CPT final 1-22 true and false

Code 36470 reports an injection of sclerosant solution for multiple incompetent veins on the same leg.

false

Code 36512 reports therapeutic apheresis for plasmapheresis.

false

Code 38794 reports an injection procedure, lymphangiography.

false

Code 42870 reports periodontal mucosal grafting

false

Code 42900 reports pharyngoesophageal repair.

false

Code 50280 reports excision of perinephric cyst.

false

Code 58750 reports a tubouterine implantation.

false

Code 59030 would be used to report fetal monitoring during labor.

false

Code 59325 is used to report a hysterorrhaphy of a ruptured uterus.

false

Code 59610 is found in the antepartum services section.

false

Code 61698 reports surgery of intracranial arteriovenous malformation, supratentorial, simple.

false

Code 80047 reports a basic metabolic panel, calcium, total.

false

Code 80048 reports an electrolyte panel.

false

Code 92987 reports a percutaneous balloon valvuloplasty, aortic valve.

false

Code 96361 reports initial intravenous infusion for 40 minutes.

false

Code 99235 would be reported if there is a detailed history, detailed examination, and medical decision making of high complexity.

false

Codes 29700-29750 are always reported for cast removals.

false

Codes 99304-99306 are billable using time as a determining element.

false

Codes in the 65110-65114 code range are differentiated by whether a repair of the cornea or the conjunctiva was performed.

false

Cortisol stimulates uterine contractions during childbirth.

false

Critical care services provided to infants 29 days through 24 months of age in an inpatient setting are reported with codes 99291 and 99292.

false

Delivery services include any workup performed relative to the admission and management of labor, as well as ultrasounds performed before the mother goes home from the hospital.

false

Diagnostic and therapeutic arthroscopies are coded using the same code.

false

Diagnostic procedures are part of the care plan and are used for treatment of a diagnosis that has already been rendered.

false

Dottie was being discharged to home from her convalescent stay at Sunny Valley nursing facility. Her doctor spent 1 hour discussing discharge orders, preparing the prescriptions, and giving Dottie a comprehensive physical prior to discharge. Her doctor submitted code 99309 for these services. The code assignment is correct.

false

Dr. Hill performed an appendectomy but did not perform the preoperative and postoperative care. The modifier that is appended to the code for the appendectomy is 53.

false

During a transthoracic mediastinotomy, the mediastinum is entered by an incision in the sixth intercostal space.

false

Endoscopic and open procedures of the vagina are reported using CPT codes 57420-57425.

false

Evaluation and Management codes are used only in the outpatient setting.

false

For surgical endoscopy, the diagnostic endoscopy should be reported separately because it indicates where the surgery needed to take place.

false

Gastric intubation and ventilatory management are separately billable when performed with other critical care services.

false

Harvesting of kidneys for transplantation can only be from living donors.

false

Home visit for hemodialysis is reported with code 99601.

false

If a destruction of a cyst, abscess, or a cautery destruction of a urethral caruncle is performed, the code set used to report this service is 56700-56740.

false

If open occlusion of the fallopian tubes is performed, code 58627 should be used to report this service.

false

If the code does not state unilateral or bilateral, it is assumed that the procedure is bilateral.

false

In 1995 and 1996, the American Hospital Association and the Centers for Medicare and Medicaid Services developed documentation guidelines for Evaluation and Management services.

false

Marie presented in the ED with dehydration due to nausea and vomiting. Dr. Barnes (the hospitalist) was present when Marie came in. He took a comprehensive history and performed a comprehensive examination. He decided to admit Marie under his service as a 23-hour admit in observation. He ordered labs and an IV to rehydrate her.Dr. Barnes should have billed a 99282-25 for his evaluation in the emergency department and then billed a 99219 for Marie's continued care in observation.

false

Microbiology is the study of genes at the cellular level.

false

Modifier T8 reports the left foot, fourth digit.

