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CHAPTER 7 QUIZNURS MISC - CS HEART FAILURE -JOANN SMITH The number symbol in CPT indicates: a. codes that appear out of numerical order b. products that are pending FDA approval c. code descriptions that has been revised d. guidelines and notes that have been revised - CORRECT ANSWER -a. codes that appear out of numerical order Procedures and services submitted on a __________ must be linked to the diagnosis code that justifies the need for the service or procedure. a. remittance advice b. claim c. patient record d. explanation of benefits - CORRECT ANSWER -b. claim The CPT forbidden symbol identifies codes that: a. have been discontinued until further notice b. require the addition of modifier -53 c. are not to be used with modifier -51 d. are not to be reported with codes from the same category - CORRECT ANSWER -c. are not to be used with modifier -51 The star symbol indicates: a. revised guidelines and notes
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The number symbol in CPT indicates: a. codes that appear out of numerical order b. products that are pending FDA approval c. code descriptions that has been revised d. guidelines and notes that have been revised - CORRECT ANSWER - a. codes that appear out of numerical order Procedures and services submitted on a __________ must be linked to the diagnosis code that justifies the need for the service or procedure. a. remittance advice b. claim c. patient record d. explanation of benefits - CORRECT ANSWER - b. claim The CPT forbidden symbol identifies codes that: a. have been discontinued until further notice b. require the addition of modifier - 53 c. are not to be used with modifier - 51 d. are not to be reported with codes from the same category - CORRECT ANSWER - c. are not to be used with modifier - 51 The star symbol indicates: a. revised guidelines and notes b. new procedures and services added to CPT c. codes used to report telemedicine services
d. reinstated or recycled CPT codes - CORRECT ANSWER - c. codes used to report telemedicine services The flash symbol indicates: a. guidelines and notes that have been revised b. codes that appear out of numerical order c. code descriptions that has been revised d. products that are pending FDA approval - CORRECT ANSWER - d. products that are pending FDA approval Which CPT symbol is used with indentation and saves space by referral back to the common portion of the code description? a. hyphen b. up arrow c. backslash d. semicolon - CORRECT ANSWER - d. semicolon Which symbol identifies procedures that are commonly performed at the same time and by the same surgeon as the primary procedure? a. number b. flash c. bullet d. plus - CORRECT ANSWER - d. plus In CPT, horizontal triangles identify: a. code descriptions that has been revised b. codes that appear out of numerical order c. guidelines and notes that have been revised
d. studies taken from different angles - CORRECT ANSWER - d. studies taken from different angles Modifier - 26 added to a CPT radiology code number indicates a: a. technical component b. distinct procedural service c. mandated services d. professional component - CORRECT ANSWER - d. professional component HCPCS level II modifier - TC covers the: a. employment of the radiologic technicians, supervision of the procedure, and use of the equipment b. writing of a radiologic report, use of the equipment, and supervision of the procedure c. supervision of the procedure and the interpretation and writing of a radiologic report d. use of the equipment, supplies provided, and employment of the radiologic technicians - CORRECT ANSWER - d. use of the equipment, supplies provided, and employment of the radiologic technicians In order to assign a code for an organ- or disease-oriented panel: a. at least three tests included in the panel must be completed b. each test must be completed over the course of 72 hours c. a special report must accompany any code substitutions d. all tests included in the CPT panel code must be completed - CORRECT ANSWER - d. all tests included in the CPT panel code must be completed CPT category II codes contain: a. emerging technology temporary codes for data collection b. diagnosis codes for illness and injury c. performance measurements tracking codes
d. procedures/services codes and descriptor nomenclature - CORRECT ANSWER - c. performance measurements tracking codes Indented codes: a. appear out of numerical order b. include a complete description of the procedure or service c. are assigned for data collection purposes d. refer back to the common portion of the code description - CORRECT ANSWER - d. refer back to the common portion of the code description A hollow circle symbol indicates: a. new procedures and services added to CPT b. procedures that include moderate (conscious) sedation c. revised guidelines and notes d. reinstated or recycled CPT codes - CORRECT ANSWER - d. reinstated or recycled CPT codes Which is the amount of time the provider spends at the patient's bedside and at management of the patient's care on the unit or floor? a. unit/floor time b. consultation c. counseling d. face-to-face time - CORRECT ANSWER - a. unit/floor time A history is an interview of the patient that includes the following elements: a. PAT, HPI, and ROS b. HPI, ROS, and PFSH c. PAT, POS, and PFSH d. HPI, TOS, and PFSH - CORRECT ANSWER - b. HPI, ROS, and PFSH
