MEDICAL CODING - 2011

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Quiz questions for college course: Medical Coding. (In reference with text "2011 Step-By-Step Medical Coding" by Carol Buck and Jacqueline Klitz Grass. Semester year 2012.

The range of codes 10021-69990 would be found in this section of the CPT manual.

Surgery

According to the CPT Surgery Guidelines, what is the code for the following unlisted procedures: Unlisted laparoscopic procedure, liver?

47379

According to the CPT Surgery Guidelines, what is the code for the following unlisted procedures: Unlisted procedure, neck or thorax?

21899

If a coder is unable to locate a code that describes the exact service provided, it is acceptable to use a code that approximates the service provided. (True or False)

False, You would use an unlisted procedure

What modifier would you use if you were coding only for the professional component of a diagnostic procedure?

26

Modifier -25, significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service, is used to report an E/M service that was:

Provided on the same day as a minor procedure performed by the same physician.

Modifier -59, distinct procedure service, is used to indicate that:

Services that are usually bundled into one payment were provided as separate services.

A new patient presents to the physician's office at which time the physician provides a comprehensive history and exam with a high complexity MDM.

99205

What are the three key components that are present in every patient case, except counseling encounters or time-based codes, and enable the coder to choose the appropriate level of service?

history, examination, medical decision making

Modifier _____ is used to indicate that a separately identifiable E/M service was performed by the physician on the same day as the preventive medicine service.

25

Assign a CPT anesthesia code and applicable modifiers for anesthesia services for an 81-year-old patient with mild systemic disease who receives anesthesia for revision of total hip arthroplasty.

01215-P2, 99100

Assign a CPT anesthesia code and applicable modifiers for anesthesia services for a 9- month-old normal child who received anesthesia for hernia repair in the lower abdomen

00834-P1

When the words "separate procedure" appear after the descriptor of a code, you know which of the following about that code?

The procedure was a minor procedure that would only be reported if it was the only service provided.

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