Question 1

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)  A patient is diagnosed with acute appendicitis, and major surgery is performed the following day 
C)  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 
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)  A patient is diagnosed with acute appendicitis, and major surgery is performed the following day 
C)  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 
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 2

Which organization is responsible for updates of the CPT manual?

Accepted Answer

A)  American Academy of Professional Coders 
B)  American Physicians Association 
C)  American Hospital Association 
D)  American Medical Association 
A)  American Academy of Professional Coders 
B)  American Physicians Association 
C)  American Hospital Association 
D)  American Medical Association

Question 3

Appendix C contains information about:

Accepted Answer

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

Question 4

Modifier 54 communicates:

Accepted Answer

A)  Distinct procedural service 
B)  Postoperative care only 
C)  Surgical care only 
D)  Preoperative care only 
A)  Distinct procedural service 
B)  Postoperative care only 
C)  Surgical care only 
D)  Preoperative care only

Question 5

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 are located above the code or code range to which the note applies 
C)  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 
D)  They provide additional information regarding a code or code range 
A)  They are located below the code or code range to which the note applies 
B)  They are located above the code or code range to which the note applies 
C)  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 
D)  They provide additional information regarding a code or code range

Question 6

In CPT, the facing triangles designate:

Accepted Answer

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

Question 7

Each section of the CPT manual is divided into subsections based on all of the following except:

Accepted Answer

A)  Routes of administration 
B)  Descriptive heading 
C)  Eponym 
D)  Anatomical site 
A)  Routes of administration 
B)  Descriptive heading 
C)  Eponym 
D)  Anatomical site

Question 8

Appendix C contains information about:

Accepted Answer

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

Question 9

The CPT manual is made up of all of the following except:

Accepted Answer

A)  Category III codes 
B)  Tabular List 
C)  Category II codes 
D)  Appendices 
A)  Category III codes 
B)  Tabular List 
C)  Category II codes 
D)  Appendices

Question 10

How often is the CPT manual updated?

Accepted Answer

A)  annually 
B)  quarterly 
C)  bi-annually 
D)  monthly 
A)  annually 
B)  quarterly 
C)  bi-annually 
D)  monthly

Question 11

What is the description of Modifier 66?

Accepted Answer

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

Question 12

Code 60240 Thyroidectomy, total or complete is from the ______ section of the CPT manual.

Accepted Answer

A)  Pathology and Laboratory 
B)  Male genital 
C)  Parathyroid, Thymus, Adrenal Glands, Pancreas, and Carotid Body 
D)  Endocrine 
A)  Pathology and Laboratory 
B)  Male genital 
C)  Parathyroid, Thymus, Adrenal Glands, Pancreas, and Carotid Body 
D)  Endocrine

Question 13

This Appendix contains a list of codes that have a lightning bolt symbol, indicating the product referenced in the code is pending FDA approval:

Accepted Answer

A)  K 
B)  M 
C)  N 
D)  L 
A)  K 
B)  M 
C)  N 
D)  L

Question 14

What is the description of Modifier 76?

Accepted Answer

A)  Return to operating room for a related procedure during postoperative period 
B)  Unrelated procedure or service by the same physician during postoperative period 
C)  Repeat procedure by same physician 
D)  Repeat procedure by another physician 
A)  Return to operating room for a related procedure during postoperative period 
B)  Unrelated procedure or service by the same physician during postoperative period 
C)  Repeat procedure by same physician 
D)  Repeat procedure by another physician

Question 15

A four-year-old girl presents to the provider's office complaining of severe right ear pain. Upon examination, impacted cerumen is present in both the right and left ears. The physician removes the impacted cerumen bilaterally using instrumentation. The coder identifies the following codes to describe this visit: 69210 Removal of impacted cerumen, unilateral 69209 Removal impacted cerumen using irrigation/lavage ,unilateral The coder should:

Accepted Answer

A)  Report code 69210 only 
B)  Report code 69210 -50 
C)  Report code 69209 -50 
D)  Report code 69209 only 
A)  Report code 69210 only 
B)  Report code 69210 -50 
C)  Report code 69209 -50 
D)  Report code 69209 only

Question 16

Modifiers are found in which Appendix?

Accepted Answer

A)  M 
B)  E 
C)  N 
D)  A 
A)  M 
B)  E 
C)  N 
D)  A

Question 17

The proper name of the person who first identified the condition or disease, the physician who first developed the treatment or procedure for the condition, or the first patient diagnosed with the condition, is called a(n):

Accepted Answer

A)  Antonym 
B)  Eponym 
C)  Homonym 
D)  Pseudonym 
A)  Antonym 
B)  Eponym 
C)  Homonym 
D)  Pseudonym

Question 18

CPT code 36400 Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; femoral or jugular vein, is found in the ________ section.

Accepted Answer

A)  Pathology and Laboratory 
B)  Cardiovascular 
C)  Integumentary 
D)  Medicine 
A)  Pathology and Laboratory 
B)  Cardiovascular 
C)  Integumentary 
D)  Medicine

Question 19

The Radiology section is found in what code range?

Accepted Answer

A)  70000-79999 
B)  70010-78999 
C)  70000-78999 
D)  70010-79999 
A)  70000-79999 
B)  70010-78999 
C)  70000-78999 
D)  70010-79999

Question 20

Appendix M contains:

Accepted Answer

A)  Summary of resequenced CPT codes 
B)  Deleted and renumbered CPT codes 
C)  Clinical examples of Evaluation and Management services 
D)  Summary of CPT add-on codes 
A)  Summary of resequenced CPT codes 
B)  Deleted and renumbered CPT codes 
C)  Clinical examples of Evaluation and Management services 
D)  Summary of CPT add-on codes

Exam 4: Foundations of CPT

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

Which organization is responsible for updates of the CPT manual?

Appendix C contains information about:

Modifier 54 communicates:

All of the following are true of parenthetical notes except:

In CPT, the facing triangles designate:

Each section of the CPT manual is divided into subsections based on all of the following except:

Appendix C contains information about:

The CPT manual is made up of all of the following except:

How often is the CPT manual updated?

What is the description of Modifier 66?

Code 60240 Thyroidectomy, total or complete is from the ______ section of the CPT manual.

This Appendix contains a list of codes that have a lightning bolt symbol, indicating the product referenced in the code is pending FDA approval:

What is the description of Modifier 76?

Modifiers are found in which Appendix?

The proper name of the person who first identified the condition or disease, the physician who first developed the treatment or procedure for the condition, or the first patient diagnosed with the condition, is called a(n):

CPT code 36400 Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; femoral or jugular vein, is found in the ________ section.

The Radiology section is found in what code range?

Appendix M contains:

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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