Exam One Chapter 1-4

A  By the size of the wound

B  By the length of the incision

C  By the classification of repair method

D  By the type of instrument used

A  Full-thickness removal of a lesion through the dermis, including margins

B  Removal of a lesion without the margins

C  Removal of a lesion with layered closure

D  Partial-thickness removal of a lesion

A  By the surgeon who performed the procedure

B  By type of instrument used

C  By surface area of the wound

D  By the depth of tissue removed and by surface area of the wound

A  It is not important

B  It helps in identifying the correct code to report the procedure

C  It helps in maintaining patient records

D  It helps in billing the insurance company

A  The skin

B  The brain

C  The lungs

D  The heart

A  To encourage teamwork and competition among students

B  To help students memorize CPT codes

C  To teach students how to use the CPT codebook

A  There is no difference between the two techniques in CPT coding

B  Minimally invasive techniques involve the use of a scope or other specialized equipment

C  Open surgical techniques involve larger incisions than minimally invasive techniques

A  That the procedure is unrelated or distinct from other procedures/services provided

B  That additional intra-service work is associated with the primary procedure

C  That the procedure is performed in addition to another procedure

A  Only when it is considered an integral component of another procedure/service

B  When it is performed independently, unrelated, or distinct from other procedure(s)/service(s) provided

C  When it is performed in addition to another procedure

A  A modifier that indicates a procedure is unrelated or distinct from other procedures/services provided

B  A modifier that indicates additional intra-service work associated with the primary procedure

C  A modifier that indicates a procedure is performed in addition to another procedure

A  A code that is commonly carried out in addition to the primary service or procedure

B  A code that describes additional intra-service work associated with the primary procedure

C  A code that can only be reported when performed in addition to another procedure

A  A code that can only be reported when performed in addition to another procedure

B  A code that describes additional intra-service work associated with the primary procedure

C  A code that is not commonly carried out in addition to the primary service or procedure

A  It depends on the insurance contract of each individual patient

B  Yes

C  No

D  It depends on the procedure performed

A  When they are over and above those usually included with the services rendered

B  When they are used for surgical procedures

C  When they are used for diagnostic procedures

D  When they are used for postoperative care

A  The period of time in which a patient is expected to return for follow-up care

B  The period of time in which a patient is expected to recover after a surgical procedure

C  The period of time in which follow-up care is provided by the surgeon

D  The period of time in which a patient is hospitalized after a surgical procedure

A  To indicate that the procedure performed was a diagnostic procedure

B  To indicate that the procedure performed was a therapeutic procedure

C  To indicate that the surgery was complicated

D  To indicate that surgery was scheduled at the time of the E/M visit

A  Anesthesia, postoperative medications, medical supplies, follow-up care

B  All of these

C  Evaluation and Management (E/M) services, local infiltration, immediate postoperative care, typical postoperative follow-up care

D  Laboratory tests, imaging studies, surgical equipment, preoperative care

A  Alphabetically

B  Numerically

C  According to body systems

D  According to anatomic perspective or types of procedures

A  20001-79999

B  10001-69999

C  10021-69990

D  20021-79990

A  Time for each procedure is reported separately

B  Combined total time for all procedures is reported

C  Only the time for the most complex procedure is reported

A  The code representing the most complex procedure

B  The code representing the least complex procedure

C  All the anesthesia codes representing each individual procedure

A  Yes

B  No

A  S1, S2, S3, S4, S5, S6

B  P1, P2, P3, P4, P5, P6

C  A1, A2, A3, A4, A5, A6

A  Using the five-digit anesthesia procedure code and two-digit physical status modifier to distinguish the various levels of complexity of the anesthesia service provided.

B  Using any CPT modifier that is appropriate

C  Using the CPT code for the surgical procedure being performed.

A  Begins when patient is under postoperative supervision and ends when the anesthesia services are completed.

B  Begins when physician starts preparing patient for anesthesia in the operating room and ends when the patient is under postoperative supervision.

C  Begins when patient is brought to the operating room and ends when the procedure is completed.

A  Psychological support and physical comfort only

B  Only administration of sedatives and analgesics

C  Diagnosis/treatment of clinical problems during procedure, support of vital functions, and provision of other medical services needed to complete procedure

A  Intraprocedure care only

B  Preprocedure visit, intraprocedure care, and postprocedure anesthesia management.

C  Preprocedure visit only

A  A specific diagnostic or therapeutic procedure

B  A type of anesthesia service for patients with severe systemic disease

C  Anesthesia care that includes intraprocedure care and postprocedure anesthesia management.

