CERTIFIED CODING SPECIALIST
Questions with Correct Answers
100% Verified Graded A+
1. To assign modifier correctly, two physicians of different
must have worked together as co-surgeons and each surgeon dictated his/her own
operative report.
Answer>: -62
specialties
2. When more than two physicians work together to complete a complicated procedure
and each physician has a specific portion of the surgery to com- plete, they are called.
Answer> co-surgeons
3. This modifier indicates an increased service and is overused and results in an increase
in payment of 20% to 30%. As such, the assignment of this modifier comes under
particularly close scrutiny by third-party payers. What is this modifier?:
Answer> -22
4. When adding multiple CPT modifiers to a code, you would list the modifiers from
When adding multiple HCPCS modifiers, list in
,If CPT modifiers and HCPCS modifiers are both used, list
Answer> CPT- highest to lowest
HCPS-ascending alphabetical order
both- CPT (highest to lowest) then HCPS (ascend. alpha.)
5. What part of the CPT manual lists a full description for all modifiers?:
Answer> ap- pendix A
6. When a CPT codes does not fully explain an unusual procedure,what should be added to
the code?:
Answer> modifier
7. Third-Party payers require this modifier for a mandated service.:
Answer> -32 (like a rape test required by police, or phyiscal exam needed for workers
comp; third-party payer will pay 100% for mandated services)
8. Modifier -47, anesthesia by the surgeon, is never added to what CPT code?-
Answer>: Anesthesia Code
9. How many units of service may be billed when reporting the -50 modifier (bilateral)
to Medicare?:
Answer> one unit
(For medicare, just submit 27447-50 for procedure done left and right; whereas other payers
,want two lines 27447 and 27447-50.)
10. When reporting -51 modifier to indicate multiple procedure performed, which
procedure should be reported first on the claim?:
Answer> Primary Procedure
11. Medicare considers what service to be part of the surgery and bundled payment
not allowing the -56 modifier?:
Answer> preoperative
12. E&M services provided the day before or the day of a major surgery are included in
what package?:
Answer> Global Day
13. Modifier -63 indicates procedure provided to a neonate or infant up to what weight?:
Answer> 4 kg or 8.8 lbs
14. A surgical team consists of how many physicians?:
Answer> More than two
15. What is defined as a place of service specifically equipped and staffed for the sole
purpose of performing procedures?:
Answer> Operating Room
16. How many modifier area are available on a CMS-1500 insurance claim form for one-line
, item charge?:
Answer> four
17. Describing a physician's services in radiology or pathology.:
Answer> Professional component
18. Describing the services provided by the facility.:
Answer> Technical Component
19. Bundling together of time effort and services for a specific procedure into one code
instead of reporting each component separately:
Answer> Surgical Package
20. Code assignments in the E/M section varies according to three factors
Answer> 1. place of service
2. type of service
3. patient status
21. Type of service (for E/M) examples:
Answer> consultation, admission, newborn care, office visit
22. Six sections of the CPT manual:
Answer> Evaluation and Management Anesthesia
Surgery Radiology
Questions with Correct Answers
100% Verified Graded A+
1. To assign modifier correctly, two physicians of different
must have worked together as co-surgeons and each surgeon dictated his/her own
operative report.
Answer>: -62
specialties
2. When more than two physicians work together to complete a complicated procedure
and each physician has a specific portion of the surgery to com- plete, they are called.
Answer> co-surgeons
3. This modifier indicates an increased service and is overused and results in an increase
in payment of 20% to 30%. As such, the assignment of this modifier comes under
particularly close scrutiny by third-party payers. What is this modifier?:
Answer> -22
4. When adding multiple CPT modifiers to a code, you would list the modifiers from
When adding multiple HCPCS modifiers, list in
,If CPT modifiers and HCPCS modifiers are both used, list
Answer> CPT- highest to lowest
HCPS-ascending alphabetical order
both- CPT (highest to lowest) then HCPS (ascend. alpha.)
5. What part of the CPT manual lists a full description for all modifiers?:
Answer> ap- pendix A
6. When a CPT codes does not fully explain an unusual procedure,what should be added to
the code?:
Answer> modifier
7. Third-Party payers require this modifier for a mandated service.:
Answer> -32 (like a rape test required by police, or phyiscal exam needed for workers
comp; third-party payer will pay 100% for mandated services)
8. Modifier -47, anesthesia by the surgeon, is never added to what CPT code?-
Answer>: Anesthesia Code
9. How many units of service may be billed when reporting the -50 modifier (bilateral)
to Medicare?:
Answer> one unit
(For medicare, just submit 27447-50 for procedure done left and right; whereas other payers
,want two lines 27447 and 27447-50.)
10. When reporting -51 modifier to indicate multiple procedure performed, which
procedure should be reported first on the claim?:
Answer> Primary Procedure
11. Medicare considers what service to be part of the surgery and bundled payment
not allowing the -56 modifier?:
Answer> preoperative
12. E&M services provided the day before or the day of a major surgery are included in
what package?:
Answer> Global Day
13. Modifier -63 indicates procedure provided to a neonate or infant up to what weight?:
Answer> 4 kg or 8.8 lbs
14. A surgical team consists of how many physicians?:
Answer> More than two
15. What is defined as a place of service specifically equipped and staffed for the sole
purpose of performing procedures?:
Answer> Operating Room
16. How many modifier area are available on a CMS-1500 insurance claim form for one-line
, item charge?:
Answer> four
17. Describing a physician's services in radiology or pathology.:
Answer> Professional component
18. Describing the services provided by the facility.:
Answer> Technical Component
19. Bundling together of time effort and services for a specific procedure into one code
instead of reporting each component separately:
Answer> Surgical Package
20. Code assignments in the E/M section varies according to three factors
Answer> 1. place of service
2. type of service
3. patient status
21. Type of service (for E/M) examples:
Answer> consultation, admission, newborn care, office visit
22. Six sections of the CPT manual:
Answer> Evaluation and Management Anesthesia
Surgery Radiology
