Billing / Coding 5

Question 1

What was set up to give health care providers a coding system that describes specific products, supplies, and services that patients receive?

Answer 1

HCPCS

Question 2

CPT is a publication of the

Answer 2

American Medical Association.

Question 3

Durable medical equipment (DME), such as wheelchairs, is reported using

Answer 3

HCPCS codes.

Question 4

What is a procedure that is usually part of a surgical package but may also be performed separately.

Answer 4

separate procedure

Question 4

What is a procedure that is usually part of a surgical package but may also be performed separately.

Answer 4

separate procedure

Question 5

Unbundling is

Answer 5

separately reporting anything that is included in the bundled code.

Question 6

When listing multiple procedures, the coder should

Answer 6

list the most complex code first.

Question 7

refers to using a single payment for two or more related procedure codes.

Answer 7

bundling

Question 8

In what order should these codes be reported? 11100 for a skin biopsy and +11101 for the biopsy of an additional lesion.

Answer 8

11100, +11101

Question 9

When selecting an Evaluation and Management code, three components are considered: the type of history, the physical examination, and the

Answer 9

medical decision making.

Question 10

What kinds of services support treatment, like rehabilitation, occupational therapy, and nutrition therapy?

Answer 10

ancillary services

Question 11

Anesthesia section have what two types of modifiers?

Answer 11

standard modifiers and physical status modifiers

Question 11

Anesthesia section have what two types of modifiers?

Answer 11

standard modifiers and physical status modifiers

Question 12

The E/M coding method came from the

Answer 12

joint effort of CMS and AMA.

Question 13

How many parts do radiological procedures have?

Answer 13

two

Question 14

Which of the following is the HIPAA Mandated code set for physician’s procedures and services?

Answer 14

CPT

Question 15

Level I codes in the Health Care Common Procedure Coding System (HCPCS) are

Answer 15

Current Procedural Terminology (CPT) codes.

Question 16

Of the four types of examinations that a physician can perform, which level is the most complete?

Answer 16

comprehensive

Question 17

In CPT, what do Category III codes report?

Answer 17

emerging technology, services, and procedures

Question 18

facing triangles that appear in front of a code indicate?

Answer 18

new/revised text other than a code descriptor

Question 19

Which of the following regulates which tests can be completed in an in-office laboratory setting?

Answer 19

CLIA

Question 20

The last step in the coding process is

Answer 20

determine the need for modifiers.

Question 21

Which symbol is used to designate a code’s descriptor has changed

Answer 21

a triangle

Question 22

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

Answer 22

Determine the procedures and services to report, identify the correct codes, and determine the need for modifiers.

Question 23

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

Answer 23

during the global period.

Question 24

Which of the following is used with an anesthesia code to indicate a patient’s health status?

Answer 24

physical status modifiers

Question 25

CPT Level I modifiers are made up of how many digits?

Answer 25

two digits

Question 26

Which of the following is not a main term in the CPT index?

Answer 26

all of these are main terms

Question 27

How many CPT codes are required to report an immunization?

Answer 27

two

Question 28

Place the steps in the coding process in the correct order.

Answer 28

1. Review the documentation of the patient’s visit.
2. Determine which procedures may be reported and charged to the patient’s account.
3. Identify the main term for each procedure reported on the claim.
4. Locate the procedures in the index of CPT
5. Review the possible code assignments and verify the correct assignment for the claim.
6. Append a modifier to the code as necessary.

Question 29

How many digits are in Category I codes?

Answer 29

five

Question 30

In CPT, what do Category II codes report?

Answer 30

services to track performance measurement