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According to the CPT manual, modifier -91 is not to be used when tests are ____ to confirm
initial results. ✔✔Rerun
Modifier -80, Assistant Surgeon, is used when: ✔✔a second s
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CPT Questions and Answers Already
Passed
According to the CPT manual, modifier -91 is not to be used when tests are ____ to confirm
initial results. ✔✔Rerun
Modifier -80, Assistant Surgeon, is used when: ✔✔a second surgeon provides assistance to the
primary surgeon
The range of codes 10021-69990 would be found in this section of the CPT manual. ✔✔Surgery
Modifier -25, significant, separately identifiable E/M service by the same individual on the same
day of the procedure or other service, is used to report an E/M service that was: ✔✔
The rules that govern coding in various health care settings are: ✔✔Variable
Three of the six elements that a special report must contain: ✔✔nature, extent, need
Add-on code ✔✔identifies a code that is never used alone
Health care providers are ____ based on the codes submitted on a claim form for procedures and
services rendered. ✔✔Reimbursed
CPT stands for: ✔✔Current Procedural Terminology
Multiple modifiers are indicated with which modifier? ✔✔-99
Modifier -58, staged or related procedure or service by the same physician during the
postoperative period, is used to indicate: ✔✔that a subsequent surgery was planned at the time of
the first surgery
The modifier "-AA" is an example of what type of modifier? ✔✔HCPCS
The modifier that indicates only the professional component of the service was provided is: ✔✔-
26
If a coder is unable to locate a code that describes the exact service provided, it is acceptable to
use a code that approximates the service provided. ✔✔False
How many main sections are in the CPT manual? ✔✔6
A list of the unlisted procedures for use in a specific section of the CPT manual is contained in:
✔✔Guidelines
Modifier -32 is used to indicate a service is mandated. Which of the following is an example of
when a service is "mandated?" ✔✔An insurance company requires a second opinion prior to
surgery.
The universal health insurance paper form for submission of outpatient services is the: ✔✔CMS1500
Who publishes CPT? ✔✔AMA
The modifier that indicates multiple procedures is: ✔✔-51
The words that follow a code number in the CPT manual are called: ✔✔procedure/service
descriptor
Which punctuation mark between codes in the index of the CPT manual indicates two codes are
available? ✔✔Comma
Where is specific coding information about each section located? ✔✔Guidelines
Who requires a special report with the use of unlisted codes? ✔✔Third-party payers
According to the Surgery guidelines, surgical destruction may be considered part of a surgical
procedure. ✔✔True
In which CPT appendix would additions, deletions, and revisions be found? ✔✔Appendix B
Modifier -52, reduced services, is used to indicate: ✔✔a service was reduced without changing
the definition of the code
Modifier -79, unrelated procedure or service by the same physician or other qualified health care
professional during the postoperative period, is used on what type of service? ✔✔Surgery
Level II codes are not used in which setting? ✔✔Inpatient
J Codes ✔✔Used to code drugs
A modifier: ✔✔provides additional information to the third-party payer
Modifier -57, decision for surgery, is used on what type of service? ✔✔E/M
A code that has all of the words that describe the code that follows is what type of code?
✔✔Stand alone
How often are Category III codes released? ✔✔Twice a year
Modifier -51, Multiple Procedure, is used on what type of services? ✔✔Surgery
What year was CPT first developed and published? ✔✔1966
Modifier -59, distinct procedure service, is used to indicate that: ✔✔services that are usually
bundled into one payment were provided as separate services
Which punctuation mark between codes in the index of the CPT manual indicates a range of
codes is available? ✔✔Hyphen
In which CPT appendix would all modifiers be found? ✔✔Appendix A
Category I CPT codes have ____ digits. ✔✔5
Which term reflects the technologic advances made in medicine that are incorporated into the
CPT manual? ✔✔Revisions
According to the Surgery guidelines, surgical destruction may be considered part of a surgical
procedure. ✔✔True
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