Deck 19: Medicine

Question 1

All of the following are subheadings of codes with which code 90785, Interactive complexity, is to be used except:

A) psychotherapy when performed with an evaluation and management service
B) biofeedback
C) diagnostic psychiatric evaluation
D) psychotherapy

Answer 1

biofeedback

Question 2

Where will a coder find codes representing Psychiatry services in the Medicine section of CPT?

A) 93880-93998
B) 95249-95251
C) 90785-90899
D) 94002-94799

Answer 2

90785-90899

Question 3

Codes 90839 and 90840 indicate Psychotherapy for Crisis and include all of the following elements except:

A) urgent history of a crisis state
B) physical status exam
C) a disposition
D) urgent assessment of a crisis state

Answer 3

physical status exam

Question 4

Which modifier indicates a procedure required more time than usually expected?

A) 22
B) 59
C) 26
D) 25

Question 5

In which subheading will a coder find the code range for a percutaneous transluminal pulmonary artery balloon angioplasty?

A) Cardiac Catheterization
B) Cardiography
C) Coronary Therapeutic Services and Procedures
D) Other Therapeutic Services and Procedures

Question 6

Polysomnography is used to measure all of the following except:

A) NREM
B) sleep cycles
C) REM
D) CMT

Question 7

Under the supervision of a physician, a nurse administers an influenza vaccine to a 66-year-old male patient. From which code range will the coder assign the CPT code to describe the immunization administration?

A) 90281-90399
B) 90460-90461
C) 90476-90749
D) 90471-90474

Question 8

What is a therapy in which a photosensitizing agent is applied to a lesion and the patient returns for light treatment?

A) PDT
B) REM
C) DTP
D) DT

Question 9

Which of the following is not a place of service commonly used in CPT to describe Pulmonary Ventilator Management?

A) nursing facility
B) patient's home
C) hospital
D) outpatient office

Question 10

Each of the following are elements that may be studied during sleep medicine testing except:

A) metabolic activity
B) bilateral anterior tibia by EMG
C) snoring
D) electrocardiogram

Question 11

What is a procedure that does not require a surgical incision or excision?

A) open procedure
B) invasive procedure
C) minimally invasive procedure
D) noninvasive procedure

Question 12

How many minutes of testing is included in CPT code 95076?

A) the initial 120
B) the subsequent 30
C) the subsequent 60
D) the initial 100

Question 13

In which code range will a coder find procedures related to Immunoglobulin's, Serum, or Recombinant Products?

A) 92002-92499
B) 90460-90474
C) 91010-91299
D) 90281-90399

Question 14

Select the subdivision of spirometry that is not used in the Pulmonary Diagnostic Testing and Therapies subsection of CPT:

A) use of an agent or gas to provoke a bronchial response
B) age of the patient
C) use of stress to determine the location of breathing problems
D) respiration treatment for difficulties due to disease

Question 15

Per CPT subheading guidelines, how may a coder appropriately report an Evaluation and Management service related to renal disease on the same day as a hemodialysis or miscellaneous dialysis procedure?

A) report the appropriate E/M code with a modifier 25
B) report the appropriate E/M code with a modifier 24
C) do not report the E/M service
D) report the appropriate E/M code, sequenced following the dialysis procedure code

Question 16

Select the type of dialysis that uses a man-made membrane to filter waste and toxins, remove and maintain fluid, and balance electrolytes by mechanically circulating large amounts of blood through a machine and transfusing it back to the body:

A) hemodialysis
B) hemocirculation
C) hemofiltration
D) peritoneal dialysis

Question 17

The subheading Special Ophthalmological Services (92015-92145) includes which service?

A) vestibular function tests
B) fitting of spectacles (glasses)
C) intermediate visual field examinations
D) esophageal acid reflux test

Question 18

Codes within the Psychotherapy subheading, (90832-90838) are based on time. How many minutes minimum must psychotherapy take place in order to assign a CPT code to the service?

A) 16
B) 15
C) 19
D) 10

Question 19

In which code range are procedures relating to Biofeedback found in CPT?

A) 92002-92499
B) 90935-90999
C) 91010-91299
D) 90901-90913

Question 20

What is a study of afferent impulse, nerve signals traveling to the spinal cord?

A) motor study
B) sensory nerve study
C) nerve conduction study
D) electromyography

Question 21

Which procedure is classified as minimally invasive?

