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CODING

EXAM QUESTIONS

QuestionAnswer
A CODE THAT HAS ALL OF THE WORDS THAT DESCRIBE THE CODE THAT FOLLOWS IS WHAT TYPE OF CODE STAND ALONE
PROCEDURES THAT ARE EXPERIMENTAL ,NEWLY APPROVED, OR SELDOM USED ARE REPORTED WITH WHAT TYPE OF CODE UNLISTED/CATEGORY 111 (WITH A SPECIAL REPORT)
WHO REQUIRES A SPECIAL REPORT WITH THE USE OF UNLISTED CODES THIRD-PARTY PAYERS
WHAT SIX ELEMENTS MUST A SPECIAL REPORT CONTAIN NATURE EXTENT NEED TIME EFFORT AND EQUIPMENT USED(PHOTOS AND MEDICAL JOURNAL ARTICLES IF RELEVENT)
WHICH PUNCTUATION MARK BETWEEN CODES IN THE INDEX OF THE CPT MANUAL INDICATES A RANGE OF CODES IS AVAILABLE HYPEN
WHICH PUNCTUATION BETWEEN CODES IN THE CPT MANUAL INDICATES TWO OR MORE CODES ARE AVAILABLE COMMA
A LIST OF THE UNLISTED PROCEDURES FOR USE IN A SPECIFIC SECTION OF THE CPT MANUAL IS CONTAINED IN GUIDELINES
IN WHICH CPT APPENDIX WOULD ADDITIONS DELETIONS AND REVISIONS BE FOUND APPENDIX B
IN WHICH CPT APPENDIX WOULD ALL MODIFIERS BE FOUND APPENDIX A
CPT STANDS FOR CURRENT PROCEDURAL TERMINOLOGY (4TH EDITION)
WHERE IS THE SPECIFIC CODING INFORMATION ABOUT EACH SECTION LOCATED GUIDELINES
WHICH ACT MANDATED THE ADOPTION OF NATIONAL UNIFORM STANDARDS FOR ELECTRONIC TRANSMISSION OF FINANCIAL AND ADMINISTRATIVE HEALTH INFORMATION HIPAA
WHO PUBLISHES CPT AMA (AMERICAN MEDICAL ASSOCIATION)
CATEGORY 1 CPT CODES HAVE MANY DIGITS 5
THE UNIVERSAL HEALTH INSURANCE PAPER FORM SUBMISSION OF OUTPATIENT SERVICES IS THE CMS-1500(INPATIENT CMS-1450 UB-04)
WHAT IS THE FUNCTION OF AN ADD-ON-CODE IDENTIFIES A CODE THAT IS NEVER USED ALONE
HOW MANY SECTIONS ARE IN THE CPT MANUAL 6
WHAT IS THE PURPOSE OF A MODIFIER PROVIDES ADDITIONAL INFORMATION TO THE THIRD-PARTY PAYER
HOW OFTEN ARE CATEGORY 111 CODES RELEASED TWICE A YEAR (JANUARY AND JULY)
ACCORDING TO THE E/M GUIDELINES TIME IS NOT A DESCRIPTIVE COMPONENT FOR EMERGENCY DEPARTMENT LEVELS OF E/M SERVICE
THE RANGE OF CODES 10021-69990 WOULD BE FOUND IN THIS SECTION OF THE CPT SURGERY
THE INDEX OF THE CPT MANUAL IS IN ALPHABETICAL ORDER WITH WHAT LISTED FIRST MAIN TERM
THE CODES BEGINNING WITH 99 ARE FOUND IN WHAT SECTION OF THE CPT MANUAL EVALUATION/MANAGMENT
THE CODES BEGINNING WITH 0 ARE FOUND IN WHAT SECTION OF THE CPT MANUAL ANESTHESIA
THE CODES BEGINNING WITH 7 ARE FOUND IN WHAT SECTION OF THE CPT MANUAL RADIOLOGY
THE CODES BEGINNING WITH 8 ARE FOUND IN WHAT SECTION OF THE CPT MANUAL PATHOLOGY AND LABORATORY
THE CODES BEGINNING WITH 9 ARE FOUND IN WHAT SECTION OF THE CPT MANUAL MEDICINE
