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To locate a code in the CPT index, the coder can look under the affected organ or anatomic site of the condition.

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Match the following:

Premises
Modifier used to report a higher level of service or a more complex procedure than is usually required
Modifier used to report multiple procedures performed during the same session by the same provider
Modifier used to report a procedure that was started and then discontinued
Modifier used to report surgical care only, NOT including preoperative or postoperative services
Modifier used to report a bilateral procedure
Modifier used to report two surgeons working together as primary surgeons, each performing a distinct part of a procedure
Modifier used to report a repeat procedure by the same physician subsequent to the original procedure
Modifier used to indicate that multiple modifiers apply to a reported procedure
Modifier used to report the use of an outside laboratory
Modifier used to report services performed by an assistant surgeon
Responses
90
99
62
22
53
80
54
50
51
76

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Modifier used to report a higher level of service or a more complex procedure than is usually required
Modifier used to report multiple procedures performed during the same session by the same provider
Modifier used to report a procedure that was started and then discontinued
Modifier used to report surgical care only, NOT including preoperative or postoperative services
Modifier used to report a bilateral procedure
Modifier used to report two surgeons working together as primary surgeons, each performing a distinct part of a procedure
Modifier used to report a repeat procedure by the same physician subsequent to the original procedure
Modifier used to indicate that multiple modifiers apply to a reported procedure
Modifier used to report the use of an outside laboratory
Modifier used to report services performed by an assistant surgeon

Surgical procedures can be described as:


A) incision.
B) excision.
C) repair.
D) all of the above.

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List the four primary classes of main index entries in the CPT code book.

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The four primary classes are p...

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To locate the main term for a procedure or service in the CPT code book, the medical office assistant should use the __________ .

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To bill for services provided by an audiologist, the necessary CPT codes would be found in the:


A) Evaluation and Management section.
B) Anesthesia section.
C) Pathology and Laboratory section.
D) Medicine section.

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D

With respect to global surgical package guidelines, surgical supplies are:


A) always included in the global fee.
B) always billed separately from the surgical code.
C) billed separately only if they are over and above those usually included with procedures.
D) never coded.

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In coding radiology services, the part of the procedure that reflects the technologist and the equipment used is the:


A) technical component.
B) professional component.
C) supply and equipment component.
D) results component.

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A surgical package includes:


A) a group of codes authorized by the Centers for Medicare and Medicaid Services (CMS) .
B) specific additional services in addition to a surgical procedure.
C) surgical procedures plus required anesthesia.
D) a discounted rate of payment when an elective procedure is performed at the same time as a medically necessary procedure.

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Unbundling (also known as fragmented billing) will result in higher reimbursement for the physician and should be done in as many circumstances as possible.

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A group of laboratory tests ordered together to detect a particular disease or organ malfunction is known as a(n) __________ .

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If a physician repeats a basic procedure performed by another physician, the modifier -77 should be used.

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Add-on codes describe procedures/services that are performed:


A) at a later date than the primary procedure.
B) in addition to the primary procedure.
C) as an elective part of the primary procedure.
D) in anticipation of the primary procedure.

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The Anesthesia section of the code book can be found directly before the:


A) Evaluation and Management section.
B) Surgery section.
C) Radiology section.
D) Medicine section.

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A service NOT included in the surgical package code would be:


A) evaluating the patient in the postanesthesia recovery room.
B) immediate postoperative care, including talking with the patient's family.
C) surgical complications or the presence of other diseases requiring additional services.
D) one related evaluation and management (E/M) encounter on the date immediately prior to the date of the procedure.

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C

What is the purpose of cross-references in the CPT code book?

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Cross-references provide addit...

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The global surgical period is determined by the:


A) patient's primary care physician.
B) surgeon.
C) patient.
D) insurance carrier or other third-party payer.

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Modifier -51 can be used to report which of the following situations?


A) Multiple, related operative procedures performed at the same session by the same provider
B) A combination of medical and operative procedures performed at the same session by the same provider
C) Multiple medical procedures performed at the same session by the same provider
D) All of the above

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When a physician performs a surgical procedure but does NOT provide the preoperative and/or postoperative management, the coder should use modifier:


A) -54.
B) -55.
C) -56.
D) -58.

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When would an add-on code be used?

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An add-on code describes procedures/services that are always performed in addition to the primary procedure. Add-on codes can never be used alone.

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