Question 1

When did HCPCS become mandatory for coding and billing?
A) 1966
B) 1996
C) 1980
D) It is not mandatory.

Accepted Answer

HCPCS became mandatory for coding and billing in 1996, as part of the Health Insurance Portability and Accountability Act (HIPAA) regulations.

Question 2

What kinds of services support treatment, like rehabilitation, occupational therapy, and nutrition therapy?
A) ancillary services
B) dental procedures
C) evaluation and management services
D) secondary services

Accepted Answer

Ancillary services are those that support the diagnosis, treatment, and ongoing care of patients, including rehabilitation, occupational therapy, and nutrition therapy. These services are essential for comprehensive patient care and recovery.

Question 3

In CPT, what type of code is described by the following entry? +33884 each additional proximal extension (List separately in addition to code for primary procedure).
A) observation code
B) new code
C) add-on code
D) E/M code

Accepted Answer

The "+" symbol before the code number indicates that it is an add-on code, which is used in addition to a primary procedure code.

Question 4

A0210 is an example of which level of HCPCS code?
A) Level I
B) Level III
C) Level II
D) Level IV

Accepted Answer

A0210 is an example of a Level II HCPCS code. Level II codes are alphanumeric and primarily used for non-physician services such as ambulance services, prosthetic devices, and supplies outside of a physician's office.

Question 5

Which symbol is used to designate a new code?
A) a bullet
B) facing triangles
C) a plus sign
D) a triangle

Accepted Answer

A bullet is often used to designate new code in documentation or in the presentation of programming code changes.

Question 6

Which of the following temporary codes was developed to assist DMERCs?
A) K codes
B) G codes
C) Q codes
D) C codes

Accepted Answer

K codes were developed specifically to assist Durable Medical Equipment Regional Carriers (DMERCs) in identifying items and services more easily.

Question 7

Physicians may only code from
A) any CPT section
B) Evaluation and Management section of CPT.
C) Surgery section of CPT.
D) Medicine section of CPT

Accepted Answer

Physicians can code from any Current Procedural Terminology (CPT) section, not just specific ones like Evaluation and Management, Surgery, or Medicine. The CPT code set covers a wide range of medical, surgical, and diagnostic services and is designed to be comprehensive for all specialties.

Question 8

Which of the following is not a main term in the CPT index?
A) abbreviations
B) all of these are main terms
C) eponyms
D) anatomical site of the procedure

Accepted Answer

All of the options listed (abbreviations, eponyms, anatomical site of the procedure) are considered main terms in the CPT (Current Procedural Terminology) index, making the statement that one of them is not a main term incorrect.

Question 9

Routine annual physical examinations are reported using which type of E/M codes?
A) Consultation codes
B) Preventive Medicine Services codes
C) Office Services codes
D) Critical Care Services codes

Accepted Answer

Preventive Medicine Services codes are used for routine annual physical examinations, as they cover comprehensive preventive evaluations and management services.

Question 10

HCPCS Level II codes begin with
A) either an alphabetic character or numeric character.
B) an alphabetic character.
C) a numeric character.
D) neither an alphabetic character nor numeric character.

Accepted Answer

HCPCS Level II codes begin with an alphabetic character, which is followed by four numeric digits. These codes are used to identify products, supplies, and services not included in the CPT coding system, such as durable medical equipment, prosthetics, orthotics, and supplies when used outside a physician's office.

Question 11

Which appendix in CPT contains the Summary of Modifier 63 exempt codes?
A) Appendix D
B) Appendix F
C) Appendix G
D) Appendix E

Accepted Answer

Appendix F in the CPT (Current Procedural Terminology) manual contains the Summary of CPT Codes Exempt from Modifier 63. Modifier 63 pertains to procedures performed on infants less than 4 kg, and Appendix F lists codes for which this modifier is not applicable.

Question 12

In CPT, the term ___________ describes services that a provider performs at the request of another provider after which the patient is returned to the requesting provider's care.
A) consultation
B) referral
C) critical care
D) office visit

Accepted Answer

Consultation is the term used in CPT (Current Procedural Terminology) to describe services performed by a provider at the request of another provider, after which the patient is returned to the care of the requesting provider.

