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Coding 3 EOS > FLASH CARDS FROM MIDTERM > Flashcards

FLASH CARDS FROM MIDTERM

1
Q

What is the authoritative reference tool to use when determining how CPT codes should be assigned?

A

American Medical Association’s CPT Assistant newsletter

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2
Q

The code for lesion excision includes this type of repair:

A

Simple

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3
Q

Which of the following includes an edit that rejects claim line items once the maximum number of units of service allowable under most circumstances for a single HCPCS code billed by a provider on the same date of service for a single beneficiary has been reached?

A

Medically Unlikely Edits

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4
Q

What does the symbol of a circle with a line through it (the null symbol) placed before a CPT code in the manual indicate about the code?

A

b.

Modifier -51 exempt

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5
Q

The Radiology Section of CPT includes the code range of:

A

d.

70010-79999

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6
Q

The excised diameter of a lesion means the measurement of:

A

c.

the largest lesion dimension and the measurement of both margins.

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7
Q

How many sets of guidelines exist to explain how to code E/M?

A

two (2)

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8
Q

This designation within the CPT manual indicates a procedure that is only reported when it is performed as the only procedure or when another procedure performed at the same time is unrelated to this procedure. What type of procedure code is this?

A

separate

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9
Q

44360 Small intestinal endoscopy, enteroscopy beyond second portion of the duodenum, not including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)

44361 with biopsy, single or multiple

44363 with removal of foreign body

44364 with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

44365 with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy or bipolar cautery

44366 with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)

44369 with ablation of tumor(s), polyp(s), or other lesion(s) not amendable to removal by hot biopsy forceps, bipolar cautery or snare technique

44370 with transendoscopic stent placement (includes predilation)

44372 with placement of percutaneous jejunostomy tube

44373 with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube

The correct description of CPT code 44370 is:

A

Small intestinal endoscopy, enteroscopy beyond second portion of the duodenum, not including ileum; with transendoscopic stent placement (includes predilation)

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10
Q

In the CPT manual, what type of code has a full code description?

A

Stand-alone

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11
Q

Which symbol is used to identify new and/or revised text within guidelines or instruction notes in the current CPT manual?

A

facing triangles

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12
Q

What is the correct HCPCS Level II modifier to show a procedure was performed on the right thumb?

A

-F5

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13
Q

Which code of those listed below is part of Category I in CPT?

A

a.

99211

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14
Q

When using an unlisted or Category III code, third-party payers usually require submission of a:

A

Special report

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15
Q

What does the acronym “HCPCS” stand for?

A

Healthcare Common Procedure Coding System

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16
Q

Which of the following can be identified as a HCPCS Level II code?

A

c.

L3381

17
Q

Which organization or agency implemented NCCI?

A

CMS

18
Q

You should use time rather than the key components to determine a level of service code when how much of the encounter time is spent with the patient counseling?

A

51% or more

19
Q

What Federal act requires the use of CPT and HCPCS Level II codes when reporting physician services?

A

HIPAA

20
Q

Locating the proper E/M code often begins with knowing:

A

where the patient met with the provider.

21
Q

The Category II Codes of CPT includes the code range of:

A

0001F-7025F

22
Q

Because E/M codes represent the work a physician performs in gathering and analyzing data and information which will enable him/her to diagnose and manage a health problem, they are considered what type of codes?

A

cognitive

23
Q

The Anesthesia Section of CPT includes the code range of:

A

00100-01999

24
Q

The coder is coding an arthrodesis of the hip joint and the CPT Index has an entry that reads:

Arthrodesis
Hip Joint…..27284-27286.

What action should the coder take?

A

Look up codes 27284 through 27286 and select the proper code.

25
Q

What is the correct HCPCS Level II modifier to show the procedure performed is an open reduction and internal fixation for a right, fifth metatarsal fracture?

A

-RT

26
Q

The patient is seen in the clinic for a laceration of the knee. The wound required suturing. On the claim form, which of the following types of codes would be assigned to represent the laceration?

A

ICD diagnosis code

27
Q

Which symbol is used to designate a procedure code that includes provision of moderate sedation by the surgeon in the CPT manual?

A

circled bullet

28
Q

Which of the following statements about modifiers is FALSE?

A

Modifier -P3 is appended to a Surgery code to describe the physical risk to the patient or the complexity of the surgical procedure.

29
Q

A patient underwent excision of a benign lesion of the trunk. After performing the excision, the surgeon performed an intermediate skin closure using sutures. How many CPT codes are reported for this procedure.

A

2

30
Q

In CPT, if a patient has two lacerations of the arm that are repaired with simple closure, which of the following would apply for correct coding?

A

One CPT code, adding the lengths of the lacerations together

31
Q

In the Anesthesia section of CPT, the procedure codes are divided first by which of the following?

A

anatomic site

32
Q

Excision of multiple lesions are reported with:

A

each lesion coded separately.

33
Q

Which of the following type of code provides supplemental information and should not be substituted for a Category I code?

A

Category II codes

34
Q

Which of the following would NOT be found in a medical history?

A

Vital signs.

35
Q

Which symbol is used to identify a revision to the narrative description of a code in the current CPT manual?

A

triangle

36
Q

Which of the following can be identified as a HCPCS Level I Category 1 code?

A

17000

37
Q

The Surgery Section of CPT includes the code range of:

A

10021-69990

38
Q

The Category III Codes of CPT includes the code range of:

A

0019T-0259T

39
Q

The National Correct Coding Initiative (NCCI) promotes correct coding by inappropriately reporting multiple codes when one code exits which includes all separately reported codes. When the separate codes are reported, this is known by what term?

A

unbundling

Coding 3 EOS (4 decks)

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