Advanced Coding Chapter 8-9 Exam Questions And Answers

ADVANCED CODING CHAPTER 8-9
EXAM QUESTIONS AND ANSWERS



CPT codes and descriptions are based on consistency with contemporary medical
practice as performed by clinical-------- throughout the United States. - Correct Answers
-providers

The assignment of CPT codes simplifies reporting and assists in the accurate
identification of procedures and services for third-party -----consideration. - Correct
Answers -payer

CPT codes for procedures and services that are reported on a claim must be linked to
the ICD-10-CM code that justifies the need for the service or procedure, which
demonstrates medical------ for the service or procedure provided. - Correct Answers -
necessity

Category------- codes contain optional "performance measurements" tracking codes that
are assigned an alphanumeric identifier with a letter in the last field. - Correct Answers -
II

Category------ codes contain "emerging technology" temporary codes, which are
assigned for data collection purposes and contain an alphanumeric identifier with a
letter in the last field. - Correct Answers -III

CPT organizes Category I procedures and services into----- sections. - Correct Answers
-six

The Evaluation and Management section of CPT is located at the beginning of CPT
because these codes are reported by all - Correct Answers -specialties

Medicine section codes 99100-99140, which classify Qualifying Circumstances for
Anesthesia, are explained in the------- section guidelines. - Correct Answers -Anesthesia

Refer to CPT code 55605. Its code description is - Correct Answers -vesiculotomy;
complicated

Refer to CPT code 47562 and review all code descriptions through code 47570. The
description for code 47562 is "Laparoscopy, surgical; cholecystectomy." The code
description for 47562 includes a semicolon, which means the description for code

,47563 is - Correct Answers -Laparoscopy, surgical; cholecystectomy with
cholangiography

The cross-reference that directs coders to refer to a different index entry because no
codes are found under the original entry is called See. - Correct Answers -TRUE

Main terms appear in italics in the CPT index. - Correct Answers -FALSE

Inferred words appear in the CPT index to assist coders in assigning appropriate codes.
- Correct Answers -FALSE

The main term may be followed by indented terms, known as subterms, which modify
the main term. - Correct Answers -TRUE

Cross-reference terms are printed in bold in the CPT index. - Correct Answers -FALSE

The major sections of CPT are nuclear medicine, surgery, medicine, pathology, and
radiology. - Correct Answers -FALSE

When a parenthetical statement within a code description begins with e.g., one of the
terms that follows must be included in the provider's description of the surgery for the
code number to apply. - Correct Answers -FALSE

When an unlisted procedure or service code is reported, a special report (e.g., copy of
the procedure report) must accompany the claim. - Correct Answers -TRUE

A blocked unindented note is located below a subsection, category, or subcategory, and
contains instructions that apply to all codes in the subsection, category, or subcategory.
- Correct Answers -TRUE

All descriptive qualifiers for a particular code are found in an indented code description.
- Correct Answers -FALSE

Assign appropriate modifier(s) to each statement. Do not assign CPT codes:Assistant
surgeon reporting patient's cesarean section, delivery only - Correct Answers --80 or 80

Assign appropriate modifier(s) to each statement. Do not assign CPT
codes:Cholecystectomy reported during postoperative period for treatment of leg
fracture - Correct Answers --79

Assign appropriate modifier(s) to each statement. Do not assign CPT codes:Treatment
for chronic conditions at same time preventive medicine is provided - Correct Answers --
25

, Assign appropriate modifier(s) to each statement. Do not assign CPT codes:Inpatient
visit performed by surgeon, with decision to perform surgery tomorrow - Correct
Answers --57

Assign appropriate modifier(s) to each statement. Do not assign CPT codes:Office
consultation as preoperative clearance for surgery - Correct Answers --56

Assign appropriate modifier(s) to each statement. Do not assign CPT
codes:Postoperative management of vaginal hysterectomy - Correct Answers --55

Assign appropriate modifier(s) to each statement. Do not assign CPT codes:Repeat
gallbladder x-ray series, same physician - Correct Answers --76

Assign appropriate modifier(s) to each statement. Do not assign CPT
codes:Arthroscopy of right elbow and closed fracture reduction of left wrist - Correct
Answers --51

Assign appropriate modifier(s) to each statement. Do not assign CPT codes:Needle
core biopsy of right and left breasts - Correct Answers --50

Assign appropriate modifier(s) to each statement. Do not assign CPT
codes:Consultation required by payer - Correct Answers --32

To promote national correct coding methodologies and control the improper assignment
of codes that result in inappropriate reimbursement of Medicare-------- Part claims, CMS
implemented the NCCI. - Correct Answers -B

The NCCI was initially developed for use by Medicare administrative contractors
(MACs) that process Medicare Part B claims for physician office services; in August
2000, NCCI edits were added to the Outpatient Code------ for use by MACs to process
Medicare Part B claims for outpatient hospital services. - Correct Answers -Editor

The NCCI code pairs that should not be billed together because one service inherently
includes the other are called column 1/column 2 edits, while the NCCI code pairs that,
for clinical reasons, are unlikely to be performed on the same patient on the same day
are called------ edits. - Correct Answers -mutually exclusive

When a submitted claim for reimbursement is denied because of incorrect coding rather
than medical necessity, the provider cannot submit an Advance Beneficiary Notice
(ABN) or a Notice of Exclusions from Medicare------ to seek payment from a Medicare
beneficiary. - Correct Answers -Benefits

A 34-year-old male underwent upper gastrointestinal endoscopy, which included
visualization of the esophagus, stomach, and duodenum. During endoscopy, brushings
collected esophageal specimens and esophageal biopsy was performed. Upon review
of CPT Surgery code descriptions for 43235 and 43239, the coder assigned 43239 only