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40 Cards in this Set
- Front
- Back
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True or False The AMA developed CPT primarily to describe medical services and procedures performed by physicians and other health care providers. |
True |
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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 |
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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 |
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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
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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)
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True or False
Evaluation and management codes are generally assigned on the basis of documentation of history, physical examination, and medical decision making. |
True |
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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 |
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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 |
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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 |
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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 |
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True or False Category II codes describe emerging technologies |
False |
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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 |
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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. |
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True or False Only members of the American Medical Association can request changes to CPT. |
False |
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"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 |
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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 |
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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 |
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True or False The following service is NOT included in the CPT surgical package guidelines... Writing orders. |
False |
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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 |
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True or False CPT category II codes are mandatory. |
False
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True or False CPT category II codes are updated biannually by the AMA. |
False
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True or False CPT category II codes are alphanumeric codes. |
True |
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True or False CPT category II codes cannot be reported alone. |
True |
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True or False If a category III code exists to describe a procedure, an unlisted category I code may not be reported. |
True |
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Which of the following is not a section in CPT? a. Surgery b. Evaluation and Management c. Radiology d. Miscellaneous |
d. Miscellaneous |
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True or False The pre- and post-anesthesia visit is NOT included in an anesthesia code. |
False |
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True or False Central venous cathetar placement is NOT included in an anesthesia code. |
True |
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True or False Administration of fluids and/or boodis NOT included in an anesthesia code. |
False |
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True or False Monitoring of EKG, temerature, and blood pressure is NOT included in an anesthesia code. |
False |
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True or False It is appropriate to report separately a procedure that is not an integral part of another procedure. |
True |
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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 |
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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 |
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True or False Critical care services must satisfy the following three criteria: History, physical examination and medical decision making. |
False
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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
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True or False Critical care services must satisfy the following three criteria: Medical decision making, time, and physician specialty |
False
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True or False Critical care services must satisfy the following three criteria: Location of the patient, specialty of the physician, and time. |
False |
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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 |
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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 |
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True or False CPT contains no terminologies or codes that address osteopathic or chiropractic manipulative services. |
False |
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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 |
