Question 1

Which subsection of the surgery section include procedures on the spleen and bone marrow?

Accepted Answer

A)   Cardiovascular System
B)   Digestive System
C)   Hemic/Lymphatic Systems
D)   Endocrine System
E)   Laboratory ProceduresF) B) and E)
G) None of the above

Question 2

If a code description has changed since the last revision of the CPT manual, what symbol is placed next to the CPT code?

Accepted Answer

A)   Green arrows
B)   Lightning bolt
C)   Red dot
D)   Blue triangle
E)   Pound (#)  signF) All of the above
G) A) and C)

Question 3

To ensure reimbursement at the highest allowed level, CPT codes must ____.

Accepted Answer

A)   include codes and modifiers that reflect the services performed
B)   include only the modifiers
C)   include all of the unbundled procedures
D)   reflect a procedure or service higher than what was actually performed
E)   reflect a procedure or service lower than what was actually performedF) C) and E)
G) B) and C)

Question 4

Any code that includes more than one procedure in its description is considered a(n) ________ code.

Accepted Answer

The answer of Any code that includes more than one...

Question 5

You have consulted the index in the CPT and discovered that a dressing for a burn is found in procedure codes 16010-16030. To correctly code the dressing for the burn, you should ____.

Accepted Answer

A)   check each code in the range to choose the correct code
B)   use the codes 16010 and 16030
C)   use the code 16010
D)   choose any code within this code range
E)   use the code 16030F) A) and B)
G) A) and C)

Question 6

The ________ of the medical decision making is a key factor in determining the level of E/M codes selected.

Accepted Answer

The answer of The ________ of the medical decision making...

Question 7

Medical offices usually have a(n)  ____ to help minimize the risk of fraud by discovering and correcting coding and billing problems.

Accepted Answer

A)   quality assurance program
B)   billing software program
C)   financial management plan
D)   compliance plan
E)   external auditorF) B) and E)
G) A) and C)

Question 8

Which of the following statements about surgical coding for the musculoskeletal system is not true?

Accepted Answer

A)   Fracture repair assumes and includes cast application.
B)   If a diagnostic procedure becomes a therapeutic procedure, only the therapeutic procedure is coded.
C)   Cast application is coded only when the physician applying the cast did not initially treat the fracture.
D)   A fracture treatment is closed unless stated otherwise.
E)   Musculoskeletal subheadings begin with the foot and toes and work their way up to the head.F) A) and B)
G) None of the above

Question 9

When coding CPT procedures, an add-on code will describe ____.

Accepted Answer

A)   special circumstances that apply to a procedure
B)   surgical or other supplies that were used during a procedure
C)   other procedures done in addition to a main procedure
D)   medications used during a procedure
E)   the type of anesthetic that was used during a procedureF) B) and E)
G) C) and D)

Question 10

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 11

A(n) ________ patient is one that has been seen by any providers in the same specialty of the medical practice within the past three years.

Accepted Answer

The answer of A(n) ________ patient is one that has...

Question 12

_______ codes are the most frequently used of all CPT codes because they are used by all physicians in any medical specialty.

Accepted Answer

E/M Evalua...

Question 13

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 14

When a patient has no symptoms of a disease and the provider performs the tests for that disease at the patient's request, the provider has committed which of these fraudulent coding and billing practices?

Accepted Answer

A)   Reporting services that were not performed
B)   Reporting services at a higher level than was carried out
C)   Performing procedures not related to the patient's condition
D)   Billing separately for services that are bundled in a single procedure code
E)   Reporting the same service twiceF) A) and B)
G) C) and D)

Question 15

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) A) and B)
G) A) and C)

Question 16

Which of the following items is not required for a service to be considered a consultation?

Accepted Answer

A)   Request from another physician
B)   Documentation of the findings
C)   Record of recommendations
D)   Revision of the initial diagnosis
E)   Report to the referring physicianF) A) and E)
G) A) and C)

Question 17

Billing for a moderate level evaluation and management service when only a simple BP check and injection were carried out is an example of ____.

Accepted Answer

A)   Reporting services that were not performed
B)   Reporting services at a higher level than was carried out
C)   Performing procedures not related to the patient's condition
D)   Billing separately for services that are bundled in a single procedure code
E)   Reporting the same service twiceF) A) and B)
G) A) and C)

Question 18

A medical provider bills separately for a comprehensive metabolic panel and a quantitative glucose test, which is normally included in the metabolic panel. This is an example of which of the following fraudulent coding and billing practices?

Accepted Answer

A)   Reporting services that were not performed
B)   Reporting services at a higher level than was carried out
C)   Performing procedures not related to the patient's condition
D)   Billing separately for services that are bundled in a single procedure code
E)   Reporting the same service twiceF) All of the above
G) A) and B)

Question 19

Nathan is in the medical office today complaining of a sore throat and fever. After ruling out strep throat, the practitioner diagnoses a common cold and tells Nathan to take over-the-counter medications for symptom relief. In which category does Nathan's chief complaint fall?

