CDEO COMPLETE EXAMINATION TEST
QUESTIONS WITH VERIFIED SOLUTIONS
●● Hypertension
Answer: A condition in which the force of the blood against the artery
walls is too high.
●● HEDIS
Answer: Healthcare Effectiveness Data and Information Set
●● HIPAA
Answer: Health Insurance Portability and Accountability Act
●● MPFS
Answer: Medicare National Physician Fee Schedule
●● Multiple procedure rule
Answer: The highest value code is paid at 100%. The second highest
value code is paid at 50%. Each additional code is paid at 25%. Add on
codes are exempt from the multiple procedure rule. They are paid at
100%.
●● Bullet symbol
,Answer: Indicates new procedures and services added to the CPT book.
●● Triangle symbol
Answer: Indicates that the description of the code has been revised
●● Opposing horizontal triangles
Answer: Indicates new and revised text, other than in procedure
descriptors
●● Forbidden symbol
Answer: Identifies codes that are modifier 51 exempt and exempt from
the multiple procedure rule
●● Bull's-eye symbol
Answer: Identifies codes that include moderate sedation. When this is
located next to a code, moderate sedation can not be reported separately.
●● Unlisted procedure code
Answer: These are reported when an existing CPT code does not
describe the procedure. To facilitate these claims, provide the operative
report and suggest an appropriate fee.
●● Chief complaint
, Answer: The reason for the encounter. A CC is required for every
encounter except a preventive service. If the CC is missing, you are to
report CPT code 99499: Unlisted E&M service. "Follow up" can not be
the reason for the visit.
●● HPI
Answer: Description of the development of the patient's illness from the
list of signs or symptoms, or from the previous encounter, to the present.
The provider must document the HPI. There are 8 elements of the HPI.
●● Location
Answer: Anatomical place, position, or site of the chief complaint.
●● Quality
Answer: Characteristics about the problem, such as how it looks or feels.
●● Severity
Answer: A degree or measurement of how bad it is.
●● Duration
Answer: How long the chief complaint has been occurring, or the time
when the complaint occurred,
●● Timing
QUESTIONS WITH VERIFIED SOLUTIONS
●● Hypertension
Answer: A condition in which the force of the blood against the artery
walls is too high.
●● HEDIS
Answer: Healthcare Effectiveness Data and Information Set
●● HIPAA
Answer: Health Insurance Portability and Accountability Act
●● MPFS
Answer: Medicare National Physician Fee Schedule
●● Multiple procedure rule
Answer: The highest value code is paid at 100%. The second highest
value code is paid at 50%. Each additional code is paid at 25%. Add on
codes are exempt from the multiple procedure rule. They are paid at
100%.
●● Bullet symbol
,Answer: Indicates new procedures and services added to the CPT book.
●● Triangle symbol
Answer: Indicates that the description of the code has been revised
●● Opposing horizontal triangles
Answer: Indicates new and revised text, other than in procedure
descriptors
●● Forbidden symbol
Answer: Identifies codes that are modifier 51 exempt and exempt from
the multiple procedure rule
●● Bull's-eye symbol
Answer: Identifies codes that include moderate sedation. When this is
located next to a code, moderate sedation can not be reported separately.
●● Unlisted procedure code
Answer: These are reported when an existing CPT code does not
describe the procedure. To facilitate these claims, provide the operative
report and suggest an appropriate fee.
●● Chief complaint
, Answer: The reason for the encounter. A CC is required for every
encounter except a preventive service. If the CC is missing, you are to
report CPT code 99499: Unlisted E&M service. "Follow up" can not be
the reason for the visit.
●● HPI
Answer: Description of the development of the patient's illness from the
list of signs or symptoms, or from the previous encounter, to the present.
The provider must document the HPI. There are 8 elements of the HPI.
●● Location
Answer: Anatomical place, position, or site of the chief complaint.
●● Quality
Answer: Characteristics about the problem, such as how it looks or feels.
●● Severity
Answer: A degree or measurement of how bad it is.
●● Duration
Answer: How long the chief complaint has been occurring, or the time
when the complaint occurred,
●● Timing