WAHT ARE THE SIX BASIC LOCATION METHODS TO LOCATE MAIN TERMS IN THE INDEX OF THE CPT SERVICE PROCEDURE ANATOMIC SITE CONDITION DISEASE SYNONYM EPONYM ABBREVIATION
WHAT DOES THE TRIANGLE SYMBOL REPRESENT REVISED CODE
WHAT DOES THE BULLET SYMBOL REPRESENT NEW CODE
WHAT DOES THE HORIZONTAL TRIANGLES SYMBOL REPRESENT NEW OR REVISED TEXT
WHAT DOES THE PLUS SIGN SYMBOL REPRESENT ADD-ON-CODE
WHAT DOES THE BULLSEYE SYMBOL REPRESENT MODERATE/CONSCIOUS SEDATION
WHAT DOES THE FORBIDDEN SYMBOL REPRESENT EXEMPTIONS TO MODIFIER 51
WHAT DOES THE LIGHTNING BOLT SYMBOL REPRESENT PRODUCT PENDING FDA APPROVAL
WHAT DOES THE EMPTY CIRCLE SYMBOL REPRESENT REINSTATED OR RECYCLED CODE
WHAT DOES THE HASHTAG SYMBOL REPRESENT OUT OF SEQUENCE CODE
THE LEVEL OF E/M SERVICE IS BASED ON DOCUMENTATION ,KEY COMPONENTS AND CONTRIBUTING FACTORS
THE HPI MUST BE DOCUMENTED IN THE MEDICAL RECORD BY THE PHYSICIAN
THE EXAMINATION IS WHAT PORTION OF E/M SERVICE OBJECTIVE
MEDICAL DECISION MAKING (MDM) THAT THE PHYSICIAN MUST CONSIDER ABOUT THE MANAGEMENT OF A PATIENT'S CONDITION IS BASED ON NUMBER OF DIAGNOSES RISKS OF MORBIDITY AND AMOUNT OF DATA
THE REQUEST FOR ADVICE OR OPINION FROM ONE PHYSICIAN IS THIS TYPE OF SERVICE CONSULTATION
WHEN A PHYSICIAN PERFORMS A PREVENTIVE CARE SERVICE THE EXTENT OF THE EXAM IS DETERMINED BY THE AGE
ONE WHO HAS RECEIVED PROFESSIONAL SERVICE FROM THE PHYSICIAN OR ANOTHER PHYSICIAN OR ANOTHER PHYSICIAN OF THE EXACT SAME SPECIALTY AND SUBSPECIALTY IN THE SAME GROUP WITHIN THE PAST 3 YEARS AN ESTABLISHED PATIENT
THE TERM USED TO DESCRIBE A PATIENT WHO HAS NOT BEEN FORMALLY ADMITTED TO A HEALTH CARE FACILITY IS OUTPATIENT
WHAT 3 FACTORS MUST BE CONSIDERED WHEN ASSIGNING A CODE PLACE OF SERVICE TYPE OF SERVICE AND PATIENT STATUS
THE 4 TYPES OF PATIENT STATUS ARE NEW ESTABLISHED INPATIENT AND OUTPATIENT
WHAT ARE THE 4 LEVELS OF MEDICAL DECISION MAKING (MDM) STRAIGHT-FORWARD LOW MODERATE HIGH
WHAT ARE THE 4 ELEMENTS OF HISTORY CHIEF COMPLAINT (CC) HISTORY OF PATIENT ILLNESS (HPI) REVIEW OF SYSTEMS (ROS) PAST FAMILY SOCIAL HISTORY (PFSH)
COMPLEXITY OF MDM IS BASED ON WHAT 3 ELEMENTS NUMBER OD DIAGNOSES RISK OF MORBIDITY AMOUNT OF DATA
WHAT ARE THE 3 KEY COMPONENTS THAT ARE PRESENT IN EVERY PATIENT CASE EXCEPT COUNSELING ENCOUNTERS OR TIME BASED CODES THAT ENABLE THE CODER TO CHOOSE THE APPROPRIATE LEVEL OF SERVICE HISTORY EXAMINATION AND MEDICAL DECISION MAKING
WHAT ARE THE 4 LEVELS OF HISTORY TYPE PROBLEM FOCUSED EXPANDED PROBLEM FOCUSED DETAILED AND COMPREHENSIVE
IN ANESTHESIA 99100 IS AN EXAMPLE OF A QUALIFYING CIRCUMSTANCE
WHAT IS QUALIFYING CIRCUMSTANCES UNUSUAL OR OUT OF THE ORDINARY CONDITION THAT SIGNIFICANTLY INFLUENCES THE ADMINISTRATION OF ANESTHESIA
