AND CORRECT ANSWERS
A patient with AIDS presents for follow up care. The total T-cell count is ordered to
evaluate any progression of the disease. What CPT code is reported? - Answer- 86359-
Code 86359 is for total T-cell count. If other studies were performed and they were not
ordered they may not be billed, no matter how seemingly appropriate. In the CPT Index,
look for T Cells/Count.
A patient with AIDS presents for follow up care. An NK (natural killer cell) total count is
ordered. What CPT code is/are reported? - Answer- 86357- Although there are a
number of cells that attack viruses and other infectious organisms, NK cells are
specifically identified by code 86357. In the CPT Index, see Natural Killer (NK) Cells.
A virus is identified by observing growth patterns on cultured media. What is this type of
identification is called? - Answer- Presumptive- Presumptive identification identifies
microorganisms like by viruses by observing growth patterns and other characteristics.
CPT stands for: - Answer- Current Procedure Terminology
Which term reflects the technologic advances made in medicine that are incorporated
into the CPT manual? - Answer- special reports
A 28-year-old male was rushed to the ED after being found unconscious. Information
from family members indicated that the patient had left a suicide note and taking a large
amount of LSD (a hallucinogenic). What ICD 10 CM codes are reported? - Answer-
T40.8X2A, R40.20
A 63-year-old fractured her scaphoid bone in her right wrist three months ago in an
accident. She now presents with a non-union of the scaphoid bone. What ICD 10 CM
code is reported? - Answer- S62.001K
What three components are considered when relative value units are established? -
Answer- Physician work, practice expense, malpractice insurance
What is the correct HCPCS Level II code for a removable metatarsal foot arch support
which is pre-molded? - Answer- L3050
How man sections is the CPT manual divided into? - Answer- 6
Where is specific coding information about each section located? - Answer- Guidelines
, In which CPT appendix would modifiers be found? - Answer- Appendix A
In which CPT appendix would additions, deletions, and revisions be found? - Answer-
Appendix B
A list of the unlisted procedures for use in a specific section of the CPT manual is
contained in: - Answer- Guidelines
Who requires a special report with the use of unlisted codes? - Answer- Third-party
payers
Which of the following represents three of the six elements that a special report must
contain? - Answer- nature, extent, need
When coding in operative report what action would NOT be recommended? - Answer-
Coding from the header with out reading the body of the report
If an NCD doesn't exist for a particular service/procedure performed on a Medicare
patient who determines coverage? - Answer- Medicare administrative contractor (MAC)
MAC stands for what!? - Answer- Medicare administrative contractor
What is the definition of coding? - Answer- Translating documentation into
numerical/alphabetical codes used to obtain reimbursement.
How many components should be included in an effective compliance plan? - Answer- 7
Which of the following is NOT a function of the skin? - Answer- Acts as a gland by
synthesizing vitamin A.
What is affected by myasthenia gravis? - Answer- Neuromuscular junction
The term "episiotomy" Best describes a procedure of what type? - Answer- An incision
made into the perineum to enlarge the passage for the fetus during delivery
A patient is diagnosed with inflammation of the testes and epididymis. The medical term
for this condition is: - Answer- Orchiepididymitis
A condition where the thyroid is overactive is called: - Answer- Thyrotoxicosis
What does ICD 10 CM stand for? - Answer- International classification of diseases -
10th revised - clinical modification