Question 1

The cross-referencing term ____ is used as a cross-reference term in the CPT-4 Alphabetic Index and directs the coder to an alternative main term.

Accepted Answer

The answer of The cross-referencing term ____ is used as...

Question 2

Current Procedural Terminology (CPT)was first developed and published by the _______________ in 1966.

Accepted Answer

The answer of Current Procedural Terminology (CPT)was first developed and...

Question 3

HCPCS National Codes used to report medical services,supplies,drugs,and durable medical equipment are Level ________ codes.
A) I
B) II
C) III
D) IV

Accepted Answer

HCPCS National Codes used to report medical services, supplies, drugs, and durable medical equipment are Level II codes. Level I codes are CPT codes that are used to report medical procedures and services. Level III codes (also known as local codes) are used for state-specific procedures or services. There is no Level IV code set.

Question 4

Supplemental tracking codes,intended to be used for performance measurement,are Category _____ codes.
A) I
B) II
C) III
D) IV

Accepted Answer

Supplemental tracking codes, which are used for performance measurement, are classified as Category II codes in the Current Procedural Terminology (CPT) coding system. These codes provide a way to track and measure the effectiveness and quality of healthcare services.

Question 5

A ____________ is a procedure by which codes used for data in one database are translated into the codes of another database,making it possible to relate information between or among databases.

Accepted Answer

The answer of A ____________ is a procedure by which...

Question 6

At the end of each subsection or subheading,a code is provided under the heading "other procedures," which typically ends in _______.

Accepted Answer

The answer of At the end of each subsection or...

Question 7

A patient's medical record must contain sufficient documentation to support the use of ____________________.

Accepted Answer

The answer of A patient's medical record must contain sufficient...

Question 8

E/M codes 99281 through 99288 are used for both new and established patients who have been treated in a/an ______________ that is part of a hospital.
A) Outpatient facility
B) Long-term care unit
C) emergency department
D) ambulatory surgery

Accepted Answer

E/M codes 99281 through 99288 are used for patients treated in the emergency department of a hospital, hence the correct option is C. These codes are specific to emergency department visits and are used to report the level of care provided to the patient based on the complexity of the visit. Outpatient facilities, long-term care units, and ambulatory surgery centers have their own set of E/M codes for reporting medical services provided in those settings.

Question 9

The Affordable Care Act required all state Medicaid programs to incorporate _________________ in their claims processing systems by March 31,2011.
A) HCPCS codes
B) Category III Codes
C) ICD-10-CM diagnosis codes
D) National Correct Coding Initiatives

Accepted Answer

The Affordable Care Act required all state Medicaid programs to incorporate the National Correct Coding Initiatives (NCCI) in their claims processing systems by March 31, 2011, to promote correct coding methodologies and control improper coding leading to inappropriate payment.

Question 10

Main terms can stand alone,or they can be followed by ______________terms.

Accepted Answer

The answer of Main terms can stand alone,or they can...

Question 11

The time the healthcare provider spends in direct contact with a patient during an office visit,which includes taking a history,performing an examination,and discussing results,is _____ time.
A) unit floor
B) face-to-face
C) E&M
D) counseling

Accepted Answer

The term "face-to-face" accurately describes the time spent in direct contact with a patient during an office visit that includes taking a history, performing an examination, and discussing results. Unit floor and counseling are not applicable to this scenario, and E&M (evaluation and management) is a broader term that includes a variety of healthcare services beyond just face-to-face time with a patient.

Question 12

A __________ is used to report or indicate that a service or procedure has been altered by some specific circumstance but not changed in its definition or code.
A) Modifier
B) Level III code
C) Crosswalk code
D) Special report

Accepted Answer

A modifier is used to indicate that a service or procedure has been altered by some specific circumstance but not changed in its definition or code. Modifiers are added to the end of the CPT code to provide additional information about the service or procedure performed.

Question 13

In the CPT-4,each main section is preceded by _______________ specific to that section.

Accepted Answer

The answer of In the CPT-4,each main section is preceded...

Question 14

The CPT index is organized by ____________ listed alphabetically.

Accepted Answer

The answer of The CPT index is organized by ____________...

