Question 1

In the CPT manual, the _____ symbol designates that a code has been revised.

Accepted Answer

A)  bull's-eye 
B)  semicolon 
C)  facing triangles 
D)  triangle 
A)  bull's-eye 
B)  semicolon 
C)  facing triangles 
D)  triangle

Question 2

What does Appendix F contain?

Accepted Answer

A)  Deleted CPT codes 
B)  Alphabetic clinical topics listing 
C)  Genetic testing code modifiers 
D)  Summary of CPT codes exempt from modifier 63 
A)  Deleted CPT codes 
B)  Alphabetic clinical topics listing 
C)  Genetic testing code modifiers 
D)  Summary of CPT codes exempt from modifier 63

Question 3

Modifier 91, Repeat clinical diagnostic laboratory test, is used when:

Accepted Answer

A)  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. 
B)  During the same encounter, a patient has a biopsy of a suspicious lesion on the forearm and an excision of a mole on the chest. 
C)  A provider sends the patient to a lab outside the clinic for testing. The lab has an agreement with the clinic to provide the service and will receive payment from the clinic. 
D)  After an open biopsy of a breast mass, the patient returns in the postoperative period for a total lumpectomy. 
A)  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. 
B)  During the same encounter, a patient has a biopsy of a suspicious lesion on the forearm and an excision of a mole on the chest. 
C)  A provider sends the patient to a lab outside the clinic for testing. The lab has an agreement with the clinic to provide the service and will receive payment from the clinic. 
D)  After an open biopsy of a breast mass, the patient returns in the postoperative period for a total lumpectomy.

Question 4

Tracy, a coder for a large cardiology practice, has used the same CPT code to report EKG monitoring in the office for years. As she reviews her newly-revised edition of the CPT manual for the new year, she notes that this code now contains text enclosed in facing triangles. This means that:

Accepted Answer

A)  Tracy may no longer report modifier 51 with this code when other services have been provided to the same patient in the office on that date of service 
B)  Moderate sedation may no longer be reported separately for this code 
C)  This code is now an additional code that must be used with a primary procedure code; Tracy may no longer report this as a stand-alone code 
D)  A portion of the text describing this code has been revised and Tracy must review the revised text carefully before assigning this code 
A)  Tracy may no longer report modifier 51 with this code when other services have been provided to the same patient in the office on that date of service 
B)  Moderate sedation may no longer be reported separately for this code 
C)  This code is now an additional code that must be used with a primary procedure code; Tracy may no longer report this as a stand-alone code 
D)  A portion of the text describing this code has been revised and Tracy must review the revised text carefully before assigning this code

Question 5

When a local orthopedist follows up on a patient after his return home, following surgery while on vacation out of state, the following modifier would be applied to the service:

Accepted Answer

A)  80 
B)  25 
C)  55 
D)  81 
A)  80 
B)  25 
C)  55 
D)  81

Question 6

The Musculoskeletal section is in the code range 20005- __________:

Accepted Answer

A)  28999 
B)  29999 
C)  29599 
D)  25999 
A)  28999 
B)  29999 
C)  29599 
D)  25999

Question 7

Main terms in the CPT index may be all of the following except:

Accepted Answer

A)  condition 
B)  anatomical site 
C)  place of service 
D)  procedure 
A)  condition 
B)  anatomical site 
C)  place of service 
D)  procedure

Question 8

Modifier 99 is described as:

Accepted Answer

A)  Surgical team 
B)  Distinct procedural service 
C)  Multiple modifiers 
D)  Two surgeons 
A)  Surgical team 
B)  Distinct procedural service 
C)  Multiple modifiers 
D)  Two surgeons

Question 9

In January, a coder is looking for a code in the Medicine section that she used last October to bill for a service the physician performed in the office. In looking through her new edition of the CPT manual, she can no longer locate the code she used last year. To see if this code has been deleted or revised, the coder would look in which Appendix of the CPT manual?

Accepted Answer

A)  A 
B)  K 
C)  B 
D)  E 
A)  A 
B)  K 
C)  B 
D)  E

Question 10

The description for modifier 23 is:

Accepted Answer

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

Question 11

Patient is ordered to return to the operating room to treat an infection of the surgical wound from a surgery she had on the abdomen three days ago. The coder will assign modifier _____ to the procedure code describing the cleaning and debridement of the infected wound.

