AAPC CPC Chapter 6 | Questions With Tailored
Solutions
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
Correct Answer - 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 Correct Answer - 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. Correct Answer - 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. Correct Answer - 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 Correct Answer - B
What association maintains and publishes CPT guidelines, codes, and
descriptions?
A. AMA
B. CPT
C. CMS
D. HCPCS Correct Answer - 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 Correct Answer - 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 Correct Answer - 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 Correct Answer - 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 Correct Answer - 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 Correct Answer - 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 Correct Answer - A
Which CPT® Appendix lists clinical examples for E/M coding?
A) Appendix B
B) Appendix C
C) Appendix D
D) Appendix P Correct Answer - 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 Correct Answer - C
When surgery is performed, what services are including and not billed
separately?
A. Postoperative follow-up care
B. Topical anesthesia
C. Writing orders
D. All of the above Correct Answer - D
Which modifiers are appended to E/M codes to report payable services within
the global package?
A. 24, 26, 51
B. 24, 25, 47
C. 24, 25, 57
Solutions
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
Correct Answer - 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 Correct Answer - 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. Correct Answer - 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. Correct Answer - 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 Correct Answer - B
What association maintains and publishes CPT guidelines, codes, and
descriptions?
A. AMA
B. CPT
C. CMS
D. HCPCS Correct Answer - 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 Correct Answer - 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 Correct Answer - 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 Correct Answer - 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 Correct Answer - 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 Correct Answer - 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 Correct Answer - A
Which CPT® Appendix lists clinical examples for E/M coding?
A) Appendix B
B) Appendix C
C) Appendix D
D) Appendix P Correct Answer - 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 Correct Answer - C
When surgery is performed, what services are including and not billed
separately?
A. Postoperative follow-up care
B. Topical anesthesia
C. Writing orders
D. All of the above Correct Answer - D
Which modifiers are appended to E/M codes to report payable services within
the global package?
A. 24, 26, 51
B. 24, 25, 47
C. 24, 25, 57
