NCCT CHAPTER 4 CPT (CURRENT PROCEDURAL TERMINOLOGY)

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Which of the following is a example of unethical or illegal coding?

DIVIDING SERVICES PROVIDED INTO SEPARATE CODES WHEN IS A SINGLE CODE IS AVAILABLE

The transformations of verbal descriptions of diseases, injuries, and procedures into a numbers is called

CODING

Two coding systems are used by physicians' offices. One is for diagnoses and the other is for

SERVICES AND PROCEDURES

Physicians' Current Procedural Terminology (CPT) is revised

ANNUALLY

CPT codes use

5 DIGITS

Modifier -26 indicates the

PROFESSIONAL COMPONENT

Codes 99281 through 99285 refer to

EMERGENCY DEPARTMENT SERVICES

In some billing cases it is necessary to add a 2 digit modifier in order to

GIVE MORE ACCURATE DESCRIPTION

CPT codes, descriptions and two digit modifiers are copyrighted by the

AMERICAN MEDICAL ASSOCIATION

When transferring codes to claim form be careful to

KEEP FROM TRANSPOSING NUMBERS

Unbundling, exploding, or a la carte coding are

FRAUDULENT

If multiple lacerations are repaired under the same classification and in the same group of anatomic parts a billing and coding specialist should

ADD THE SUM OF LENGTHS AND REPORT ONE CODE

Modifiers code -66 indicates

SURGICAL TEAM

Modifier code -99 indicates

MULTIPLE MODIFIERS

Which of the following is NOT needed when coding a laceration repair?

CAUSE OF WOUND

The modifier for a repeat procedure by the same physician is

-76

The purpose of CPT is to

CONVERT MEDICAL DESCRIPTIONS INTO A 5 DIGIT CODES

The CPT coding system is used by all of the following EXCEPT

PATIENTS

The CPT coding system was developed by the

AMERICAN MEDICAL ASSOCIATION

In the CPT manual, a round bullet symbol indicates a

NEW CODE

A triangle symbol in the CPT manual indicates a

REVISED DESCRIPTION

In the CPT manual where is a complete summary of additions, deletions and revisions located?

IN APPENDIX B

Which of the following is NOT one of the sections in the CPT manual?

INTEGUMENTARY SYSTEM

There are two types of CPT codes: stand-alone and

INDENTED CODES

In CPT coding, the words following the semicolon may indicate all of the following EXCEPT

LESSER IMPORTANT PROCEDURES

CPT surgical packages are used only by

THIRD PARTY PAYERS

Which of the following is NOT included in the CPT surgery package?

GENERAL ANESTHESIA

Which of the following indicates a co-surgeon?

-62

When using CPT code to indicate an unlisted procedure, the last digit will ussually be a

9

Claims including codes for an unusual, new, seldom performed or unlisted procedure should include a

WRITTEN MEDICAL REPORT

In the CPT index, main term are listd by

PROCEDURE OR SERVICE, ORGAN OR ANATOMIC SITE, CONDITION, SYNDROME, EPONYM, OR ABBREVIATION

At the beginning of the CPT index are

INSTRUCTIONS

Even if only one code is listed for the desires procedure in the index of the CPT manual, the user

MUST REFER TO THE MAIN TEXT

A cholera vaccination for the product only is coded as

90725

The code for ordinary replacement of contact lens is

92326

The key components of documentation that support levels of E/M codes include the following EXCEPT

COUNSELING AND COORDINATION OD CARE

Components of a medical history include all of the following EXCEPT

REVIEW OF SYSTEM

A key component in coding medical decision-making is

LEVEL OF COMPLEXITY

Physician counseling is considered a key component for selecting the level of code assignment for Evaluation Management services only when

COUNSELING EXCEEDS 50%OF THE TIME SPENT

Critical care is coded

IN MINUTES STARTING WITH 30-74

In a case requiring critical care coding

VENTILATOR MANAGEMENT IS INCLUDED

A code indicating a vaginal delivery only, not including obstetric care is

59409

Physician telephone calls are usually

NOT PAID BY THIRD PARTY PAYERS

Care Plan Oversight Services for hospice and homebound patients

REQUIRE VAST DOCUMENTATION AND RATE ARE TYPICALLY NOT PAID BY THIRD PARTY PAYERS

Which of the following conditions would not require critical care?

LABOR LEADING TO CHILDBIRTH

Anesthesia codes are divided by

ANATOMICAL SITE

For anesthesia coding purpose, physical status modifiers are used to indicate

PATIENT'S STATUS AT THE TIME OF ANESTHESIA

Where in the CPT manual are codes for anesthesia provided under difficult circumstances?

BOTH ANESTHESIA GUIDELINES AND MEDICINE ARE CORRECT ANSWER

Which section of the CPT manual is the largest?

SURGERY

When one fee is used for surgical procedure and uncomplicated follow-up care, this is called a

GLOBAL SURGICAL PACKAGE

Surgeries which are prolonged or extremely difficult are coded with the modifier

-22

A code used to indicated that a physician assisted the primary surgeon in a major procedure is

-80

The following are subsections of the surgery section of the CPT manual EXCEPT

RADIOLOGY

For coding purposes, information about the size of a lesion should come from

THE PHYSICIAN REPORT

Free skin graft are coded by

RECIPIENT SITE AND SIZE OF DEFECT

For a breast biopsy the placement of a wire marker is

CODED SEPARATELY

Fracture are coded by

SITE AND TREATMENT

To code diagnostic endoscopy procedures

SELECT THE CODE THAT ONE PROCEDURE IN AN OPERATIVE SETTING

Code grouping for arteries and vein vary according to

PROCEDURE

Code for the digestive system are arranged by the site, beginning with the mouth and ending with the

ANUS

A surgical endoscopy always includes

A DIAGNOSTIC ENDOSCOPY

When coding -ostomies, it is critical to

INDENTIFY THE SITE FROM WHICH IT ORIGINATED

When an exploratory laparotomy is used as a surgical approach for another procedure it is

NOT CODED SEPARATELY

In the CPT index hernia codes are listed

BY ANATOMIC SITE OF HERNIA

The code for a total hysterectomy includes removal of the

UTERUS, OVARIES AND FALLOPIAN TUBES

Codes for the nervous system subsection of the CPT manual are divided

BY ANATOMIC SITE AND TYPE OF PROCEDURE

When coding spinal procedures, consider all of the following EXCEPT

UNILATERAL OR BILATERAL ORIENTATION

If a radiology is reading films taken at another facility

USE A MODIFIER TO INDICATE THE PROFESSIONAL COMPONENT

When contrast material is injected by a radiologist the injection procedure code is taken from the

SURGERY SECTION

Codes in the Diagnostic Radiology subsection are arranged

BY ANATOMIC SITE

When coding radiation oncology consider all of the following EXCEPT

AGE OF THE PATIENT

Considerations when coding urinalysis and chemistry laboratory procedures includes all of the followin EXCEPT

BRAND NAMES FOR LAB EQUIPMENT

Level I pathology code 88300 identifies specimens that normally do not need to be viewed under a microscope such as

A TOOTH

If a physician spends 50 minutes with a patient after he or she has been admitted for a suicide attempt in connection with depression the psychotherapy coding would be

SEPARATE FROM INITIAL CARE

The major factor for coding psychiatry is

TIME

The Physical Medicine code are indications of types of modalities and

TIME

When coding trauma cases the most severe injury is

CODED FIRST

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