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NCCT CHAPTER 4 CPT (CURRENT PROCEDURAL TERMINOLOGY)

STUDY
PLAY
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