2012 Step-by-Step Medical Coding
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| What is the organization that is responsible for administering the Medicare program? | CMS
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| What does the October edition of the Federal Register publish for providers? | Hospital Updates
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| The CMS publishes fraud and abuse guidelines that providers should follow when coding/billing for their services. As a coder, can you identify which would not be considered an act of fraud in the list below? | Routinely coding from the medical record
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| As a coder, it is important to know that you must be truthful and accurate when coding services that are being billed to Medicare. What would you do if you are unsure of the charge? | Query the physician or a supervisor for more information.
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| Codes ranging from 10021-69990 are found in which category of the CPT manual? | Category I
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| Codes ranging from 70010-79999 are found in which category of the CPT Manual? | Category I
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| Listing only a portion of the narrative description that follows the semicolon is done to: | conserve space.
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| Procedures that are experimental, newly approved, or seldom used are reported with what type of code? | Unlisted
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| What section of CPT is code 95833 found? | Medicine
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| A complete list of modifiers is found __________. | in Appendix A
on the front cover of CPT
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| In reviewing Appendix A in the CPT manual, which modifier would be appropriate to append in order to define a bilateral reduction mammaplasty 19318? | 50
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| Which section is code 01630 found in? | Anesthesia
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| Which section is code 99050 found in? | Medicine
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| Modifiers are used to indicate what type of information? | Bilateral procedure
Multiple procedure
Service greater than usually required
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| Modifier-79, unrelated procedure or service by the same physician during the postoperative period, is used on what type of service? | Surgery
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| Modifier-80, assistant surgeon, is used when: | a second surgeon provides assistance to the primary surgeon.
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| The examination is the ____ portion of the E/M service. | objective
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| Modifier-52, reduced services, is used to indicate: | a service was reduced without changing the definition of the code.
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| If anesthesia was provided to a patient who is not expected to survive without the surgical procedure being performed, which physical status modifier would be appended to the anesthesia code? | P5
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| Bruising would be an element of review of which organ system? | Hematologic
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| Medical decision making (MDM) is based on the ____ the physician must consider about the management of a patient’s condition. | number of diagnoses
risk of morbidity
amount of data
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| Critical care codes are reported based on: | time
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| The Hospital Inpatient Services subsection is used for patients admitted to: | an acute care facility
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| Which codes begin with the number 99 and are used to indicate anesthesia services provided during situations that make the administration of the anesthesia more difficult? | Qualifying circumstances
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| Concurrent modifiers are used to describe: | number of cases an anesthesiologist is directing or supervising at one time.
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| Local anesthesia is defined in the CPT guidelines as: | local infiltration.
metacarpal/digital block.
topical anesthesia.
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| The global surgery period includes: | all routine preoperative and postoperative care.
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| When the words “separate procedure” appear after the descriptor of a code, you know which of the following about that code? | The procedure was a minor procedure that would only be reported if it was the only service provided.
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| The removal of a lesion by transverse incision that did not require sutured closure is reported using codes from which subsection? | Shaving of Epidermal or Dermal Lesions
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| Using the Rule of Nines, adult legs are what percentage of the human body? | 18%
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| Which term describes a reduction? | Manipulation
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| Which of the following terms describes traction by use of strapping, elastic wraps, or tape? | Skin
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| What is the difference between the code for a soft tissue abscess in the musculoskeletal system subsection and the codes for abscess in the integumentary system subsection? | The code in the musculoskeletal system subsection is associated with deep tissue possibly to the bone.
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| A diagnostic endoscopic procedure is reported only when: | no surgical procedure is performed during the same operative session.
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| The procedure in which a scope is passed into the larynx and the physician can look at the larynx is what type of laryngoscopy? | Direct
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| What type of cardiology is a diagnostic specialty that uses radioactive elements to aid in the diagnosis of cardiology conditions? | Nuclear
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| In which type of catheter placement is the catheter moved, manipulated, or guided into a part of the arterial system other than the vessel punctured? | Selective
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| If the clinic physician performs the catheterization procedure at the hospital, which modifier would you append to the catheterization code? | -26
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| The pulse generator of a pacemaker is also referred to as: | the battery.
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| What is it called when the diaphragm is out of normal position and has moved up farther into the thoracic cavity? | Eventration
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| A gastrostomy tube is placed inside the stomach for: | feeding purposes.
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| The procedure used to develop an artificial opening through the abdominal wall is: | exteriorization.
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| When urodynamics are performed and the physician only interprets the results, the correct modifier would be: | -26
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| The type of treatment used to treat prostate cancer by placing the radioactive elements directly into the prostate is called: | brachytherapy.
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| Within the Male Genital System, the greatest numbers of codes fall under what category? | Penis
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| When coding a total abdominal hysterectomy with an anterior/posterior colporrhaphy, the correct modifier to add to the second procedure would be: | -51
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| Incision and drainage of these glands are not reported using Female Genital System codes, but are instead reported using Surgery section, Urinary System codes: | Skene’s.
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| In which of the following categories would you locate a code for the removal of an IUD? | Introduction
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