Question 15

The category of codes established by the AMA as a set of temporary CPT codes for emerging technologies,services,and procedures is Category _____ codes.
A) I
B) II
C) III
D) IV

Accepted Answer

Category III codes are established by the AMA as a set of temporary CPT codes for emerging technologies, services, and procedures. They are used for data collection and tracking purposes and are typically reviewed every five years to determine if they should be moved to Category I codes or deleted. Category I codes are permanent codes used for billing and reimbursement purposes. Category II codes are supplemental tracking codes used for quality measurement purposes. Category IV codes are used for laboratory tests.

Question 16

Five-digit CPT codes accompanied by descriptive terms and used for reporting services performed by healthcare professionals are Level _____ codes.
A) I
B) II
C) III
D) IV

Accepted Answer

Level I codes in the Healthcare Common Procedure Coding System (HCPCS) are CPT codes used for reporting medical services and procedures performed by healthcare professionals.

Question 17

Similar to the ICD-9 and ICD-10-CM manuals,CPT-4 is made up of several sections beginning with a/an ___________,identified by lowercase Roman numerals.

Accepted Answer

The answer of Similar to the ICD-9 and ICD-10-CM manuals,CPT-4...

Question 18

A CPT code can be displayed one of three ways: as ____________,____________,or ______________.

Accepted Answer

The answer of A CPT code can be displayed one...

Question 19

The time the physician spends on bedside care of the patient and reviewing the health record and writing orders is _____ time.
A) unit floor
B) face-to-face
C) E/M
D) counseling

Accepted Answer

Unit floor time includes the time a physician spends on bedside care of the patient, reviewing the health record, and writing orders.

Question 20

In preparation of standardization for the full implementation of HIPAA,CMS has instructed carriers to eliminate Level _______ codes from their claim processing systems.
A) I
B) II
C) III
D) IV

Accepted Answer

Level III codes, also known as local codes, were created by local Medicare administrative contractors (MACs) for use in their specific regions. They were not nationally recognized codes and caused confusion and difficulty in standardizing coding practices. As part of the HIPAA standardization process, CMS instructed carriers to eliminate Level III codes from their systems.

Quiz 13: Procedural, Evaluation and Management, and HCPCS Coding

The cross-referencing term ____ is used as a cross-reference term in the CPT-4 Alphabetic Index and directs the coder to an alternative main term.

Current Procedural Terminology (CPT)was first developed and published by the _______________ in 1966.

HCPCS National Codes used to report medical services,supplies,drugs,and durable medical equipment are Level ________ codes.

Supplemental tracking codes,intended to be used for performance measurement,are Category _____ codes.

A ____________ is a procedure by which codes used for data in one database are translated into the codes of another database,making it possible to relate information between or among databases.

At the end of each subsection or subheading,a code is provided under the heading "other procedures," which typically ends in _______.

A patient's medical record must contain sufficient documentation to support the use of ____________________.

E/M codes 99281 through 99288 are used for both new and established patients who have been treated in a/an ______________ that is part of a hospital.

The Affordable Care Act required all state Medicaid programs to incorporate _________________ in their claims processing systems by March 31,2011.

Main terms can stand alone,or they can be followed by ______________terms.

The time the healthcare provider spends in direct contact with a patient during an office visit,which includes taking a history,performing an examination,and discussing results,is _____ time.

A __________ is used to report or indicate that a service or procedure has been altered by some specific circumstance but not changed in its definition or code.

In the CPT-4,each main section is preceded by _______________ specific to that section.

The CPT index is organized by ____________ listed alphabetically.

The category of codes established by the AMA as a set of temporary CPT codes for emerging technologies,services,and procedures is Category _____ codes.

Five-digit CPT codes accompanied by descriptive terms and used for reporting services performed by healthcare professionals are Level _____ codes.

Similar to the ICD-9 and ICD-10-CM manuals,CPT-4 is made up of several sections beginning with a/an ___________,identified by lowercase Roman numerals.

A CPT code can be displayed one of three ways: as ,,or __.

The time the physician spends on bedside care of the patient and reviewing the health record and writing orders is _____ time.

In preparation of standardization for the full implementation of HIPAA,CMS has instructed carriers to eliminate Level _______ codes from their claim processing systems.