The transfer of total care or a specific portion of care of a patient from one physician to another is called a(n):
A. authorization.
B. consultation.
C. office visit.
D. referral.
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Q. 2) A new patient is considered one who has NOT received professional services from the physician or another physician of the same specialty in the same group within the past:
A. 1 year.
B. 2 years.
C. 3 years.
D. 5 years.
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Q. 3) Factors for determining the code for an emergency department service include:
A. whether the patient is new or established.
B. the time spent with the patient.
C. whether the patient has a true emergency condition.
D. none of the above.
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Q. 4) The modifier -57 is used to indicate:
A. repeat procedure by the same physician.
B. unrelated evaluation and management (E/M) service by the same physician during a postoperative period.
C. significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.
D. a decision for surgery.
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Q. 5) Evaluation and management (E/M) services can be performed in which of the following locations?
A. Physician offices only
B. Physician offices and hospitals only
C. Physician offices, hospitals, and nursing homes
D. Physician offices, inpatient and outpatient facilities, and patients' homes
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Q. 6) If a physician began an initial gynecological exam on a patient but discontinued it due to the patient's extreme discomfort, the modifier would be:
A. -25.
B. -32.
C. -52.
D. -57.
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Q. 7) The modifier -25 is used to indicate:
A. prolonged evaluation and management (E/M) service.
B. unrelated E/M service by the same physician during a postoperative period.
C. significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.
D. reduced services.
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Q. 8) The modifier -32 is used to indicate:
A. mandated services (used when requested by the payer).
B. unrelated E/M service by the same physician during a postoperative period.
C. significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.
D. reduced services.
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Q. 9) The modifier -52 is used to indicate:
A. prolonged evaluation and management (E/M) service.
B. unrelated E/M service by the same physician during a postoperative period.
C. significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.
D. reduced services.
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Q. 10) To report that the description of a service or procedure has been altered in some way, the coder should use a:
A. Category II CPT code.
B. Category III CPT code.
C. modifier.
D. written explanation.
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