Instructions: Select the most correct response.
Question
1) CPT modifiers are used to indicate that:
- the provider should receive a higher reimbursement rate.
- the description of the procedure performed has been altered.
- the technique of the procedure was performed differently.
- a special report does not need to be attached to the claim.
2) Which component is included in the surgical package?
Responses
- Prescription pain medications
- Epidural or spinal anesthesia
- Assistant surgeon services
- Uncomplicated postoperative care
3) Which modifier is reported if a third-party payer requires a second opinion for a surgical procedure?
Responses
- -32 (mandated services)
- -26 (professional component)
- -59 (distinct procedural service)
- -62 (two surgeons)
4) What is the term used when a service is divided and coded into separate components?
Responses
- Unlisted procedure
- Global package
- Unbundling
- Add-on code
5) A patient undergoes an “office toenail avulsion procedure.” Which main term do you locate in the index to identify the CPT code?
Responses
- Repair
- Evacuation
- Avulsion
- Excision
6) Which of the following categories/subcategories of E/M service may NOT be assigned based on time?
Responses
- Subsequent Hospital Care
- Home New Patient
- Emergency Department Service
- Initial Nursing Facility Care
7) A patient presents to the emergency department (ED) following a motor vehicle crash. The patient is in and out of consciousness. When the patient is conscious, he complains of abdominal pain, head pain, and right arm pain. Upon examination, an open fracture of the ulna is noted. Also, upon abdominal exam, pain and tenderness are found. The patient is catheterized for urine, which returns blood. An abdominal ultrasound done soon after admission to the ED confirms intra-abdominal bleed possibly from the patient’s spleen. What is the level of presenting problem in this patient?
Responses
- Moderate severity
- Low severity
- Self-limited
- High severity
8) Dr. Summers removed a 2.5 cm in diameter basal cell carcinoma (BCC), using a shaving technique, from the nose of a patient. A BCC lesion of the cheek, 1.5 cm in diameter, was also excised. Which CPT code(s) would you report?
Responses
- 11643, 11642-51
- 11642, 11313-51
- 11644
- 17283, 11642-51
9) Patient underwent fine needle aspiration without imaging guidance, mass of right breast. Aspirated contents were sent to cytology for examination.
Responses
- 19281
- 19499
- 19120
- 10021
10) A patient presented to the urgent care center with an open wound on her left hand. The patient had fallen and cut her hand on a goal post while playing soccer. The 4.5 cm in length wound was full of debris, grass, dirt, and paint from the goal post. The physician carefully cleaned the wound extensively with 1.5 liters of saline before performing a single-layer closure with 3.0 Vicryl. Which CPT code would you report?
Responses
- 12042
- 12002
- 12032
- 12013
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