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CCS-P > CPT > Flashcards

CPT Flashcards

1
Q

When can you NOT charge for splinting?

A

If the dislocation or fracture is treated (e.g manipulation or reduction)

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2
Q

Who develops and updates HCPCS?

A

Cms

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3
Q

Which level of three, is Cpt?

A

One

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4
Q

Who developed CPT?

A

The AMA

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5
Q

When coding an EGD through which anatomical location must the scope pass to bill for the full code?

A

Duodenum

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6
Q

During a colonoscopy, to which anatomical location must the scope advance to bill the full code?

A

The cecum

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7
Q

To report combined arterial venous graphs how many codes are necessary to report?

A

Two, the appropriate arterial graft code and the appropriate combined arterial venous graft code

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8
Q

True or false, procurement of the artery for grafting is included in the description of the work for code 33533 through 33536

A

True

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9
Q

When can the harvesting of an artery be reported separately?

A

When the artery is procured from an upper extremity

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10
Q

When a second consult as requested by the insurance or required what type of code is billed?

A

E/m. Consults are only billable when referred by physician

-add 32 mod

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11
Q

What is a missed abortion?

A

Loss of pregnancy in first trimester

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12
Q

What is PTCA

A

Percutaneous transluminal coronary angioplasty

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13
Q

When is PTCA not coded?

A

During stent placement; PTCA is included

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14
Q

What two things must be determined to code angioplasty

A

Site and whether open or Percutaneous

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15
Q

Another term for simple mastectomy

A

Transmastoid antrotomy

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16
Q

When is the application of casting or traction devices not separately billable?

A

During the first application

Also, when the fracture or dislocation is reduced

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17
Q

When is a diagnostic endoscopy coded?

A

Only if a surgical procedure was not done (no excision or ablation)

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18
Q

What is always included in a surgical endoscopy?

A

A diagnostic endoscopy

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19
Q

What must be determined first before coding a colonoscopy?

A

The route: colostomy, colotomy, or rectum

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20
Q

What should never be coded in conjunction with Cataract surgery?

A

Medication injections used with the surgery are always considered part of the procedure

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21
Q

True or false most cystourethroscopies are unilateral and require a 50 mod for bilateral

A

True

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22
Q

Codes 52320-52355 include the insertion and removal of what during cystourethroscopy intervention

A

A temporary stent

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23
Q

Where is the urethra located?

A

From the bladder to the outside of the body

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24
Q

Where is the ureter located?

A

Between the kidneys to the bladder

25
Q

How would you code GI biopsy if a single lesion is biopsied but not excised?

A

Code only the biopsy

26
Q

How many GI biopsies Are coded is multiple biopsies are taken from multiple lesions without excision?

A

Code 1 biopsy

27
Q

When might you code for a biopsy and an excision during a G.I. procedure?

A

If a biopsy is taken from one site and the lesion is excised from another and the excision code does not indicate with or without biopsy

28
Q

When might you use modifier 59 well coding a GI biopsy?

A

When coding both a biopsy and removal of a different lesion

29
Q

Name four categories for coding hernias

A

Type (inguinal, femoral)
Initial or recurrent
Age
Clinical presentation (strangulated , reducible)

30
Q

Superficial wound involving skin and or subcutaneous tissue and requiring simple suturing

A

Simple repair

31
Q

Wound involving skin, subcutaneous tissues, and fascia and requiring layered closure or a single closure which requires intensive cleaning

A

Intermediate repair

32
Q

Wound requiring reconstructive surgery or time-consuming or complicated closures

A

Complex

33
Q

When is debridement coded separately?

A

When gross contamination requires cleaning
When appreciable amount of divide allies are contaminated tissue are removed
With debridement is carried out separately without primary closure

34
Q

Where is lesion size best found?

A

The operative report

35
Q

What is included in an adjacent tissue transfer?

A

Excision of tissue including lesions

36
Q

What are the seven ways you can locate terms in the CPT indexed

A

Service/procedure, anatomic site/body organ, condition/disease/problem, synonym, eponym, abbreviation or acronym

37
Q

True of false cholangiogram and cholangiography both refer to use of X-ray and dye

A

True

38
Q

When coding a free skin graft what is the defect

A

The recipient site

39
Q

What must be identified to cut a free skin graft

A

The size and location of the defect a.k.a. recipient area

40
Q

What is an autograft?

A

When skin is harvested from a place on your own body called the donor site and transplanted to a recipient site

41
Q

What is a homograft

A

The tissue graft from a donor of the same species as the recipient

42
Q

What is an allograft

A

A tissue graft from a donor of the same species as the recipient but not genetically identical

43
Q

What is a xenograft

A

A skin graft from one species to another

44
Q

When is it excisional biopsy coated?

A

With the entire lesion with her benign or malignant is removed

45
Q

What is Gyneomastia

A

In enlarged male breast due to endocrine disorder

46
Q

Name the major deciding factor between a lumpectomy /mastectomy and an open excision of a breast lesion

A

Attention to surgical margins

47
Q

True or false the open excision of a breast lesion without attention to adequate surgical margins is coded as a lesion excision

A

True

48
Q

Excision of a lesion or mess with adequate attention paid to the surgical margins surrounding the mass or lesion would be considered and coded as what?

A

Partial mastectomy

49
Q

More than one breast biopsies performed using the same imaging modality how would you code

A

Using an add on for the additional service even if in the contralateral breast

50
Q

How should you code if an additional breast biopsy is performed using different imaging modalities

A

Report another primary code for each additional modality

51
Q

True or false code 69990 , Operating microscope,should be added to a laryngoscopy

A

False operating microscope is included

52
Q

What type of parking is used for a posterior nasal hemorrhage

A

Nasal stands, tampons, balloon catheters, or posterior packing

53
Q

The use of gauze packing or interior packing or cauterization are signs of what type of nasal hemorrhage

A

Anterior

54
Q

When might the wound exploration code 20100 through 20103 the used

A

Repair of a penetrating wound requires enlargement of the existing defect for exploration, cleaning, and repair

55
Q

If a wound does not need to be enlarged to be repaired what series of codes would you use

A

Repair codes for integumentary system

56
Q

What is STEMI

A

ST elevated myocardial infarction

57
Q

What is the ST segment

A

From the end of the QRS complex to the beginning of the T-wave, I selected. Of time after ventricle contracts when the heart is without an electrical current

It is sometimes elevated on an ECG tracing during acute myocardial infarction

58
Q

When a malignant or benign lesion is excised and requires an adjacent tissue transfer how do you code

A

Code only the adjacent tissue transfer the excision is not separately reportable

CCS-P (7 decks)

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