Exam One Chapter 1-4

A  By the size of the wound

B  By the length of the incision

C  By the type of instrument used

D  By the classification of repair method

A  Removal of a lesion without the margins

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

C  Partial-thickness removal of a lesion

D  Removal of a lesion with layered closure

A  By type of instrument used

B  By surface area of the wound

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

D  By the surgeon who performed the procedure

A  It helps in billing the insurance company

B  It is not important

C  It helps in maintaining patient records

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

A  The lungs

B  The brain

C  The heart

D  The skin

A  To teach students how to use the CPT codebook

B  To help students memorize CPT codes

C  To encourage teamwork and competition among students

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 performed in addition to another procedure

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

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

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

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

C  When it is performed in addition to another procedure

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

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

C  A modifier that indicates additional intra-service work associated with the primary 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 is not 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  It depends on the procedure performed

B  Yes

C  No

D  It depends on the insurance contract of each individual patient

A  When they are used for diagnostic procedures

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

C  When they are used for surgical 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 follow-up care is provided by the surgeon

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

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

A  To indicate that the surgery was complicated

B  To indicate that the procedure performed was a therapeutic procedure

C  To indicate that the procedure performed was a diagnostic procedure

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

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

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

C  All of these

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

A  According to body systems

B  Alphabetically

C  According to anatomic perspective or types of procedures

D  Numerically

A  10001-69999

B  20001-79999

C  10021-69990

D  20021-79990

A  Only the time for the most complex procedure is reported

B  Combined total time for all procedures is reported

C  Time for each procedure is reported separately

A  The code representing the most complex procedure

B  All the anesthesia codes representing each individual procedure

C  The code representing the least complex procedure

A  Yes

B  No

A  S1, S2, S3, S4, S5, S6

B  A1, A2, A3, A4, A5, A6

C  P1, P2, P3, P4, P5, P6

A  Using any CPT modifier that is appropriate

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

C  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.

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  Only administration of sedatives and analgesics

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

C  Psychological support and physical comfort only

A  Preprocedure visit only

B  Intraprocedure care only

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

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

B  A specific diagnostic or therapeutic procedure

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

A  Yes

B  No

A  Alphabetically

B  By head-to-toe anatomic subsections

C  By type of anesthesia used

D  By patient age

A  99401-99404

B  99391-99397

C  99406-99409

D  99381-99387

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

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

C  Preventive medicine counseling for individuals and groups

D  Hospital inpatient services codes

A  Four times

B  Twice

C  Three times

D  Only once

A  99460-99463

B  99471-99476

C  99221-99233

D  99466-99467

A  A facility that provides medical care for elective procedures

B  A facility that provides medical care for chronic conditions

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

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

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

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  Only one key component is required

D  No key components are required

A  More than 50%

B  More than 90%

C  More than 25%

D  More than 75%

A  Examination, consultation, and medical decision making

B  History, examination, and medical decision making

C  History, examination, and consultation

D  History, consultation, and medical decision making

A  Straightforward

B  Low complexity

C  High complexity

D  Moderate complexity

A  By diagnosis

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

C  By place of service

D  By age

A  Examination, medical decision making, coordination of care

B  History, examination, medical decision making

C  History, examination, time

D  History, medical decision making, coordination of care

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

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

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

C  By place of service

D  By diagnosis

A  Patient demographics

B  Diagnosis codes

C  Procedure codes

D  Services provided by physicians and other QHPs

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

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

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

D  To revise, update, and modify CPT codes.

A  The World Health Organization (WHO).

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

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

D  The National Institutes of Health (NIH).

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

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

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

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

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

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 report medical procedures and services for administrative management purposes only.

A  Condition

B  Procedure or service

C  Physician or specialist name

D  Organ or other anatomic site

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

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

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

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

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

B  It is listed before the parent code’s descriptor

C  It is listed in a separate section of the codebook

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

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

B  To ensure accurate code selection

C  To organize main terms by primary classes of index entries

D  To provide the main text of the CPT code set

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

C  It implies a specific health insurance coverage or reimbursement policy

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

A  Anyone

B  Only the AMA

C  Only government agencies

D  Only physicians

A  For medical education and research

B  For administrative management purposes, such as claims processing

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

D  To promote specific diagnostic or therapeutic procedures

A  A system for identifying medical procedures and services

B  A system for identifying health insurance policies

C  A system for identifying diseases and medical conditions

D  A system for identifying prescription drugs

A  All of these

B  To indicate a shared or common description

C  To save space on the printed page

D  To identify different types of procedures

A  Organ or other anatomic site

B  Procedure or service

C  Condition

D  Provider specialty

A  American Hospital Association

B  AMA’s CPT Editorial Panel

C  Health Insurance Plans

D  Centers for Medicare & Medicaid Services (CMS)

A  To endorse a particular health insurance coverage or reimbursement policy

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

C  To restrict the use of medical procedures and services

D  To promote the use of specific diagnostic or therapeutic procedures