Current Procedural Terminology (CPT)

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

The transformation of verbal descriptions of diseases, injuries, and procedures into numbers is called _______.  a. indexing b. posting  c.  tabulation d. coding

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

Physicians' Current Procedural Terminology (CPT) is revised ____.  a. annually b.when necessary  c. every 6 months  d. every 2 years

CPT codes use _____.  a. 3 to 5 digits  b.  5 digits  c. 2 digits  d. 3 digits

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

Codes  99281 through 99285  refer to _____.  a. counseling services  b.  outpatient consultations  c.  office surgery  d. emergency department services

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

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

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

Unbundling, exploding, or a la carte coding are ______.  a. common b. fraudulent  c. necessary  d. complex

If multiple lacerations are repaired under the same classification and in the same group of anatomic parts a billing and coding specialist should ____. 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

Modifier code -66 indicates _____.  a. procedure performed on infants  b. surgical team  c. assistant physician  d.  two surgeons

Modifier code -99 indicates ____.  a. laboratory work  b.  surgical tray  c. universal applicaiton d. multiple modifiers

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

The modifier for a repeat procedure by the same physician is  ______.  a. -79  b. -78 c. -77 d. -76

The purpose of CPT is to _____.  a. revise technologic advances  b. simplify the CMS-1500 form  c. convert medical descriptions  into 5 digit codes d. organize insurance billers' work

The CPT coding system is used by all of the following EXCEPT ____. a. doctor's offices and clinics  b. outpatient departments  c. third party payers  d. patients

The CPT coding system was developed by the ____. a. American Medical Association  b. federal government  c. state government  d. Social Security Administration

In the CPT manual, a round bullet symbol indicates a ____.  a. bundled code  b. new code  c. revised code  d. deleted code

A triangle symbol in the CPT manual indicates a ____.  a. minor surgical procedure  b. decision for surgery  c. new code  d. revised description

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 Index  d.  in the Table of Contents

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

There are two types of CPT codes:  stand- alone and _____.  a. sub codes  b.  parent codes  c.  stand aside codes  d.  indented codes

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