1. Chapter 7 Study Guide
CPT Coding

2. 1. CPT-4 is published annually by
AMA
CMS
WHO
Medicare
2. The hospital assigns CPT codes to report
Inpatient ancillary services
Inpatient and outpatient surgery
Inpatient surgical procedures
Outpatient services and procedures

3. 3. CPT Category I contains _____ sections.
Four
Five
Six
Seven
4. When reporting CPT codes on the CMS-1500 claim, medical necessity is proven by
Attaching a special report to the CMS-1500 claim
Linking the CPT code to its ICD-9-CM counterpart
Reporting ICD-9-CM codes for the patient’s condition
Sequencing CPT codes in a logical, chronological order

4. 5. New CPT codes go into effect
Twice each year, on January 1 and July 1
Twice each year, on October 1 and April 1
Once each year, on October 1
Once each year, on December 1
6. CPT Appendix A contains information about
Deleted codes
Modifiers
New code descriptions
Revised codes

5. 7. Modifiers are reported to
Alter or change the meaning of the code reported on the CMS-1500 claim
Decrease the reimbursement amount to be processed by the payer
Increase the reimbursement amount to be processed by the payer
Indicate an alteration in the description of the procedure service performed
8. A black triangle located to the left of a CPT code indicates that the code
Has been deleted and should not be used
Has been revised from previous CPT publications
Has special rules that apply to its use
Is new to this edition of CPT

6. 9. A bullet or black dot located to the left of a CPT code indicates
A deleted CPT code that should not be used
A new, never previously published CPT code
A revised CPT code from an earlier publication
That special rules apply to the use of this code
10. CPT index terms that are printed in boldface are called
Descriptors
Essential modifiers
Main terms
Subterms

7. 11. To save space in the CPT index when referencing subterms, the practice of _______________ words is used.
Abbreviated
Boldfaced
Reduction
Splinting
12. Critical care services codes are based on the
Length of time the patient is in the critical care unit
Number of services provided to the patient
Total number of consecutive days the physician cares for the patient
Total time a physician spends in constant attendance with the patient

8. 13. Critical care services codes are based on the
Length of time the patient is in the critical care unit
Number of services provided to the patient
Total number of consecutive days the physician cares for the patient
Total time a physician spends in constant attendance with the patient
14. Prolonged services codes are assigned in addition to other E/M services when treatment exceeds the time included in the CPT description by ______ minutes. 10 15 20 30

9. 15. Which type of code can be used for a physician who is required to spend a prolonged period of time without patient contact waiting for an event to occur that will require the physician’s services?
Case management services
Physician standby services
Preventive medicine services
Prolonged services
16. Initial office visit for a patient with left knee pain. Detailed history and examination was documented, along with low-complexity medical decision making.
99202
99203
99204
99213

10. 17. 45-yer old patient seen for annual physical examination by his physician.
99368
99412
99386
99396
18. Anesthesia administered for vaginal hysterectomy. The patient is a healthy 55-year old woman.
00944-P1
00944-P2
58552-P1
58200-P2

11. 19. Excision of a 1.0-cm malignant lesion of the nose, with simple closure
11440
11601
11621
11641
20. Closed reduction of humeral shaft fracture, with skeletal traction
23600
23625
24500
24505

12. 21. Thyroid scan, with uptake (single determination).
78000
78001
78003
78006
22. Lipid panel, performed by outside lab.
, ,

13. 23. Surgical pathology, gallbladder
88300
88302
88304
88305
24. DTP vaccine, intramuscular
90471
90471, 90472, 90701
96413
96411

14. 25.Chemotherapy administration, intravenous, push technique, 45 minutes.
96409,
96409
96413
96411
(CPT codes 96409, 96411, and were added in 2006.)