a. preoperative clearance b. instructional notes c. special report d. descriptive qualifier - CORRECT ANSWER - c. special report Which is used to indicate CPT main terms, categories, subcategories, headings, and code numbers in the CPT index? a. underscore b. boldface type c. blocked indented d. italicized type - CORRECT ANSWER - b. boldface type See is a cross-reference that directs coders to: a. Appendix B of the CPT manual b. a summary of clinical examples c. an index entry under which codes are listed d. guidelines for the index entry in question - CORRECT ANSWER - c. an index entry under which codes are listed Inferred words: a. appear throughout CPT sections to clarify the assignment of codes b. direct coders to an index entry under which codes are listed c. save space in the CPT index when referencing subterms d. are printed in boldface type in the CPT index - CORRECT ANSWER - c. save space in the CPT index when referencing subterms Which is used for a cross-reference term in the CPT index? a. underscore b. boldface type
c. blocked indented d. italicized type - CORRECT ANSWER - d. italicized type Which codes clarify services and procedures and indicate that a procedure or service has been altered? a. modifiers b. ICD- 10 - CM codes c. E/M codes d. extensions - CORRECT ANSWER - a. modifiers An established patient reported for an appointment with his primary care provider (PCP) due to a problematic stomachache and right-sided pain. The physician recognized the problem to be a "hot" appendix and made arrangements for the patient to have surgery to remove the appendix. Which modifier would be attached to the E/M code? a. - 25 b. - 57 c. - 22 d. - 54 - CORRECT ANSWER - b. - 57 Code using CPT. Dialysis training for a patient, including a helper where applicable, in any mode, with the course not completed per training session. a. 90997 b. 90999 c. 90993 d. 90989 - CORRECT ANSWER - c. 90993 Code using CPT. A patient underwent a thyroidectomy for removal of remaining thyroid tissue after a previous right lobectomy for suspected malignancy. a. 60270 b. 60260
Code using CPT. The physician performed a surgical biopsy of the right temporal artery. a. 37605 b. 37799 c. 37609 d. 37200 - CORRECT ANSWER - c. 37609 Code using CPT. A 67-year-old patient underwent contact laser vaporization of the prostate. a. 52450 b. 52601 c. 52648 d. 52647 - CORRECT ANSWER - c. 52648 Code using CPT. A patient underwent a total abdominal hysterectomy, sparing the tubes and ovaries. a. 58210 b. 58200 c. 58152 d. 58150 - CORRECT ANSWER - d. 58150 Code using CPT. The radiologist directed and interpreted the placement of a percutaneous gastrostomy tube in a patient who is status post cerebrovascular accident with fluoroscopic guidance and contrast. a. 43752 b. 49442 c. 49441 d. 49440 - CORRECT ANSWER - d. 49440
Code using CPT. A nursing home patient was admitted for management of pneumonia, which is now resolved. The physician came by the facility to discharge the patient to home, spending 20 minutes with the patient and family. a. 99238 b. 99239 c. 99315 d. 99316 - CORRECT ANSWER - c. 99315 Code using CPT. The surgeon removed a Harrington rod in a patient with chronic irritation in the region of insertion. a. 22899 b. 22852 c. 22850 d. 22849 - CORRECT ANSWER - c. 22850 Code using CPT. A patient with congenital cleft palate underwent rhinoplasty with columellar lengthening, including the septum and tip. a. 30410 b. 30430 c. 30460 d. 30462 - CORRECT ANSWER - d. 30462 Code using CPT. A patient with suspended apnea underwent sleep study with recording of ventilation, respiratory effort, heart rate, and oxygen saturation. A technologist was in attendance. a. 95807 b. 95811 c. 95805 d. 95806 - CORRECT ANSWER - a. 95807
a. 61154 b. 61156 c. 61140 d. 61105 - CORRECT ANSWER - a. 61154 Code using CPT. A 5-year-old patient, status post eardrum rupture, underwent tympanic membrane repair with patch. a. 69631 b. 69620 c. 69433 d. 69610 - CORRECT ANSWER - d. 69610 Code using CPT. The primary care physician called his patient to discuss a confirmatory pathology report from a biopsy taken two weeks ago regarding the patient's new diagnosis of prostate cancer. The physician discussed transferring the patient's care to an oncologist. The call lasted 20 minutes. a. 99375 b. 99374 c. 99442 d. 99444 - CORRECT ANSWER - c. 99442 Code using CPT. An asthma patient received initial intermittent positive-pressure breathing (IPPB) treatment. a. 94664 b. 94660 c. 94640 d. 94662 - CORRECT ANSWER - c. 94640 Code using CPT. Dr. Ladwig performed an independent medical examination for a patient, Mr. Smith, to determine the workers' compensation impairment rating.
