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40 Cards in this Set

  • Front
  • Back

True or False


The AMA developed CPT primarily to describe medical services and procedures performed by physicians and other health care providers.

True

Which clinical setting below does NOT submit CPT codes for reimbursement?


a. Physicians offices


b. Hospital inpatient services


c. Hospital outpatient services


d. Ambulatory surgery centers

b. Hospital inpatient services

CPT category I codes are used to describe:


a. New technology procedures


b. Procedures that are widely performed


c. Procedures that Medicare recognizes as covered entities


d. All of the above

b. Procedures that are widely performed

Which of the following statements about CPT Category II codes is NOT true?


a. Cat II codes are alphanumeric


b. Cat II codes are used in conjunction with Cat I codes


c. Cat II codes describe emerging technologies


d. Cat II codes were introduced into CPT in 2004

c. Cat II codes describe emerging technologies

CPT codes are part of a larger system known as:
a. Healthcare Common Procedure Coding System (HCPCS)
b. ICD-9-CM
c. Uniform Hospital Discharge Dataset (UHDDS)
d. Unified Medical Language Systems (UMLS)

a. Healthcare Common Procedure Coding System (HCPCS)

True or False
Evaluation and management codes are generally assigned on the basis of documentation of history, physical examination, and medical decision making.

True

A complete list of CPT modifies and their definitions is included in which appendix of CPT?


a. A


b. B


c. C


d. D

a. A

Which of the following is NOT of subsection of the radiology section of CTP:


a. Nuclear medicine


b. Magnetic resonance imaging


c. Diagnostic ultrasound


d. Radiation oncology

b. Magnetic resonance imaging

The Alphabetic Index of CTP includes which of the following types of listings?
a. Procedures
b. Diagnoses
c. Abbreviations
d. All of the above

d. All of the above

Which of the following is NOT a requirement for inclusion of a CPT code?
a. Many healthcare providers around the country must perform the procedure
b. Must be FDA approved or with approval imminent within a given CPT cycle
c. Medicare must cover the procedure
d. Must have prove clinical efficacy

c. Medicare must cove the procedure

True or False


Category II codes describe emerging technologies

False

Which set of E/M codes below is NOT assigned based on documentation of history, physical examination and medical decision making?
a. Inpatient consultations
b. Office visits
c. Critical care services
d. Hospital observation services

c. Critical care services

Which circumstances below cannot be reflected with a CPT modifier?
a. A service/procedure that has both a professional and technical component
b. A service/procedure that has been reduced or expanded in scope
c. A service/procedure that does not yet have a specific CPT code.
c. A patient that has a bilateral procedure performed

c. A service/procedure that does not yet have a specific CPT code.

True or False


Only members of the American Medical Association can request changes to CPT.

False

"A concise statement of symptoms, problems, condition, diagnosis, or other factor that is reason for the encounter" defines:


a. History of present illness


b. Chief complaint


c. Review of symptoms


d. Primary diagnosis

b. Chief complaint

True or False


The following service is NOT included in the CPT surgical package guidelines...


Subsequent to the decision to surgery, one related E/M encounter on the date immediately prior to, or on the date of, the procedure.



False

True or False The following service is NOT included in the CPT surgical package guidelines...


Immediate postoperative care, including dictating operative notes, talking with family and other physicians.

False

True or False The following service is NOT included in the CPT surgical package guidelines...


Writing orders.

False

True or False The following service is NOT included in the CPT surgical package guidelines...


E/M service for postoperative care related to a complication.

True

True or False


CPT category II codes are mandatory.

False

True or False


CPT category II codes are updated biannually by the AMA.

False

True or False


CPT category II codes are alphanumeric codes.

True

True or False


CPT category II codes cannot be reported alone.

True

True or False


If a category III code exists to describe a procedure, an unlisted category I code may not be reported.

True

Which of the following is not a section in CPT?


a. Surgery


b. Evaluation and Management


c. Radiology


d. Miscellaneous

d. Miscellaneous

True or False


The pre- and post-anesthesia visit is NOT included in an anesthesia code.

False

True or False


Central venous cathetar placement is NOT included in an anesthesia code.

True

True or False


Administration of fluids and/or boodis NOT included in an anesthesia code.

False

True or False


Monitoring of EKG, temerature, and blood pressure is NOT included in an anesthesia code.

False

True or False


It is appropriate to report separately a procedure that is not an integral part of another procedure.

True

Which of the following bodies can issue official CPT coding guidelines?


a. AHA and AMA


b. AMA


c. CMS, AHA and AMA


d. CMS and AMA

b. AMA

Which of the following is NOT a level of medical decision making?


a. Straightforward


b. Low complexity


c. Moderate complexity


d. Extensive complexity

d. Extensive complexity

True or False


Critical care services must satisfy the following three criteria: History, physical examination and medical decision making.

False

True or False


Critical care services must satisfy the following three criteria: The nature of the problem, the nature of the treatment, and time.

True

True or False


Critical care services must satisfy the following three criteria: Medical decision making, time, and physician specialty

False


True or False


Critical care services must satisfy the following three criteria: Location of the patient, specialty of the physician, and time.

False

Which of the following is NOT considered part of the counseling for CPT purposes?


a. Diagnostic results and impressions


b. Prognosis


c. Interactive psychotherapy


d. Rick factor reduction

c. Interactive psychotherapy

The numbering system of the category III codes reflects:


a. The simple numerical sequence in which they were added


b. The overall organization of category I codes


c. The type of technology being reported


d. The physician specialty in which they apply

a. the simple numerical sequence in which they were added

True or False


CPT contains no terminologies or codes that address osteopathic or chiropractic manipulative services.

False

Marital status and/or living arrangments, current employment and past occupational history, and education level/literacy are all part of the the:


a. Past history


b. Social history


c. Review of systems


d. Family history

b. Social history