false

Nervous system codes are used only by psychiatrists and psychologists.

false

Norepinephrine stimulates the somatic nervous system.

false

Normal maternity care includes monthly visits up to 36 weeks of gestation.

false

Nuclear medicine treats disease using beta and gamma radiation.

false

Nursing Facility Service codes are broken down between new and established patients.

false

A complete radical vulvectomy is reported using code 56633.

true

A dynamic splint is used only when limited mobility is allowed.

true

A graft is a section of tissue that is moved from site to site in an effort to heal or repair a defect.

true

Code 46500 reports injection of sclerosing solution for hemorrhoids.

true

Code 55150 reports a resection of the scrotum

true

Code 56606 is an add-on code and should be used only in conjunction with 56605.

true

Code 56700 reports a partial hymenectomy.

true

Code 58301 reports a removal of an IUD.

true

Code 59030 reports fetal scalp blood sampling.

true

Code 59076 is used to report fetal shunt placement, including ultrasound guidance.

true

Code 60240 reports a complete thyroidectomy.

true

Code 61630 reports a percutaneous intracranial balloon angioplasty.

true

Code 33011 reports an initial pericardiocentesis.

false

A 99233 is coded for a high-level initial hospital care visit.

false

A biopsy of the lip is a type of cheiloplasty.

false

A gastrectomy is the process of making a surgical incision into the stomach.

false

A laparoscopic repair of a diaphragmatic hernia and fundoplication are reported using CPT code 39540.

false

A new patient is one who has not received face-to-face care from their provider within two years.

false

A parathyroid autotransplantation is reported using 60300.

false

A partial vulvectomy procedure is the removal of greater than 80% of the vulvar area.

false

A patient can be admitted to the hospital as an inpatient and then discharged to observation.

false

A physician may bill for face-to-face time and travel time when providing a home visit.

false

A physician records the following: a diagnostic biliary endoscope was placed to view and to remove a calculi found in the biliary tract. Two codes would be used to appropriately code this procedure: one code for the diagnostic biliary endoscopy and one code for the endoscopic removal of the calculi.

false

A provider may bill critical care services if he is on the floor and available for questions but is seeing other patients during the same period.

false

A radical procedure, as it relates to the vulvectomy codes, is defined as the removal of less than 80% of the vulvar area.

false

A rib spreader is a device that is used to remove a rib.

false

A rigid bronchoscope is inserted through the mouth or nose.

false

A splenectomy is the surgical repair of the spleen.

false

A spontaneous abortion can be elective or therapeutic, and is induced by medical personnel working within the law.

false

A static splint is used to allow for mobility.

false

A static splint is used to allow limited mobility.

false

Add-on code 15116 must be used with code 15120, split thickness autograft.

false

All stages of intersex surgeries occur during the same session.

false

An optometrist is not a medical doctor but can prescribe medication and corrective lenses.

false

An osteotomy is the completion of plastic surgery on a bone.

false

Anesthesia services are performed by anesthesiologists or MDAs.

false

Anesthesia-specific modifiers are required only if the anesthesiologist deems it necessary.

false

CPT code 30310 reports a removal of intranasal foreign body by lateral rhinotomy.

false

CPT code 31825 reports a revision of a tracheostomy scar.

false

CPT codes tell the insurance carrier what brought the patient to the physician's office.

false

Cardiopulmonary resuscitation is reported using code 92990.

false

Cerumen is a watery substance that aids in maintaining balance.

false

Check My Work The formula for calculating charges for professional anesthesia services is: Basic value + Time units + Modifying units = Total units; then Total units × Conversion factor = Total fee

false

Class IV wounds are clean contaminated wounds involving a minor break in sterile technique.

false

One lesion excised from the vulva is reported using code 56606. Code 56610 is used to report a biopsy of each additional lesion of the vulva after the first one.

false

Pathology codes are broken into panel tests.

false

Physician attendance during transport of a 3-year-old is reported with codes 99466 and 99467.

