FREE MEDICAL AND STUDY GAMES ABOUT CH5MEDICAL

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FREE MEDICAL AND STUDY GAMES ABOUT CH5MEDICAL

INSURANCE EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -35 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Add-On Code

Answer:

A secondary procedure that is performed with a primary procedure and that is indicated in CPT by a plus sign (+) next to the code.

Question 2: T/F

In Selecting correct procedure codes, that main text sections are first searched, and the code is then verified in the index.

Answer:

False Question 3: The examination that the physician conducts is categorized as:

Answer:

• straightforward, low complexity, moderate complexity, or high complexity

• problem-focused, expanded problem-focused, detailed, or comprehensive

Question 4: T/F

Category II codes are not reported for payment.

Answer:

True Question 5: Anesthesia codes generally include:

Answer:

• Preoperative evaluation and planning, normal care during the procedure, and routine care after the

procedure.

Question 6: T/F

Descriptive entries in parentheses are not essential to code selection.

Answer:

True

Question 7: Global Period

Answer:

The inclusion of pre- and postoperative care for a specified period in the charges for a surgical procedure.

Question 8: Category I Code

Answer:

Five digit code with brief explanation of the procedure.

Question 9: Category III Codes

Answer:

Temporary codes for emerging technology, services, and procedures.Question 10: List the 3 key components used to select E/M codes and the four levels each

component has:

Answer:

• Patient documented history

• Documented examination

• Documented physician medical decision making.

Question 11: Bundled Code

Answer:

Procedure code that groups related procedures under a single code.Question 12: The abbreviation PFSH stands for:

Answer:

• past, family, and/or social history

Question 13: List the 3 steps in the procedural coding process:

Answer:

• Determine procedure & services to report

• Identify the correct codes

• Determine the need for modifiers

Question 14: T/F

In the CPT index, a see cross-reference must be followed.

Answer:

True

Question 15: Unlisted Procedure

Answer:

A service that is not listed in CPT and requires a special report.

Question 16: T/F

For New patients, two of the three factors that are listed must be met.

Answer:

False Question 17: When a panel code from the Pathology and Laboratory section is reported:

Answer:

• All the listed tests must have been performed.

Question 18: When a Surgery section code has a plus sign next to it:

Answer:

• It cannot be reported as a standalone code.

Question 19: CPT code 99382 is an example of:

Answer:

• a preventive medicine service code

Question 20: Modifier 26

Answer:

Indicates to payer that physician did not perform all the work (just professional part).Question 21: The 3 key factors in selecting an evaluation and management code are;

Answer:

• history, examination, and medical decision making

Question 22: T/F

Because it is an evaluation of a patient, a consultation is coded using E/M office service codes.

Answer:

True

Question 23: T/F

Procedure codes are reported in order of increasing financial value for services performed on the same day.

Answer:

False

Question 24: Panel

Answer:

In CPT, a single code that groups laboratory tests that are frequently done together.

Question 25: T/F

A Category III code ends in a letter

Answer:

True