Question 1

A coder who codes primarily for an orthopedic surgeon who frequently performs nerve conduction studies in the office would reference which Appendix when assigning the appropriate CPT codes for the nerve conduction studies?

Accepted Answer

A)   Appendix I
B)   Appendix L
C)   Appendix K
D)   Appendix JE) A) and B)
F) A) and C)

Question 2

Tracy, a coder for a large cardiology practice, has used the same CPT code to report EKG monitoring in the office for years. As she reviews her newly-revised edition of the CPT manual for the new year, she notes that this code now contains text enclosed in facing triangles. This means that:

Accepted Answer

A)   A portion of the text describing this code has been revised and Tracy must review the revised text carefully before assigning this code
B)   Moderate sedation may no longer be reported separately for this code
C)   Tracy may no longer report modifier 51 with this code when other services have been provided to the same patient in the office on that date of service
D)   This code is now an additional code that must be used with a primary procedure code; Tracy may no longer report this as a stand-alone codeE) B) and D)
F) C) and D)

Question 3

There are ____ digits in CPT codes:

Accepted Answer

A)   four
B)   six
C)   three
D)   fiveE) A) and B)
F) All of the above

Question 4

To find a list of codes that are marked with a plus symbol, a coder would reference:

Accepted Answer

A)   Alphabetic Index
B)   Appendix K
C)   Appendix A
D)   Appendix DE) All of the above
F) C) and D)

Question 5

Modifier 57 represents:

Accepted Answer

A)   Decision for surgery
B)   Distinct procedural service
C)   Preoperative care only
D)   Assistant surgeonE) C) and D)
F) A) and B)

Question 6

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

Accepted Answer

A)   62
B)   26
C)   79
D)   24E) C) and D)
F) A) and B)

Question 7

Modifier 62 is assigned in which scenario:

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)   During coronary artery bypass, the cardiothoracic surgeon gains access to the site while the assisting surgeon harvests the saphenous vein
D)   During coronary artery bypass, the cardiothoracic surgeon gains access to the site while the assisting surgeon harvests the saphenous vein and provides additional assistance as needed throughout the entire procedureE) All of the above
F) None of the above

Question 8

All of the following are common CPT coding errors except:

Accepted Answer

A)   Appropriate use of modifiers with CPT Level I codes
B)   Lack of supporting medical necessity for the provided services
C)   Inaccurate or incomplete capture of medical documentation
D)   Inaccurate or incomplete coding of the services or procedures providedE) B) and D)
F) A) and C)

Question 9

Code range 50010-53899 represents what section of the CPT manual?

Accepted Answer

A)   Respiratory
B)   Nervous system
C)   Male genital
D)   Urinary systemE) All of the above
F) A) and C)

Question 10

Modifiers are found in which Appendix?

Accepted Answer

A)   N
B)   M
C)   A
D)   EE) A) and B)
F) A) and C)

Question 11

Appendix C contains information about:

Accepted Answer

A)   Summary of CPT codes exempt from Modifier 63
B)   Product pending FDA approval
C)   Clinical examples of Evaluation and Management services
D)   Vascular familiesE) All of the above
F) C) and D)

Question 12

What does Appendix F contain?

Accepted Answer

A)   Deleted CPT codes
B)   Summary of CPT codes exempt from modifier 63
C)   Alphabetic clinical topics listing
D)   Genetic testing code modifiersE) None of the above
F) All of the above

Question 13

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

Accepted Answer

A)   Decides reimbursement
B)   Guarantees reimbursement
C)   Creates an insurance profile for the patient
D)   Gathers statistical and research dataE) All of the above
F) A) and B)

Question 14

CPT code 36400 Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; femoral or jugular vein, is found in the ________ section.

Accepted Answer

A)   Integumentary
B)   Medicine
C)   Pathology and Laboratory
D)   CardiovascularE) All of the above
F) A) and D)

Question 15

The Digestive section is found in which code range?

Accepted Answer

A)   40490-49999
B)   50010-53899
C)   54000-55899
D)   0019T-0259TE) B) and C)
F) A) and D)

Question 16

Modifier 25 describes:

Accepted Answer

A)   Same procedure identified by the same CPT code is performed on the right and left during the same operative session
B)   Provider interprets and reports on x-ray findings of films taken by the facility
C)   Patient presents to the office with poison ivy and while there has a wart on the plantar surface of the foot removed
D)   After the start of a surgical procedure, the surgeon stops the procedure due to the patient's conditionE) C) and D)
F) A) and B)

Question 17

Modifier 99 is described as:

Accepted Answer

A)   Multiple modifiers
B)   Surgical team
C)   Distinct procedural service
D)   Two surgeonsE) B) and C)
F) All of the above

Question 18

According to HCPCS guidelines, which of the following is true of Level I - CPT codes?

Accepted Answer

A)   They contain four alphabetic and numeric characters
B)   All codes in Level I contain alphabetic and numeric characters
C)   They contain category II and category III codes
D)   They are categorized as national codesE) B) and C)
F) A) and D)

Question 19

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

Accepted Answer

A)   N
B)   B
C)   E
D)   KE) B) and C)
F) A) and B)

Question 20

In CPT, the ____ symbol designates a new code for the current edition of the manual:

Accepted Answer

A)   bullet
B)   null zero
C)   bull's-eye
D)   triangleE) A) and C)
F) All of the above

Exam 4: Foundations of CPT

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

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Modifier 99 is described as:

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In CPT, the ____ symbol designates a new code for the current edition of the manual:

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CPT code 36400 Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; femoral or jugular vein, is found in the ________ section.

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Modifiers are found in which Appendix?

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A coder who codes primarily for an orthopedic surgeon who frequently performs nerve conduction studies in the office would reference which Appendix when assigning the appropriate CPT codes for the nerve conduction studies?

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According to HCPCS guidelines, which of the following is true of Level I - CPT codes?

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Modifier 25 describes:

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Modifier 57 represents:

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To find a list of codes that are marked with a plus symbol, a coder would reference:

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

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What does Appendix F contain?

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Tracy, a coder for a large cardiology practice, has used the same CPT code to report EKG monitoring in the office for years. As she reviews her newly-revised edition of the CPT manual for the new year, she notes that this code now contains text enclosed in facing triangles. This means that:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

There are ____ digits in CPT codes:

Correct AnswerverifiedShow Answer

Code range 50010-53899 represents what section of the CPT manual?

Correct AnswerverifiedShow Answer

All of the following are common CPT coding errors except:

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Appendix C contains information about:

Correct AnswerverifiedShow Answer

Modifier 62 is assigned in which scenario:

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The Digestive section is found in which code range?

Correct AnswerverifiedShow Answer

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