-
If a coder is unable 2 loc a cde tht describes the exact Serv provided, it is acceptable 2 use a cde tht approximates the serv provided???
- "FALSE"- It is UNACCEPTABLE
-
According 2 the Surgery guidelines, Surgical Destruction may B considered prt of a surg procedure???
-
There R various types of anesthesia, these incl. General, Regional, Local, Moderate/Conscious Sedation???
-
Local anesthesia is a type of anesthesia tht provides a decreased level of consciousness(moderate)
- "FALSE" ~ *Moderate Sedation*
-
Only 1 CPT procedure cde may b represented by 1 anesthesia cde...
-
Anesthesia serv's incl PST/op visits 2 the pt hy the anesthesiologist...
-
Qualifying anesthesia circumstances r adjunct codes & r used whn the administration of the anesthesia is more difficult.
-
The words tht follow a code # in the CPT manual are called:
a.) Procedure/Service Descriptor
b.) Listing Order
c.) Format Descriptor
d.) identified descriptor
- "Procedure/Service descriptor"
-
A cde tht has all of the wrds tht describe the code tht follows is wht type of cde:
a.) developed c.) stand alone
b.) isolated d.) complete
-
Procedures tht are Experimental, Newly Approved, or Seldom Used are reported w/wht type of cde:
a.) unlisted/category III c.) modified
b.) technical d.) variable
- " Unlisted/Category III" cde
-
Who requires a special report w/the use of unlisted codes:
a.) AMA c.) modified
b.) 3rd prty payers d.) National Center 4 Health Care
-
Which of the foll represents (3) of the (6) elements tht a "special report" mst contain:
a.) cond, serv, description c.) nature, extent, need
b.) anatomic site, serv, extent d.) serv, extent, procedure
-
In which CPT appendix would Additions, Deletions, & Revisions be found:
a.) Appendix A c.) Guidelines
b.) Appendix B d.) Introduction
-
In which CPT Appendix would all modifiers be found:
a) Appendix A c) Appendix C
b) Appendix B d) Appendix D
**Appendix H has been deleted frm the manual as it's 2 long...CMS has made it avail on/line if needed**
-
CPT stands 4:
a) Current Phys Term b) Current Proced'l Term
b) Current Proced Term c) Current Proced'l Terms
- "Current Procedural Terminology"
-
Which term reflects the techonologic advances made in medicine tht R incorportated in/2 the CPT Manaual...
a) Revisions c) Special Reports
b) Modifiers d) Guidelines
-
Where is specific coding info abt ea section loc'd....
"Guidelines"
-
What yr was CPT 1st developed...
"1966"
-
Who publishes CPT...
"AMA: Amer Medical Association"
-
Category I CPT codes have __ digits...
"5"
-
The universal health ins form 4 submission of out/pt serv is the...
"CMS-1500"
-
Wht is NOT a reason for the CPT coding sys...
"Increased Reimbursement"
-
What is the function of an Add-on cde...
"Identifies a code tht is never used alone"
-
How mny main sections are in the CPT manual...
"6"
-
When will unclear terminology CPT be replaced w/more precise definitions...
"Upon publication of CPT-5"
-
A modifier...
"Provides add'tl info 2 the 3rd-Party Payer"
-
According 2 the notes preceding the Category III codes in the CPT manaual, the digits of the Category III codes R not intended 2 reflect the placement of the code in the Category I section of the CPT...
"Nomenclature"
-
According 2 the CPT manual, modifier -91 is not 2 B used whn tests R __ 2 confirm initial results...
"Rerun"
-
According 2 the E/M guidelines, time is not a descriptive component 4 the ___ dep't levels of E/M serv...
"Emergency"
-
The level of E/M serv is based on...
- * Documentation
- * Key Components
- * Contributing Factors
-
Medical Decision Making {MDM} is based on the ___ the phys mst consider abt the mang't of a pt's cond...
- * # of dx's
- * Risk of Morbidity
- * Amt of Data
-
The request 4 advice or opinion frm 1 phy 2 another phys is wht type of serv...
"Consultation"
-
Critical care codes R reported based on...