a. 99460 b. 99499 c. 99455 d. 99450 - CORRECT ANSWER - c. 99455 Code using CPT. A patient received anesthesia for extracorporeal shockwave lithotripsy with water bath. Patient has mild asthma. (Do not forget to assign the correct physical status modifier to this code.) a. 00873-P b. 00872-P c. 00872-P d. 00873-P2 - CORRECT ANSWER - b. 00872-P Code using CPT. A patient underwent single-lung transplant with cardiopulmonary bypass employed during the procedure. a. 32852 b. 32853 c. 32851 d. 32854 - CORRECT ANSWER - a. 32852 Code using CPT. A patient with intestinal intussusception underwent reduction through a laparotomy approach. a. 44055 b. 44005 c. 44050 d. 44020 - CORRECT ANSWER - c. 44050 Code using CPT. The surgeon performed a gastric bypass procedure for the patient's morbid obesity with small intestine reconstruction to limit absorption.
b. E/M codes c. Morphology codes d. External cause codes - CORRECT ANSWER - b. E/M codes Examples of POS include: a. wheelchairs, hospital beds, or portable IV pumps b. doctor's offices, hospitals, or nursing facilities c. surgeons, nurse practitioners, or therapists d. cardiovascular, oncologic, or pediatric patients - CORRECT ANSWER - b. doctor's offices, hospitals, or nursing facilities The extent of history in CPT is categorized according to four levels: a. problem-focused, extended problem-focused, comprehensive, and extensive b. problem-focused, expanded problem-focused, comprehensive, and extensive c. problem-focused, extended problem-focused, detailed, and comprehensive d. problem-focused, expanded problem-focused, detailed, and comprehensive - CORRECT ANSWER - d. problem-focused, expanded problem-focused, detailed, and comprehensive Medical team conferences in CPT is a subcategory of: a. consultations b. complex chronic care coordination services c. case management services d. care plan oversight services - CORRECT ANSWER - c. case management services Which is the amount of time the office or outpatient care provider spends with the patient and/or family? a. unit/floor time b. consultation c. face-to-face time
d. counseling - CORRECT ANSWER - c. face-to-face time Which refers to the kind of health care services provided to patients? a. concurrent care b. level of service c. type of service d. treatment plan - CORRECT ANSWER - c. type of service Which includes the chief complaint, extended history of present illness, problem pertinent system review extended to include a limited number of additional systems, and pertinent past/family/social history directly related to patient's problem? a. detailed b. comprehensive c. expanded problem-focused d. problem-focused - CORRECT ANSWER - a. detailed Patients receiving observation services are considered: a. outpatients b. inpatients c. new patients d. established patients - CORRECT ANSWER - a. outpatients A patient who has not received any professional services from the physician or another physician of the same specialty who belongs to the same group practice within the past three years is a(n): a. established patient b. initial patient c. new patient d. consultation patient - CORRECT ANSWER - c. new patient
a. general multisystem examination or a complete examination of a single organ system b. limited examination of the affected body area or organ system and other symptomatic or related organ system(s) c. extended examination of the affected body area(s) and other symptomatic or related organ system(s) d. limited examination of the affected body area or organ system - CORRECT ANSWER - a. general multisystem examination or a complete examination of a single organ system Dr. Lee's patient needs carpal tunnel surgery on her left hand. Before performing the procedure, she sends the patient to Dr. Jones for an opinion about whether the patient can withstand the expected risks of the surgery. This is called a: a. consultation b. referral c. preoperative clearance d. transfer of care - CORRECT ANSWER - c. preoperative clearance Which is the highest level for extent of history? a. expanded problem-focused b. comprehensive c. detailed d. problem-focused - CORRECT ANSWER - b. comprehensive Which subcategory of inpatient hospital care includes chart review for changes in patient's condition, results of diagnostic studies, and/or reassessment of patient's condition since performance of last assessment? a. initial hospital care b. hospital discharge service c. subsequent hospital care d. observation or inpatient care services - CORRECT ANSWER - c. subsequent hospital care
Which is an extended examination of the affected body area(s) and other symptomatic or related organ system(s)? a. problem-focused b. expanded problem-focused c. comprehensive d. detailed - CORRECT ANSWER - d. detailed With direct patient contact and without direct patient contact are subcategories of CPT's _______________ subsection. a. prolonged services b. case management services c. hospital observation services d. care plan oversight services - CORRECT ANSWER - a. prolonged services CPT code 99343 would be found in which category? a. home services b. prolonged services c. case management services d. nursing facility services - CORRECT ANSWER - a. home services Which cover the physician's time supervising a complex and multidisciplinary care treatment program for a specific patient who is under the care of a domiciliary or rest home, or who resides at home? a. case management services b. prolonged services c. non-face-to-face services d. care plan oversight services - CORRECT ANSWER - d. care plan oversight services