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MBC 1035 Final Exam
Comprehensive
| Question | Answer |
|---|---|
| CPT | Current Procedural Terminology |
| AMA | American Medical Association |
| CMS | Centers for Medicare and Medicaid Services |
| DME | Durable Medical Equipment |
| ABN | Advanced Beneficiary Notice |
| PET | Positron Emission Tomography |
| DMERC | Durable Medical Equipment Regional Carrier |
| BLS | Basic Life Support |
| ALS | Advanced Life Support |
| NDC | National Drug Code |
| Specific Coding info about each section | Guidelines |
| Identifies a code that is never used alone | Add on code |
| + | Add on Code |
| The 6 Sections of the CPT Manual in order | 1. EM 2. Anesthesia 3. Surgery 4. Radiology 5. Path and Lab 6. Medicine |
| A procedure or service not found in the CPT manual, can be found in the Section Guidelines and can be found at the end of a subsection or subheading | An Unlisted Code |
| If a coder is unable to locate a code that describes the exact service provided, is it acceptable to use a code that approximates the services provided? | NO |
| Should coders code directly from the index? | NO |
| CPT was developed by: | AMA |
| The purpose of CPT codes is to report | procedures and services to payers |
| The purpose of HCPCS codes is to report | procedures, supplies, products, and services that are not in the CPT manual to payers |
| Bulseye symbol: | Moderate/consious Sedation |
| # | Resequenced code |
| 0 | Recycled code |
| ^ | Revised Code |
| <......> | New or Revised Text |
| Bullet | New code |
| No smoking sign | Modifier 51 Exempt |
| The format of a HCPCS Level II code begins with ____, followed by _____ | Letter, 4 Digits |
| Just becuase an item or service contains a HCPCS code______.... | does NOT mean services will be covered |
| HCPCS is becoming more popular because | Payers Require it |
| Do all modifiers affect reimbursment? | No |
| The Drug Table only incldues these codes: | S, Q, C, T and J Codes |
| HCPCs Level III Codes are: | Phased out codes that may not be used |
| An Ambulance may be an ____, ____, or ____ vehicle specifically designed, equipped and staffed for life sabing and trasnporting the ___ or ____ | Land, Air, or Water. Sick or Injured |
| There are 2 levels of ambulance services: | Basic Life Support (BLS) and Advanced Life Support (ALS) |
| Are A Codes just trasnportation Codes? | NO |
| Digestive system codes are divided according to _____ beginning with the ___ and ending with the ____ | Anatomical Site; Lips - Anus |
| A congenital defect when the muscle and tissue of the lip didn't close properly | Cleft Lip |
| The 4 subheadings for the urinary system codes are arranged ____ by these 4 subheadings | anatomically; Kidney, Ureters, Bladder, Urethra |
| Incarcerated / Strangulated ~ | Important factors in coding hernia repair |
| LEEP ~ | Loop Electrode Excision Procedures |
| LEEP are also referred to as | Cervical Loop Diathermay |
| Removal of IUD is located; | at the indroduction |
| This subheading only has 2 codes | Intersex Surgery |
| An incision into the vagina | Colpotomy |
| There are _ glands in the endocrine system of the body. However, the Endocrine subsection of the CPT manual contains codes for ___ endocrine glands | 9; 4 |
| Skull Based Surgery ~ Approach: | Obtain exposer of the lesion |
| Skull Based Surgery ~ Definitive: | What is done to the lession |
| Skull Based Surger ~ Closer: | Repair |
| Devices used to relieve presure in the brain caused by fluid buildup: | Shunts |
| The repair for protruding ears | Otoplasty |
| ____ means "making of a film" | Graphy |
| Position | How the patient is placed during and xray |
| When lithrotripsy is performed, the patient may be surrounded by: | Liquid |
| What do the letters UPP stand for? | Urethral Pressure Profile |
| Within the Male Genital System, the greatest numbers of codes fall under what category? | Penis |
| The term that describes the study of motion and flow of urine is: | urodynamics |
| Endoscopic procedures within the Urinary subsection, Kidney subheading, are often divided based on this unique factor | Existence of a stoma |
| Urethral dialiation codes are often divided based on this factor: | Inital or Subsequent |
| Antepartum care includes: | Inital and Subsequent history, physical exams, recording of weight, blood pressure, fetal heart tones, and routine UA |
| According to the text, vulvectomy codes are divided based on the ___ and extent of vulvar area removed during the procedure | Size |
| During skull based surgery, if one surgeon performs the approach and a second physician performs the definitive procedure and a third physician performs the closure, what modifier is appended to the definitive procedure | No Modifier is used |
| The most commonly known neuroplastic procedure: | Carpal Tunnel |
| The initials that indicate a shunting procedure is | CSF |
