What is the full description for CPT® code 43622?
A) With formation of intestinal pouch, any type
B) Gastrectomy, total; with Roux-en-Y reconstruction and formation of intestinal pouch, any type
C) Gastrectomy, total; with esophagoenterostomy with formation of intestinal pouch, any type
D) Gastrectomy, total; with formation of intestinal pouch, any type - Answers D
Which one of the CPT® codes listed below would modifier 50 be appended to for a bilateral procedure?
A) 22510
B) 36251
C) 36252
D) 37650 - Answers D
Select the TRUE statement regarding modifier 51 in the CPT® code book.
A) Modifier 51 can be replaced by using the RT and LT modifiers.
B) Add-on codes should always have modifier 51 appended to them.
C) Codes exempt from modifier 51 are identified with the universal forbidden symbol.
D) A list of modifier 51 exempt codes can be found in Appendix A of the CPT® code book. - Answers C
The National Correct Coding Inititative (NCCI) files contain a Correct Coding Modifier (CCM) indicator.
What does the CCM indicator 0 mean?
A) A CCM is not allowed and will not bypass the edits.
B) A CCM is allowed and will bypass the edits.
C) The use of modifiers is not specified.
D) Only modifier 59 will bypass the edits. - Answers A
According to the parenthetical instructions for CPT code 33690, how should right and left pulmonary
artery banding in a single ventricle be reported?
A. 33690-50
B. 33620
,C. 33690-63
D. 39620.50 - Answers B
What association maintains and publishes CPT guidelines, codes, and descriptions?
A. AMA
B. CPT
C. CMS
D. HCPCS - Answers A
What are the three categories of CPT Codes?
A. CPT, HCPCS, HCPCS Level II
B. Categories I, II, and III
C. CPT, Modifiers, Index
D. CPT, Modifiers, HCPCS Level II - Answers B
What are three methods used to list main terms in the CPT® manual alphabetical index?
A) Condition, brand names, procedure
B) Condition, synonyms, abbreviations
C) Anatomic site, surgical specialty, eponyms
D) Eponyms, procedure, instruments - Answers B
What three components are used to configure relative value units?
A. Location of practice, location of medical school, ancillary personnel
B. Malpractice insurance claims, physician work, practice expense
C. Malpractice insurance costs, physician work, practice expense
D. All of the above - Answers C
What are the Physician Fee Schedule's definitions for facility and non-facility?
A. Facility includes privately owned physician practices and non-facility includes hospital owned
physician practices
B. Non-facility includes privately owned physician practices
, C. Facility includes skilled nursing facilities, nursing homes, and hospital settings
D. Both B and C - Answers D
Which CPT® code set is used voluntarily by physicians to report quality patient performance
measurements?
A) Category I codes
B) Category II codes
C) Category III codes
D) CPT® unlisted codes - Answers B
CPT Category III codes are reported to indicate which type of service or procedure?
A. New and emerging
B. Experimental
C. Unlisted
D. New and extended - Answers A
Which CPT® Appendix lists clinical examples for E/M coding?
A) Appendix B
B) Appendix C
C) Appendix D
D) Appendix P - Answers B
What is the postoperative period included in the surgical global package for major surgery?
A) 0-10 days
B) 60 days
C) 90 days
D) 120 days - Answers C
When surgery is performed, what services are including and not billed separately?
A. Postoperative follow-up care
B. Topical anesthesia