false

Place of service for a procedure reported from the first part of the Integumentary section of the Surgery chapter has to be the hospital.

false

Procedures performed on the female genital system are only laparoscopic procedures.

false

Procedures related to the musculoskeletal system start with the lower extremities and end with those performed on the head.

false

RVG stands for Relative Value Guide and is published by the AMA.

false

Radiologic procedure codes designated as separate procedures should always be reported in addition to the total procedure or service.

false

Radiological supervision and interpretation codes are applicable to the radiation oncology subsection.

false

Sensory nerves are found in the epidermis.

false

Services such as fetal monitoring during labor, delivery of the placenta, and episiotomy are not included in most delivery services and should be coded separately.

false

Stereotactic procedures completed on the brain are reported using codes 61720 to 61750.

false

Tendons are thin sheets of fibrous connective tissue.

false

The Anesthesia section is the first section in the CPT manual.

false

The CPT code book is updated annually on July 1.

false

The P4 modifier is required for services rendered to a patient who has a mild systemic disease.

false

The POS for an office visit is 23.

false

The Surgery section follows the Radiology section in the CPT manual.

false

The Surgery section of codes begins with code 10001 and goes through code 69999.

false

The abbreviation for magnesium is mg.

false

The abbreviation for milligram is Mg.

false

The adrenal glands are found underneath the kidneys.

false

The brachial plexus extends from the C1 vertebrae to the T3 vertebrae.

false

The cochlea is a tube-like structure in the external ear.

false

The colored portion of the eyeball is called the pupil.

false

The dermal layer connects the skin to the muscle.

false

The diaphragm is a dome-shaped ligament that separates the thoracic and abdominal cavities.

false

The diaphragm is a dome-shaped muscle separating the abdomen from the inguinal area.

false

The diaphragm separates the thoracic and abdominal cavities.

false

The embryo is referred to as the fetus from the first six weeks of pregnancy until birth.

false

The iris is a colorless membrane.

false

The largest portion of the brain is the cerebellum.

false

The lowest level of code for an office visit when you are charging for a problem-focused new-patient visit is code 99211.

false

The main function of the spleen is to produce bone marrow.

false

The main role of bone marrow is to filter the blood.

false

The mediastinum is behind the left pleural sac.

false

The mesencephalon is located between the midbrain and the cerebrum.

false

The observation care level of service code 99218 includes services related to expanded history, expanded examination, and problem-focused medical decision making.

false

The perinatal period is the period immediately after birth up to 56 days.

false

The physiological responses that cannot be treated using biofeedback include high blood pressure and incontinence.

false

The primary screening and assessment tool used by skilled nursing facilities is an RAI.

false

The retina is a transparent nonvascular structure located on the anterior portion of the sclera.

false

The sclera is the membrane that lines the anterior part of the eyeball.

false

The seminal vesicle is part of the vas deferens.

false

The subcutaneous layer of the skin contains sweat pores.

false

The subsections of the anesthesia section are organized first by procedure, then by anatomic site.

false

The teeth and alveolar process are part of the vestibule of the mouth.

false

The thymus gland is located in the pelvis.

false

The vas deferens is also referred to as the seminal deferens and is coded from the 55200-55550 code set.

false

There are average times associated with the observation care discharge code 99217.

false

There are limited opportunities for coders proficient in CPT coding.

false

There are seven key components to choosing a level of E/M service.

false

To code a preventive physical exam, the coder must first determine the level of history the provider has recorded.

false

True or false: A laparoscopic nephrectomy is reported using CPT code 50240.

false

True or false: All procedures performed on the ureters are bilateral procedures

false

True or false: Code 50547 is used to report a nephrectomy from a cadaver and includes cold preservation.

false

True or false: Code 52000 can be reported when other procedures are completed.

false

True or false: Dr. Smith performed a laparoscopy and a radical nephrectomy. In addition to this, he completed an adrenalectomy. Code 50545 should be reported with an additional code for the adrenalectomy.

