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Final review questio
| Question | Answer |
|---|---|
| Add on codes are never reported with which modifier? | 51, even though the modifier exempt symbol is not next to it |
| A triangle symbol in the CPT book indicates a code has been revised. Details of the revision are found where? | Appendix B of the CPT book |
| The # sign identify CPT codes that are out of numerical order. A summary of re-sequenced CPT codes with the pound sign are listed in which appendix? | Appendix N |
| CMS implemented the NCCI to promote correct coding. What does NCCI stand | National correct coding initiative |
| NCCI PTP edits are used by professional coders to determine the codes considered by CMS to be bundled codes for procedures and services. What does PCP stand for? | Procedure to procedure |
| What's the POS # reported for an office visit? Emergency room? Urgent Care? | POS 11 OFFICE VISIT POS 23 EMERGENCY ROOM POS 20 URGENT CARE |
| What does HCPCS stand for? | Healthcare common procedure coding system |
| What chapter in HCPCS II lists wheelchair? | Durable medical equipment |
| What three components contribute to the calculation of relative value units? | Physician work, practice expense, malpractice insurance |
| How are ambulance modifiers used? | They identify ambulance place of origin and destination |
| HCPCS II includes code ranges that consists of what types of codes? | Permanent national codes, miscellaneous codes and temporary national codes |
| What surgical status indicator represents the global surgical package for endoscopic procedures where there is no post-operative period after the day of surgery | 000 (except for procedures requiring an incision) |
| Which CPT code set is used voluntarily by physicians to report quality patient performance measurements? | Category II codes |
| CPT category III codes are reported to indicate which type of service or procedure? | New and emerging |
| Supplementary tracking codes reported voluntarily by eligible physicians | Category II codes |
| How often can HCPCS temporary codes be updated? | Quarterly |
| What types of modifiers are listed in appendix A of the CPT code book? | CPT, ASC, HCPCS, and anesthesia physical status modifiers |
| Which HCPCS level II modifier should you append for a new wheelchair purchase? | NU |
| What does NCCI CCM indicator 0 mean? | It will not bypass edits |
| What 3 method are used to list main terms in the CPT index? | Condition, synonyms, & abbreviations |
| What services are included in the surgical global package? | Preoperative visits, intraoperative services, post-surgical pain management, complications following surgery, postoperative visits and miscellaneous services |
| In which option is it appropriate to append HCPCS level II modifiers to CPT code procedures? | When specificity is required for eyelids, fingers, toes and coronary arteries |
| Facility vs non facility: hospital, skilled nursing, ASC, emergency rooms | Facility |
| Facility vs non facility: physician privately-owned practices | Non facility |
| What association maintains and publishes CPT coding guidelines, codes and descriptors? | American medical association |
| Which set of hcpcs level II codes are considered temporary codes assigned by CMS and reviewed by AMA for inclusion in the CPT? | G codes |
| what modifier do you append to a CPT code if a commercial insurance company requires the patient to acquire a medical consultation from a second physician? | 32 |
| The organs of this system include the spleen, thymus, tonsils, and Peyer's patches of the intestines. | Lymphatic system |
| Found in the lining of the intestine and contain high levels of white blood cells, which help fight infection and disease & helps protect against invading microorganisms | Peyer's patches |
| A mass of lymphoid tissue attached to the first part of the large intestines. it helps to protect against invading microorganisms. | The appendix |
| Where is the acetabulum joint? | Pelvis |
| Where is the acromnial joint? | Shoulder |
| Where is the abductor hallucis muscle? | Foot |
| Medicare insurance that covers things like. outpatient care, preventive services, ambulance services, and durable medical equipment. | Medicare part B |
| Medicare insurance that covers things like inpatient hospital, skilled nursing facility, and some home health care services | Medicare part A |
Created by:
marrufotheresa