| Cataract and lens replacement uses ____ different approaches | 3 |
| Stabismus Surgery: | Corrects the muscle misalignment |
| Projection: | The path of the xray beam |
| Radiology uses ____ energy to diagnose and treat patients | Radiant |
| _TC | Technical Componet ~ Used for the use of equipment (X-Rays, MRI, etc.) |
| -26 | Professional componet ~ Interpretation of X-Rays, MRI's, etc. |
| If a clinc does both the Technical and Professional componets, what modifier should be used? | No Modifier is needed |
| A procedure used to view the inside of the body and project it on a television screen | Fluoroscopy |
| The 2 Sections in the CPT Manual in which ultrasound codes can be located are: | Radiology and Medicine |
| Type of drug test that measures the presence of a drug in the specimen | Qualitative |
| Type of drug test that measures the amount of drug in the specimen | Quantitative |
| Grouped laboratory work that represents those tests commonly done together | Panels |
| What section of the CPT do codes come from that are used to report venipuncutres and arterial punctures | Surgery Section |
| In the Path/Lab section of the CPT, drugs are listed by | Thier Generic Names |
| ___ imply tha tif a test is found positive, it is assumed that the physician wants more info on the condition | Indicators |
| Indicators are aka: | Reflex Testing |
| This type of examination is large enough to see without a microscope | Gross Examination |
| This deals with lab work done to determine celluar changes | Cytopathology |
| What is the most common type of Cytopathology? | Pap Smear |
| Vaccine Codes Contain: | Admin codes and a Code for the Vaccine |
| This must always be documented in the patient record and is the major billing factor for reporting codes in the Psychiatric subsection | Time |
| Describes the pushing of liquid into the body over a long period of time (more than 15 minutes) | Infusion |
| Outpatient dialysis services are reported on a ____ basis | Monthly |
| Name of process that routes the blood including waste products outside the body through filters | Hemodialysis |
| The name of the dialysis that involves using a body cavity as a filter | Periotoneal |
| Dermatology codes are usually used by the dermatologist who sees patients in the office ~ this is based on | Consultation |
| Active Immunization | Come into contact with the virus |
| Passive Immunization | High Dose ~ Does not contain an immune response |
| When coding for allergy testing, it is important to know that the medical record will indicate ____, ____, and ____ | number of tests, Methods of testing, and Number of testing |
| Describes the pushing of liquid into the body (less than 15 minutes) | IV Push |
| A gastrostomy tube is placed inside of the stomach for | Feeding purposes |
| The first step to choosing the correct digestive endoscopic procedure code is to identify the ____ of the procedure | Extent |
| The ____ manufactures most blood cells | Bone Marrow |
| This type of lymphadenectomy is the removal of the lymph nodes, glands, and surrounding tissues: | Radical |
| How many categories are located in the Mediastinum subheading? | 4 |
| A diaphragmatic hernia is also known as: | Esophageal Hiatal Hernia |
| This bone marrow is taken from a close relative, so there is a genetic similarity | Allogenic |
| This bone marrow is collected from the patient and later transplanted of reinfused back into the patient from whom it came | autologenic |
| What word describes a lymphanectomy in which only the lymph nodes are removed? | Limited |
| Can a person live without a spleen? | YES |
| Where is the Mediastinum located? | Between the lungs |
| ____ is the provision of nutritional requirements through a tube into the stomach and small intestine | Enteral Nutrition |
| Insurance carriers usually require a _____ in order to cover payment for DME | CMN |
| A sample of tissue from a suspect area can be further divided into: | Block and Section |
| Cardiovascular subsection contains many diagnositc/therapeutic procedures and services that are primarily divided as to whether the procedures or services are invasive or ___ | Noninvasive |
| What is the name of the high-frequency sound waves in an imaging process that is used to diagnose patient illness | Ultrasound |
| Toward the Midline of the body | Medial |
| Toward the Head or the upper part of the body; | Superior |
| In front of | Anterior |
| In back of | Posterior |
| Away from the head or the lower part of the body | Inferior |
| AKA "Waiver of Liability | ABN |
| The provision of nutritional requirements intravenously is called | Parenteral Nutrition |
| PQRS | Physican's Quaility Reporting Initiative |
| PQRS is a ____ Program | Voluntary |
| Away from the Midline of the body (to the side) | Lateral |
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