CPT & HCPCS CODING CH 1-6 EXAM
1 QUESTIONS AND ANSWERS
T/F
Chapter 1: The current edition of CPT is pocket-sized and contains approximately 4,000
codes. - ANS-false
T/F
CPT is updated by CMS, and this occurs in May of each year. - ANS-false
T/F
A circle is used to denote an add-on code in CPT. - ANS-false
True or False
The semi-colon separates the main term, or common portion, of the CPT code from the
additional, or unique portion, of the CPT code. - ANS-true
T/F
CPT was first published by the American Health Information Management Association.
True or False - ANS-false
HCPCS is the abbreviation for ______________________________________. - ANS-
Correct Healthcare Common Procedure Coding System
A new patient, as defined by CPT is a patient who has not received professional
services from a physician, or another physician of the same specialty who belongs to
the same group practice, within the past 3 years. True or False - ANS-true
A chief complaint is the reason for the patient encounter. - ANS-true
T/F
Social history includes information regarding the patient's and patient's family's marital
status, occupation, sexual history, or other social factors. - ANS-false
T/F
A detailed examination is the highest level of examination and consists of a multi-
system or complete examination of the single organ system. - ANS-false
Information regarding major illnesses, surgeries, injuries, and hospitalizations is part of
the _____________________________. - ANS-past history of the patient
, The objective portion of a "SOAP" note contains the: - ANS-exam of the patient
Constitutional elements of an examination include all EXCEPT which of the following? -
ANS-inspection of the eyes
Medical decision making is based on all the following EXCEPT: - ANS-examination of
the patient
Which of the following is NOT considered a key component when selecting an
evaluation and management code? - ANS-coordination of care
A chronological description of the patient's present illness is the ______________. -
ANS-history of present illness
A complete PFSH includes: - ANS-past patient history, family history, social history
Which of the following codes would NOT be reported for an inpatient hospital
encounter? - ANS-99213
Which of the following would be reported in a clinic? - ANS-99214
Which of the following statements is FALSE in regard to an emergency department
service code? - ANS-A distinction is made between new and established patients.
An E and M nursing facility service involving an annual nursing facility assessment
which requires a detailed interval history, comprehensive examination and medical
decision making that is of low to moderate complexity is reported with code
_______________. - ANS-99318
A home visit E and M service that involved a problem focused history and examination
of a new patient and straightforward medical decision making would be reported with
code _____________. - ANS-99341
A smoking and tobacco use cessation counseling visit of 15 minutes would be reported
with code _______________. - ANS-99407
Dr Jones is the admitting physician for patient Sally Smith. On the first day of
hospitalization Dr Jones completes a comprehensive history and examination, and the
medical decision making is of moderate complexity. - ANS-99222
Mr Hinds is a patient in the ICU who is listed in critical condition. Because of his
condition, Dr Jones spends 1 hour in the evaluation of the patient and this is
documented in the chart. During this time, Dr Jones reviewed X-rays that were taken,
reviewed ECGs, and performed ventilation management - ANS-99291
1 QUESTIONS AND ANSWERS
T/F
Chapter 1: The current edition of CPT is pocket-sized and contains approximately 4,000
codes. - ANS-false
T/F
CPT is updated by CMS, and this occurs in May of each year. - ANS-false
T/F
A circle is used to denote an add-on code in CPT. - ANS-false
True or False
The semi-colon separates the main term, or common portion, of the CPT code from the
additional, or unique portion, of the CPT code. - ANS-true
T/F
CPT was first published by the American Health Information Management Association.
True or False - ANS-false
HCPCS is the abbreviation for ______________________________________. - ANS-
Correct Healthcare Common Procedure Coding System
A new patient, as defined by CPT is a patient who has not received professional
services from a physician, or another physician of the same specialty who belongs to
the same group practice, within the past 3 years. True or False - ANS-true
A chief complaint is the reason for the patient encounter. - ANS-true
T/F
Social history includes information regarding the patient's and patient's family's marital
status, occupation, sexual history, or other social factors. - ANS-false
T/F
A detailed examination is the highest level of examination and consists of a multi-
system or complete examination of the single organ system. - ANS-false
Information regarding major illnesses, surgeries, injuries, and hospitalizations is part of
the _____________________________. - ANS-past history of the patient
, The objective portion of a "SOAP" note contains the: - ANS-exam of the patient
Constitutional elements of an examination include all EXCEPT which of the following? -
ANS-inspection of the eyes
Medical decision making is based on all the following EXCEPT: - ANS-examination of
the patient
Which of the following is NOT considered a key component when selecting an
evaluation and management code? - ANS-coordination of care
A chronological description of the patient's present illness is the ______________. -
ANS-history of present illness
A complete PFSH includes: - ANS-past patient history, family history, social history
Which of the following codes would NOT be reported for an inpatient hospital
encounter? - ANS-99213
Which of the following would be reported in a clinic? - ANS-99214
Which of the following statements is FALSE in regard to an emergency department
service code? - ANS-A distinction is made between new and established patients.
An E and M nursing facility service involving an annual nursing facility assessment
which requires a detailed interval history, comprehensive examination and medical
decision making that is of low to moderate complexity is reported with code
_______________. - ANS-99318
A home visit E and M service that involved a problem focused history and examination
of a new patient and straightforward medical decision making would be reported with
code _____________. - ANS-99341
A smoking and tobacco use cessation counseling visit of 15 minutes would be reported
with code _______________. - ANS-99407
Dr Jones is the admitting physician for patient Sally Smith. On the first day of
hospitalization Dr Jones completes a comprehensive history and examination, and the
medical decision making is of moderate complexity. - ANS-99222
Mr Hinds is a patient in the ICU who is listed in critical condition. Because of his
condition, Dr Jones spends 1 hour in the evaluation of the patient and this is
documented in the chart. During this time, Dr Jones reviewed X-rays that were taken,
reviewed ECGs, and performed ventilation management - ANS-99291