THE ANESTHESIA STATUS MODIFIER THAT INDICATES THE PATIENT'S CONDITION AT THE TIME ANESTHESIA WAS ADMINISTERED IS PHYSICAL
WHAT DOES THE PHYSICAL STATUS MODIFIER P1 STAND FOR A NORMAL HEALTHY PATIENT
WHAT DOES THE PHYSICAL STATUS MODIFIER P2 STAND FOR A PATIENT WITH MILD SYSTEMIC DISEASE
WHAT DOES THE PHYSICAL STATUS MODIFIER P3 STAND FOR A PATIENT WITH SEVERE SYSTEMIC DISEASE
WHAT DOES THE PHYSICAL STATUS MODIFIER P4 STAND FOR A PATIENT WITH SEVERE SYSTEMIC DISEASE THAT IS A CONSTANT THREAT TO LIFE
WHAT DOES THE PHYSICAL STATUS MODIFIER P5 STAND FOR A MORIBUND PATIENT WHO IS NOT EXPECTED TO SURVIVE WITHOUT THE OPERATION
WHAT DOES THE PHYSICAL STATUS MODIFIER P6 STAND FOR A DECLARED BRAIN DEAD PATIENT WHOSE ORGANS ARE BEING REMOVED FOR DONOR PURPOSES
WOUND REPAIR CODES ARE DETERMINED BY THESE THINGS LENGTH COMPLEXITY AND SITE
THE 3 CLASSIFICATIONS OF WOUND REPAIR ARE SIMPLE INTERMEDIATE AND COMPLEX
WHAT IS THE BILLING ORDER FOR COMPLEXITY OF WOUND REPAIRS REGARDLESS OF SIZE COMPLEX INTERMEDIATE SIMPLE
PROCEDURES AND SERVICES SUBMITTED ON A CLAIM MUST BE LINKED TO THE __________ THAT JUSTIFIES THE NEED FOR THE SERVICE OR PROCEDURE ICD10-CM CODE
WITH WHAT TYPE OF CODES ARE PROCEDURES/SERVICES IDENTIFIED BY A FIVE-DIGIT CPT CODE AND DESCRIPTOR NOMENCLATURE CATEGORY 1 CODES
WHAT TYPES OF CODES CONTAIN EMERGING TECHNOLOGY CODES ASSIGNED FOR DATA COLLECTION CATEGORY 111 CODES
SERVICES BY MORE THAN ONE PHYSICIAN ON THE SAME DAY CONCURRENT CARE
CODES THAT DESCRIBE SPECIALTY SERVICES MEDICINE
FIFTEEN MINUTE INCREMENT ANESTHESIA UNIT
LEVEL 1 HCPCS CODES CPT
E/M SERVICE WITH NO CPT CODE UNLISTED CODE
REPORTED WITH AN UNLISTED SERVICE SPECIAL REPORT
HISTORY EXAMINATION AND MEDICAL DECISION MAKING KEY COMPONENTS
WHAT IS THE NAME OF THE BOOK USED IN THE PHYSICIANS OFFICE TO CODE PROCEDURES CPT CURRENT PROCEDURAL TERMINOLOGY
THE CPT PUBLICATION IS UPDATED AND REVISED ANNUALLY (NOVEMBER FOR JANUARY)
THE KEY COMPONENTS THAT DETERMINE AN EVALUATION AND MANAGEMENT CODE ARE DOCUMENTED BY THE PHYSICIAN
THE SURGICAL PACKAGE FOR NON MEDICARE CASES INCLUDES THE PREOPERATIVE VISIT OPERATION LOCAL FILTRATION DIGITAL BLOCK OR TOPICAL ANESTHESIA AND NORMAL UNCOMPLICATED POSTOPERATIVE CARE
WHEN MULTIPLE LACERATIONS OF THE SAME CLASSIFICATION ARE REPAIRED IN THE SAME BODY AREA ADD THE LENGTHS OF ALL LACERATIONS AND REPORT THEM IN ON SINGLE CODE
THE LARGEST SECTION IN THE CPT BOOK IS THE SURGERY SECTION
WHAT DOES BUNDLING MEAN GROUPING CODES THAT ARE RELATED TO A PROCEDURE
