CPT

Question 1

When can you NOT charge for splinting?

Answer 1

If the dislocation or fracture is treated (e.g manipulation or reduction)

Question 2

Who develops and updates HCPCS?

Answer 2

Cms

Question 3

Which level of three, is Cpt?

Answer 3

One

Question 4

Who developed CPT?

Answer 4

The AMA

Question 5

When coding an EGD through which anatomical location must the scope pass to bill for the full code?

Answer 5

Duodenum

Question 6

During a colonoscopy, to which anatomical location must the scope advance to bill the full code?

Answer 6

The cecum

Question 7

To report combined arterial venous graphs how many codes are necessary to report?

Answer 7

Two, the appropriate arterial graft code and the appropriate combined arterial venous graft code

Question 8

True or false, procurement of the artery for grafting is included in the description of the work for code 33533 through 33536

Answer 8

True

Question 9

When can the harvesting of an artery be reported separately?

Answer 9

When the artery is procured from an upper extremity

Question 10

When a second consult as requested by the insurance or required what type of code is billed?

Answer 10

E/m. Consults are only billable when referred by physician

-add 32 mod

Question 11

What is a missed abortion?

Answer 11

Loss of pregnancy in first trimester

Question 12

What is PTCA

Answer 12

Percutaneous transluminal coronary angioplasty

Question 13

When is PTCA not coded?

Answer 13

During stent placement; PTCA is included

Question 14

What two things must be determined to code angioplasty

Answer 14

Site and whether open or Percutaneous

Question 15

Another term for simple mastectomy

Answer 15

Transmastoid antrotomy

Question 16

When is the application of casting or traction devices not separately billable?

Answer 16

During the first application

Also, when the fracture or dislocation is reduced

Question 17

When is a diagnostic endoscopy coded?

Answer 17

Only if a surgical procedure was not done (no excision or ablation)

Question 18

What is always included in a surgical endoscopy?

Answer 18

A diagnostic endoscopy

Question 19

What must be determined first before coding a colonoscopy?

Answer 19

The route: colostomy, colotomy, or rectum

Question 20

What should never be coded in conjunction with Cataract surgery?

Answer 20

Medication injections used with the surgery are always considered part of the procedure

Question 21

True or false most cystourethroscopies are unilateral and require a 50 mod for bilateral

Answer 21

True

Question 22

Codes 52320-52355 include the insertion and removal of what during cystourethroscopy intervention

Answer 22

A temporary stent

Question 23

Where is the urethra located?

Answer 23

From the bladder to the outside of the body

Question 24

Where is the ureter located?

Answer 24

Between the kidneys to the bladder

Question 25

How would you code GI biopsy if a single lesion is biopsied but not excised?

Answer 25

Code only the biopsy

Question 26

How many GI biopsies Are coded is multiple biopsies are taken from multiple lesions without excision?

Answer 26

Code 1 biopsy

Question 27

When might you code for a biopsy and an excision during a G.I. procedure?

Answer 27

If a biopsy is taken from one site and the lesion is excised from another and the excision code does not indicate with or without biopsy

Question 28

When might you use modifier 59 well coding a GI biopsy?

Answer 28

When coding both a biopsy and removal of a different lesion

Question 29

Name four categories for coding hernias

Answer 29

Type (inguinal, femoral) Initial or recurrent Age Clinical presentation (strangulated , reducible)

Question 30

Superficial wound involving skin and or subcutaneous tissue and requiring simple suturing

Answer 30

Simple repair

Question 31

Wound involving skin, subcutaneous tissues, and fascia and requiring layered closure or a single closure which requires intensive cleaning

Answer 31

Intermediate repair

Question 32

Wound requiring reconstructive surgery or time-consuming or complicated closures

Answer 32

Complex

Question 33

When is debridement coded separately?

Answer 33

When gross contamination requires cleaning When appreciable amount of divide allies are contaminated tissue are removed With debridement is carried out separately without primary closure

Question 34

Where is lesion size best found?

Answer 34

The operative report

Question 35

What is included in an adjacent tissue transfer?

Answer 35

Excision of tissue including lesions

Question 36

What are the seven ways you can locate terms in the CPT indexed

Answer 36

Service/procedure, anatomic site/body organ, condition/disease/problem, synonym, eponym, abbreviation or acronym

Question 37

True of false cholangiogram and cholangiography both refer to use of X-ray and dye

Answer 37

True

Question 38

When coding a free skin graft what is the defect

Answer 38

The recipient site

Question 39

What must be identified to cut a free skin graft

Answer 39

The size and location of the defect a.k.a. recipient area

Question 40

What is an autograft?

Answer 40

When skin is harvested from a place on your own body called the donor site and transplanted to a recipient site

Question 41

What is a homograft

Answer 41

The tissue graft from a donor of the same species as the recipient

Question 42

What is an allograft

Answer 42

A tissue graft from a donor of the same species as the recipient but not genetically identical

Question 43

What is a xenograft

Answer 43

A skin graft from one species to another

Question 44

When is it excisional biopsy coated?

Answer 44

With the entire lesion with her benign or malignant is removed

Question 45

What is Gyneomastia

Answer 45

In enlarged male breast due to endocrine disorder

Question 46

Name the major deciding factor between a lumpectomy /mastectomy and an open excision of a breast lesion

Answer 46

Attention to surgical margins

Question 47

True or false the open excision of a breast lesion without attention to adequate surgical margins is coded as a lesion excision

Answer 47

True

Question 48

Excision of a lesion or mess with adequate attention paid to the surgical margins surrounding the mass or lesion would be considered and coded as what?

Answer 48

Partial mastectomy

Question 49

More than one breast biopsies performed using the same imaging modality how would you code

Answer 49

Using an add on for the additional service even if in the contralateral breast

Question 50

How should you code if an additional breast biopsy is performed using different imaging modalities

Answer 50

Report another primary code for each additional modality

Question 51

True or false code 69990 , Operating microscope,should be added to a laryngoscopy

Answer 51

False operating microscope is included

Question 52

What type of parking is used for a posterior nasal hemorrhage

Answer 52

Nasal stands, tampons, balloon catheters, or posterior packing

Question 53

The use of gauze packing or interior packing or cauterization are signs of what type of nasal hemorrhage

Answer 53

Anterior

Question 54

When might the wound exploration code 20100 through 20103 the used

Answer 54

Repair of a penetrating wound requires enlargement of the existing defect for exploration, cleaning, and repair

Question 55

If a wound does not need to be enlarged to be repaired what series of codes would you use

Answer 55

Repair codes for integumentary system

Question 56

What is STEMI

Answer 56

ST elevated myocardial infarction

Question 57

What is the ST segment

Answer 57

From the end of the QRS complex to the beginning of the T-wave, I selected. Of time after ventricle contracts when the heart is without an electrical current It is sometimes elevated on an ECG tracing during acute myocardial infarction

Question 58

When a malignant or benign lesion is excised and requires an adjacent tissue transfer how do you code

Answer 58

Code only the adjacent tissue transfer the excision is not separately reportable