"Time"
-
According 2 E/M guidelines, a ___ exam encompasses a complete single-specialty exam or a complete multi-sys exam...
"Comprehensive"
-
Whn tme is calculated 4 anesthesia serv's, the tme begins whn...
"The Anesthesiologist begins preparing the pt 2 receive anesthesia"
-
Wht type of nurse can administer anesthesia under the direction of an anesthesiologist...
"CRNA" {Cert'd Registered Nurse of Anesthetics}
-
Modifiers may affect...
"The way payment is made by a 3rd-Party Payer"
-
Modifiers R used 2 indicate wht type of info...
- * Bilateral Procedure
- * Multiple Preocedures
- * Service greater than usually required
-
Concurrent anesthesia care modifiers R used 2 describe...
"a # of cases an anesthesiologist is directing or supervising @ 1x"
-
Modifier -57, decision 4 surgery, is used on wht type of serv...
"E/M"
-
Modifier -79, unrelated procedure or serv by the sme phys during the post/operative period, is used on wht type of serv...
"Surgery"
-
Modifier -51 Multiple Procedure, is used on wht type of serv's...
"Surgery"
-
Modifier -80, Ass't Surgeon, is used when...
"A 2nd surgeon provides assistance 2 the primary surgeon"
-
Modifier -32 is used 2 indicate a serv is mandated. Wht is an ex of whn a serv is "mandated?"...
"An ins Co requires a 2nd opinion prior 2 surgery"
-
Modifier -25 significant, separately identifiable E/M serv by the same phys on the sme day of the procedure or other serv, is used 2 report an E/M serv tht was...
* "provided in the sme day as a minor procedure performed by the same phys"
-
Modifier -59, distinct procedure Serv, is used 2 indicate tht:
"Serv's tht R usually bundled in/2 1 payment were provided as sep serv's"
-
Modifier -58, staged or related procedure or Serv by the same phys during the PST/Op period, is used 2 indicate:
"Tht subsequent surgery was planned @ the time of the 1st surgery"
-
99100 is an ex of:
"Qualifying circumstance"
-
Modifier -52, reduced serv's, is used 2 indicate:
"A Serv was reduced w/out changing the definition of the code"
-
In the anesthesia section of the CPT manual l, the procedure codes r divided 1st by:
"Anatomic Site"
-
Wht is the type of sedation tht allows a procedure 2 B performed w/out pain 2 the pt, but the pt is not completely asleep???
"Conscious or Moderate" sedation
-
The society tht published the Relative Value Guide 4 anesthesia services is the:
"American Society of Anesthesiologists"
-
The aneshtesia formula is:
-
-
Which codes begin w/the # 99 & are used 2 indicate anesthesia serv's provided during situations tht mke the administration of the anesthesia more difficult???
"Qualifying Circumstances"
-
The anesthesia status modifer tht indicates the pt's condition @ the time anesthesia was administered is:
" Physical"
-
The modifier -AA is an ex of wht type of modifier???
"HCPCS"
-
The multiple modifier is indicated w/which modifer???
"-99"
-
The modifier tht indicates only the professional component of the service was provided is:
"-26"
-
The modifier tht indicates multiple precedures is:
"-51"
-
A ___ ____ mst accompany claims when using an unlisted procedure code.
"Special Report"
-
The _____ section guidelines contain the definition of the chief complaint.
"E/M"
-
The ____ section guidelines contian the definition of separate procedure.
"Surgery"
-
Using the index of the CPT manual, the range of code(s) 4 the entry Paravertebral Nerve, Destruction is _______.
"64622-64627"
-
The two digit modifier 4 a return 2 the operating room 4 a related procedure during a post/op period is ____.
"-78"
-
The two digit modifier used by by an Ambulatory Surgery Center {ASC} or Hospital out/pt unit 4 a discontinued
"-73"
-
According 2 the CPT Surgery Guidelines, wht is the code 4 the following unlisted procedures: Unlisted procedure, Neck or Thorax???
"21899"
-
According 2 the CPT Surgery Guidelines, wht is the code 4 the foll unlisted procedures: Unlisted procedure, Arthroscopy???
