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

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

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

D.   To restrict the use of medical procedures and services

A.   Centers for Medicare & Medicaid Services (CMS)

B.   AMA’s CPT Editorial Panel

C.   Health Insurance Plans

D.   American Hospital Association

A.   Organ or other anatomic site

B.   Condition

C.   Provider specialty

D.   Procedure or service

A.   To indicate a shared or common description

B.   To save space on the printed page

C.   All of these

D.   To identify different types of procedures

A.   A system for identifying health insurance policies

B.   A system for identifying diseases and medical conditions

C.   A system for identifying prescription drugs

D.   A system for identifying medical procedures and services

A.   For administrative management purposes, such as claims processing

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

C.   To promote specific diagnostic or therapeutic procedures

D.   For medical education and research

A.   Only physicians

B.   Only government agencies

C.   Anyone

D.   Only the AMA

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

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

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

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

A.   To ensure accurate code selection

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 organize main terms by primary classes of index entries

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

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

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

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

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

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

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

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

A.   Physician or specialist name

B.   Procedure or service

C.   Organ or other anatomic site

D.   Condition

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

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

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 parent code is always followed by only one child code.

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

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

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

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

B.   The World Health Organization (WHO).

C.   The National Institutes of Health (NIH).

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

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

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

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

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

A.   Procedure codes

B.   Patient demographics

C.   Diagnosis codes

D.   Services provided by physicians and other QHPs

A.   By diagnosis

B.   By patient demographics

C.   By place of service

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

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

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

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

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

A.   History, examination, medical decision making

B.   Examination, medical decision making, coordination of care

C.   History, medical decision making, coordination of care

D.   History, examination, time

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

B.   By place of service

C.   By diagnosis

D.   By age

A.   Moderate complexity

B.   Low complexity

C.   Straightforward

D.   High complexity

A.   History, consultation, and medical decision making

B.   History, examination, and consultation

C.   History, examination, and medical decision making

D.   Examination, consultation, and medical decision making

A.   More than 75%

B.   More than 25%

C.   More than 50%

D.   More than 90%

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

B.   No key components are required

C.   Only one key component is required

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

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

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

C.   A facility that provides medical care for chronic conditions

D.   A facility that provides medical care for elective procedures

A.   99471-99476

B.   99466-99467

C.   99460-99463

D.   99221-99233

A.   Only once

B.   Four times

C.   Twice

D.   Three times

A.   Hospital inpatient services codes

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

C.   Preventive medicine counseling for individuals and groups

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

A.   99391-99397

B.   99381-99387

C.   99406-99409

D.   99401-99404

A.   Alphabetically

B.   By patient age

C.   By head-to-toe anatomic subsections

D.   By type of anesthesia used

A.   No

B.   Yes

A.   A specific diagnostic or therapeutic procedure

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

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

A.   Intraprocedure care only

B.   Preprocedure visit only

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

A.   Only administration of sedatives and analgesics

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

C.   Psychological support and physical comfort only

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 under postoperative supervision and ends when the anesthesia services are completed.

C.   Begins when patient is brought to the operating room and ends when the procedure is 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.   A1, A2, A3, A4, A5, A6

B.   S1, S2, S3, S4, S5, S6

C.   P1, P2, P3, P4, P5, P6

A.   Yes

B.   No

A.   The code representing the most complex procedure

B.   All the anesthesia codes representing each individual procedure

C.   The code representing the least complex procedure

A.   Time for each procedure is reported separately

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

C.   Combined total time for all procedures is reported

A.   10021-69990

B.   20001-79999

C.   10001-69999

D.   20021-79990

A.   Alphabetically

B.   Numerically

C.   According to anatomic perspective or types of procedures

D.   According to body systems

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

B.   All of these

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

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

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

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

C.   To indicate that the surgery was complicated

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

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

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

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

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 diagnostic procedures

C.   When they are used for surgical procedures

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

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

B.   No

C.   Yes

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 is not commonly carried out in addition to the primary service or procedure

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

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

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

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

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

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

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

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

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

C.   When it is performed in addition to another procedure

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

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

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

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

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

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

A.   To teach students how to use the CPT codebook

B.   To help students memorize CPT codes

C.   To encourage teamwork and competition among students

A.   The skin

B.   The lungs

C.   The brain

D.   The heart

A.   It helps in billing the insurance company

B.   It helps in maintaining patient records

C.   It is not important

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

A.   By type of instrument used

B.   By surface area of the wound

C.   By the surgeon who performed the procedure

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 type of instrument used

B.   By the size of the wound

C.   By the length of the incision

D.   By the classification of repair method