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37 Cards in this Set
- Front
- Back
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Which of the following is an example of unethical or illegal coding
A. dividing services provided into separate codes when a single code is available B. inclusion of all the relevant complications as documented in the patient's medical record C. using code numbers for the minimum payment allowed D. strict adherence to coding for only procedures performed at your facility. |
dividing services into separate codes when a single code is available.
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the transformation of verbal descriptions of diseases,
injuries, and procedures into numbers is called A. indexing B. posting C. tabulation D. coding |
coding
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two coding systems are used by physicians' offices. one is for diagnoses and the other is for
A. symptoms B. computer directories C. services and procedures D. appointments |
services and procedures
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Physicians' current procedural terminology (CPT) is revised
A. annually B. when necessary C. every 6 months D. every 2 years |
annually
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CPT codes used
A. 3 to 5 digits B. 5 digits C. 2 digits D. 3 digits |
5 digits
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Modifier -26 indicates the
A. service is significant and separately identifiable B. unusual nature of the service or procedure C. technical component D. professional component |
professional component
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codes 99281 through 99285 refer to
A. counseling services B. outpatient consultations C. office surgery D. emergency department |
emergency department
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in some billing cases it is necessary to add a 2 digit modifier in order to
A. indicate usual charges B. prevent miscoding C. give a more accurate description D. meet carrier criteria |
give a more accurate description
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CPT codes, descriptions and two digit modifiers are copyrighted by the
A. American Medical Association B. Blue Cross and Blue Shield Organization C. CPT Assistant D. World Hospital Organization |
American Medical Association
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when transferring codes to claim forms be careful to
A. include descriptions B. write out all abbreviations C. keep from transposing numbers D. write neatly |
keep from transposing numbers
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unbundling, exploding, or a la carte coding are
A. common B. fraudulent C. necessary D. complex |
fraudulent
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if multiple lacerations are repaired under the same classification and in the same group of anatomic
A. add the sum of lengths and report one code B. report a code for each laceration C. include a printed report D. report only the longest laceration |
add the sum of lengths and report one code
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modifier code- 66 indicates
A. procedures performed on infants B. surgical team C. assistant physician D. two surgeons |
surgical team
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modifier code-99 indicates
A. laboratory work B. surgical tray C. universal application D. multiple modifiers |
multiple modifiers
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which of the following is NOT needed when coding a laceration repair
A. depth of wound B. size of wound C. location of wound D. cause of wound |
cause of wound
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the modifier for a repeat procedure by the same physician is
A. -79 B. -78 C. -77 D -76 |
-76
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the purpose of CPT is to
A. revise technology advances B. simplify the CMS- form C. convert medical descriptions into 5 digit codes D. organize insurance billers' work |
convert medical descriptions into 5 digit codes
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the CPT coding system is used all of the following except
A. doctor's offices and clinics B. outpatient departments C. third party payers D. patients |
patients
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the CPT coding system was developed by the
A. American Medical Association B. federal government C. state government D. Social Security Administration |
American Medical Association
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in the CPT manual, a round bullet symbol indicates a
A. bundled code B. new code C. revised code D. deleted code |
new code
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a triangle symbol in the CPT manual indicates a
A. minor surgical procedure B. decision for surgery C. new code D. revised description |
revised description
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in the CPT manual, where is a complete summary of additions, deletions and revisions located
A. in Appendix B B. in Appendix A C. in the Table of Contents |
in appendix B
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which of the following is NOT one of the sections in the CPT manual
A. evaluation and management B. integumentary system C. surgery D. Medicine |
integumentary system
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there are two types of CPT codes: stand-alone and
A. sub codes B. parent codes C. stand aside codes D. indented codes |
indented codes
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in CPT coding, the words following the semicolon may indicate all of the following EXCEPT
A. alternative anatomic site B. alternative procedure C. lesser important procedures D. extent of procedure |
lesser important procedures
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CPT surgical packages are used only by
A. third party payers B. physicians C. anesthesiologists D. radiologists |
physicians
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which of the following is NOT included in the CPT surgery package
A. the operation B. the surgery C. normal follow-up D. general anesthesia |
general anesthesia
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which of the following indicates a co-surgeon
A. -80 B. -81 C. -66 D. -62 |
-62
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when using CPT codes to indicate an unlisted procedure, the last digit will usually be a
A. 9 B. 2 C. 3 D. 4 |
9
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claims including codes for an unusual, new , seldom performed or unlisted procedure should include a
A. duplicate copy B. written medical report C. written description by the code number D. numerical summary |
written medical report
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In the CPT index, main terms are listed by
A. procedure or service B. organ or anatomic site C. condition, synonym, eponym, or abbreviation D. all answers are correct |
All answers are correct
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at the beginning of the CPT index are
A. diagrams B. instructions C. definitions D. anatomical listings |
instructions
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even if only one code is listed for the desired procedure in the index of the CPT manual, the user
A. can select that code B. must refer to the main text C. can expect cross references D. notes that code on the claim form |
must refer to the main text
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a cholera vaccination for the product only is coded as
A. 90725 B. 82438 C. 82435 D. 90757 |
90725
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the code for ordinary replacement of contact is
A. 92311 B. 92340 C. 92326 D. 92352 |
92326
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the key components of documentation that support levels of E/M codes include the following EXCEPT
A. history B. examination C. counseling and coordination of care D. medical decision-making |
counseling and coordination of care
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components of a medical history include all of the following EXCEPT
A. medical decision making B. chief complaint C. family history D. review of systems |
medical decision making
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