Question

QUESTION 1

1. Which modifier would a radiologist append to the CPT code to reflect that charges were only for "interpretation and report?"

   	A.	53
   	B.	TC
   	C.	22
   	D.	76
   	E.	26
   	F.	25

10 points   

QUESTION 2

1. Any CPT code designated as a "separate procedure" is only coded and billed when?

   	A.	When bills are not submitted to Medicare
   	B.	When it is not considered a component of another procedure
   	C.	When the physician demands separate payment for the service
   	D.	Upon discretion of the billing manager or attending physician

10 points   

QUESTION 3

1. According to CPT Surgery Guidelines, which of the following is NOT part of the surgical package?

   	A.	Typical post-operative care
   	B.	Evaluation and management services subsequent to the decision for surgery
   	C.	Orders related to the patient's surgery or hospital stay
   	D.	General anesthesia services provided by an anesthesiologist or CRNA

10 points   

QUESTION 4

1. Which CPT code(s) is appropriate for an ultrasound-guided fine needle aspiration of a sebaceous cyst?

   	A.	10022, 76942
   	B.	76998, 10022
   	C.	10021, 76000
   	D.	10022, 76970

10 points   

QUESTION 5

1. The coding guidelines for excision of benign and malignant lesions informs the coder to select the most appropriate code by which of the following means?

   	A.	Using the pathology report, multiple the length by the width of excised lesion to determine squared centimeters and choose the code accordingly.
   	B.	Measuring the greatest clinical diameter of the lesion, plus the margin required for complete excision, as noted on the operative report.
   	C.	Add together the lengths of all lesions in the same anatomical classification and select the CPT that best represents that sum of lengths.
   	D.	Ask the physician/surgeon to select the best code choice from a list of procedures on the patient's encounter form.

10 points   

QUESTION 6

1. The removal of a lesion by horizontal slicing is best capture in which CPT code series?

   	A.	11400-11471
   	B.	11600-11646
   	C.	11300-11313
   	D.	17000-17111

10 points   

QUESTION 7

1. Which of the following is the ablation of skin or tissues by electrosurgery, cryosurgery, laser, or chemical treatment?

   	A.	Excision
   	B.	Incision
   	C.	Destruction
   	D.	Repair

10 points   

QUESTION 8

1. Which code(s) would be reported for an ORIF of a right medial humeral epicondylar fracture?

   	A.	24582-RT
   	B.	24575-RT
   	C.	24560-50
   	D.	24579-RT

10 points   

QUESTION 9

1. When a diagnostic arthroscopy converts to a therapeutic or surgical arthroscopy, which code(s) should be reported?

   	A.	Both diagnostic and therapeutic arthroscopy
   	B.	The surgical arthroscopy
   	C.	The diagnostic arthroscoy
   	D.	A code for open surgical treatment

10 points   

QUESTION 10

1. Surgical sinus endoscopy includes which of the following?

   	A.	Diagnostic sinus endoscopy and general anesthesia
   	B.	Professional and technical fees for service
   	C.	Diagnostic sinus endoscopy and sinusotomy
   	D.	Ethmoidectomy and sinusotomy

10 points   

QUESTION 11

1. Of the following, which should report CPT codes for the services furnished to a patient?

   	A.	A company that supplies home oxygen
   	B.	Emergency room physician professional fees
   	C.	Hospital for inpatient facility services
   	D.	A seller of durable medical equipment supplies

10 points   

QUESTION 12

1. If a physician office sends out blood and other specimens for analysis off-site, which modifier would it need to add to those lab charges when billing for those services?

   Examples include physician offices that use LabCorp or Quest Diagnostics to process their labs.

   	A.	91
   	B.	90
   	C.	TC
   	D.	92

10 points   

QUESTION 13

1. Dr. Jones sees Mary Shumaker in the clinic at 8 am on January 10th. He advises the patient to visit the emergency room if her condition worsens significantly over the next few days.  

   On the evening of January 10th, Ms. Shumaker visits the ER with worsening symptoms. Dr. Jones, as her primary care physician, visits her after the ER staff has evaluated her; Dr. Jones elects to admit her to Observation Status to monitor her condition more closely.