A) duplex scan
B) injection
C) selective debridement
D) hemodialysis

Question 22

At what length of time is it no longer appropriate to report CPT code 95812 and code 95813 should be reported instead?

A) 75 minutes
B) 61 minutes
C) 15 minutes
D) 41 minutes

Question 23

What is the appropriate modifier to report a procedure performed specifically on the left circumflex artery?

A) LD
B) RC
C) LC
D) LA

Question 24

Select the correct definition of spirometry:

A) measurement of breathing or breath
B) measurement of allergic reaction
C) measurement of blood pressure
D) measurement of blood oxygen level

Question 25

Which of the following questions is not used when a coder is selecting a procedure code from subheading End-Stage Renal Disease Services (90951-90970)?

A) Were the services provided in the home?
B) What was the length of each service?
C) What is the age of the patient?
D) Were the services less than a full month of services?

Question 26

How are the fitting of spectacles subdivided in CPT?

A) with or without anesthesia
B) with or without vestibular function
C) limited, intermediate, extended
D) with aphakia, without aphakia, low vision

Question 27

A coder may only select procedure codes from subheading Audiologic Function Tests (92550-92597) if three elements are present in the provider documentation. Select the element that is not required to report these codes:

A) use of calibrated electronic equipment
B) a consultation report from a specialist
C) the recording of results
D) a report with interpretation

Question 28

What type of procedure is included in code range 92611-92617?

A) evaluation of swallowing
B) vestibular function tests, with or without recording
C) evaluation and therapeutic services for speech generating devices
D) evaluation and therapeutic services for non-speech generating devices

Question 29

In the General Ophthalmological Services subheading, a limited exam focusing on a particular condition or problem, such as an acute condition that does not require a complete examination of the visual system, is referred to as a(n) _____ exam:

A) intermediate
B) simple
C) limited
D) initial

Question 30

In which subheading will a coder find the correct procedure code to describe Cardiopulmonary resuscitation (CPR)?

A) Cardiovascular Monitoring Services
B) Coronary Therapeutic Services
C) Cardiography
D) Other Therapeutic Services

Question 31

Identify the ultrasound test used to evaluate the flow of blood within arteries and veins:

A) Photodynamic therapy
B) Duplex scan
C) nerve conduction studies
D) minimally invasive procedure

Question 32

What does actigraphy testing study?

A) measures the length of time it takes for the patient to fall asleep
B) measures the length of time a patient stays asleep
C) records the patient's sleep-wake cycles over a 3-day period
D) records the patient's brain activity during a sleep period

Question 33

Codes within subsection Gastroenterology (91010-91299) are assigned to _____ studies of the esophagus, stomach, duodenum, and colon.

A) absorption
B) mobility
C) motility
D) functionality

Question 34

Codes to report the diagnostic evaluation of cochlear implants are included in which subheading of the Medicine section?

A) Special Otorhinolaryngologic Services
B) Special Ophthalmological Services
C) Audiologic Function Tests
D) Evaluative and Therapeutic Services

Question 35

Where can a coder find guidelines regarding the definitions of intermediate and comprehensive exams as related to the General Ophthalmological Services subheading in CPT?

A) in the General guidelines at the beginning of the CPT manual
B) at the beginning of the Medicine section
C) immediately before the codes
D) at the beginning of the General Ophthalmological Services subheading

Question 36

Code 93278, signal-averaged electrocardiography, with or without ECG, is selected as the appropriate procedure code to report today's service. However, the provider for whom the coder is billing only provided the interpretation and report of this service. Which modifier should the coder add to code 93278?

A) 22
B) 52
C) 26
D) 24

Question 37

The CPT guidelines for dialysis codes instruct that when the patient has had a complete assessment visit during the month and services are provided over a period of less than a month, __________ is the appropriate code range according to the number of visits performed.

A) 90839-90840
B) 90951-90970
C) 90832-90838
D) 90951-90962

Question 38

All of the following are included in infusion and injection therapies except:

A) IV start
B) flush at conclusion of infusion
C) standard tubing, syringes, and supplies
D) use of moderate conscious sedation

Question 39

In which scenario is it appropriate to select codes 90460 and 90461?

