A physician performs a preventive care service, the extent of the exam is determined by the
A. patient’s gender. B. length of time elapsed since last exam.
C. patient’s gender and age. D. patient’s age.
Procedures that are experimental, newly approved, or seldom used are reported with what type of code?
A. Modified. B. Variable
C. Technical. D. Unlisted/Category III
In the index of the CPT manual, which punctuation mark between codes indicates a range of codes is available?
A. Semicolon. B. Period
C. Hyphen. D. Comma
A procedure or service not found in the CPT manual can be coded as an unlisted procedure if no category I or II exists to describe the procedure/service provided. Unlisted Service or Procedure codes end in number
A. 22. B. 78.
C. 21. D. 99.
Which of the following code sets would be used to report Evaluation and Management codes for a patient seen in the emergency room?
A. 99241–99245. B. 99455–99456
C. 99251–99255. D. 99281–99288
A __ is a hospital-based physician who only sees patients in the hospital and assumes the responsibility of the primary care physician for hospitalized patients.
A. specialty care physician. B. PA
C. internist. D. hospitalist
What does a modifier do?
A. Subtracts from the definition of the code. B. Adds to the CPT code number
C. Increases third-party payer reimbursement. D. Provides additional information to the third-party payer
18. Which of the following range of codes is located in the Evaluation and Management section of the CPT manual?
A. 99201–99450. B. 80600–88999
C. 89000–89999. D. 90001–90699
An attending physician asks a specialist to see a patient about a specific problem and to advise him regarding treatment. This situation is called a
A. referral. B. confirmatory consultation.
C. transfer of care. D. consultation.
Surgical assistant provides service (an extra set of hands) to the primary surgeon during a surgical procedure. The assistant surgeon’s services are reported using the same codes as the primary surgeon’s, but with modifier
A. 82. B. 80.
C. 59. D. 78.
Modifier -58, staged or related procedure or service by the same physician during the postoperative period, is used to indicate that
A. services that are usually bundled into one payment were provided as separate services.
B. a subsequent surgery was planned at the time of the first surgery.
C. a service was repeated.
D. a patient was taken back to the operating room for surgical treatment of a complication resulting from a previous surgery.
The ___ medical decision-making category includes minimal diagnoses, minimal complexity of data, and minimal risk of complications.
A. simple. B. straightforward
C. uncomplex. D. low complexity
Modifier -51, Multiple Procedure, is used on what type of services?
A. E/M. B. Radiology
C. Surgery. D. Anesthesia
What year was CPT first developed and published?
A. 1967. B. 1983
C. 1966. D. 1970
Who publishes CPT?
A. AMA. B. HHS
C. CMS. D. WHO
J codes in the HCPCS Level II system are used to indicate
A. durable medical equipment. B. medications and dosages.
C. ambulance services. D. bandages.
2. Physician must consider multiple diagnoses and management options. There is a moderate amount of data to be reviewed and the risk of complications or death is moderate. What is the level of MDM?
A. High B. Moderate
C. Straightforward D. Low
Which CPT appendix would additions, deletions, and revisions be found?
A. Appendix C. B. Appendix B
C. Appendix D. D. Appendix A
To qualify for a given level of multi-specialty examination, how many content and documentation requirements should be met?
A. 3 B. 2
C. 4 D. 1
Chief complaint, a brief history of present illness, and a problem-specific review of systems are documented in what type of history level for E/M coding?
A. Detailed. B. Expanded problem focused
C. Brief. D. Comprehensive
What type of code includes all the words that describe the procedure the code represents?
A. Stand-alone. B. Isolated
C. Complete. D. Developed
CPT stands for which of the following?
A. Current Procedural Terms. B. Current Procedure Terminology
C. Current Physician Terminology. D. Current Procedural Terminology
The letter __ designates a temporary HCPCS Level II code for durable medical equipment only.
A. K. B. G
C. Q. D. J
List of all CPT modifiers used to alter or modify codes may be found in which CPT Appendix?
A. Appendix E. B. Appendix A
C. Appendix C. D. Appendix D
Mr. Smith presents to the Emergency Department at the local hospital for chest pain and is seen by the ED physician on duty. The physician obtains an extended HPI, an extended ROS, and a pertinent PFSH. What is the level of history?
A. Problem-focused. B. Comprehensive
C. Expanded problem-focused. D. Detailed