Preparing For The Cpc Exam

Front 1

V- codes

Back 1

Used for a visit (physical,well baby..) not for a disease or injury

Front 2

Physician stand-by services

99360

Back 2

Coded only when no face-to-face contact or service to patient

Front 3

Cytogenetic Studies

Back 3

Study of cells for inherited disorders.

Must use Genetic Testing Code Modifiers (Appendix I )

Front 4

V20.2

Back 4

Well Child visit

Front 5

Cellulitis coding

Back 5

Code location and another code for the organism causing the infection such as staphylococcus

Front 6

27130

Back 6

Total Hip REplacement

Front 7

Pilondial Cyst

Back 7

a cyst located at the bottom of the tailbone

Front 8

Pressure Ulcer

Back 8

Code by location and stage

Front 9

Dysplasia

Back 9

Abnormal tissue

Front 10

Excision of lesions

Back 10

There are different codes for Benign lesions and different codes for malignant lesions. READ op notes CAREFULLY

Front 11

Fine Needle Aspiration

Back 11

Used to take a sample fluid or tissue from a cyst or mass

Front 12

Puncture Aspiration

Back 12

A needle is used to drain cyst or mass

Front 13

Wound Repair Codes are
based on:

Back 13

Type- Simple,Intermediate, Complex

Location-Face vs all others (READ CAREFULLY)

Size

Front 14

Primary and Secondary wound defect

Back 14

Primary defect results from excision
Secondary defect results from creation of flap for closure.

Measure together to get proper code

Front 15

Actinic Keratosis

Back 15

Premalignant lesion

Front 16

Decompression

Back 16

Removing scar tissue or bone from an area to relieve pressure on nerves or nerve roots

Front 17

E-Codes

Back 17

External causes of injury and poisoning. NEVER select an E code as the 1st listed dx code

Front 18

Trigger Point Injections
(20552-20553)

Back 18

Codes are selected on the number of MUSCLES injected, not on the number of injections performed.

Front 19

Vaccination and Injection procedures

Back 19

Two codes are required
1. For actual inject/vac procedure
2. For drug or substance injected

Front 20

The 3 Types of measurements used in the Integumentary System

Back 20

Length in cm for wound repair

Area in sq cm for skin grafts & flaps

Diameter in cm for lesion removal

Front 21

Arthrodesis

Back 21

A surgical immobilization of a joint which results in a fusion

Front 22

Dis-articulation

Back 22

The separation of two bones at the joint,either traumatically or by surgical amputation

Front 23

Spinal Osteotomy Procedures
(22206-22224)

Back 23

coded when a portion of the vertebral segment is cut and removed to prep for re-aligning the spine to correct spinal deformities.

Front 24

24357

Back 24

Repair of tennis elbow

Front 25

Limiting Charge

Back 25

Maximum amount a medicare patient can be billed for a service

Front 26

Cast and Strapping Codes

Back 26

Used only when cast or strapping is being replaced during follow-up care or as an initial service to stabilize or protect a fracture or sprain

Front 27

Replacement Casts

Back 27

Two codes are needed:
1. For application of the cast
2. 99070 for cast supplies

Front 28

Pneumonocentesis

Back 28

Withdrawal of fluid from the lung

Front 29

Pneumothorax

Back 29

Air or gas in the pleural cavity

Front 30

CABG

Back 30

Coronary Artery Bypass Graft

Front 31

CPT # number sign means?

Back 31

resequenced CPT codes

Front 32

CPT Bullet mean?

Back 32

new code symbol

Front 33

CPT Bullseye means?

Back 33

codes that includes moderate (conscious) sedation.

Front 34

CPT circle with line means?

Back 34

modifier –51 exempt code
modifier –51 cannot be used with these codes.

Front 35

CPT Codes is a effective and efficient communicate to what?

Back 35

Inform the third– party of service/ procedure provided, used as a basic of payment.

Front 36

CPT Lightning bolt symbol means?

Back 36

Codes for which the FDA status pending.

Front 37

CPT Plus mean?

Back 37

add–on code

Front 38

CPT Right and Left triangle mean?

Back 38

Beginning and end of a text change

Front 39

CPT Triangle mean?

Back 39

revised code

Front 40

CPT was developed by and what year?

Back 40

AMA in 1966

Front 41

ICD–9–CM how many volumes it have and what are they?

Back 41

Volume 1, Tabular List
Volume 2, Alphabetic List
Volume 3, Index and Tabular of Procedure (Hospital Version)

Front 42

Note in the CPT due what and where are they located?

Back 42

located throughout CPT and provides instruction pertinent to specific subsections.

Front 43

Outpatient Physician (non–hospital) services report on standardized insurance form which is?

Back 43

CMS–1500= Health Insurance Claim Form

Front 44

Three levels of service codes?

Back 44

1. Level 1 CPT
2. Level 2 HCPCS, National Codes
3. Level 3 Local Codes–no longer used.

Front 45

What are Indented codes?

Back 45

Dependent on preceding stand–alone code from meaning.
Ex:
10080 Incision and drainage
of pilonidal cyst; simple
10081 complicated

Front 46

What are stand–alone codes?

Back 46

Full description of the codes

Front 47

What are the CPT section?

Back 47

Evaluation & Management E/M
Anesthesia
Surgery
Pathology & Laboratory
Medicine

Front 48

What are the Guideline due in the CPT?

Back 48

Section– specific information begins each section, provides instruction pertinent to the entire section.

Front 49

What are the two type of codes descriptions?

Back 49

Stand–alone
Indented

Front 50

What are the types of CPT codes

Back 50

Medical
Surgical
Diagnostic service
Anesthesia
Evaluation and Management

Front 51

What does a semicolon (;) mean?

Back 51

Description preceding semicolon is the common part of the description and applies to any indented code under it, you must return to the stand–alone for full description

Front 52

What does ICD–9–CM stand for?

Back 52

International Classification Of Diseases, 9th edition Clinical Modification

Front 53

What does the CPT and the ICD–9–CM manual do?

Back 53

Translate service/ procedures/ supplies/ drugs into CPT/ HCPCS codes. ICD–9–CM translate diagnosis(es) into codes.