1- To decide if a V code diagnosis should be used, the coder needs to
a- find out if the patient has been seen within the last year.
b- determine if the patient is sick or has symptoms.
c- discuss whether a V code is appropriate with the physician.
d- find out the duration of the patient’s illness.
2- The level of complexity in medical decision-making is determined by all of the following except:
a- the patient’s diagnosis.
b- diagnostic tests ordered.
c- the number of follow-up exams suggested.
d- the risk of significant complications.
3- CPT identifies three key components associated with E/M service codes. Key components used to select the appropriate level of E/M service are:
a- history, documentation, and nature of presenting problem.
b- physical examination, counseling, and time.
c- medical decision making, coordination of care, and time.
d- history, physical examination, and medical decision making.
4- Some medical procedures, such as surgery on the base of the skull, require the involvement of more than one surgeon. The 1998 Physicians’ Current Procedural Terminology book states that “When a surgeon performs the approach procedure, another surgeon performs the definitive procedure, and another surgeon performs the repair/reconstruction procedure, each surgeon reports:”
a- each code with a co-surgeon modifier.
b- only the code for the specific procedure performed.
c- each code with an assistant surgeon modifier.
d- separate codes with a co-surgeon modifier.
5- Excisions requiring simple repairs must be reported with:
a- the excision code only, since the simple repair is included in the excision code.
b- the simple repair code only.
c- the simple repair code with the appropriate excision code.
d- an excision code based on the size of the repair used.
6- When cardiovascular therapeutic services like percutaneous transluminal angioplasties (PTCA) are performed, coders should determine _________ in order to assign CPT codes.
a- the size of the lesions
b- the percentage of vessel occluded
c- how many vessels are repaired
d- if a cardioversion was performed
7- Following an electrophysiologic procedure, the reporting of postoperative complications:
a- requires diagnosis codes indicating medical necessity.
b- is included in the postoperative period.
c- is always paid in addition to the surgery.
d- is not required in the postoperative period.
8- Clinical brachytherapy is supervised by a therapeutic radiologist. Often, a/an ________ is required to be present in case his or her services are also needed.
a- physician.
b- orthopedist.
c- surgeon.
d- pathologist.
9- A disadvantage of computerized billing is:
a- accessibility.
b- initial investment of time.
c- performance of updates.
d- level of production.
10- All Medicare insurance cards have claim numbers that include a/an:
a- gender code.
b- expiration date.
c- patient age code.
d- alphabetical character.