Accepted Answer

A)  90 
B)  78 
C)  77 
D)  80 
A)  90 
B)  78 
C)  77 
D)  80

Question 12

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

Question 13

The CPT manual sections are divided into subsections based on:

Accepted Answer

A)  Anatomical sites, procedures, conditions, eponyms, or descriptive headings 
B)  Descriptive headings, body systems, and root procedures 
C)  Anatomical sites, root procedures, body systems, and eponyms 
D)  Eponyms, procedures, conditions, and root procedures 
A)  Anatomical sites, procedures, conditions, eponyms, or descriptive headings 
B)  Descriptive headings, body systems, and root procedures 
C)  Anatomical sites, root procedures, body systems, and eponyms 
D)  Eponyms, procedures, conditions, and root procedures

Question 14

Multiple procedures are represented by modifier:

Accepted Answer

A)  51 
B)  50 
C)  58 
D)  59 
A)  51 
B)  50 
C)  58 
D)  59

Question 15

Patient is ordered to return to the operating room to treat an infection of the surgical wound from a surgery she had on the abdomen three days ago. The coder will assign modifier _____ to the procedure code describing the cleaning and debridement of the infected wound.

Accepted Answer

A)  78 
B)  77 
C)  80 
D)  90 
A)  78 
B)  77 
C)  80 
D)  90

Question 16

All of the following are common CPT coding errors except:

Accepted Answer

A)  Lack of supporting medical necessity for the provided services 
B)  Inaccurate or incomplete coding of the services or procedures provided 
C)  Appropriate use of modifiers with CPT Level I codes 
D)  Inaccurate or incomplete capture of medical documentation 
A)  Lack of supporting medical necessity for the provided services 
B)  Inaccurate or incomplete coding of the services or procedures provided 
C)  Appropriate use of modifiers with CPT Level I codes 
D)  Inaccurate or incomplete capture of medical documentation

Question 17

What is the description of Modifier 76?

Accepted Answer

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

Question 18

The Evaluation and Management section is within the following code range:

Accepted Answer

A)  60000-60300 
B)  10021-69990 
C)  99201-99499 
D)  61000-64999 
A)  60000-60300 
B)  10021-69990 
C)  99201-99499 
D)  61000-64999

Question 19

A patient undergoes carpal tunnel decompression on the right hand on 6/3/12 with Dr. Smith. On 6/7/12, the patient calls Dr. Smith's office complaining of severe cramping and tingling in his right hand. Dr. Smith's partner, Dr. Curry, is available that afternoon and performs a repeat carpal tunnel decompression on the right hand. What modifier will need to be appended to the second carpal tunnel surgery code?

Accepted Answer

A)  78 
B)  81 
C)  80 
D)  77 
A)  78 
B)  81 
C)  80 
D)  77

Question 20

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

Accepted Answer

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

Exam 4: Foundations of CPT

In the CPT manual, the _____ symbol designates that a code has been revised.

What does Appendix F contain?

Modifier 91, Repeat clinical diagnostic laboratory test, is used when:

Tracy, a coder for a large cardiology practice, has used the same CPT code to report EKG monitoring in the office for years. As she reviews her newly-revised edition of the CPT manual for the new year, she notes that this code now contains text enclosed in facing triangles. This means that:

When a local orthopedist follows up on a patient after his return home, following surgery while on vacation out of state, the following modifier would be applied to the service:

The Musculoskeletal section is in the code range 20005- __________:

Main terms in the CPT index may be all of the following except:

Modifier 99 is described as:

The description for modifier 23 is:

Patient is ordered to return to the operating room to treat an infection of the surgical wound from a surgery she had on the abdomen three days ago. The coder will assign modifier _____ to the procedure code describing the cleaning and debridement of the infected wound.

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

The CPT manual sections are divided into subsections based on:

Multiple procedures are represented by modifier:

Patient is ordered to return to the operating room to treat an infection of the surgical wound from a surgery she had on the abdomen three days ago. The coder will assign modifier _____ to the procedure code describing the cleaning and debridement of the infected wound.

All of the following are common CPT coding errors except:

What is the description of Modifier 76?

The Evaluation and Management section is within the following code range:

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

Filters