Question 1

A patient is seen in the provider's outpatient office for an annual physical exam. A comprehensive history, a detailed exam, and a moderate medical decision making is performed. Several of the patient's existing conditions are discussed and updates are noted. While in the office, the patient receives an immunization that is due as prescribed by CDC standards. Which modifier is appended to the Evaluation and Management code for this date of service?

Accepted Answer

Modifier 25 is used to indicate that on the day of a procedure or service identified by a CPT code, the patient's condition required a significant, separately identifiable E/M service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. In this scenario, the E/M service (annual physical exam) is significant and separately identifiable from the immunization service provided, thus modifier 25 is appropriate.

Question 2

Codes within subsection Gastroenterology (91010-91299) are assigned to _____ studies of the esophagus, stomach, duodenum, and colon.

Accepted Answer

Motility studies involve the assessment of the movement and function of the digestive system, specifically the esophagus, stomach, duodenum, and colon, which is what codes within the Gastroenterology subsection (91010-91299) are assigned to.

Question 3

What is the appropriate modifier to report a procedure performed specifically on the left circumflex artery?

Accepted Answer

The appropriate modifier for procedures performed on the left circumflex artery is "LC," which stands for Left Circumflex.

Question 4

Codes within subsection Gastroenterology (91010-91299) are assigned to _____ studies of the esophagus, stomach, duodenum, and colon.

Accepted Answer

Codes within subsection Gastroenterology (91010-91299) are specifically assigned to motility studies, which assess the movements of the digestive system's components, such as the esophagus, stomach, duodenum, and colon.

Question 5

What does actigraphy testing study?

Accepted Answer

Actigraphy testing involves wearing a device that measures and records movement, typically on the wrist, to study sleep-wake cycles over an extended period, often several days or weeks, to assess sleep patterns and circadian rhythms.

Question 6

Which procedure is classified as minimally invasive?

Accepted Answer

Injection is considered minimally invasive as it involves penetrating the skin with a needle without significant surgical intervention.

Question 7

Motility studies of the esophagus, stomach, ______, and colon are included in the Gastroenterology subheading of the Medicine section:

Accepted Answer

Motility studies in gastroenterology typically include the esophagus, stomach, duodenum, and colon.

Question 8

In which code range are procedures relating to Biofeedback found in CPT?

Accepted Answer

Biofeedback procedures are found in the CPT code range 90901-90911.

Question 9

In the General Ophthalmological Services subheading, a limited exam focusing on a particular condition or problem, such as an acute condition that does not require a complete examination of the visual system, is referred to as a(n) _____ exam:

Accepted Answer

The answer of In the General Ophthalmological Services subheading, a...

Question 10

Select the correct definition of a latency study:

Accepted Answer

A latency study specifically measures the length of time it takes for a patient to fall asleep, which is crucial in diagnosing sleep disorders such as insomnia.

Question 11

Vestibular function tests are reported in which subheading of the Medicine section?

Accepted Answer

Vestibular function tests are categorized under Special Otorhinolaryngologic Services in the Medicine section because they are related to the ear and balance, which falls under the specialty of otorhinolaryngology.

Question 12

Codes in the General Ophthalmological Services subheading are further subdivided by:

Accepted Answer

Codes in the General Ophthalmological Services subheading are further subdivided based on whether the patient is new or established.

Question 13

Select the subdivision of spirometry that is not used in the Pulmonary Diagnostic Testing and Therapies subsection of CPT:

Accepted Answer

Respiration treatment for difficulties due to disease is not used in the Pulmonary Diagnostic Testing and Therapies subsection of CPT.

Question 14

What is a procedure that does not require a surgical incision or excision?

Accepted Answer

Noninvasive procedures are those that do not require an incision into the body or the removal of tissue.

Question 15

Which of the following treatments is performed in order to increase range of motion, reduce nerve irritability, or improve function?

Accepted Answer

Chiropractic manipulative treatment is designed to increase range of motion, reduce nerve irritability, and improve function by manually adjusting or manipulating the spine and other parts of the body.

Question 16

All of the following elements are included in CPT code 91112 except:

Accepted Answer

CPT code 91112 is used for gastroesophageal reflux test with intraluminal impedance (measurement of bolus transit) including measurement of pH, with or without pressure measurements, utilizing a wireless capsule. It does not include the use of contrast material.

Question 17

What type of service is categorized by specific communication factors that complicate delivery of a psychiatric procedure?

Accepted Answer

Interactive complexity refers to specific communication factors that complicate the delivery of a psychiatric procedure, such as language barriers, third-party involvement, or emotional/behavioral conditions that make communication difficult.

Question 18

The CPT guidelines for dialysis codes instruct that when the patient has had a complete assessment visit during the month and services are provided over a period of less than a month, __________ is the appropriate code range according to the number of visits performed.

Accepted Answer

The correct code range for dialysis services provided over a period of less than a month, when the patient has had a complete assessment visit during the month, is 90951-90962. These codes are specifically designed for end-stage renal disease (ESRD) services for patients younger than 20 years old and for ages 20 and older, covering various scenarios including per month, per day, and with or without face-to-face visits.

Question 19

Where will a coder find codes representing Psychiatry services in the Medicine section of CPT?

Accepted Answer

Psychiatry services are represented by codes 90785-90899 in the Current Procedural Terminology (CPT) manual, which is found in the Medicine section. These codes are specifically designated for psychiatric diagnostic evaluations, psychotherapy, and other related mental health services.

Question 20

Which type of study measure efferent impulses?

Accepted Answer

Motor study measures efferent impulses, which are impulses that travel away from the central nervous system to the muscles.

Quiz 19: Medicine

Codes within subsection Gastroenterology (91010-91299) are assigned to _____ studies of the esophagus, stomach, duodenum, and colon.

What is the appropriate modifier to report a procedure performed specifically on the left circumflex artery?

Codes within subsection Gastroenterology (91010-91299) are assigned to _____ studies of the esophagus, stomach, duodenum, and colon.

What does actigraphy testing study?

Which procedure is classified as minimally invasive?

Motility studies of the esophagus, stomach, ______, and colon are included in the Gastroenterology subheading of the Medicine section:

In which code range are procedures relating to Biofeedback found in CPT?

In the General Ophthalmological Services subheading, a limited exam focusing on a particular condition or problem, such as an acute condition that does not require a complete examination of the visual system, is referred to as a(n) _____ exam:

Select the correct definition of a latency study:

Vestibular function tests are reported in which subheading of the Medicine section?

Codes in the General Ophthalmological Services subheading are further subdivided by:

Select the subdivision of spirometry that is not used in the Pulmonary Diagnostic Testing and Therapies subsection of CPT:

What is a procedure that does not require a surgical incision or excision?

Which of the following treatments is performed in order to increase range of motion, reduce nerve irritability, or improve function?

All of the following elements are included in CPT code 91112 except:

What type of service is categorized by specific communication factors that complicate delivery of a psychiatric procedure?

The CPT guidelines for dialysis codes instruct that when the patient has had a complete assessment visit during the month and services are provided over a period of less than a month, __________ is the appropriate code range according to the number of visits performed.

Where will a coder find codes representing Psychiatry services in the Medicine section of CPT?

Which type of study measure efferent impulses?