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Spring study guide

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rootootie's version from 2017-05-03 21:41

Section 1

Question Answer
What are the three levels of CPT Codes and description (name) of the level?Level I: CPT, Level II: HCPCS/National Codes, Level III: Local Codes - phased out due to HIPAA
What type of code ends with 99?Unlisted Codes
Modifiers are used to indicate what type of information?Bilateral procedures, multiple procedures, service greater than usually required
G codes are used to identify:Professional procedures and services that would otherwise be reported with a CPT code but no CPT code has been established
A black circle symbol means ?New Code
A symbol with Two triangles with the points facing each other means ?Revised Text
One triangle symbol means ?Revised code
A circle with a line through it means ?Modifier -51 exempt
K codes are used to identify:The use of durable medical equipment
A code that has all of the words that describe the code that follows is what type of code?Stand alone
What are guidelines?Information that you will need to know in order to code correctly from that section, Not repeated elsewhere in the section, Describes how and when to report supplies
Which modifier would you use if polyps were removed from both the left and the right sides of the nose?-50
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Section 2

Question Answer
A modifier does what: provides additional information to the third-party payor
Who developed the CPT Manual?AMA
Pulse, temperature, and blood pressure are all part of which examination element?Constitutional
The first step in choosing the correct digestive endoscopic procedure code is to identify the ____ of the procedure.extent
How many main sections are there in the CPT Manual?6
If a patient has not been seen by a physician of the same group within, __________ years, they would be considered a new patient.3
CPT Codes have how many digits?5
Which punctuation mark between codes in the index of the CPT Manual indicates a range of codes are available?hyphen
What year was CPT first developed and published?1966
HCPCS alphanumeric codes are also known as:Level II Codes
What is the purpose of the semicolon with the stand alone codes?To save space
A(n) __________________ is the surgical repair of the cornea.keratoplasty
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Section 3

Question Answer
This act mandated the adoption of a national uniform standard for electronic-transmission of financial and administrative health information, thus eliminating the usage of Level III (Local) Codes.HIPAA
Modifier -52, reduced services, is used to indicate:a service was reduced without changing the definition of the code
What is the function of an add-on code?identifies a code that is never used alone.
An unlisted procedure code:Is a procedure or service not found in the CPT Manual, Is located in the Section Guidelines, Is located at the end of a subsection or subheading
When using an unlisted code, a(n) _____________must accompany the claim.special report
Modifier -59, distinct procedure service, is used to indicate that:services that are usually bundled into one payment that were provided as separate services
The level of E/M is based on:contributing factors, documentation, key components
In which CPT appendix would all modifiers be found?A
CPT Stands for:Current Procedural Terminology
Modifier -25, significant, separately identifiable E/M service by the same individual on the same day of the procedure or other service, is used to report an E/M service that wasprovided on the same day as a minor procedure performed by the same individual
There are two types of codes, but only ____________________ (two words, use hyphen between) codes have the full descriptionStand-alone
In the Surgery of Skull Base category, which items are procedure categories?definitive, approach, repair/reconstruction
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Section 4

Question Answer
Which punctuation mark between codes in the index of the CPT manual indicates a range of codes is available?hyphen
HCPCS stands for:Healthcare Common Procedure Coding System
For Medicare patients which modifier is required for bilateral procedures?-50
The name of the procedure in which mucus is removed from the sinuses by flushing a saline solution through the sinus cavities is ____ therapy. For example, the Proetz procedure (saline irrigation combined with suction).displacement
What are the divisions of the Surgery section based on?physician subspecialty area
What term describes a reduction?manipulation
Incision and drainage codes are divided into subcategories according to thecondition for which the procedure is performed
The repaired wound should be measured or converted tocentimeters
Wound exploration codes have the following service(s) bundled into the codes: exploration, including enlargement; debridement, removal of foreign body(ies), minor vessel ligation, repair
Excision including simple closure of benign lesions of the skin includes this type of anesthesialocal
What two items are needed to correctly code for local treatment of burns?percentage of body surface and depth
Many of the codes to report services to the eyes are unilateral; therefore, you must assign this modifier if the procedure was bilateral-50
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Section 5

Question Answer
Which of the following terms describes traction by use of strapping, elastic wraps, or tape?skin
Moderate or ____________________ sedation is a type of sedation that may be provided by the physician performing the procedureConscious
Endoscopic procedures are reported on the ____ place(s) to which the scope is advanced.farthest
This surgical procedure is performed to reshape the nose.rhinoplasty
A diagnostic endoscopic procedure is reported only whenno surgical procedure is performed during the same operative session
What type of nurse can administer anesthesia under the direction of an anesthesiologist?CRNA
The global surgery period includesall routine preoperative and postoperative care
Which treatment of a fracture requires the fracture to be exposed to view or opened at a remote site for nailing across the fracture?open
The term that describes the study of the motion and flow of urine is:urodynamics
In which type of catheter placement is the catheter moved, manipulated, or guided into a part of the arterial system other than the vessel punctured?selective
The type of treatment used to treat prostate cancer by placing the radioactive elements directly into the prostate.brachytherapy
What is the name of the technique that is achieved by use of the operating microscope?Microsurgical
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Section 6

Question Answer
What are the three sections of the CPT manual that you use to code many cardiovascular services?Surgery, Radiology, Medicine
The divisions of the Radiation Oncology section of the CPT manual are divided into subsections based on what?Type of service
True or False: The services in the Pathology and Laboratory section include both the lab tests and the collection of specimensFalse
_____________ ____________ test for the presence and amount of a drug.Drug Assays
Which items are part of the Endocrine System subsection?Adrenal gland, Carotid body, Thyroid gland
Surgery of Skull Base procedures are divided into three types of procedures: the approach procedure, the definitive procedure, and what final procedure?Reconstructive/repair procedure
True or False: Tomography is a procedure used to view the inside of the body and project it on a television screen.False
True or False: The Pathology and Laboratory section of the CPT manual is formatted according to types of tests performedTrue
True or False: Modifier -26 is placed after the code when only the professional component of a service is reported,True
True or False: If fewer than the total number of views specified in the code for a diagnostic radiology procedure are taken, modifier -52 should be used, unless a code for the smaller number of views exists.True
Which items are part of the Auditory System subsection?external ear; inner ear; temporalbone, middle fossa approach
Which categories are part of the external ear subheading?Incision, repair, other procedure
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