Question 1

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)   exclusionsF) All of the above
G) None of the above

Question 2

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 managementF) A) and B)
G) None of the above

Question 3

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 associationF) B) and D)
G) C) and D)

Question 4

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

Accepted Answer

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

Question 5

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

Accepted Answer

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

Question 6

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 7

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 8

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 9

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 MDMF) C) and E)
G) A) and B)

Question 10

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

Accepted Answer

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

Question 11

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 12

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 ProceduresF) A) and B)
G) None of the above

Question 13

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 DF) A) and E)
G) D) and E)

Question 14

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...

Question 15

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 codesF) C) and D)
G) A) and E)

Exam 19: Procedure Coding

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

Correct Answer
verified

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

Correct Answer
verified

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 ________.

Correct Answer
verified

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

Correct Answer
verified

Modifiers to CPT codes indicate ____.

Correct Answer
verified

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

Correct Answer
verified

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.

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

The most frequently used CPT codes are the ____.

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
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Correct Answer
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Exam 19: Procedure Coding

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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 ________.

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Modifiers to CPT codes indicate ____.

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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.

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

The most frequently used CPT codes are the ____.

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Correct Answer
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