Question 1

Modifier 56, Preoperative care only, would be applicable in which situation:

Accepted Answer

A)   A patient is diagnosed with acute appendicitis, and major surgery is performed the following day
B)   A physician sees a patient in the office and by ordering lab work and diagnostic tests determines the patient needs a surgical procedure. The physician is located in a rural area where the procedure is not available and transfers the care of the patient to a surgeon
C)   A patient presents with symptoms of hypoglycemia and is sent to the lab for a fasting blood glucose and then is sent back to the lab later on the same day to check on levels after treatment
D)   Within the postoperative period of a hernia repair, the patient reherniates after moving furniture within his home. The patient is seen by a new surgeon who surgically repairs the hernia

Question 2

In CPT, the ____ symbol designates a new code for the current edition of the manual:

Accepted Answer

A)   null zero
B)   triangle
C)   bullet
D)   bull's-eye

Question 3

A four-year-old girl presents to the provider's office complaining of severe right ear pain. Upon examination, impacted cerumen is present in both the right and left ears. The physician removes the impacted cerumen bilaterally using instrumentation. The coder identifies the following codes to describe this visit: 69210 Removal of impacted cerumen, unilateral 69209 Removal impacted cerumen using irrigation/lavage ,unilateral The coder should:

Accepted Answer

A)   Report code 69209 -50
B)   Report code 69209 only
C)   Report code 69210 only
D)   Report code 69210 -50

Question 4

The description "Assistant surgeon, when a qualified resident is unavailable," describes which modifier?

Accepted Answer

A)   91
B)   82
C)   99
D)   81

Question 5

The CPT manual is made up of all of the following except:

Accepted Answer

A)   Tabular List
B)   Appendices
C)   Category II codes
D)   Category III codes

Question 6

Modifiers are found in which Appendix?

Accepted Answer

A)   E
B)   M
C)   A
D)   N

Question 7

The acronym for Healthcare Common Procedure Coding System is:

Accepted Answer

A)   HPCS
B)   HLCPCS
C)   HCPCS
D)   HPC

Question 8

The Radiology section is found in what code range?

Accepted Answer

A)   70000-79999
B)   70010-78999
C)   70000-78999
D)   70010-79999

Question 9

All of the following are common CPT coding errors except:

Accepted Answer

A)   Lack of supporting medical necessity for the provided services
B)   Inaccurate or incomplete coding of the services or procedures provided
C)   Inaccurate or incomplete capture of medical documentation
D)   Appropriate use of modifiers with CPT Level I codes

Question 10

Linkage is:

Accepted Answer

A)   Supporting the charges of the service provided
B)   Identifying the number of units of each service provided
C)   Connecting the service provided with the appropriate fee schedule
D)   Supporting the medical necessity of the service provided with the diagnosis

Question 11

All of the following are true of parenthetical notes except:

Accepted Answer

A)   They are located below the code or code range to which the note applies
B)   May inform the coder that the service or procedure described is part of the work of the code for the service or procedure code listed in the parenthetical note
C)   They provide additional information regarding a code or code range
D)   They are located above the code or code range to which the note applies

Question 12

Distinct procedural service is represented by modifier:

Accepted Answer

A)   79
B)   59
C)   58
D)   78

Question 13

In the CPT manual, the _____ symbol designates that a code has been revised.

Accepted Answer

A)   semicolon
B)   facing triangles
C)   bull's-eye
D)   triangle

Question 14

The process of supporting the medical necessity of the CPT code(s)  with the ICD code(s)  is called:

Accepted Answer

A)   documentation
B)   cross-reference
C)   linkage
D)   justification

Question 15

Staged or related procedure or service by the same physician during the postoperative period is modifier:

Accepted Answer

A)   58
B)   79
C)   80
D)   91

Question 16

CPT code updates occur in which quarter of each year?

Accepted Answer

A)   Fourth
B)   Third
C)   First
D)   Second

Question 17

Modifier 81 is used to describe:

Accepted Answer

A)   Assistant surgeon
B)   Multiple modifiers
C)   Minimum assistant surgeon
D)   Assistant surgeon, when a qualified resident is not available

Question 18

This Appendix contains a list of codes that have a lightning bolt symbol, indicating the product referenced in the code is pending FDA approval:

Accepted Answer

A)   L
B)   N
C)   K
D)   M

Question 19

In CPT, the _____ symbol designates that a code is an additional code to be used with the primary procedure and never to be used alone.