A) A medical assistant counsels the mother of a 5-year-old autistic female patient regarding administration and effect of a vaccination, then administers the vaccination
B) A Registered Nurse explains the vaccination and procedure to an 19-year-old patient and his mother, then administers the vaccination
C) A physician explains the vaccination and procedure to a 19-year-old patient, then administers the vaccination
D) A physician counsels the mother of a 5-year-old autistic female patient regarding administration and effect of a vaccination, then administers the vaccination

Question 40

What is a gonioscopy?

A) examination for retinal disease
B) examination for color blindness
C) examination for cataract
D) examination for glaucoma

Question 41

Which type of dialysis uses the lining of the abdominal cavity to introduce a solution to remove waste and excessive fluid?

A) hemocirculation
B) hemodialysis
C) peritoneal dialysis
D) hemofiltration

Question 42

What is selective debridement?

A) procedure in which only devitalized tissue is removed by using instruments or devices
B) procedure in which devitalized tissue is removed with healthy tissue
C) procedure in which devitalized tissue is removed by using enzymes
D) procedure in which devitalized tissue is removed by using wet-to-dry dressings

Question 43

Which type of study measure efferent impulses?

A) motor study
B) electromyography
C) nerve conduction study
D) sensory nerve study

Question 44

Select the procedure that is commonly used to help stroke victims regain movement in paralyzed muscles.

A) polysomnography
B) chiropractic manipulative treatment
C) biofeedback
D) photodynamic therapy

Question 45

How are some codes in the Vaccines/Toxoids subheading further subdivided?

A) place of service
B) classification of healthcare provider administering the vaccination
C) route of administration
D) age of patient

Question 46

Psychiatry codes 90785-90899 have an instruction that these codes are for use in ______ settings.

A) office
B) outpatient
C) all
D) inpatient

Question 47

What type of service is categorized by specific communication factors that complicate delivery of a psychiatric procedure?

A) modalities
B) photodynamic therapy
C) interactive complexity
D) aphakia

Question 48

What is the purpose of identifying isopters?

A) determines the presence or absence of cataract
B) determines the blind spots in the visual field
C) determines the presence or absence of glaucoma
D) determines the type of color blindness

Question 49

Vestibular function tests are reported in which subheading of the Medicine section?

A) Special Otorhinolaryngologic Services
B) Audiologic Function Tests
C) Ophthalmology
D) Evaluative and Therapeutic Services

Question 50

A patient is seen in the provider's outpatient office for an annual physical exam. A comprehensive history, a detailed exam, and a moderate medical decision making is performed. Several of the patient's existing conditions are discussed and updates are noted. While in the office, the patient receives an immunization that is due as prescribed by CDC standards. Which modifier is appended to the Evaluation and Management code for this date of service?

A) 57
B) 22
C) 24
D) 25

Question 51

Which of the following treatments is performed in order to increase range of motion, reduce nerve irritability, or improve function?

A) duplex scan
B) biofeedback
C) chiropractic manipulative treatment
D) polysomnography

Question 52

Codes 97032-97039 are used to report modality services in increments of:

A) frequency of treatment per week
B) frequency of treatment per month
C) time monitored by the therapist
D) 15 minutes

Question 53

All of the following are common methods employed to perform allergy testing except:

A) injecting a small amount of allergen just below the skin
B) injecting a small amount of allergen directly into the bloodstream
C) scratching the skin
D) inhalation

Question 54

Modifiers LC, RC, and LD are used to replace the use of which other HCPCS Level I modifier?

A) 26
B) 59
C) 52
D) 79

Question 55

Select the correct definition of isopter:

A) the absence of a lens
B) outer edge of a visual field
C) combination vaccine
D) noncoronary vessel

Question 56

What is the injection of small doses of an allergen and increasing the dosage over time to desensitize the patient?

A) latency therapy
B) spirometry
C) actigraphy
D) allergen immunotherapy

Question 57

Motility studies of the esophagus, stomach, ______, and colon are included in the Gastroenterology subheading of the Medicine section:

A) jejunum
B) duodenum
C) ileum
D) anus

Question 58

Subheading Special Ophthalmological Services include all of the following procedures/services except:

A) general comprehensive exam
B) retinal nerve scans
C) angioscopy
D) fitting of contact lenses for treatment of disease

Question 59

Modalities include the application of heat, sound, light, and ________ used to change tissues:

A) ultrasound waves
B) mechanical or electrical energy
C) injections
D) neurostimulation

Question 60

Dialysis procedures used to treat kidney failure include all of the following except:

A) hemofiltration
B) hemodialysis
C) hemocirculation
D) peritoneal dialysis

Question 61

Codes for Cardiovascular Monitoring Services are further subdivided by all of the following except:

A) scanning analysis with report
B) in person or remote monitoring
C) hours of continuous recording
D) physician review and interpretation only

Question 62

Which category of procedures are found in code range 90460-90474, 0001A-0042A in the Medicine section of CPT?