   Of the following, which evaluation and management service should Dr. Jones code for the January 10th visits with Ms. Shumaker?

   	A.	Initial Hospital Care (99221-99223)
   	B.	Initial Observation Care (99218-99220)
   	C.	Emergency Department Services (99281-99285)
   	D.	Initial Observation Care (99218-99220) and Office or Other Outpatient Services (99201-99215)

10 points   

QUESTION 14

1. The following laboratory blood tests are completed on a patient during a clinic visit:

   Blood potassium, chloride, sodium, and carbon dioxide.

   Which code(s) should be reported for these services?

   	A.	84133, 84132, 84302, 82374
   	B.	82374, 84295, 84132, 82435
   	C.	84300, 84133, 82803, 82436
   	D.	80051

10 points   

QUESTION 15

1. A pathologist receives a bone biopsy as a surgical specimen. Both gross and microscopic examination are completed and a report is authored by the pathologist. The report notes that decalcification of the specimen was required. Which codes best report the professional fees of this pathologist?

   	A.	88307, 88311
   	B.	20220
   	C.	88309
   	D.	88300, 88311

10 points   

QUESTION 16

1. Which of the following is NOT a distinct SECTION of CPT?

   	A.	Anesthesia
   	B.	Radiology
   	C.	Psychiatry
   	D.	Surgery

10 points   

QUESTION 17

1. Immediately after delivery, a critically ill neonate receives care from a pediatrician, who managed the neonate's care. Which CPT code should the pediatrician report from the following list?

   	A.	99205
   	B.	99245
   	C.	99468
   	D.	99285

10 points   

QUESTION 18

1. During a surgical intervention, Ms. Jackson demonstrates distress and the surgeon decides to discontinue the procedure. Which modifier should be used to report that the surgeon discontinued the procedure?

   	A.	53
   	B.	52
   	C.	22
   	D.	57

10 points   

QUESTION 19

1. Read the following operative report and select the best professional fees for the surgeon's work.

   Procedure: Pilonidal cystectomy

   Anesthesia: General endotracheal; 30cc of 0.25% Marcaine and epinephrine for local block.

   Pre-Operative Diagnosis: Pilonidal Cyst

   Post-Operative Diagnosis: Pilonidal Cyst

   Drains/Complications: None

   Estimated Blood Loss: Minimal

   Findings: Small, superficial subcutaneous sinus and polonidal cyst, at midline within the buttocks.

   Operative Detail: The area between the buttocks was fully prepped and draped. A lacrymal probe was used to go through a sinus that tracked into the midline and opened up at midline with a slight extension superiorly.

   Bovie electrocautery was used to open up the sinus tracts and the edges were cauterized, to allow better drainage of the cavity. The cavity was subsequently scraped and cleaned. Once the entire cavity was debrided and skin edges excised, hemostasis was achieved. The cavity was packed using 4X4 moist, sterile packing.

   	A.	11770
   	B.	10180, 88305-26
   	C.	10061, 00902,
   	D.	10081

10 points   

QUESTION 20

1. A psychologist spends 50 minutes with an established patient. During the encounter, the patient and psychologist discuss ways to reverse or change the patient's maladaptive behavior patterns, as well as ways to develop coping skills.

   Of the following, which is the most appropriate CPT code for this professional service?

   	A.	90834
   	B.	90791
   	C.	99213
   	D.	90845

Answer 1

1)ans) E. 26 professional component

26, professional component: When a radiologist is only interpreting films or imaging/tracing and is not providing the machinery, this modifier should be added to the code on the claim form. Typically, this occurs when a radiologist is reviewing for a hospital, an ambulatory surgery center (ASC), or a doctor’s office that owns the equipment and provides the staff but requires the radiologist to interpret the images and write reports

2)ans) When the physician demands separate payment for the service

When circumstances allow reporting of a designated separate procedure e.g., the separate procedure occurs via a different incision, orifice, or surgical approach, you must append use a modifier e.g., modifier 59 Distinct procedural service or modifier XS Separate structure to the separate procedure code. This alerts the payer that the separate procedure was performed as a distinct service and is unrelated to the major service and is therefore separately payable.