Question 1

The most frequently used CPT codes are the ____.

Accepted Answer

A)  anesthesiology codes 
B)  evaluation and management codes 
C)  surgery codes 
D)  pathology and laboratory codes 
E)  radiology codes

Question 2

Where in the CPT manual should you look to find information about the proper use of modifiers?

Accepted Answer

A)  Introduction 
B)  Appendix A 
C)  Appendix B 
D)  Appendix C 
E)  Appendix D

Question 3

The CPT contains codes that represent medical ________, such as surgery and diagnostic tests, and medical services, such as an examination to evaluate a patient's condition.

Accepted Answer

The answer of The CPT contains codes that represent medical...

Question 4

Modifiers to CPT codes indicate ____.

Accepted Answer

A)  that additional codes are needed 
B)  that some special circumstance applies to the service 
C)  synonyms 
D)  inclusions 
E)  exclusions

Question 5

When an insurance carrier bases reimbursement on a code level lower than the one submitted by the provider, this is called ________.

Accepted Answer

The answer of When an insurance carrier bases reimbursement on...

Question 6

For coding purposes, which of the following is not a complexity level for medical decision making?

Accepted Answer

A)  Straightforward MDM 
B)  General-purpose MDM 
C)  Low-complexity MDM 
D)  Moderate-complexity MDM 
E)  High-complexity MDM

Question 7

A plus sign (+) is used for ________ codes, indicating procedures that are carried out in addition to a main procedure.

Accepted Answer

The answer of A plus sign (+) is used for...

Question 8

An example of a Category II code is a code used for ____.

Accepted Answer

A)  weight reduction counseling 
B)  annual physical examinations 
C)  fracture management 
D)  total replacement heart systems 
E)  pain management

Question 9

A plus sign (+) is used to indicate ____.

Accepted Answer

A)  modifiers 
B)  primary codes 
C)  stand-alone codes 
D)  V codes 
E)  add-on codes

Question 10

HCPCS Level II codes are called ________ codes and cover supplies and DME.

Accepted Answer

The answer of HCPCS Level II codes are called ________...

Question 11

Dr. Breckell is scheduled to perform a cyst removal on Haley's right hand. After he begins the procedure, he notices that the cyst is much larger than anticipated and is involved with nerves and ligaments in the right thumb. Complete cyst removal takes 30 minutes longer than expected. Which modifier would you use to describe this special circumstance?

Accepted Answer

A)  22: Increased Procedural Services 
B)  26: Professional Component 
C)  TC: Technical Component 
D)  50: Bilateral Procedure 
E)  51: Multiple Procedures

Question 12

An example of an HCPCS Level ________ code is E0781, for an ambulatory infusion pump.

Accepted Answer

The answer of An example of an HCPCS Level ________...

Question 13

The HCPCS ________ codes are more commonly known as CPT codes.

Accepted Answer

The answer of The HCPCS ________ codes are more commonly...

Question 14

Analysis of the connection between the diagnostic and procedural information on a claim is called ____.

Accepted Answer

A)  code verification 
B)  code analysis 
C)  claim processing 
D)  code linkage 
E)  claim association

Question 15

The fraudulent practice of coding a procedure or service at a higher level than that provided to receive a higher level of reimbursement is known as code creep, overcoding, overbilling, or ________.

Accepted Answer

The answer of The fraudulent practice of coding a procedure...

Exam 19: Procedure Coding