false

True or false: Interpretation of a bone marrow biopsy is included in code 38221

false

Urology is the study of the movement of urine.

false

Vascular surgeons must assign codes from the Cardiovascular section of the Surgery chapter.

false

Vesicocentesis is reported using 59012.

false

When Steri-StripsTM are used to close a wound, a repair code for wound closure is used.

false

When a biopsy is performed in the mediastinum using a cervical approach, CPT code 39400 is reported.

false

When you are reporting vaginal approach procedures, dilation of the cervix (57800) should be reported separately, as it is a routine part of the surgical field encountered.

false

A cervical mediastinotomy is completed by an approach from the front of the body.

true

A circumcision is the removal of the foreskin.

true

A colpocentesis is the aspiration of fluid through the vaginal wall into a syringe.

true

A colposcopy of the vulva with biopsy is reported using CPT code 56821.

true

A complete bilateral cervical lymphadenectomy would be reported with the addition of modifier 50.

true

A measurement given for the length of a laceration is 2 inches. The conversion to centimeters would make the length of the laceration 5.08 cm.

true

A mediastinoscope is an endoscopic instrument.

true

A missed abortion refers to the death of the fetus before completion of 22 weeks of gestation.

true

A repair of a laceration of the diaphragm can be completed by an abdominal or chest incision.

true

A simple vulvectomy procedure is the removal of the skin and superficial subcutaneous tissue.

true

A subsequent nursing facility visit that has a comprehensive exam and a problem-focused interval history with moderate medical decision making would be coded with CPT code 99309.

true

A subsequent nursing facility visit that has a problem-focused interval history, a detailed examination, and straightforward medical decision making is coded with CPT code 99307.

true

A superficial biopsy is done close to the surface of the skin.

true

A transthoracic mediastinotomy, code 39010, also includes either a transthoracic or median sternotomy

true

Activities performed in the critical care unit that directly impact care of the patient can be counted as time in coding critical care services.

true

After a patient is evaluated, a management plan is implemented and recorded in the medical record.

true

After a repair of a paraesophageal hiatal hernia, the herniated stomach is returned to the correct position, and the diaphragm is sutured to prevent reherniation.

true

An electrolyte panel is made up of four different lab tests and reported using code 80051.

true

An incorrect place of service can result in a rejection by insurance carriers.

true

An indwelling catheter is a method of bladder drainage.

true

An oophorectomy is the removal of the ovary.

true

Anesthesia complicated by emergency conditions is reported with the add-on code 99140.

true

Antepartum care is the care rendered during the time prior to childbirth.

true

Antepartum introduction and repair are reported using codes from the 59200-59350 code set.

true

Appendix P is a summary of CPT codes that may be used for synchronous telemedicine services.

true

Beth was admitted on August 10 at 4:30 a.m. for observation for stomach cramps. She was discharged that same day at 7:30 p.m., when she began feeling better. Based on the doctor's documentation meeting the levels of service, this visit should be coded with codes in the range 99234-99236.

true

CPT code 39560 is used to report a simple resection of the diaphragm.

true

CPT coders need to pay attention to detail and also have a working knowledge of the codes that their doctor usually assigns.

true

Cheiloplasty refers to repair of the lips.

true

Chorionic villus is another term for placenta.

true

Code 32800 is used to report repair of a lung hernia through the chest wall.

true

Code 38100, total splenectomy, is a separate procedure code. Therefore, it is not reported if another procedure is completed.

true

Code 39401 is used to report a mediastinoscopy.

true

Code 39499 reports unlisted procedures completed on the mediastinum. When using this code, the coder should determine that the record clearly documents the procedure in case the payer requests additional information to justify the selection of this code.

true

Code 39599 reports unlisted procedures on the diaphragm.

true

Code 42900 reports a suturing of pharynx for wound.

