Question 1

A Category III code has a (n)  ____ for the fifth digit.

Accepted Answer

A)   number
B)   special character
C)   alphabetic character
D)   number zero

Question 2

An administrative code indicating where medical services are provided is called ___.

Accepted Answer

A)   place of service
B)   locator code
C)   global positioning code
D)   site of service

Question 3

Which of the following is not a key component that is used to determine level of service for E/M coding?

Accepted Answer

A)   The extent of the patient history taken
B)   The extent of the examination conducted
C)   The complexity of the medical decision making
D)   The attending physician

Question 4

_____ is the practice of displaying the codes outside of numerical order in favor of grouping them according to the relationships among the code descriptions.

Accepted Answer

A)   renumbering
B)   relettering
C)   resequencing
D)   recoding

Question 5

What is the term for when a physician sends a patient to another physician for either total care or a specific portion of the care?

Accepted Answer

A)   resettlement of patient
B)   referral
C)   professional courtesy
D)   assignment of patient

Question 6

A code in CPT that describes a procedure that is performed only in addition to a primary procedure is called a /an ___.

Accepted Answer

A)   add-on code
B)   supplement code
C)   sub code
D)   additional code

Question 7

In CPT, which term describes the number that is used to report special circumstances involved with a procedure or service?

Accepted Answer

A)   referral
B)   evaluation
C)   modifier
D)   consultation

Question 8

The _____ includes the days surrounding a surgical procedure when all services relating to the procedure are considered part of the surgical package.

Accepted Answer

A)   recovery time period
B)   after care period
C)   allotted time period
D)   global period

Question 9

What is the correct CPT code for diagnostic dilation and curettage?

Accepted Answer

A)   58100
B)   58140
C)   58150
D)   58120

Question 10

In a ____________________, the care of a patient is transferred from one physician to another physician.

Accepted Answer

A)   referral
B)   evaluation
C)   management
D)   consultation

Question 11

HCPCS is the abbreviation for ____.

Accepted Answer

A)   Health Care Common Procedure Coding System
B)   Hospital Common Procedure Code System
C)   Health Common Practice Code System
D)   Healthily Care Practice Code System

Question 12

The difference between a referral and a consultation is ____.

Accepted Answer

A)   that in a referral, the primary physician sends the patient to another physician for health care.
B)   that in a consultation, the patient is treated by a specialist.
C)   a CPT code used for a consultation and ICD-10-CM for a referral
D)   where the medical service is provided.

Question 13

When must a special report be attached to the health care claim?

Accepted Answer

A)   when a specialist is consulted
B)   when a code for an unlisted procedure is used
C)   when the patient is a dependent
D)   when there is more than one insurance company

Question 14

________ contains the standardized classification system for reporting medical procedures and services.

Accepted Answer

A)   Current Coding Terminology
B)   Current Procedural Terminology
C)   Coding Procedural Guide
D)   Coding Insurance Guide

Question 15

What is the correct CPT code for an unlisted procedure on the abdomen?

Accepted Answer

A)   39599
B)   29999
C)   39999
D)   43334

Question 16

What is the correct CPT code for a regularly scheduled follow-up fifteen-minute nursing home visit with a patient who has had a stroke?

Accepted Answer

A)   99307
B)   99212
C)   99213
D)   99304

Question 17

The HCPCS coding system has two levels, Level I codes from CPT and ___.

Accepted Answer

A)   Level II codes issued by AARP
B)   Level II codes issued by insurance companies
C)   Level III codes issued by Medicare
D)   Level II codes issued by CMS

Question 18

The correct process for assigning accurate procedure codes has ____ steps.

Accepted Answer

A)   four
B)   six
C)   eight
D)   nine

Question 19

____ are codes for supplies and other items not included in CPT.

Accepted Answer

A)   Health Care Common Procedure Coding System
B)   Hospital Common Procedure Coding System
C)   Health Care Collective Procedure Coding System
D)   Hospital Corporate Procedure Coding System

Question 20

_____ are factors that are found in the patient's medical record and used to determine the level of evaluation and management services.

Accepted Answer

A)   key components
B)   element components
C)   division components
D)   segment components

Exam 5: Procedural Coding

_____ is the practice of displaying the codes outside of numerical order in favor of grouping them according to the relationships among the code descriptions.

Correct AnswerverifiedShow Answer

What is the term for when a physician sends a patient to another physician for either total care or a specific portion of the care?

Correct AnswerverifiedShow Answer

The HCPCS coding system has two levels, Level I codes from CPT and ___.

Correct AnswerverifiedShow Answer

In a ____________________, the care of a patient is transferred from one physician to another physician.

Correct AnswerverifiedShow Answer

What is the correct CPT code for an unlisted procedure on the abdomen?

Correct AnswerverifiedShow Answer

Which of the following is not a key component that is used to determine level of service for E/M coding?

Correct AnswerverifiedShow Answer

An administrative code indicating where medical services are provided is called ___.

Correct AnswerverifiedShow Answer

In CPT, which term describes the number that is used to report special circumstances involved with a procedure or service?

Correct AnswerverifiedShow Answer

The difference between a referral and a consultation is ____.

Correct AnswerverifiedShow Answer

The correct process for assigning accurate procedure codes has ____ steps.

Correct AnswerverifiedShow Answer

________ contains the standardized classification system for reporting medical procedures and services.

Correct AnswerverifiedShow Answer

A code in CPT that describes a procedure that is performed only in addition to a primary procedure is called a /an ___.

Correct AnswerverifiedShow Answer

The _____ includes the days surrounding a surgical procedure when all services relating to the procedure are considered part of the surgical package.

Correct AnswerverifiedShow Answer

What is the correct CPT code for a regularly scheduled follow-up fifteen-minute nursing home visit with a patient who has had a stroke?

Correct AnswerverifiedShow Answer

____ are codes for supplies and other items not included in CPT.

Correct AnswerverifiedShow Answer

What is the correct CPT code for diagnostic dilation and curettage?

Correct AnswerverifiedShow Answer

When must a special report be attached to the health care claim?

Correct AnswerverifiedShow Answer

A Category III code has a (n) ____ for the fifth digit.

Correct AnswerverifiedShow Answer

_____ are factors that are found in the patient's medical record and used to determine the level of evaluation and management services.

Correct AnswerverifiedShow Answer

HCPCS is the abbreviation for ____.

Correct AnswerverifiedShow Answer

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