All services or procedures coded must be:
performed by the provider who is billing for the charge.
documented in the patient's medical record.
covered under the patient's insurance.
unbundled.
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Q. 2) A bundled code refers to a:
group of unrelated procedures done on the same day.
group of procedures pertaining to the same diagnosis.
group of related procedures covered by a single code.
code used with modifier -99.
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Q. 3) When a physician performs a surgical procedure but does NOT provide the preoperative and/or postoperative management, the coder should use modifier:
-54.
-55.
-56.
-58.
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Q. 4) If only one code for a procedure or service occurs in the index, the user should:
assign the code.
look under a related procedure for more information.
refer to the patient chart for more information.
verify the code in the main text of the CPT book.
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Q. 5) The modifier used to report a procedure that was started and then discontinued is:
-52.
-53.
-73.
-74.
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Q. 6) Within an indented series of codes, the first left-justified code is the:
main term.
parent code.
official code.
subterm.
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Q. 7) Modifier -51 can be used to report which of the following situations?
Multiple, related operative procedures performed at the same session by the same provider
A combination of medical and operative procedures performed at the same session by the same provider
Multiple medical procedures performed at the same session by the same provider
All of the above
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Q. 8) A special report detailing increased time and difficulty should be submitted with a claim when modifier ____ is used.
-22
-25
-63
-79
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Q. 9) Examples of procedures or services include all of the following EXCEPT:
abdominal distention.
arthroscopy.
osteopathic manipulation.
evaluation and management.
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Q. 10) Modifier -47 is used to report:
multiple procedures that involve anesthesia.
use of local anesthesia.
anesthesia administered by a surgeon.
procedure performed by a surgical assistant.
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