A.   To endorse a particular health insurance coverage or reimbursement policy

B.   To restrict the use of medical procedures and services

C.   To provide a uniform language to accurately reflect medical, surgical, and diagnostic services

D.   To promote the use of specific diagnostic or therapeutic procedures

A.   American Hospital Association

B.   Health Insurance Plans

C.   AMA’s CPT Editorial Panel

D.   Centers for Medicare & Medicaid Services (CMS)

A.   Condition

B.   Organ or other anatomic site

C.   Procedure or service

D.   Provider specialty

A.   To identify different types of procedures

B.   To save space on the printed page

C.   All of these

D.   To indicate a shared or common description

A.   A system for identifying diseases and medical conditions

B.   A system for identifying health insurance policies

C.   A system for identifying medical procedures and services

D.   A system for identifying prescription drugs

A.   To report medical procedures and services under government and private health insurance

B.   For medical education and research

C.   To promote specific diagnostic or therapeutic procedures

D.   For administrative management purposes, such as claims processing

A.   Only physicians

B.   Only the AMA

C.   Anyone

D.   Only government agencies

A.   It is generally based on the procedure being consistent with contemporary medical practice and performed by many physicians in clinical practice in multiple locations

B.   It implies a specific health insurance coverage or reimbursement policy

C.   It is not necessary to ensure accurate communication among physicians, patients, and third parties

D.   It represents endorsement by the AMA of a particular diagnostic or therapeutic procedure

A.   To organize main terms by primary classes of index entries

B.   To provide the main text of the CPT code set

C.   To list all the possible codes for a given procedure or service

D.   To ensure accurate code selection

A.   It is listed in a separate section of the codebook

B.   It is listed before the parent code’s descriptor

C.   It is not related to the parent code’s descriptor

D.   It is physically indented beneath the parent code’s descriptor

A.   To provide a uniform language to accurately reflect medical, surgical, and diagnostic services.

B.   To limit the number of physicians that can perform a particular medical procedure.

C.   To limit the number of medical procedures and services that can be performed.

D.   To provide a list of medical procedures and services that are not covered by insurance.

A.   Physician or specialist name

B.   Procedure or service

C.   Organ or other anatomic site

D.   Condition

A.   To develop guidelines for medical review, medical education, and research.

B.   To limit the amount of reimbursement for medical procedures and services.

C.   To report medical procedures and services for administrative management purposes only.

D.   To provide a list of medical procedures and services that are not covered by insurance.

A.   The child code's descriptor is physically indented beneath the parent code's descriptor.

B.   The shared content appears after the semicolon in the parent code.

C.   The shared description appears in the child code's descriptor.

D.   The parent code is always followed by only one child code.

A.   The National Institutes of Health (NIH).

B.   The World Health Organization (WHO).

C.   The American Medical Association's (AMA) CPT Editorial Panel.

D.   The Centers for Disease Control and Prevention (CDC).

A.   To limit the amount of reimbursement for medical procedures and services.

B.   To limit the number of medical procedures and services that can be performed.

C.   To revise, update, and modify CPT codes.

D.   To limit the number of physicians that can perform a particular medical procedure.

A.   Patient demographics

B.   Diagnosis codes

C.   Procedure codes

D.   Services provided by physicians and other QHPs

A.   By diagnosis

B.   By place of service

C.   By broad categories such as office visits, hospital visits, consultations, preventive medicine, and advance care planning

D.   By patient demographics

A.   History, examination, medical decision-making complexity, coordination of care, nature of presenting problem, time, patient demographics

B.   Diagnosis, history, examination, medical decision-making complexity, counseling, coordination of care, time

C.   Diagnosis, medical decision-making complexity, counseling, coordination of care, nature of presenting problem, time, place of service

D.   History, examination, medical decision-making complexity, counseling, coordination of care, nature of presenting problem, time

A.   History, medical decision making, coordination of care

B.   History, examination, time

C.   Examination, medical decision making, coordination of care

D.   History, examination, medical decision making

A.   By place of service

B.   By diagnosis

C.   By whether they have received a face-to-face professional medical service from the physician/QHP within the past three years

D.   By age

A.   High complexity

B.   Moderate complexity

C.   Straightforward

D.   Low complexity

A.   History, examination, and medical decision making

B.   History, examination, and consultation

C.   History, consultation, and medical decision making

D.   Examination, consultation, and medical decision making

A.   More than 25%

B.   More than 75%

C.   More than 50%

D.   More than 90%

A.   Only two of the three key components must meet or exceed the stated requirements to qualify for a particular level of E/M service

B.   Only one key component is required

C.   Must meet or exceed the stated requirements to qualify for a particular level of E/M service

D.   No key components are required

A.   A facility that provides medical care for chronic conditions

B.   A facility that provides medical care for elective procedures

C.   A facility that provides medical care for routine check-ups

D.   A hospital-based facility that provides unscheduled episodic services to patients who present for immediate medical attention

