2012 Step-by-Step Medical Coding
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| What appendix in the CPT Code Manual are all Modifiers listed? | Appendix A
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| Which coding system(s) is (are) used for claims submitted by physicians? | HCPCS and ICD-9-CM
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| Which coding system describes the reason for the patient visit or encounter? | ICD-9-CM
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| Identify the CPT section in which the code 21310 is located. | Surgery
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| Identify the CPT section in which the code 99602 is located. | Medicine
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| Identify the CPT section in which the code 81000 is located. | Pathology and laboratory
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| Identify the CPT section in which the code 0503F is located. | Category II
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| Identify the CPT section in which the code 99232 is located. | Evaluation and management
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| Identify the CPT section in which the code 97001 is located. | Medicine
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| Identify the CPT section in which the code 70486 is located. | Radiology
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| Which symbol indicates that a procedure code is new in CPT? | Bullet
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| Which category of CPT codes is reserved for emerging technology? | Category III
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| What symbol is placed in front of a CPT code to indicate it is an add on code? | A plus sign +
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| What code set is considered HCPCS Level I | CPT codes
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| What modifier is used for anesthesia by the surgeon? | 47
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| What letter of the HCPCS Level II codes set represents Durable Medical Equipment? | E
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| Where in the CPT Manual can you find a list of Modifier 51 exempt codes? | Appendix E
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| Where in the CPT Manual can you find clinical examples for reference to coding E & M services? | Appendix C
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| What is the percentage of the global work that CMS recognizes for a surgeon that performs only the intraoperative services? | 70%
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| What are the three components of RVU’s? | Work, overhead, malpractice
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| What are the three things that HIPAA implemented? | Privacy, security and portability
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| What part of Medicare is a supplemental for professional services and outpatient services? | Part B
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| What is an example of a form of healthcare fraud? | Routine waiver of a copayment
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| What is an ERA? | Electronic Remittance Advice
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| What services is included in conscious sedation? | Assessment of the patient
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| Per CPT guidelines, a concise statement describing the symptom, problem, condition, diagnosis, or other factor that is the reason for the encounter, usually stated in the patient's words, is the definition of the: | Chief complaint
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| ___________ is described as an inventory of body systems obtained through a series of questions seeking to identify signs and symptoms that the patient may be experiencing or has experienced. | Review of Systems (ROS)
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| According to the CPT Manual what is a true about what should be contained in a surgery special report? | Nature and extent of the procedure
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| What is not included in the surgical package? | E & M visit following surgery unrelated to surgery
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| What is the global period for minor procedures? | 10
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| How are the subsections in the surgery section of the CPT Manual? | Medical specialty or Body system
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| The definition of Debridement is: | Removal of infected or damaged tissue from a wound
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| How are the sections of the Surgery section divided? | body system
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| If a provider performs excision of multiple lesions, you would document the most complex lesion first and the subsequent lesions by using which modifier? | 51
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| Which term best describes the type of traction a physician performs using strapping, elastic wraps or tape? | Skin
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| What is the type of bone graft taken from the lower thigh area? | fascia lata
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| One of the following is not considered an example of a fracture treatment: | replantation
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| One of the terms below describes the chronic abscessing and subsequent infection of a sweat gland: | hidradenitis
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| A surgical sinus endoscopy includes a sinusotomy (when appropriate) and a ___________. | diagnostic endoscopy
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| A chest tube may be used as an indwelling method of ___________the accumulated fluid in the pleural space. | draining
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| The definition of Laryngotomy is the following: | incision made over the larynx
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| The definition of Tracheoplasty is the following: | repair of a damaged trachea
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| If the control of a nasal hemorrhage was performed bilaterally what CPT modifier would be used? | -50
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| Within the cardiovascular system, what is compared to the branches of a tree? | vascular families
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| What are the three sections of the CPT manual that you use to code many cardiovascular services? | Surgery, Radiology, Medicine
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| What does the abbreviation EP mean as it relates to cardiovascular services? | electrophysiology
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| Arrhythmia ablation is a treatment for: | bradycardia/tachycardia
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| The major division of the cardiovascular subsection is whether a procedure involved a ____ vessel. | coronary or noncoronary
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| Pacemaker insertion codes are divided based on the surgical: | approach
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| The device that can be inserted into the body to electrically shock the heart into regular rhythm. | cardioverter-defibrillator
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| The number of postoperative days usually assigned for the global period following implantation of a pacemaker is: | 90
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| The definition of transplantation is: | grafting tissue from one source to another
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| The diaphragm is a wall of muscle that separates the ____________ and the abdominal cavities. | thoracic
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| The definition of lymphadenitis is: | inflammation of the lymph nodes
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| The definition of Splenectomy is: | Excision of the spleen
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| The definition of Fundoplasty is: | Repair of the bottom of an organ or muscle
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| The mucosal and __________ tissue of the lips and cheeks are included in the oral cavity. | submucosal
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| The CPT code 44701 can be found in which Appendix of the CPT Manual. | Appendix D
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| With the exception of _________ and ___________ hernias, the use of mesh or other prosthesis is not separately reported when performing hernia repairs. | incisional and ventral
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| What is a common abbreviation for endoscopic retrograde cholangiopancreatography. | ERCP
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| Endoscopic procedures within the Urinary subsection, Kidney subheading, are often divided based on this unique factor: | existence of a stoma
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| Urethral dilatation codes are often divided based on this factor: | initial or subsequent
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| The Urinary System subsection is first arranged ___________ | anatomically
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| One of the most common conditions of the prostate is _____________. | BPH
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| The removal of a kidney is defined by which term: | Nephrectomy
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| For medical complications of pregnancy the physician would report his additional professional services using codes from what section or subsection? | E/M
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| Antepartum care includes: | initial and subsequent history, physical exams, recording of weight, blood pressures, fetal heart tones, and routine UA
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| According to the text, vulvectomy codes are divided based on the ____ and extent of vulvar area removed during the procedure. | size
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| This term describes an incision of the vagina to gain access to the pelvic cavity to explore or to drain an abscess: | colpotomy
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| A Colpotomy is an incision into the ______________ | vagina
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| There are ____ glands in the endocrine system of the body. | 9
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| The peripheral nervous system refers to the nervous structures outside of the: | central nervous system
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| What procedure is often performed with a laminectomy? | arthrodesis
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| Neuroplasty is the: | decompression of intact nerves
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| When reporting a craniectomy/craniotomy procedure, it is common to also code ____ procedures. | grafting
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| Cataract and lens replacement uses ____ different approaches. | 3
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| Strabismus surgery: | corrects the muscle misalignment
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| The transparent part of the eye is the ____________________. | cornea
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| The modifier reported when a physician component is reported separately is: | -26
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| A ____ procedure is one that is performed independently of, and not immediately related to, another service. | separate
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| What is the standard measure of energy in radiation treatment? | MeV
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| What is the modifier used to identify the technical component of a radiologic procedure? | -TC
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| Identify the correct term for the following definition: Away from the midline of the body (to the side) | lateral
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| Identify the correct term for the following definition: Away from the head or the lower part of the body; also known as caudad or caudal | inferior
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