A) Psychiatry
B) Dialysis
C) Biofeedback
D) Immunization Administration for Vaccines/Toxoids

Question 63

Which procedure is a combination of real-time and Doppler studies?

A) biofeedback
B) duplex scan
C) polysomnography
D) photodynamic therapy

Question 64

All of the following elements are included in CPT code 91112 except:

A) contrast material
B) wireless capsule
C) interpretation and report
D) pressure measurement

Question 65

Which type of dialysis uses a man-made membrane to filter waste and toxins, remove and maintain fluid, and balance electrolytes by mechanically circulating the blood through a machine and transfusing it back to the body?

A) hemodialysis
B) peritoneal dialysis
C) hemocirculation
D) hemofiltration

Question 66

What type of procedure is found in code range 90476-90759, 91300-91304 in CPT?

A) Gastroenterology
B) Special Otorhinolaryngologic Services
C) Vaccines/Toxoids
D) Cardiovascular Services

Question 67

Codes in the General Ophthalmological Services subheading are further subdivided by:

A) gender of patient
B) new vs. established
C) age of patient
D) acute vs. chronic condition

Question 68

Per CPT guidelines, it is appropriate to append _______ when reporting an immunization administration code and a vaccine/toxoid code that is performed outside of any other surgical global period:

A) 51
B) no modifier
C) 59
D) 58

Question 69

A patient receives 60 minutes of initial infusion of a therapeutic drug. Upon review, the attending physician orders an IV push of another therapeutic substance. How is this IV push reported?

A) subsequent IV push
B) this service is included in the code used to report the initial infusion
C) IV start
D) access to indwelling IV

Question 70

The immunization codes (90460-90474, 0001A-0042A) are reported along with the ___________ codes:

A) Immunoglobulin's, Serum, or Recombinant Products
B) Medical Nutrition Therapy
C) Vaccines/Toxoids
D) Allergy and Clinical Immunology

Question 71

Which procedure is also referred to as a spinal adjustment?

A) PDT
B) CMT
C) REM
D) DTP

Question 72

What does the lightning bolt symbol used in the CPT manual represent?

A) Modifier 51 exempt
B) Temporary code
C) Not FDA approved
D) Modifier 63 exempt

Question 73

Which of the following is commonly abbreviated as DTP in provider documentation?

A) diphtheria, tetanus, and pertussis
B) photodynamic therapy
C) diphtheria and tetanus
D) duplex scan

Question 74

Select the correct definition of a latency study:

A) measures the length of time it takes for the patient to fall asleep
B) records the patient's sleep-wake cycles over a 3-day period
C) measures the length of time a patient stays asleep
D) records the patient's brain activity during a sleep period

Question 75

What is the injection of small doses of an allergen and increasing the dosage over time to desensitize the patient?

A) actigraphy
B) latency therapy
C) allergen immunotherapy
D) spirometry

Question 76

Codes within the Psychotherapy subheading, (90832-90838) are based on time. How many minutes minimum must psychotherapy take place in order to assign a CPT code to the service?

A) 16
B) 15
C) 10
D) 19

Question 77

The CPT guidelines for dialysis codes instruct that when the patient has had a complete assessment visit during the month and services are provided over a period of less than a month, __________ is the appropriate code range according to the number of visits performed.

A) 90951-90962
B) 90832-90838
C) 90951-90970
D) 90839-90840

Question 78

At what length of time is it no longer appropriate to report CPT code 95812 and code 95813 should be reported instead?

A) 61 minutes
B) 41 minutes
C) 75 minutes
D) 15 minutes

Question 79

Codes within subsection Gastroenterology (91010-91299) are assigned to _____ studies of the esophagus, stomach, duodenum, and colon.

A) motility
B) mobility
C) functionality
D) absorption

Question 80

Polysomnography is used to measure all of the following except:

A) CMT
B) NREM
C) sleep cycles
D) REM