Question 1

The CPT manual sections are divided into subsections based on:

Accepted Answer

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

Question 2

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

Question 3

Appendix N is:

Accepted Answer

A)  Clinical examples 
B)  Deleted CPT Codes 
C)  Genetic Testing Code Modifiers 
D)  Summary of Resequenced CPT Codes 
A)  Clinical examples 
B)  Deleted CPT Codes 
C)  Genetic Testing Code Modifiers 
D)  Summary of Resequenced CPT Codes

Question 4

CPT codes describe all of the following services except:

Accepted Answer

A)  Diagnostic 
B)  Surgical 
C)  Medical 
D)  Pharmaceutical 
A)  Diagnostic 
B)  Surgical 
C)  Medical 
D)  Pharmaceutical

Question 5

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

Question 6

There are ______ Appendices labeled by an alpha character in the CPT manual:

Accepted Answer

A)  16 
B)  14 
C)  15 
D)  12 
A)  16 
B)  14 
C)  15 
D)  12

Question 7

The description for modifier 23 is:

Accepted Answer

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

Question 8

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

Accepted Answer

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

Question 9

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

Question 10

Modifier 22, Increased procedural service, is used when:

Accepted Answer

A)  A morbidly obese patient requires additional time, resources, and anterior instruments to perform surgery on the posterior spine 
B)  A surgeon performs a neuroplasty procedure and administers a nerve block 
C)  A patient presents to the office with poison ivy and while there has a wart on the plantar surface of the foot removed. 
D)  A bilateral service is performed unilaterally (i.e. eye exam) on a patient with absent left eye 
A)  A morbidly obese patient requires additional time, resources, and anterior instruments to perform surgery on the posterior spine 
B)  A surgeon performs a neuroplasty procedure and administers a nerve block 
C)  A patient presents to the office with poison ivy and while there has a wart on the plantar surface of the foot removed. 
D)  A bilateral service is performed unilaterally (i.e. eye exam) on a patient with absent left eye

Question 11

In CPT, the _____ symbol designates that a code is an additional code to be used with the primary procedure and never to be used alone.

Accepted Answer

A)  bullet 
B)  bull's-eye 
C)  triangle 
D)  plus sign 
A)  bullet 
B)  bull's-eye 
C)  triangle 
D)  plus sign

Question 12

Appendix F includes:

Accepted Answer

A)  Summary of CPT Codes That Include Moderate (Conscious) Sedation 
B)  Summary of CPT Codes Exempt from Modifier 63 
C)  Deleted CPT Codes 
D)  Product Pending FDA Approval 
A)  Summary of CPT Codes That Include Moderate (Conscious) Sedation 
B)  Summary of CPT Codes Exempt from Modifier 63 
C)  Deleted CPT Codes 
D)  Product Pending FDA Approval

Question 13

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

Question 14

The process of supporting the medical necessity of the CPT code(s) with the ICD code(s) is called:

Accepted Answer

A)  documentation 
B)  justification 
C)  cross-reference 
D)  linkage 
A)  documentation 
B)  justification 
C)  cross-reference 
D)  linkage

Question 15

A summary of CPT codes exempt from modifier 51 is found in Appendix:

Accepted Answer

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

Question 16

There are ______ Appendices labeled by an alpha character in the CPT manual:

Accepted Answer

A)  16 
B)  15 
C)  12 
D)  14 
A)  16 
B)  15 
C)  12 
D)  14

Question 17

The following scenario would require use of modifier 47, Anesthesia by surgeon:

Accepted Answer

A)  While in the postoperative period of a tonsillectomy, the patient falls from a slide and fractures the left ulna, requiring surgical repair 
B)  A neurosurgeon requests the assistance of a nonresident surgeon for a difficult and extensive procedure for which no available residents are qualified to assist 
C)  During an anterior thoracic spine procedure, the neurosurgeon requests that a thoracic surgeon create the approach to the spine 
D)  Surgeon performs a neuroplasty procedure and administers a nerve block 
A)  While in the postoperative period of a tonsillectomy, the patient falls from a slide and fractures the left ulna, requiring surgical repair 
B)  A neurosurgeon requests the assistance of a nonresident surgeon for a difficult and extensive procedure for which no available residents are qualified to assist 
C)  During an anterior thoracic spine procedure, the neurosurgeon requests that a thoracic surgeon create the approach to the spine 
D)  Surgeon performs a neuroplasty procedure and administers a nerve block

Question 18

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

Accepted Answer

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

Question 19

All of the following are true of parenthetical notes except:

Accepted Answer

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

Question 20

The following scenario would require use of modifier 47, Anesthesia by surgeon:

Accepted Answer

A)  During an anterior thoracic spine procedure, the neurosurgeon requests that a thoracic surgeon create the approach to the spine 
B)  Surgeon performs a neuroplasty procedure and administers a nerve block 
C)  A neurosurgeon requests the assistance of a nonresident surgeon for a difficult and extensive procedure for which no available residents are qualified to assist 
D)  While in the postoperative period of a tonsillectomy, the patient falls from a slide and fractures the left ulna, requiring surgical repair 
A)  During an anterior thoracic spine procedure, the neurosurgeon requests that a thoracic surgeon create the approach to the spine 
B)  Surgeon performs a neuroplasty procedure and administers a nerve block 
C)  A neurosurgeon requests the assistance of a nonresident surgeon for a difficult and extensive procedure for which no available residents are qualified to assist 
D)  While in the postoperative period of a tonsillectomy, the patient falls from a slide and fractures the left ulna, requiring surgical repair

Exam 4: Foundations of CPT

The CPT manual sections are divided into subsections based on:

Appendix N is:

CPT codes describe all of the following services except:

There are ______ Appendices labeled by an alpha character in the CPT manual:

The description for modifier 23 is:

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

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):

Modifier 22, Increased procedural service, is used when:

In CPT, the _____ symbol designates that a code is an additional code to be used with the primary procedure and never to be used alone.

Appendix F includes:

In CPT, the facing triangles designate:

The process of supporting the medical necessity of the CPT code(s) with the ICD code(s) is called:

A summary of CPT codes exempt from modifier 51 is found in Appendix:

There are ______ Appendices labeled by an alpha character in the CPT manual:

The following scenario would require use of modifier 47, Anesthesia by surgeon:

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

All of the following are true of parenthetical notes except:

The following scenario would require use of modifier 47, Anesthesia by surgeon:

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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