"29999"
-
According 2 the CPT Surgery Guidelines, wht is the code for the foll unlisted procedures: Unlisted Laparoscopic procedure, Liver???
"47379"
-
The correct order frm the largest 2 smallest division of the CPT hierarchy in the CPT manual is _____.
a. category
b. subsection
c. section
d. subheading
- 1. Section
- 2. Subsection
- 3. SubHeading
- 4. Category
-
Appendix C of the CPT manual contians examples of ___ Codes
"Clinical Examples"
-
There R 2 types of codes, but only ____ codes hve the full description.
-
When two surgeons work 2/gether as primary surgeons performing distinct parts of a procedure, ea surgeon would report modifier ____ w/his/her procedure code.
-
An established pt is one who has received face/2/face professonal serv's frm the physician or another physician of the same specialty in the same group w/in the past __ yrs.
"3"
-
The term used 2 describe a pt who has not been formally admitted 2 a health care facility is ____.
"Out/Pt"
-
Complete the foll blanks tht refer 2 the 3 factors tht the coder mst consider in the assignment. ___ of serv, ___ of serv____ status.
- "Type or Place"
- "Type of Pt"
- "Level of Serv"
-
The 4 types of pt status are: ____, _____, ____ & ____
- 1. "Out/Pt"
- 2. "In/Pt"
- 3. "New"
- 4. "Est"
-
The _____ is a statement describing the reason for the encounter & is a history element.
"Chief Complaint" {C/C}
-
_____ lists some HCPCS modifiers in the CPT book
"Appendix A"
-
Physicial status modifier P3 indicates a pt w/______
"Severe Systematic Disease"
-
Codes for Qualifying Circumstances are found in both the Anesthesia Guidelines & the ____ section of the CPT book.
"Medical"
-
What modifer would you use if you were coding only for the Professional Component fo a diagnostic procedure?
-
What modifier would you use if you were coding only the technical component of a diagnostic procedure?
"TC"
-
Moderate or ______ sedation is a type of sedation tht may be provided by the physician performing the procedure.
Conscious"
-
If anesthesia was provided 2 a pt who is not expected 2 survive w/out the surgical procedure being performed, the ___ physicial status modifier would be appended 2 the anesthesia code.
"-P5"
-
Match the term 2 the correct symbol:
a. Filled in Circle
b. +
c. R & L Triangle
d. Triangle
e. Circle w/line
- 1. Revised txt: Rght/Lft Triangles
- 2. Revised Code: Triangle
- 3. New Code: Filled in Circle
- 4. Add-On Code: +
- 5. Modifier -51 exempt
-
Name the 6 basic location methods 2 loc main terms in the index of CPT...
- 1. "Procedure"
- 2. "Anatomic Site or Organ"
- 3."Condition
- 4. "Synonyms"
- 5. "Eponyms"
- 6. "Abbreviations"
-
What R the 4 elements of history???
- 1. "CC" {Chief Complaint}
- 2. "HPI" {History Present Illness}
- 3. "ROS" {Range of Serv}
- 4. "PFSH" {Present Family Social Hist}
-
Complexity of medical decision making is based on what 3 elements???
- 1. "Amt of "Data"
- 2. "Risk of Complication"
- 3. "# of Dx's"
-
4. Wht R the 3 key components tht R present in every pt case, except counseling encounters or time based codes, & enable the coder 2 choose the appropriate level of serv???
- 1. "History"
- 2. "Exam"
- 3. "MDM" {Med. Dec. Making}
-
Wht R the 4 levels of hist???
- 1. "Problem Focused" {PF}
- 2. "Expanded Problem Focused {EPF}
- 3. "Detailed/Extensive"
- 4. "Comprehensive"
-
Wht R the 4 levels of MDM complexity???
- 1. SF {Straight Forward}
- 2."LC" {Low Complexity}
- 3. "MC" {Moderate Complexity}
- 4. "HC" {High Complexity}
-
Wht R the 4 Contributing Factors???
- 1. "Time"
- 2. "Coordination of Care"
- 3. "Counseling"
- 4. "Nature of Presenting Illnes"
-
Coding Convention:
*Moderate Sedation*
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