Question 1

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

Accepted Answer

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

Question 2

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

Accepted Answer

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

Question 3

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

Question 4

The description for modifier 23 is:

Accepted Answer

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

Question 5

The description for Modifier 26 is:

Accepted Answer

A)  Assistant surgeon 
B)  Distinct procedural service 
C)  Two surgeons 
D)  Professional Component 
A)  Assistant surgeon 
B)  Distinct procedural service 
C)  Two surgeons 
D)  Professional Component

Question 6

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

Accepted Answer

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

Question 7

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

Question 8

Modifier 99 is described as:

Accepted Answer

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

Question 9

Appendix F includes:

Accepted Answer

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

Question 10

CPT code updates occur in which quarter of each year?

Accepted Answer

A)  Third 
B)  Fourth 
C)  First 
D)  Second 
A)  Third 
B)  Fourth 
C)  First 
D)  Second

Question 11

An unrelated Evaluation and Management service by the same physician during the postoperative period is represented by modifier:

Accepted Answer

A)  24 
B)  79 
C)  26 
D)  62 
A)  24 
B)  79 
C)  26 
D)  62

Question 12

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

Accepted Answer

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

Question 13

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

Question 14

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)  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)  While in the postoperative period of a tonsillectomy, the patient falls from a slide and fractures the left ulna, requiring surgical repair 
D)  Surgeon performs a neuroplasty procedure and administers a nerve block 
A)  During an anterior thoracic spine procedure, the neurosurgeon requests that a thoracic surgeon create the approach to the spine 
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)  While in the postoperative period of a tonsillectomy, the patient falls from a slide and fractures the left ulna, requiring surgical repair 
D)  Surgeon performs a neuroplasty procedure and administers a nerve block

Question 15

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)  While in the postoperative period of a tonsillectomy, the patient falls from a slide and fractures the left ulna, requiring surgical repair 
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)  Surgeon performs a neuroplasty procedure and administers a nerve block 
C)  While in the postoperative period of a tonsillectomy, the patient falls from a slide and fractures the left ulna, requiring surgical repair 
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 16

Linkage is:

Accepted Answer

A)  Supporting the medical necessity of the service provided with the diagnosis 
B)  Identifying the number of units of each service provided 
C)  Connecting the service provided with the appropriate fee schedule 
D)  Supporting the charges of the service provided 
A)  Supporting the medical necessity of the service provided with the diagnosis 
B)  Identifying the number of units of each service provided 
C)  Connecting the service provided with the appropriate fee schedule 
D)  Supporting the charges of the service provided

Question 17

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)  Patient, while away from home, fractures the bimalleolar, which is repaired surgically. Surgeon will not be following patient postoperatively. 
C)  After an open biopsy of a breast mass, the patient returns in the postoperative period for a total lumpectomy 
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)  After the start of a surgical procedure, the surgeon stops the procedure due to the patient's condition 
B)  Patient, while away from home, fractures the bimalleolar, which is repaired surgically. Surgeon will not be following patient postoperatively. 
C)  After an open biopsy of a breast mass, the patient returns in the postoperative period for a total lumpectomy 
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 18

The Musculoskeletal section is in the code range 20100- __________:

Accepted Answer

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

Question 19

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

Accepted Answer

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

Question 20

The description for Modifier 26 is:

Accepted Answer

A)  Distinct procedural service 
B)  Professional Component 
C)  Two surgeons 
D)  Assistant surgeon 
A)  Distinct procedural service 
B)  Professional Component 
C)  Two surgeons 
D)  Assistant surgeon

Exam 4: Foundations of CPT

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

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

The description for modifier 23 is:

The description for Modifier 26 is:

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

Modifier 99 is described as:

Appendix F includes:

CPT code updates occur in which quarter of each year?

An unrelated Evaluation and Management service by the same physician during the postoperative period is represented by modifier:

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

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

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

Linkage is:

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

The Musculoskeletal section is in the code range 20100- __________:

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

The description for Modifier 26 is:

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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