CPT & HCPCS CODING CH 1-6
EXAM 1 WITH CORRECT ANSWERS
2025
T/FChapter 1: The current edition of CPT is pocket-sized and contains approximately
4,000 codes. - CORRECT ANSWER-false
T/F
CPT is updated by CMS, and this occurs in May of each year. - CORRECT ANSWER-
false
T/F
A circle is used to denote an add-on code in CPT. - CORRECT ANSWER-false
True or False
The semi-colon separates the main term, or common portion, of the CPT code from the
additional, or unique portion, of the CPT code. - CORRECT ANSWER-true
T/F
CPT was first published by the American Health Information Management Association.
True or False - CORRECT ANSWER-false
HCPCS is the abbreviation for ______________________________________. -
CORRECT ANSWER-Correct Healthcare Common Procedure Coding System
Category II codes are not mandatory and are considered ________________ codes. -
CORRECT ANSWER-tracking
, When a double triangle appears around information in the CPT manual, this means that
the text is new or _______________. - CORRECT ANSWER-revised
When the plus symbol appears before a code number, this indicates to the coder that
the code is considered a(n) ___________________ code. - CORRECT ANSWER-add-
on
Clinical examples of the CPT codes for Evaluation and Management services are found
in appendix ______ of the CPT manual. - CORRECT ANSWER-C
F/T
Chapter 2: A CPT modifier is a three-digit code that is appended to a code to indicate
that a service or procedure has been altered. - CORRECT ANSWER-false
T/F
Modifiers are placed in item 24d of the CMS-1500 form. - CORRECT ANSWER-true
T/F
Third-party payers use different instructions for reporting modifiers. - CORRECT
ANSWER-true
T/F
The CMS form contains three modifier fields. True or False - CORRECT ANSWER-false
T/F
When reporting more than one modifier, the modifiers must be ranked according to
whether or not the modifier will affect the fee for service. - CORRECT ANSWER-true
T/F
A pricing modifier only increases the fee for the service - CORRECT ANSWER-false
T/F
When reporting more than one statistical modifier, with no other pricing modifiers, the
modifiers can be reported in any order, with the exception of the QT, QW, and SF
modifiers. - CORRECT ANSWER-true
T/F
Modifier 26 is used to indicate the professional component. - CORRECT ANSWER-true
T/F
Modifier 52 indicates a reduced service. - CORRECT ANSWER-true
T/F
Procedure codes for procedures performed on neonates and infants less than 4 kg
should be modified with modifier 63. - CORRECT ANSWER-true
EXAM 1 WITH CORRECT ANSWERS
2025
T/FChapter 1: The current edition of CPT is pocket-sized and contains approximately
4,000 codes. - CORRECT ANSWER-false
T/F
CPT is updated by CMS, and this occurs in May of each year. - CORRECT ANSWER-
false
T/F
A circle is used to denote an add-on code in CPT. - CORRECT ANSWER-false
True or False
The semi-colon separates the main term, or common portion, of the CPT code from the
additional, or unique portion, of the CPT code. - CORRECT ANSWER-true
T/F
CPT was first published by the American Health Information Management Association.
True or False - CORRECT ANSWER-false
HCPCS is the abbreviation for ______________________________________. -
CORRECT ANSWER-Correct Healthcare Common Procedure Coding System
Category II codes are not mandatory and are considered ________________ codes. -
CORRECT ANSWER-tracking
, When a double triangle appears around information in the CPT manual, this means that
the text is new or _______________. - CORRECT ANSWER-revised
When the plus symbol appears before a code number, this indicates to the coder that
the code is considered a(n) ___________________ code. - CORRECT ANSWER-add-
on
Clinical examples of the CPT codes for Evaluation and Management services are found
in appendix ______ of the CPT manual. - CORRECT ANSWER-C
F/T
Chapter 2: A CPT modifier is a three-digit code that is appended to a code to indicate
that a service or procedure has been altered. - CORRECT ANSWER-false
T/F
Modifiers are placed in item 24d of the CMS-1500 form. - CORRECT ANSWER-true
T/F
Third-party payers use different instructions for reporting modifiers. - CORRECT
ANSWER-true
T/F
The CMS form contains three modifier fields. True or False - CORRECT ANSWER-false
T/F
When reporting more than one modifier, the modifiers must be ranked according to
whether or not the modifier will affect the fee for service. - CORRECT ANSWER-true
T/F
A pricing modifier only increases the fee for the service - CORRECT ANSWER-false
T/F
When reporting more than one statistical modifier, with no other pricing modifiers, the
modifiers can be reported in any order, with the exception of the QT, QW, and SF
modifiers. - CORRECT ANSWER-true
T/F
Modifier 26 is used to indicate the professional component. - CORRECT ANSWER-true
T/F
Modifier 52 indicates a reduced service. - CORRECT ANSWER-true
T/F
Procedure codes for procedures performed on neonates and infants less than 4 kg
should be modified with modifier 63. - CORRECT ANSWER-true
