is receiving an organ transplant. One surgical team prepares the patient to receive the organ, and another team harvests and prepares the organ for transplant 
A)  Patient, while away from home, fractures the bimalleolar, which is repaired surgically. Surgeon will not be following patient postoperatively. 
B)  After an open biopsy of a breast mass, the patient returns in the postoperative period for a total lumpectomy 
C)  After the start of a surgical procedure, the surgeon stops the procedure due to the patient's condition 
D)  Patient is receiving an organ transplant. One surgical team prepares the patient to receive the organ, and another team harvests and prepares the organ for transplant

Question 19

Code range 00100-01999 comprises what section of the CPT manual?

Accepted Answer

A)  Anesthesia 
B)  Maternity Care and Delivery 
C)  Endocrine 
D)  Integumentary 
A)  Anesthesia 
B)  Maternity Care and Delivery 
C)  Endocrine 
D)  Integumentary

Question 20

All of the following are true of parenthetical notes except:

Accepted Answer

A)  They are located below the code or code range to which the note applies 
B)  They provide additional information regarding a code or code range 
C)  They are located above the code or code range to which the note applies 
D)  May inform the coder that the service or procedure described is part of the work of the code for the service or procedure code listed in the parenthetical note 
A)  They are located below the code or code range to which the note applies 
B)  They provide additional information regarding a code or code range 
C)  They are located above the code or code range to which the note applies 
D)  May inform the coder that the service or procedure described is part of the work of the code for the service or procedure code listed in the parenthetical note

Exam 4: Foundations of CPT

Bilateral procedure is the description for which modifier?

To find a list of codes that are marked with a plus symbol, a coder would reference:

A coder who codes primarily for an orthopedic surgeon who frequently performs nerve conduction studies in the office would reference which Appendix when assigning the appropriate CPT codes for the nerve conduction studies?

Modifier 62 is assigned in which scenario:

Accurate translation of the medical record into codes accomplishes all of the following except:

To find a list of codes that are marked with a plus symbol, a coder would reference:

Appendix C contains information about:

What is the description of Modifier 66?

Modifier 56, Preoperative care only, would be applicable in which situation:

The description for modifier 23 is:

CPT is what level of the Healthcare Common Procedure Coding System?

A coder would reference Appendix ____ when he/she is looking for the third order of the brachial family.

A coder would reference Appendix ____ when he/she is looking for the third order of the brachial family.

In CPT, the facing triangles designate:

Genetic testing code modifiers are found in Appendix:

Which index includes instructions on the use of the CPT index?

Modifier 53, Discontinued service, is appropriate in this scenario:

Code range 00100-01999 comprises what section of the CPT manual?

All of the following are true of parenthetical notes except:

The Certified Professional Coder

Foundations of ICD-10-CM

ICD-Specific Guidelines

Evaluation and Management

Anesthesia

Surgery Section

Surgery Section: Integumentary System

Surgery Section: Musculoskeletal System

Surgery Section: Respiratory System

Surgery Section: Cardiovascular and Lymphatic Systems

Surgery Section: Digestive System

Surgery Section: Urinary System and Male Reproductive System

Surgery Section: Female Reproductive System and Maternity Care and Delivery

Surgery Section: Nervous System

Surgery Section: Eyes, Ears, and Endocrine System

Radiology

Pathology Laboratory

Medicine

HCPCS Level II: Category II and Category III Codes

Practice Management

Fundamental Coding Guidelines

Coding for Evaluation and Management E&M, Anesthesia, and Surgery Section

Coding for Surgical Procedures on Integumentary, Musculoskeletal, Respiratory, and Cardiovascular/Lymphatic Systems

Coding for Surgical Procedures on Digestive, Urinary, Male and Female Reproductive Systems, Maternity Care, Nervous System, and Eyes, Ears, and Endocrine System

Coding for Radiology, Pathology Laboratory, General Medicine, HCPCS Category II and III, and Practice Management

Coding and Surgical Procedures

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