Question 1

What is the name of the book used in the physician's office to code procedures?

Accepted Answer

A)  Clinical Procedure Terminology (CPT) 
B)  Current Procedural Terminology (CPT) 
C)  International Classification of Diseases, Tenth Revision, Clinical Modifications (ICD-10-CM) 
D)  Systematized Nomenclature of Human and Veterinary Medicine (SNOMED International)

Question 2

When a new CPT code is used, it may take as long as 6 months before an insurance company has a mandatory value assignment.

Accepted Answer

A) True 
 B)False

Question 3

When a service is rendered that is not listed in the CPT codebook,

Accepted Answer

A)  list 00000 on the insurance claim form and send supporting documentation that clearly identifies the procedure that was done. 
B)  write the description of service on the claim form in place of the code. 
C)  you cannot bill for unlisted services. 
D)  use a code with a description stating "unlisted."

Question 4

The resource-based relative value scale (RBRVS) was developed for

Accepted Answer

A)  the Centers for Medicare and Medicaid Services. 
B)  Blue Cross and Blue Shield. 
C)  managed care organizations. 
D)  workers' compensation insurance plans.

Question 5

The CPT codebook includes a description of the number of follow-up days that are allowed after surgery at no additional charge.

Accepted Answer

A) True 
 B)False

Question 6

A medical practice can have more than one fee schedule unless specific state laws restrict this practice.

Accepted Answer

A) True 
 B)False

Question 7

The CPT publication is updated and revised

Accepted Answer

A)  annually. 
B)  biannually. 
C)  every 3 years. 
D)  every 5 years.

Question 8

The key components that determine an evaluation and management code are documented by

Accepted Answer

A)  the medical assistant. 
B)  the physician. 
C)  the insurance billing specialist. 
D)  none of the above.

Question 9

A 46-year-old new patient is seen in an internal medicine office for a routine annual checkup. The patient is asymptomatic, with no complaints. A comprehensive history is taken, and a comprehensive physical examination is performed. A chest x-ray (two views), an ECG, an automated urinalysis with microscopy, and an automated CBC with manual differential WBC count are obtained in the office. List the code(s) required to complete the Health Insurance Claim Form.

Accepted Answer

The answer of A 46-year-old new patient is seen in...

Question 10

The two-digit modifier -57 means

Accepted Answer

A)  prolonged E/M services. 
B)  reduced services. 
C)  decision for surgery. 
D)  mandated services.

Question 11

The CPT code for office services provided on an emergency basis is

Accepted Answer

A)  99302. 
B)  99312. 
C)  99282. 
D)  99058.

Question 12

The Healthcare Common Procedure Coding System (HCPCS) consists of two levels of codes.

Accepted Answer

A) True 
 B)False

Question 13

If a procedure requires more than one modifier code, use the multiple two-digit code ____________________ after the usual five-digit code number.

Accepted Answer

The answer of If a procedure requires more than one...

Question 14

CPT uses a basic ____________________-digit system for coding services rendered by physicians, plus ____________________-digit add-on modifiers.

Accepted Answer

The answer of CPT uses a basic ____________________-digit system for...

Question 15

UCR (usual, customary, reasonable) is used mostly in reference to managed care services.

Accepted Answer

A) True 
 B)False

Question 16

The surgical package for non-Medicare cases includes the

Accepted Answer

A)  operation, local infiltration, digital block or topical anesthesia, and normal uncomplicated postoperative care. 
B)  preoperative visit, operation, local infiltration, digital block or topical anesthesia, and normal uncomplicated postoperative care. 
C)  operation, local infiltration, digital block or topical anesthesia, and all postoperative care. 
D)  operation, local infiltration, digital block or topical anesthesia, and normal uncomplicated postoperative care occurring outside the hospital.

Question 17

What is the name of the book that contains a coded listing of procedures with unit values that indicate the relative value of various services?

Accepted Answer

A)  ICD-10-CM 
B)  CPT 
C)  RVS 
D)  HCPCS

Question 18

Coding and billing numerous CPT codes to identify procedures that are usually described by a single code is called ____________________.

Accepted Answer

The answer of Coding and billing numerous CPT codes to...

Question 19

Some managed care plans develop "internal codes" for use by the plan only to code specific procedures.

Accepted Answer

A) True 
 B)False

Question 20

The largest section in the CPT book is the

Accepted Answer

A)  surgery section. 
B)  musculoskeletal section. 
C)  evaluation and management section. 
D)  medicine section.

Exam 6: Procedural Coding

What is the name of the book used in the physician's office to code procedures?

When a new CPT code is used, it may take as long as 6 months before an insurance company has a mandatory value assignment.

When a service is rendered that is not listed in the CPT codebook,

The resource-based relative value scale (RBRVS) was developed for

The CPT codebook includes a description of the number of follow-up days that are allowed after surgery at no additional charge.

A medical practice can have more than one fee schedule unless specific state laws restrict this practice.

The CPT publication is updated and revised

The key components that determine an evaluation and management code are documented by

The two-digit modifier -57 means

The CPT code for office services provided on an emergency basis is

The Healthcare Common Procedure Coding System (HCPCS) consists of two levels of codes.

If a procedure requires more than one modifier code, use the multiple two-digit code ____________________ after the usual five-digit code number.

CPT uses a basic -digit system for coding services rendered by physicians, plus -digit add-on modifiers.

UCR (usual, customary, reasonable) is used mostly in reference to managed care services.

The surgical package for non-Medicare cases includes the

What is the name of the book that contains a coded listing of procedures with unit values that indicate the relative value of various services?

Coding and billing numerous CPT codes to identify procedures that are usually described by a single code is called ____________________.

Some managed care plans develop "internal codes" for use by the plan only to code specific procedures.

The largest section in the CPT book is the