Accepted Answer

A)   Minimal complaint
B)   Self-limited complaint
C)   Low-severity complaint
D)   Moderate-severity complaint
E)   High-severity complaintF) A) and E)
G) A) and B)

Question 20

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) C) and D)

Exam 19: Procedure Coding

Which subsection of the surgery section include procedures on the spleen and bone marrow?

Correct Answer
verified

When a patient has no symptoms of a disease and the provider performs the tests for that disease at the patient's request, the provider has committed which of these fraudulent coding and billing practices?

Correct Answer
verified

A medical provider bills separately for a comprehensive metabolic panel and a quantitative glucose test, which is normally included in the metabolic panel. This is an example of which of the following fraudulent coding and billing practices?

Correct Answer
verified

You have consulted the index in the CPT and discovered that a dressing for a burn is found in procedure codes 16010-16030. To correctly code the dressing for the burn, you should ____.

Correct Answer
verified

Which of the following items is not required for a service to be considered a consultation?

Correct Answer
verified

Medical offices usually have a(n) ____ to help minimize the risk of fraud by discovering and correcting coding and billing problems.

Correct Answer
verified

To ensure reimbursement at the highest allowed level, CPT codes must ____.

Correct Answer
verified

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

Correct Answer
verified

If a code description has changed since the last revision of the CPT manual, what symbol is placed next to the CPT code?

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

Any code that includes more than one procedure in its description is considered a(n) ________ code.

Correct Answer
verified

_______ codes are the most frequently used of all CPT codes because they are used by all physicians in any medical specialty.

Correct Answer
verified
E/M Evalua...
View Answer

Correct Answer
verified

Which of the following statements about surgical coding for the musculoskeletal system is not true?

Correct Answer
verified

A(n) ________ patient is one that has been seen by any providers in the same specialty of the medical practice within the past three years.

Correct Answer
verified

Nathan is in the medical office today complaining of a sore throat and fever. After ruling out strep throat, the practitioner diagnoses a common cold and tells Nathan to take over-the-counter medications for symptom relief. In which category does Nathan's chief complaint fall?

Correct Answer
verified

When coding CPT procedures, an add-on code will describe ____.

Correct Answer
verified

The ________ of the medical decision making is a key factor in determining the level of E/M codes selected.

Correct Answer
verified

Billing for a moderate level evaluation and management service when only a simple BP check and injection were carried out is an example of ____.

Correct Answer
verified

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

Correct Answer
verified

Exam 19: Procedure Coding

Which subsection of the surgery section include procedures on the spleen and bone marrow?

Correct AnswerverifiedShow Answer

When a patient has no symptoms of a disease and the provider performs the tests for that disease at the patient's request, the provider has committed which of these fraudulent coding and billing practices?

Correct AnswerverifiedShow Answer

A medical provider bills separately for a comprehensive metabolic panel and a quantitative glucose test, which is normally included in the metabolic panel. This is an example of which of the following fraudulent coding and billing practices?

Correct AnswerverifiedShow Answer

You have consulted the index in the CPT and discovered that a dressing for a burn is found in procedure codes 16010-16030. To correctly code the dressing for the burn, you should ____.

Correct AnswerverifiedShow Answer

Which of the following items is not required for a service to be considered a consultation?

Correct AnswerverifiedShow Answer

Medical offices usually have a(n) ____ to help minimize the risk of fraud by discovering and correcting coding and billing problems.

Correct AnswerverifiedShow Answer

To ensure reimbursement at the highest allowed level, CPT codes must ____.

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

If a code description has changed since the last revision of the CPT manual, what symbol is placed next to the CPT code?

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

Any code that includes more than one procedure in its description is considered a(n) ________ code.

Correct AnswerverifiedShow Answer

_______ codes are the most frequently used of all CPT codes because they are used by all physicians in any medical specialty.

Correct AnswerverifiedE/M Evalua...View AnswerShow Answer

Correct AnswerverifiedShow Answer

Which of the following statements about surgical coding for the musculoskeletal system is not true?

Correct AnswerverifiedShow Answer

A(n) ________ patient is one that has been seen by any providers in the same specialty of the medical practice within the past three years.

Correct AnswerverifiedShow Answer

Nathan is in the medical office today complaining of a sore throat and fever. After ruling out strep throat, the practitioner diagnoses a common cold and tells Nathan to take over-the-counter medications for symptom relief. In which category does Nathan's chief complaint fall?

Correct AnswerverifiedShow Answer

When coding CPT procedures, an add-on code will describe ____.

Correct AnswerverifiedShow Answer

The ________ of the medical decision making is a key factor in determining the level of E/M codes selected.

Correct AnswerverifiedShow Answer

Billing for a moderate level evaluation and management service when only a simple BP check and injection were carried out is an example of ____.

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
E/M Evalua...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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