Question 13

CPT codes are used to report the following
A) surgical procedures.
B) all of these are reported by CPT.
C) medical services.
D) diagnostic procedures.

Accepted Answer

CPT codes are used to report surgical procedures, medical services, and diagnostic procedures, encompassing all the options provided.

Question 14

Which two sections follow the same types of guidelines?
A) E/M and Radiology
B) Surgery and Anesthesia
C) Radiology and Surgery
D) E/M and Surgery

Accepted Answer

The answer of Which two sections follow the same types...

Question 15

Which of the following are used to report services not completely described by any code within a section?
A) Category III codes
B) Unlisted procedure codes
C) Category II codes
D) Category I codes

Accepted Answer

Unlisted procedure codes are used when a procedure or service is not fully described by any specific code listed in the CPT (Current Procedural Terminology) manual. These codes allow for the reporting of services that do not have a precise CPT code within a particular section, ensuring that providers can still document and potentially receive reimbursement for these services.

Question 16

What was set up to give health care providers a coding system that describes specific products, supplies, and services that patients receive?
A) CPT
B) Level I
C) HCPCS
D) ICD-10-CM

Accepted Answer

HCPCS (Healthcare Common Procedure Coding System) was established to provide a standardized coding system for describing the specific products, supplies, and services that patients receive from health care providers.

Question 17

In CPT, a lightning bolt symbol next to a code indicates a(n)
A) revised code descriptor.
B) code pending FDA approval.
C) add-on code.
D) new/revised text other than the descriptor.

Accepted Answer

The lightning bolt symbol in CPT indicates that the code is pending FDA approval.

Question 18

How many key components are there when evaluating an E/M code?
A) two
B) three
C) five
D) four

Accepted Answer

There are three key components when evaluating an E/M (Evaluation and Management) code: history, examination, and medical decision making.

Question 19

What is required of the physician in order to report the professional component of a CPT code from the Radiology section?
A) performing both the test and the reading
B) reading the radiological examination and writing a report of interpretation
C) reading the radiological examination
D) writing a report of interpretation

Accepted Answer

The professional component of a CPT code from the Radiology section requires the physician to read the radiological examination and write a report of interpretation. This involves analyzing the images and documenting the findings in a report.

Question 20

A patient is to have a diagnostic arthroscopy of the left knee. The physician inserted the arthroscope and the patient went into respiratory distress. The arthroscope was withdrawn and the procedure was terminated. What is a correct modifier?
A) -53 Discontinued procedure
B) -51 Multiple procedures
C) -76 Repeat procedure
D) -26 Professional component

Accepted Answer

Modifier -53 is used to indicate a procedure that is discontinued after the patient's well-being is threatened. In this scenario, the procedure was terminated due to the patient going into respiratory distress, making -53 the correct modifier.

Quiz 5: Procedural Coding: CPT and HCPCS

When did HCPCS become mandatory for coding and billing?

What kinds of services support treatment, like rehabilitation, occupational therapy, and nutrition therapy?

In CPT, what type of code is described by the following entry? +33884 each additional proximal extension (List separately in addition to code for primary procedure) .

A0210 is an example of which level of HCPCS code?

Which symbol is used to designate a new code?

Which of the following temporary codes was developed to assist DMERCs?

Physicians may only code from

Which of the following is not a main term in the CPT index?

Routine annual physical examinations are reported using which type of E/M codes?

HCPCS Level II codes begin with

Which appendix in CPT contains the Summary of Modifier 63 exempt codes?

In CPT, the term ___________ describes services that a provider performs at the request of another provider after which the patient is returned to the requesting provider's care.

CPT codes are used to report the following

Which two sections follow the same types of guidelines?

Which of the following are used to report services not completely described by any code within a section?

What was set up to give health care providers a coding system that describes specific products, supplies, and services that patients receive?

In CPT, a lightning bolt symbol next to a code indicates a(n)

How many key components are there when evaluating an E/M code?

What is required of the physician in order to report the professional component of a CPT code from the Radiology section?

A patient is to have a diagnostic arthroscopy of the left knee. The physician inserted the arthroscope and the patient went into respiratory distress. The arthroscope was withdrawn and the procedure was terminated. What is a correct modifier?