A  No

B  Yes

A  By patient age

B  By type of anesthesia used

C  Alphabetically

D  By head-to-toe anatomic subsections

A  99391-99397

B  99406-99409

C  99401-99404

D  99381-99387

A  Hospital inpatient services codes

B  Initial comprehensive preventive medicine E/M service for new patient visits

C  Preventive medicine counseling for individuals and groups

D  Periodic comprehensive preventive medicine reevaluation and management services for established patient visits

A  Only once

B  Four times

C  Three times

D  Twice

A  99221-99233

B  99460-99463

C  99466-99467

D  99471-99476

A  A hospital-based facility that provides unscheduled episodic services to patients who present for immediate medical attention

B  A facility that provides medical care for routine check-ups

C  A facility that provides medical care for chronic conditions

D  A facility that provides medical care for elective procedures

A  No key components are required

B  Only two of the three key components must meet or exceed the stated requirements to qualify for a particular level of E/M service

C  Must meet or exceed the stated requirements to qualify for a particular level of E/M service

D  Only one key component is required

A  More than 25%

B  More than 90%

C  More than 50%

D  More than 75%

A  History, examination, and medical decision making

B  History, consultation, and medical decision making

C  Examination, consultation, and medical decision making

D  History, examination, and consultation

A  Moderate complexity

B  High complexity

C  Low complexity

D  Straightforward

A  By age

B  By diagnosis

C  By place of service

D  By whether they have received a face-to-face professional medical service from the physician/QHP within the past three years

A  Examination, medical decision making, coordination of care

B  History, examination, time

C  History, medical decision making, coordination of care

D  History, examination, medical decision making

A  History, examination, medical decision-making complexity, counseling, coordination of care, nature of presenting problem, time

B  Diagnosis, history, examination, medical decision-making complexity, counseling, coordination of care, time

C  History, examination, medical decision-making complexity, coordination of care, nature of presenting problem, time, patient demographics

D  Diagnosis, medical decision-making complexity, counseling, coordination of care, nature of presenting problem, time, place of service

A  By diagnosis

B  By patient demographics

C  By broad categories such as office visits, hospital visits, consultations, preventive medicine, and advance care planning

D  By place of service

A  Patient demographics

B  Diagnosis codes

C  Services provided by physicians and other QHPs

D  Procedure codes

A  To limit the number of medical procedures and services that can be performed.

B  To limit the amount of reimbursement for medical procedures and services.

C  To revise, update, and modify CPT codes.

D  To limit the number of physicians that can perform a particular medical procedure.

A  The American Medical Association’s (AMA) CPT Editorial Panel.

B  The World Health Organization (WHO).

C  The Centers for Disease Control and Prevention (CDC).

D  The National Institutes of Health (NIH).

A  The shared description appears in the child code’s descriptor.

B  The parent code is always followed by only one child code.

C  The child code’s descriptor is physically indented beneath the parent code’s descriptor.

D  The shared content appears after the semicolon in the parent code.

A  To report medical procedures and services for administrative management purposes only.

B  To provide a list of medical procedures and services that are not covered by insurance.

C  To develop guidelines for medical review, medical education, and research.

D  To limit the amount of reimbursement for medical procedures and services.

A  Condition

B  Procedure or service

C  Physician or specialist name

D  Organ or other anatomic site

A  To provide a list of medical procedures and services that are not covered by insurance.

B  To limit the number of physicians that can perform a particular medical procedure.

C  To limit the number of medical procedures and services that can be performed.

D  To provide a uniform language to accurately reflect medical, surgical, and diagnostic services.

A  It is physically indented beneath the parent code’s descriptor

B  It is listed in a separate section of the codebook

C  It is not related to the parent code’s descriptor

D  It is listed before the parent code’s descriptor

A  To ensure accurate code selection

B  To provide the main text of the CPT code set

C  To organize main terms by primary classes of index entries

D  To list all the possible codes for a given procedure or service

A  It is generally based on the procedure being consistent with contemporary medical practice and performed by many physicians in clinical practice in multiple locations

B  It represents endorsement by the AMA of a particular diagnostic or therapeutic procedure

C  It implies a specific health insurance coverage or reimbursement policy

D  It is not necessary to ensure accurate communication among physicians, patients, and third parties

A  Only government agencies

B  Only physicians

C  Only the AMA

D  Anyone

A  To promote specific diagnostic or therapeutic procedures

B  For medical education and research

C  For administrative management purposes, such as claims processing

D  To report medical procedures and services under government and private health insurance

A  A system for identifying diseases and medical conditions

B  A system for identifying medical procedures and services

C  A system for identifying prescription drugs

D  A system for identifying health insurance policies

A  All of these

B  To identify different types of procedures

C  To indicate a shared or common description

D  To save space on the printed page

A  Condition

B  Procedure or service

C  Provider specialty

D  Organ or other anatomic site

A  Centers for Medicare & Medicaid Services (CMS)

B  Health Insurance Plans

C  American Hospital Association

D  AMA’s CPT Editorial Panel

A  To restrict the use of medical procedures and services

B  To endorse a particular health insurance coverage or reimbursement policy

C  To promote the use of specific diagnostic or therapeutic procedures

D  To provide a uniform language to accurately reflect medical, surgical, and diagnostic services