true

Code 67101 would be used to report a repair of retinal detachment by cryotherapy, including drainage of subretinal fluid.

true

Code 76098 is reported for the radiologic examination of a surgical specimen.

true

Code 80055 reports an obstetric panel.

true

Code 80400 reports an ACTH stimulation panel for adrenal insufficiency.

true

Code 89190 is used to report a nasal smear for eosinophils.

true

Code 97161 reports a PT evaluation, low complexity.

true

Code 99291 can be used only once per date, even if time spent by the physician is not continuous on that date.

true

Code 99502 reports home visit for newborn care and assessment.

true

Code range 29000-29799 is used to report a cast replacement during the operative period.

true

Codes 99291 and 99292 are used to report the total time spent by a physician providing critical care services to a critically ill or critically injured patient.

true

Codes for total and partial splenectomies are considered separate procedure codes. Therefore, they are not reported when another procedure is performed.

true

Conjunctivitis is an inflammation of the conjunctiva.

true

Debridement of the wound area is included in traumatic wound exploration codes 20100-20103.

true

Diabetes mellitus is diagnosed when the pancreas is not functioning properly or not at all.

true

Diagnostic nasal endoscopy includes inspection of the entire nasal cavity and the associated structures.

true

Diagnostic procedures are always included in surgical procedures in the laparoscopic section of prostate procedures.

true

Dilation of the esophagus occurs when the esophagus is expanded by use of a balloon or dilator.

true

Discharge from observation status includes instructions for care, examination, and preparation of discharge records.

true

Documentation of time is necessary in billing anesthesia services.

true

Dr. Smith casted the left arm of his patient. The cast was from the elbow to finger. This service was performed after Dr. Jones performed a manipulation of the fracture site two days ago. Dr. Smith should report code 29075.

true

During the second week through the eighth week of pregnancy, the embryo grows and develops into a fetus.

true

Enucleation is a procedure that removes the eyeball without cutting into the surface.

true

External fixation involves the application of pins through the tissue and bone to hold an external appliance in place.

true

For a biologic implant for soft tissue reinforcement, use code 15777 in conjunction with the code for the primary procedure.

true

For coding purposes, measurements need to be in centimeters for lesion size and laceration length.

true

Hospital discharge services performed on the same date as a nursing facility admission may be reported separately.

true

If a patient is admitted to a nursing facility, any services related to the admission, even if the other services related to the admission were performed in another setting, are included in the code for this admission.

true

If a patient is in a psychiatric residential treatment center and is also receiving psychotherapy, the psychotherapy is a separately billable service.

true

If a patient is unable to give a history, obtaining that history through discussion with family members may be reported as critical care.

true

Initial observation codes 99218 through 99220 are used once per day while the patient is in the hospital under observation to report the initial observation care.

true

Intermediate repair of a laceration is coded when layered closure is required.

true

Laparoscopic repair of a hernia performed at the same time as the orchiopexy would be reported with two repair codes, one indicating the hernia repair and one for the orchiopexy.

true

Light rays are changed into nerve impulses, which travel to the brain via the optic nerve.

true

Local anesthetics are injected into the carpal tunnel area to relieve pain.

true

Lymph nodes are also called lymph glands.

true

Modifier 52 is an acceptable modifier for Ambulatory Surgery Center Hospital Outpatient use.

true

The thymus gland sits in the middle of the chest, just under the sternum.

true

Mr. Wallace was readmitted to the nursing home from the hospital. His doctor completed a required annual nursing facility assessment upon return to the nursing home. Mr. Wallace's doctor submitted code 99318 because of changes to the annual facility assessment. The code assignment is correct.

true

Obstetrics is the specialty that deals with women during pregnancy, childbirth, and the period immediately following childbirth.

true

Orchiopexy is the fixation of an undescended testis in the scrotum.

true

Otitis media is an infection of the middle ear.

true

P2 reports a patient with a mild systemic disease.

true

P3 reports a patient with a severe systemic disease.

