Question 1

The E/M coding method came from the

Accepted Answer

A)   joint effort of CMS and AMA.
B)   CMS.
C)   WHO.
D)   AMA.E) A) and B)
F) A) and C)

Question 2

Which group identifies services for which new HCPCS level II codes are needed?

Accepted Answer

A)   CMS HCPCS Workgroup
B)   DMEPOS
C)   OCR
D)   AMAE) A) and B)
F) A) and C)

Question 3

In CPT, what do facing triangles that appear in front of a code indicate?

Accepted Answer

A)   new/revised text other than a code descriptor
B)   add-on code
C)   revised code
D)   new codeE) All of the above
F) A) and D)

Question 4

When a medical practice receives a revised edition of CPT, what activities should follow?

Accepted Answer

A)   Educate medical professional staff.
B)   Update patient billing software.
C)   Update encounter forms.
D)   All of these.E) A) and C)
F) A) and D)

Question 5

A ___________ is a single code grouping laboratory tests frequently done together.

Accepted Answer

A)   microscopy
B)   bundle
C)   sample
D)   panelE) B) and D)
F) A) and C)

Question 6

The last step in the coding process is

Accepted Answer

A)   Identify the main term.
B)   verify the code in the CPT text.
C)   determine the need for modifiers.
D)   locate the Main term in the index.E) A) and C)
F) A) and B)

Question 7

Which symbol is used to designate it is an add-on code?

Accepted Answer

A)   a plus sign
B)   a triangle
C)   facing triangles
D)   a bulletE) A) and B)
F) A) and C)

Question 8

Which of the following is a cross-reference that might be seen in CPT?

Accepted Answer

A)   See Also
B)   Neither "See" nor "See Also" is seen
C)   See
D)   Both "See" and "See Also" are seenE) A) and D)
F) C) and D)

Question 9

Which of the following temporary codes was developed to assist DMERCs?

Accepted Answer

A)   K codes
B)   G codes
C)   Q codes
D)   C codesE) A) and D)
F) A) and B)

Question 10

Codes that are used to indicate that the administration of the anesthesia involved difficult circumstances are called

Accepted Answer

A)   add-on codes.
B)   E/M codes.
C)   physical status modifiers.
D)   anesthesia codes.E) A) and B)
F) None of the above

Question 11

Under CPT guidelines, all services related to a surgical procedure are not additionally reimbursed

Accepted Answer

A)   after the global period.
B)   before the global period.
C)   during the E/M period.
D)   during the global period.E) None of the above
F) B) and D)

Question 12

Which of the following is the best process to correctly select CPT codes?

Accepted Answer

A)   Locate the probable code, determine the procedures and services it covers, and determine the need for modifiers.
B)   Determine the correct codes and modifiers, and then place them in the proper order from primary to secondary procedures.
C)   Determine the procedures and services to report, identify the correct codes, and determine the need for modifiers.
D)   Flip through the index until you find a code that matches your procedure.E) B) and D)
F) C) and D)

Question 13

How many possible add-on qualifying circumstances are there in the Anesthesia Section?

Accepted Answer

A)   ten
B)   two
C)   four
D)   eightE) A) and C)
F) B) and C)

Question 14

Codes in the anesthesia section are paid according to the

Accepted Answer

A)   severity of the surgery.
B)   time.
C)   severity of the diagnosis.
D)   the type of anesthesia used.E) B) and C)
F) A) and C)

Question 15

Routine annual physical examinations are reported using which type of E/M codes?

Accepted Answer

A)   Consultation codes
B)   Preventive Medicine Services codes
C)   Office Services codes
D)   Critical Care Services codesE) None of the above
F) A) and B)

Question 16

A complete procedure in the pathology and laboratory section includes all of the following except

Accepted Answer

A)   performing the test.
B)   ordering the treatment based on the results.
C)   ordering the test.
D)   handling the sample.E) A) and B)
F) B) and C)

Question 17

In CPT, a lightning bolt symbol next to a code indicates a(n)

Accepted Answer

A)   revised code descriptor.
B)   code pending FDA approval.
C)   add-on code.
D)   new/revised text other than the descriptor.E) None of the above
F) A) and C)

Question 18

How many key components are there when evaluating an E/M code?

Accepted Answer

A)   two
B)   three
C)   five
D)   fourE) A) and B)
F) B) and C)

Question 19

Physicians may only code from

Accepted Answer

A)   any CPT section
B)   Evaluation and Management section of CPT.
C)   Surgery section of CPT.
D)   Medicine section of CPTE) B) and C)
F) A) and D)

Question 20

What does HCPCS use to provide additional information about services, supplies, and procedures?

Accepted Answer

A)   Level IV modifiers
B)   All of these are correct
C)   Level III modifiers
D)   Level II modifiersE) B) and D)
F) None of the above

Exam 5: Procedural Coding: CPT and HCPCS

Which symbol is used to designate it is an add-on code?

Correct AnswerverifiedShow Answer

When a medical practice receives a revised edition of CPT, what activities should follow?

Correct AnswerverifiedShow Answer

Which of the following is a cross-reference that might be seen in CPT?

Correct AnswerverifiedShow Answer

The last step in the coding process is

Correct AnswerverifiedShow Answer

Routine annual physical examinations are reported using which type of E/M codes?

Correct AnswerverifiedShow Answer

How many key components are there when evaluating an E/M code?

Correct AnswerverifiedShow Answer

Codes that are used to indicate that the administration of the anesthesia involved difficult circumstances are called

Correct AnswerverifiedShow Answer

The E/M coding method came from the

Correct AnswerverifiedShow Answer

In CPT, what do facing triangles that appear in front of a code indicate?

Correct AnswerverifiedShow Answer

In CPT, a lightning bolt symbol next to a code indicates a(n)

Correct AnswerverifiedShow Answer

Which group identifies services for which new HCPCS level II codes are needed?

Correct AnswerverifiedShow Answer

A ___________ is a single code grouping laboratory tests frequently done together.

Correct AnswerverifiedShow Answer

Which of the following is the best process to correctly select CPT codes?

Correct AnswerverifiedShow Answer

Which of the following temporary codes was developed to assist DMERCs?

Correct AnswerverifiedShow Answer

What does HCPCS use to provide additional information about services, supplies, and procedures?

Correct AnswerverifiedShow Answer

Codes in the anesthesia section are paid according to the

Correct AnswerverifiedShow Answer

A complete procedure in the pathology and laboratory section includes all of the following except

Correct AnswerverifiedShow Answer

How many possible add-on qualifying circumstances are there in the Anesthesia Section?

Correct AnswerverifiedShow Answer

Physicians may only code from

Correct AnswerverifiedShow Answer

Under CPT guidelines, all services related to a surgical procedure are not additionally reimbursed

Correct AnswerverifiedShow Answer

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