Week 1 Coding Guidelines Quizzes

Question 1

Codes when debridement is performed to fibrin and slough only by curettage

Answer 1

Code range 97597-97602

Question 2

Code for one to two rounds of radiation completed

Answer 2

77431

Question 3

CPT guidelines for when multiple specimens are not individually identified, but sent in one container

Answer 3

Treated and coded as one service only, 88305 reported once Only

Question 4

When administering an immunization what services should be captured

Answer 4

Administration of immunization and immunization materials from vaccine/toxoid section of CPT

Question 5

What services should be reported when a hysterectomy and incidental appendectomy are performed

Answer 5

Hysterectomy only, Incidental appendectomies are not reportable when performed through the same incision

Question 6

Non excisional debridement performed to a selective area of a wound that is less than 20 Sq cm

Answer 6

Code 97597

Question 7

CPT guidelines for coding a femoropopliteal Vein segment harvest with a coronary bypass graft

Answer 7

Code for both, 33572

Question 8

When fracture repair is performed, the initial cast is

Answer 8

Not separately coded, included in the fracture repair

Question 9

ICD-10 Diagnosis Code for HIV screening

Answer 9

Z11.4

Question 10

Codes for three transbronchial biopsies and two of the left lobe

Answer 10

Transbronchial biopsies are assigned codes for each lobe, 31628 for first lobe, regardless of the number of transbronchial biopsies 31632 for each additional lobe

Question 11

Codes for electrode and pacemaker pulse generator

Answer 11

Included in 33208, 33213 not appropriate

Question 12

Consultation during the global period

Answer 12

Use modifier 57

Question 13

Multiple polypectomies by snare performed at two different sites during a colonoscopy

Answer 13

45385, indicates polyps in the descriptor

Question 14

When the descriptor of a CPT code cannot be totally met during the surgical procedure and is reduced by a portion not completed

Answer 14

Append modifier 52

Question 15

Only utilized for outpatient facility services, never for professional physician services

Answer 15

Modifiers 73 and 74

Question 16

Assigned when the physician makes the determination to discontinue the procedure

Answer 16

Modifier 53

Question 17

Total of 250 Sq cm of split thickness skin grafting of the leg

Answer 17

15100 for first 100 Sq cm, 15101 for each additional 100 Sq cm - 15100 and 15101 x2

Question 18

Code for abdominal ultrasound for purposes of evaluating the gallbladder only

Answer 18

Limited or follow up ultrasound only

Question 19

Ultrasound that includes documentation that all the structures within the area are examined

Answer 19

Complete ultrasound

Question 20

Modifier for mandated surgical or E/M services by third party carrier

Answer 20

Modifier 32

Question 21

Specific E/M guidelines utilized by Medicare/CMS are located

Answer 21

CMS website

Question 22

Adhesive glue is utilized to close a laceration

Answer 22

Simple repair/closure codes

Question 23

Re excision of malignant lesion is coded as

Answer 23

Excision malignant lesions

Question 24

Code for technical component only for an EKG

Answer 24

93005

Question 25

NCCI guidelines for multiple lesions excised through the same incision

Answer 25

One lesion code reported

Question 26

When do rule out diagnoses get assigned

Answer 26

Never coded in the outpatient/physician environment, however a code for the possible condition is not assigned

Question 27

Complete abdominal ultrasound ordered, all abdominal structures are not documented as identified

Answer 27

Limited or follow up ultrasound only

Question 28

Multiple lymph nodes from same anatomical area excised at same surgical session

Answer 28

Excision of lymph node code only

Question 29

Lymphadenectomy codes

Answer 29

Used when all or the majority of lymph nodes in a designated area are removed

Question 30

Bilateral Two view xray of the tibia/fibula

Answer 30

73590-50

Question 31

Anesthesia performed by the surgeon rather than an anesthesia professional

Answer 31

Surgery code with modifier 47

Question 32

Patient seen in observation for 2 days

Answer 32

Place of service code 22 (outpatient) rather than 21 (inpatient)

Question 33

What is utilized when determining the first listed diagnosis in outpatient coding

Answer 33

Chief reason for the encounter

Question 34

Code for complete abdominal ultrasound, ask structures identified, appendix is documented as "surgically removed"

Answer 34

Complete abdominal ultrasound

Question 35

Modifier for only interpretation and report are provided to an ancillary service

Answer 35

26

Question 36

Words/phrases that indicate a laparoscopic cholecystectomy

Answer 36

Supraumbilical incision, trocar(s), pneumoperitoneum, endobag all refer to laparoscopic technique

Question 37

CPT codes/modifiers for closed fracture of right distal radius, closed treatment performed

Answer 37

25600-54-RT, modifier 54 appended because only the surgical portion of the surgery was performed by the ortho surgeon

Question 38

In CPT, the Term "separate procedure" refers to

Answer 38

Indicates the condition can only be coded when performed separately, no other procedures in the same anatomical area/approach/same session have been performed

Question 39

Code for multiple biopsies at different sites during the course of a colonoscopy

Answer 39

45380 once only, descriptor indicates single or multiple biopsies

Question 40

What services for excision of two sentinel lymph nodes

Answer 40

Excision of lymph nodes

Question 41

Code for the removal of the majority of axillary nodes

Answer 41

Axillary lymphadenectomy

Question 42

How to determine which procedure is sequenced first when subsequent procedures are performed

Answer 42

Most significant service assigned first

Question 43

Removal of impacted cerumen by surgical instrumentation

Answer 43

69210, documentation must indicated that it was impacted and that surgical instrumentation was utilized

Question 44

Removal of impacted cerumen with non surgical instruments

Answer 44

69209

Question 45

Removal of foreign bodies from the external ear canal, but not impacted cerumen

Answer 45

69205

Question 46

How to determine correct sequencing of modifiers

Answer 46

Modifier that most affects reimbursement first

Question 47

Excision of lesion codes, Size of lesion is determined by

Answer 47

Lesion and margins

Question 48

EGD with biopsies

Answer 48

43239

Question 49

Post operative visit, straightforward MDM, problem focused history

Answer 49

99024

Question 50

Skin graft repair with sharp debridement of eschar as well as remodeling of the granulation growth site, STSG harvested from left thigh

Answer 50

One code for preparation of area 15004, and one for the skin graft 15120

Question 51

Modifier for angioplasty on the left circumflex coronary artery

Answer 51

LC

Question 52

Modifier that signifies the left anterior descending coronary artery

Answer 52

LD