MOA 183 - Intro to Health Insurance » Fall 2022 » Weekly Quiz 5 Chapter 6

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Question #1
The type of procedure codes that use a five-digit numeric code and descriptor are:
A.   Category III CPT codes.
B.   Category II CPT codes.
C.   Category I CPT codes.
D.   ICD-9-CM codes.
Question #2
CPT Category II codes are used principally:
A.   to describe the procedure performed by the physician.
B.   for providing more information about the diagnosis.
C.   as temporary codes for emerging technology.
D.   for performance measurement.
Question #3
All of the following are sections of Category I CPT codes EXCEPT:
A.   Medicine.
B.   Evaluation and Management.
C.   Emergency Room Services.
D.   Surgery.
Question #4
The symbol • used with a CPT code indicates:
A.   new or revised text.
B.   revised code.
C.   new code.
D.   add-on code.
Question #5
The symbol + used with a CPT code indicates:
A.   add-on code.
B.   new or revised text.
C.   revised code.
D.   new code.
Question #6
The ▲ symbol used with a CPT code indicates:
A.   new code.
B.   new or revised text.
C.   revised code.
D.   add-on code.
Question #7
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.   reduced services.
D.   significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.
Question #8
The modifier -57 is used to indicate:
A.   significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.
B.   repeat procedure by the same physician.
C.   unrelated evaluation and management (E/M) service by the same physician during a postoperative period.
D.   a decision for surgery.
Question #9
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.   -52
B.   -25
C.   -32
D.   -57
Question #10
Components that define the level of evaluation and management (E/M) services include all of the following EXCEPT:
A.   time.
B.   the complexity of the medical decision making documented.
C.   the extent of the history documented.
D.   the location of the procedure or service.
Question #11
The three key components used to select the appropriate evaluation and management (E/M) code include:
A.   examination, chief complaint, and place of service.
B.   history, patient age, and time.
C.   history, examination, and medical decision making.
D.   medical decision making, presenting problem, and counseling.
Question #12
A statement, usually in the patient's words, describing the symptom, problem, condition, or other factor that is the reason for the encounter is called the:
A.   chief complaint.
B.   reason for complaint.
C.   primary diagnosis.
D.   principal diagnosis.
Question #13
A description of how long the symptom or pain has been present is referred to as the:
A.   quality.
B.   severity.
C.   timing.
D.   duration.
Question #14
A social history would include which of the following?
A.   current medications
B.   the situation that is associated with the pain or symptom
C.   marital status and/or living arrangements
D.   prior major illnesses and injuries
Question #15
The four types of examinations used in determining the level of evaluation and management (E/M) services are:
A.   expanded problem focused, detailed, expanded detailed, and comprehensive.
B.   problem focused, detailed, comprehensive, and complete.
C.   problem focused, expanded problem focused, detailed, and comprehensive.
D.   problem focused, expanded problem focused, complete, and comprehensive.
Question #16
If an examination includes an extended exam of the affected body area(s) and other symptomatic or related organ systems, it is considered a(n):
A.   detailed exam.
B.   problem-focused exam.
C.   expanded problem-focused exam.
D.   comprehensive exam.
Question #17
In a coding a physical examination, all of the following organ systems are recognized EXCEPT:
A.   eyes.
B.   skin.
C.   respiratory.
D.   head, including the face.
Question #18
To code an evaluation and management (E/M) service properly for a new patient, which of the following elements must be documented?
A.   history and examination
B.   history and medical decision making
C.   examination only
D.   history, examination, and medical decision making
Question #19
CPT codes are used to determine the amount of reimbursement the provider will receive.
A.   False
B.   True
Question #20
CPT codes describe the main reason for the encounter or visit.
A.   False
B.   True
Question #21
The modifier -32 is used to identify a mandated service; it is used when the service is requested by the payer.
A.   False
B.   True
Question #22
Services that include a physical examination according to age, and appropriate immunizations and laboratory procedures, are called critical care.
A.   True
B.   False
Question #23
A physician providing a consultation must document his or her opinion in the medical record and render the opinion in writing to the requesting physician.
A.   True
B.   False
Question #24
A description of other things that happen when the symptom or pain occurs is referred to as a "modifying factor."
A.   True
B.   False
Question #25
The risk of significant complications, morbidity, and/or mortality is a factor in determining the level of medical decision making (MDM).
A.   True
B.   False

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