WHEN COUNSELING AND COORDINATION OF CARE DOMINATE ______ OF FACE TO FACE PHYSICIAN PATIENT ENCOUNTERS THEN TIME IS CONSIDERED THE KEY TO QUALIFY FOR A PARTICULAR LEVEL OF E/M SERVICE 50%
THE E/M CODE 99203 IS CONSIDERED WHAT LEVEL OF SERVICE 3
CODING AND BILLING NUMEROUS CPT CODES TO IDENTIFY PROCEDURES THAT ARE USUALLY DESCRIBED BY A SINGLE CODE IS CALLED UNBUNDLING
DELBERATE MANIPULATION OF CPT CODES FOR INCREASED PAYMENT IS CALLED UPCODING
IF A PROCEDURE REQUIRES MORE THAN ONE MODIFIER USE THE MULTIPLE TWO DIGIT CODE ____ AFTER THE USUAL FIVE DIGIT CODE NUMBER -99
THE ANESTHESIA FORMULA IS B*T*M
IN ANESTHESIA WHAT DOES B*T*M STAND FOR BASE UNITS TIME AND MODIFYING UNITS
WHO DOES NOT USE CONSULTATION CODES MEDICARE
WHEN CODING FROM THE SURGERY SECTION OF CPT, THE FIRST THING YOU SHOULD DO IS GO TO THE INDEX
ACCORDING TO CPT A SURGICAL PACKAGE INCLUDES THE OPERATION CERTAIN TYPES OF ANESTHESIA AND POST OPERATIVE VISITS WITHIN DESIGNATED FOLLOW UP DAYS
CHECKING A DIAGNOSTIC AGAINST A PROCEDURE CODE IS REFERRED TO AS CODE LINKAGE
WHEN CODING DIAGNOSIS START BY LOOKING IN VOLUME 11 (THE INDEX)
ICD-10-CM WAS IMPLEMENTED OCTOBER 1, 2015
ALL CATEGORIES IN ICD-10-CM HAVE 3 ALPHANUMERIC DIGITS
IN DIAGNOSTIC CODING THE FOLLOWING SYMBOL IS USED AS A PLACEHOLDER WHEN A SUBCATEGORY DOES NOT HAVE A 4TH 5TH OR 6TH DIGIT AND A 7TH DIGIT NEEDS TO BE APPLIED X
A DISEASE OR CONDITION THAT HAS A RAPID ONSET AND A SHORT SEVERE COURSE IS SAID TO BE ACUTE
A DISEASE OR CONDITION THAT PROGRESSES SLOWLY AND HAS A LONG DURATION IS SAID TO BE CHRONIC
WHICH CODING SYSTEM FOR MEDICAL SERVICES USED 5 DIGIT NUMBERS WITH 2 DIGIT MODIFIERS CPT
HOW OFTEN ARE DIAGNOSTIC AND PROCEDURAL CODE BOOKS UPDATED EVERY YEAR
COMPUTER ASSISTED CODING SERVICES SOFTWARE CONVERTS ITS WORDS AND PHARSES ENTERED ABOUT A PATIENT'S CONDITION OR TREATMENT INTO WHICH TYPE OF DATA THAT MUST BE CHECKED AND EDITED BY A PROFESSIONAL CODER CODES
THE TYPICAL SERVICES PROVIDED BY ONE SURGEON FOR ALL SERVICES INVOLVED IN SURGICAL PROCEDURE CODE MAKE UP THE SURGICAL PACKAGE
THE CODING SYSTEM USED TO DOCUMENT THE DIAGNOSIS MADE BY PHYSICIANS IS INTERNATIONAL CLASSIFICATION OF DISEASES
THE CODING SYSTEM USED TO DOCUMENT SERVICES AND SUPPLIES PROVIDED TO PATIENTS AND PROCEDURES PERFORMED IS THE HCPCS LEVEL 1 AND II
ICD-10-CM CODES USED FOR DIAGNOSIS IN OUTPATIENT SETTING MAY BE FOUND IN VOLUMES I AND II
WHICH OF THE FOLLOWING CPT MODIFIERS INDICATES THAT THE SERVICE WAS MANDATED BY A THIRD PARTY SUCH AS AN INSURANCE COMPANY OR GOVERNMENT PAYER -32