Accepted Answer

A)   triangle
B)   bull's-eye
C)   bullet
D)   plus sign

Question 20

The CPT manual is made up of all of the following except:

Accepted Answer

A)   Tabular List
B)   Appendices
C)   Category II codes
D)   Category III codes

Exam 4: Foundations of CPT

The description "Assistant surgeon, when a qualified resident is unavailable," describes which modifier?

Correct Answer
verified

This Appendix contains a list of codes that have a lightning bolt symbol, indicating the product referenced in the code is pending FDA approval:

Correct Answer
verified

In CPT, the _____ symbol designates that a code is an additional code to be used with the primary procedure and never to be used alone.

Correct Answer
verified

The acronym for Healthcare Common Procedure Coding System is:

Correct Answer
verified

Modifier 56, Preoperative care only, would be applicable in which situation:

Correct Answer
verified

Staged or related procedure or service by the same physician during the postoperative period is modifier:

Correct Answer
verified

The CPT manual is made up of all of the following except:

Correct Answer
verified

Modifiers are found in which Appendix?

Correct Answer
verified

In CPT, the ____ symbol designates a new code for the current edition of the manual:

Correct Answer
verified

Linkage is:

Correct Answer
verified

The process of supporting the medical necessity of the CPT code(s) with the ICD code(s) is called:

Correct Answer
verified

The Radiology section is found in what code range?

Correct Answer
verified

Correct Answer
verified

In the CPT manual, the _____ symbol designates that a code has been revised.

Correct Answer
verified

The CPT manual is made up of all of the following except:

Correct Answer
verified

All of the following are common CPT coding errors except:

Correct Answer
verified

Modifier 81 is used to describe:

Correct Answer
verified

CPT code updates occur in which quarter of each year?

Correct Answer
verified

Distinct procedural service is represented by modifier:

Correct Answer
verified

All of the following are true of parenthetical notes except:

Correct Answer
verified

Exam 4: Foundations of CPT

The description "Assistant surgeon, when a qualified resident is unavailable," describes which modifier?

Correct AnswerverifiedShow Answer

This Appendix contains a list of codes that have a lightning bolt symbol, indicating the product referenced in the code is pending FDA approval:

Correct AnswerverifiedShow Answer

In CPT, the _____ symbol designates that a code is an additional code to be used with the primary procedure and never to be used alone.

Correct AnswerverifiedShow Answer

The acronym for Healthcare Common Procedure Coding System is:

Correct AnswerverifiedShow Answer

Modifier 56, Preoperative care only, would be applicable in which situation:

Correct AnswerverifiedShow Answer

Staged or related procedure or service by the same physician during the postoperative period is modifier:

Correct AnswerverifiedShow Answer

The CPT manual is made up of all of the following except:

Correct AnswerverifiedShow Answer

Modifiers are found in which Appendix?

Correct AnswerverifiedShow Answer

In CPT, the ____ symbol designates a new code for the current edition of the manual:

Correct AnswerverifiedShow Answer

Linkage is:

Correct AnswerverifiedShow Answer

The process of supporting the medical necessity of the CPT code(s) with the ICD code(s) is called:

Correct AnswerverifiedShow Answer

The Radiology section is found in what code range?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

In the CPT manual, the _____ symbol designates that a code has been revised.

Correct AnswerverifiedShow Answer

The CPT manual is made up of all of the following except:

Correct AnswerverifiedShow Answer

All of the following are common CPT coding errors except:

Correct AnswerverifiedShow Answer

Modifier 81 is used to describe:

Correct AnswerverifiedShow Answer

CPT code updates occur in which quarter of each year?

Correct AnswerverifiedShow Answer

Distinct procedural service is represented by modifier:

Correct AnswerverifiedShow Answer

All of the following are true of parenthetical notes except:

Correct AnswerverifiedShow Answer

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