Weekly Quiz 5 Chapter 6

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Question #1

The risk of significant complications, morbidity, and/or mortality is a factor in determining the level of medical decision making (MDM).

A True

B False

Question #2

A description of other things that happen when the symptom or pain occurs is referred to as a “modifying factor.”

A False

B True

Question #3

A physician providing a consultation must document his or her opinion in the medical record and render the opinion in writing to the requesting physician.

A True

B False

Question #4

Services that include a physical examination according to age, and appropriate immunizations and laboratory procedures, are called critical care.

A True

B False

Question #5

The modifier -32 is used to identify a mandated service; it is used when the service is requested by the payer.

A False

B True

Question #6

CPT codes describe the main reason for the encounter or visit.

A False

B True

Question #7

CPT codes are used to determine the amount of reimbursement the provider will receive.

A True

B False

Question #8

To code an evaluation and management (E/M) service properly for a new patient, which of the following elements must be documented?

A examination only

B history and examination

C history, examination, and medical decision making

D history and medical decision making

Question #9

In a coding a physical examination, all of the following organ systems are recognized EXCEPT:

A head, including the face.

B skin.

C eyes.

D respiratory.

Question #10

If an examination includes an extended exam of the affected body area(s) and other symptomatic or related organ systems, it is considered a(n):

A expanded problem-focused exam.

B comprehensive exam.

C detailed exam.

D problem-focused exam.

Question #11

The four types of examinations used in determining the level of evaluation and management (E/M) services are:

A problem focused, expanded problem focused, complete, and comprehensive.

B problem focused, expanded problem focused, detailed, and comprehensive.

C problem focused, detailed, comprehensive, and complete.

D expanded problem focused, detailed, expanded detailed, and comprehensive.

Question #12

A social history would include which of the following?

A current medications

B marital status and/or living arrangements

C prior major illnesses and injuries

D the situation that is associated with the pain or symptom

Question #13

A description of how long the symptom or pain has been present is referred to as the:

A duration.

B quality.

C timing.

D severity.

Question #14

A statement, usually in the patient’s words, describing the symptom, problem, condition, or other factor that is the reason for the encounter is called the:

A chief complaint.

B principal diagnosis.

C primary diagnosis.

D reason for complaint.

Question #15

The three key components used to select the appropriate evaluation and management (E/M) code include:

A history, patient age, and time.

B medical decision making, presenting problem, and counseling.

C examination, chief complaint, and place of service.

D history, examination, and medical decision making.

Question #16

Components that define the level of evaluation and management (E/M) services include all of the following EXCEPT:

A the extent of the history documented.

B the location of the procedure or service.

C time.

D the complexity of the medical decision making documented.

Question #17

If a physician began an initial gynecological exam on a patient but discontinued it due to the patient’s extreme discomfort, the modifier would be:

A -25

B -57

C -52

D -32

Question #18

The modifier -57 is used to indicate:

A significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.

B a decision for surgery.

C unrelated evaluation and management (E/M) service by the same physician during a postoperative period.

D repeat procedure by the same physician.

Question #19

The modifier -32 is used to indicate:

A unrelated E/M service by the same physician during a postoperative period.

B significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.

C mandated services (used when requested by the payer).

D reduced services.

Question #20

The ▲ symbol used with a CPT code indicates:

A revised code.

B new code.

C add-on code.

D new or revised text.

Question #21

The symbol + used with a CPT code indicates:

A add-on code.

B new or revised text.

C new code.

D revised code.

Question #22

The symbol • used with a CPT code indicates:

A new code.

B new or revised text.

C add-on code.

D revised code.

Question #23

All of the following are sections of Category I CPT codes EXCEPT:

A Surgery.

B Evaluation and Management.

C Emergency Room Services.

D Medicine.

Question #24

CPT Category II codes are used principally:

A for providing more information about the diagnosis.

B as temporary codes for emerging technology.

C to describe the procedure performed by the physician.

D for performance measurement.

Question #25

The type of procedure codes that use a five-digit numeric code and descriptor are:

A Category I CPT codes.

B Category II CPT codes.

C Category III CPT codes.

D ICD-9-CM codes.

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Weekly Quiz 5 Chapter 6

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Below are the questions for the exam with the choices of answers:

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