WHICH OF THE FOLLOWING CPT MODIFIERS INDICATES THE PROFESSIONAL COMPONENT (PHYSICIANS ROLE) IN A TECHNICAL DIAGNOSTIC PROCEDURE SUCH AS WHEN HE OR SHE INTERPRETS THE RESULTS OF A LABORATORY TEST OR X-RAY -26
ELECTRONIC CODING PROGRAMS ARE CONSIDERED AN ESSENTIAL TOOL HOWEVER TO REDUCE POSSIBLE ERRORS IT IS PRUDENT TO USE CORRECT CODING INITIATIVE EDITS
NATIONAL CORRECT CODING INITIATIVE (NCCI) EDITS RELATE TO BOTH CPT AND HCPCS CODES
WHEN A SIMILAR SERVICE IS PROVIDED TO A HOSPITAL PATIENT BY MORE THAN ONE PHYSICIAN ON THE SAME DAY IT IS REFERRED TO AS CONCURRENT CARE
THE USE OF CONSULTATION CODES HAVE BEEN ELIMINATED BY MEDICARE
IN CPT THE E/M SECTION IS USED TO CODE OFFICE AND HOSPITAL VISITS
IF A MEDICARE PATIENT WHO HAS BEEN SCHEDULED FOR SURGERY IS SEEN FOR A PREOPERATIVE VISIT ONE DAY PRIOR TO BEING ADMITTED TO THE HOSPITAL DO NOT BILL FOR THE E/M SERVICE IT IS INCLUDED IN THE GLOBAL PACKAGE
DAYS THAT FOLLOW MAJOR SURGERY AND ARE INCLUDED IN THE PRICE OF THE SURGERY ARE CALLED FOLLOW UP DAYS
WHEN FREQUENT TESTS ARE GROUPED TOGETHER IN THE PATHOLOGY AND LABORATORY SECTION THEY ARE CALLED PANELS
VACCINES ARE FOUND IN THE MEDICINE SECTION
ICD-10-CM CODING GUIDELINES HAVE BEEN DEVELOPED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AND THE NATIONAL CENTER FOR HEALTH
WHEN A DIAGNOSTIC CODE HAS NEC BY IT IT MEANS THE DESCRIPTION NECESSARY TO CODE THE DIAGNOSIS IN A MORE SPECIFIC CATEGORY IS NOT LISTED
SOME CONDITIONS HAVE AN UNDERLYING CAUSE ALONG WITH A DISEASE THAT OCCURS DUE TO THE UNDERLYING CONDITION IN SUCH CASES CODE THE ETIOLOGY FIRST AND THE MANIFESTATION SECOND
IN ICD-10-CM ALL CODES HAVE 3 TO 7 DIGITS
AN EXAMPLE OF AN ADVERSE EFFECT IS A DRUG IS PROPERLY ADMINISTERED BUT THE PATIENT HAS A REACTION
WHEN A PERSON HAD A PERSONAL FAMILY HISTORY OF A DISEASE THAT AFFECTS THEIR CURRENT CONDITION THE RISK FACTOR SHOULD BE CODED WITH A Z CODE
A CHARACTER USED IN THE ICD-10 -CM CODE BOOK THAT ALLOWS FOR FUTURE EXPANSION AND IS REQUIRED FOR THE CODE TO BE CONSIDERED VALID PLACEHOLDER
ON AN INSURANCE CLAIM WHEN THE SUBMITTED PROCEDURE CODES MATCH UP WITH APPROPRIATE DIAGNOSTIC CODES CODE LINKAGE
PHYSICIAN PROVIDES A SECOND OPINION REGARDING A PATIENT'S CONDITION OR NEED FOR SURGERY CONSULTATION
PHYSICIAN MEETS WITH PATIENT TO DISCUSS TEST RESULTS DIAGNOSIS PROGNOSIS OR THE RISKS AND BENEFITS OF VARIOUS TREATMENTS COUNSELING
PERIOD IMMEDIATELY FOLLOWING SURGERY POSTOPERATIVE
WHAT IS PUT IN PLACE TO ENSURE THAT MEDICAL CODING IS DONE IN ALIGNMENT WITH HIPAA REGULATIONS AND OTHER LEGISLATIVE REQUIREMENTS A CODING COMPLIANCE PROGRAM
Created by: linda1111
 

 



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