true

Physician assessments and care plans affect the payment received by a long-term care facility (LTCF).

true

Procedures performed on the female genital system may be performed endoscopically, laparoscopically, or open.

true

Services unrelated to pregnancy should be reported using the Evaluation and Management codes.

true

Surgery and normal follow-up care are included in the surgical package.

true

Text, symbols, and the history of CPT are found in the introduction of the book.

true

The CPT manual differentiates, by assigning different codes, an excision of a mediastinal cyst from an excision of a mediastinal tumor.

true

The CPT manual provides two different codes for the excision of a mediastinal cyst and for the excision of a mediastinal tumor.

true

The Cardiovascular subsection of the Medicine section includes codes used to report diagnostic and therapeutic services.

true

The Medicine section is the last section of the CPT manual.

true

The ROS is the part of the note in which the provider documents any body system(s) that might be affected by the chief complaint.

true

The cilia are tiny hairs that transmit sound inward.

true

The code range for medical nutrition therapy is 97802-97804.

true

The code used to report a complete thyroidectomy is 60240.

true

The correct code for the strapping of a finger is 29280.

true

The dermis is a thick layer of tissue located below the epidermis.

true

The digestive system aids the body in eliminating waste.

true

The digestive system is also called the alimentary canal.

true

The endocrine system is a group of internal hormone secreting glands and structures.

true

The hymen is a membrane that covers the external opening of the vagina.

true

The integumentary system acts as a natural shield against bacteria.

true

The left hand thumb is reported with modifier FA.

true

The male genital system is primarily for reproduction, but it also functions as part of the urinary system.

true

The meninges is a multilayered covering over the brain and spinal cord.

true

The mouth, throat, intestines, and anus are all structures of the digestive system.

true

The nasopharynx is part of the pharynx and contains the tonsils.

true

The nervous system is divided into two systems: the PNS and the CNS.

true

The observation care level of service reported by the supervising physician should include the services related to initiating observation status provided in other sites of service.

true

The parietal pericardium is the outermost layer of the pericardium.

true

The physician needs to be immediately available to the patient to bill critical care services.

true

The pupil is part of the iris.

true

The semicircular canals are located behind the vestibule.

true

The spleen is located in the right upper abdomen.

true

The sublingual area is the area under the tongue.

true

The supply of skin substitute grafts should be reported separately in conjunction with 15271 to 15278.

true

The temporal lobe is where the nerves related to hearing, memory, and speech perception are located.

true

The time that can be reported as critical care is the time spent engaged in work directly related to the individual patient's care.

true

The uterine evacuation of a hydatiform mole with curettage is reported using code 59870

true

The visceral pericardium is the innermost layer of the pericardium.

true

There are no National Correct Coding Initiative guidelines for coding procedures completed on the mediastinum and diaphragm.

true

True or false: A laparoscopic ablation of a renal cyst includes the diagnostic laparoscopic procedure, if performed. The coder should use code 50541 to report this service.

true

True or false: An excision of a perinephric cyst is reported using CPT code 50290.

true

True or false: Ureteroplasty is a type of repair.

true

Ureteroplasty is the repair of the ureter.

true

Venography is also referred to as phlebography.

true

Vulva repair is reported using codes 56800-56810.

true

When a doctor codes an encounter by using code 99236, there needs to be at least a comprehensive history and examination and medical decision making of high complexity.

true

When a patient is seen for an unrelated Evaluation and Management service during a postoperative period, modifier 24 is appended to the code.

true

When a very low birth weight (VLBW) is documented, the weight of the infant should be less than 1500 grams.

true

When time is used as a key component in billing an E/M service, the provider must document face-to-face time with the patient and how much time was spent counseling the patient with the family.

true

Within the subsections of the Surgery section, the CPT codes are first arranged by body system and then by anatomical site.

true

Wound exploration is completed to determine the extent of a wound.

true

▲ is the symbol for a revised code.

true