A.   99471-99476

B.   99466-99467

C.   99221-99233

D.   99460-99463

A.   Twice

B.   Four times

C.   Only once

D.   Three times

A.   Hospital inpatient services codes

B.   Initial comprehensive preventive medicine E/M service for new patient visits

C.   Periodic comprehensive preventive medicine reevaluation and management services for established patient visits

D.   Preventive medicine counseling for individuals and groups

A.   99401-99404

B.   99391-99397

C.   99406-99409

D.   99381-99387

A.   Alphabetically

B.   By patient age

C.   By head-to-toe anatomic subsections

D.   By type of anesthesia used

A.   No

B.   Yes

A.   Anesthesia care that includes intraprocedure care and postprocedure anesthesia management.

B.   A specific diagnostic or therapeutic procedure

C.   A type of anesthesia service for patients with severe systemic disease

A.   Preprocedure visit only

B.   Preprocedure visit, intraprocedure care, and postprocedure anesthesia management.

C.   Intraprocedure care only

A.   Only administration of sedatives and analgesics

B.   Psychological support and physical comfort only

C.   Diagnosis/treatment of clinical problems during procedure, support of vital functions, and provision of other medical services needed to complete procedure

A.   Begins when physician starts preparing patient for anesthesia in the operating room and ends when the patient is under postoperative supervision.

B.   Begins when patient is brought to the operating room and ends when the procedure is completed.

C.   Begins when patient is under postoperative supervision and ends when the anesthesia services are completed.

A.   Using the CPT code for the surgical procedure being performed.

B.   Using any CPT modifier that is appropriate

C.   Using the five-digit anesthesia procedure code and two-digit physical status modifier to distinguish the various levels of complexity of the anesthesia service provided.

A.   S1, S2, S3, S4, S5, S6

B.   A1, A2, A3, A4, A5, A6

C.   P1, P2, P3, P4, P5, P6

A.   Yes

B.   No

A.   The code representing the least complex procedure

B.   All the anesthesia codes representing each individual procedure

C.   The code representing the most complex procedure

A.   Combined total time for all procedures is reported

B.   Time for each procedure is reported separately

C.   Only the time for the most complex procedure is reported

A.   10001-69999

B.   20001-79999

C.   20021-79990

D.   10021-69990

A.   According to body systems

B.   Numerically

C.   According to anatomic perspective or types of procedures

D.   Alphabetically

A.   Anesthesia, postoperative medications, medical supplies, follow-up care

B.   All of these

C.   Laboratory tests, imaging studies, surgical equipment, preoperative care

D.   Evaluation and Management (E/M) services, local infiltration, immediate postoperative care, typical postoperative follow-up care

A.   To indicate that the procedure performed was a therapeutic procedure

B.   To indicate that the procedure performed was a diagnostic procedure

C.   To indicate that the surgery was complicated

D.   To indicate that surgery was scheduled at the time of the E/M visit

A.   The period of time in which follow-up care is provided by the surgeon

B.   The period of time in which a patient is expected to return for follow-up care

C.   The period of time in which a patient is hospitalized after a surgical procedure

D.   The period of time in which a patient is expected to recover after a surgical procedure

A.   When they are used for postoperative care

B.   When they are used for surgical procedures

C.   When they are used for diagnostic procedures

D.   When they are over and above those usually included with the services rendered

A.   Yes

B.   It depends on the insurance contract of each individual patient

C.   No

D.   It depends on the procedure performed

A.   A code that describes additional intra-service work associated with the primary procedure

B.   A code that can only be reported when performed in addition to another procedure

C.   A code that is not commonly carried out in addition to the primary service or procedure

A.   A code that is commonly carried out in addition to the primary service or procedure

B.   A code that describes additional intra-service work associated with the primary procedure

C.   A code that can only be reported when performed in addition to another procedure

A.   A modifier that indicates a procedure is unrelated or distinct from other procedures/services provided

B.   A modifier that indicates a procedure is performed in addition to another procedure

C.   A modifier that indicates additional intra-service work associated with the primary procedure

A.   When it is performed in addition to another procedure

B.   When it is performed independently, unrelated, or distinct from other procedure(s)/service(s) provided

C.   Only when it is considered an integral component of another procedure/service

A.   That the procedure is unrelated or distinct from other procedures/services provided

B.   That additional intra-service work is associated with the primary procedure

C.   That the procedure is performed in addition to another procedure

A.   There is no difference between the two techniques in CPT coding

B.   Minimally invasive techniques involve the use of a scope or other specialized equipment

C.   Open surgical techniques involve larger incisions than minimally invasive techniques

A.   To help students memorize CPT codes

B.   To teach students how to use the CPT codebook

C.   To encourage teamwork and competition among students

A.   The skin

B.   The lungs

C.   The heart

D.   The brain

A.   It helps in maintaining patient records

B.   It is not important

C.   It helps in identifying the correct code to report the procedure

D.   It helps in billing the insurance company

A.   By type of instrument used

B.   By the surgeon who performed the procedure

C.   By surface area of the wound

D.   By the depth of tissue removed and by surface area of the wound

A.   Removal of a lesion with layered closure

B.   Partial-thickness removal of a lesion

C.   Removal of a lesion without the margins

D.   Full-thickness removal of a lesion through the dermis, including margins

A.   By the classification of repair method

B.   By the type of instrument used

C.   By the size of the wound

D.   By the length of the incision