MOA 193 - Current Procedural Term Coding » Spring 2023 » Exam Two Chapter 4.3 - 4.9

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Question #1
Bronchoscopies are considered inherently bilateral.
A.   TRUE
B.   FALSE
Question #2
Thoracoscopy is the direct examination of the chest wall using an endoscope.
A.   TRUE
B.   FALSE
Question #3
A pneumonectomy is the term used to describe the removal of the entire lung, while a lobectomy is the term used to describe the removal of a single lobe of the lung.
A.   TRUE
B.   FALSE
Question #4
The three approaches for electrode lead placement are transvenous, epicardial, and subcutaneous, and each method should be reported separately from the implantable defibrillator codes.
A.   TRUE
B.   FALSE
Question #5
When changing the battery of either a pacemaker or defibrillator device, the removal of the device must be reported in addition to the implantation or replacement code.
A.   FALSE
B.   TRUE
Question #6
Radiological supervision and interpretation needed at the time of implantation or replacement of a pacemaker or defibrillator is always coded separately.
A.   FALSE
B.   TRUE
Question #7
In all instances of an esophagogastroduodenoscopy (EGD), the duodenum must be examined or a reduced services modifier is needed.
A.   FALSE
B.   TRUE
Question #8
Bariatric surgery is always performed as an open procedure.
A.   FALSE
B.   TRUE
Question #9
A colonoscopy is the examination of the entire colon, from the rectum to the cecum, and may include the examination of the terminal ileum or small intestine proximal to an anastomosis
A.   TRUE
B.   FALSE
Question #10
There are no specific codes for the ablation of renal tumors or renal cysts.
A.   TRUE
B.   FALSE
Question #11
Diagnostic pyelography/ureterography cannot be reported separately if it is performed during the same session as other genitourinary procedures.
A.   FALSE
B.   TRUE
Question #12
When an endoscope is used for all or part of a urinary tract procedure, you must always code separately for the use of the endoscope.
A.   TRUE
B.   FALSE
Question #13
When coding for repair to the penis, unless the repair involves repair of a congenital condition (eg, bend in the penis or hypospadias correction), each portion of the procedure is coded separately.
A.   FALSE
B.   TRUE
Question #14
If an incisional biopsy of the testis is performed bilaterally, append modifier 50 to the appropriate CPT code.
A.   TRUE
B.   FALSE
Question #15
Codes for excision of the testes are chosen only by the approach and not by the type of procedure
A.   TRUE
B.   FALSE
Question #16
There are four separate sinus cavities on each side of the face. Because these cavities are in different sectors of the face, procedures involving more than one of the sinuses are considered:
A.   One procedure and one CPT code
B.   Significant and separate for the purpose of coding procedures
C.   Closed laparoscopic procedure codes
D.   Open incisional procedure codes
Question #17
Sinus surgeries can be performed:
A.   Both of the options
B.   Through an incision of the face or forehead
C.   By laparoscopic endoscope
Question #18
Laryngoscopy procedures can be different in scope and are coded accordingly. Laryngoscopies can be which types of procedures?
A.   Open procedures
B.   Closed procedures
C.   Diagnostic and therapeutic procedures
D.   Therapeutic procedures
Question #19
Surgical bronchoscopies always include diagnostic bronchoscopy when:
A.   Neither one of the options
B.   Performed for the same problem or condition
C.   Performed by the same physician
D.   Performed in the same episode
Question #20
When laryngoscopy is performed with a flexible laryngoscope, it would be appropriate to:
A.   Neither one of the options
B.   Code only of the single laryngoscopy procedure
C.   Code separately for a diagnostic procedure and therapeutic procedure
D.   Append modifier 23, Unusual Anesthesia
Question #21
Certain CPT codes used to report the treatment or evaluation of cardiovascular patients are found in which of the following codebook sections?
A.   Surgery section
B.   Integumentary System section
C.   Radiology section
D.   Medicine section
Question #22
Which of the following procedures is a type of surgery that is performed on a beating heart to treat inoperable heart disease and angina?
A.   Thoracotomy
B.   Operative electrophysiological procedures
C.   Transcatheter pulmonary valve implantation
D.   Transmyocardial laser revascularization
Question #23
Which of the following procedures describes the use of multiple codes to report various procedures for endovascular repair of aortic aneurysms?
A.   Manipulation coding
B.   Component coding
C.   Complimentary coding
D.   Severe cardiac coding
Question #24
When may carotid artery revascularization services performed at the same session be reported?
A.   They may be reported once per session.
B.   They may be reported separately.
C.   They may be reported as one code.
D.   They may not be reported separately.
Question #25
When coding one of the different types of intestinal resections, whether open or laparoscopic, codes from the 44950-44960 series and code 44970 are reported. If no CPT code accurately describes a laparoscopic procedure, what is the correct coding method?
A.   Choose an unspecified laparoscopic procedure
B.   Choose an open procedure for the resection of the same site
C.   Choose an unspecified open procedure for a resection
D.   Neither one of the options
Question #26
If bariatric surgery is performed on a clinically obese patient, codes for the treatments are chosen by which of the following?
A.   Type of procedure performed
B.   Section of the digestive tract involved
C.   Method of approach
D.   Neither one of the options
Question #27
The difference between a sigmoidoscopy and a colonoscopy is:
A.   The diameter of the tubing of the endoscope used to perform the examination
B.   The length of the endoscope used to perform the examination
C.   The depth of the examination into the colon
D.   The number of polyps or lesions discovered during the examination
Question #28
In reporting the destruction of hemorrhoids, thermal energy may be used. The codes include infrared, coagulation, cautery, and radiofrequency methods. What is another means of eradication of hemorrhoids?
A.   Resection
B.   Anastomosis
C.   Ablation
D.   Cryosurgery
Question #29
When an existing gastrostomy tube is removed and replaced with a new tube through a separate percutaneous access site, insertion of the tube is:
A.   Considered a replacement and coded accordingly
B.   Not considered a replacement and an initial insertion placement code is needed
C.   Neither one of the options
D.   Considered a replacement and coded as an add-on code to the primary placement code
Question #30
Why are endoscopic procedures of the urinary structures most often performed?
A.   To determine whether obstructions are benign or malignant
B.   To remove obstructions and strictures
C.   To perform diagnostic and therapeutic procedures
D.   To investigate renal insufficiency
Question #31
When a preliminary endoscopic procedure of the urinary system is performed followed by a more extensive endoscopic procedure due to anatomical locations, what is the correct coding procedure?
A.   Append modifier 51 for multiple procedures to the second CPT code
B.   Append modifier 59 for separate sections to each of the codes used
C.   Use an add-on code for the second more extensive procedure
Question #32
What must be remembered when reporting multiple endoscopic codes for urinary tract procedures?
A.   Report each code separately.
B.   Report the code with the highest relative value units first and append modifier 51 to the second highest procedure and each one following in value.
C.   Report the second and other codes using add-on codes.
Question #33
How should the codes for renal tumor ablation reported when a laparoscopic approach is chosen?
A.   Separately for each tumor treated
B.   Neither one of the options
C.   Once per session regardless of the number of tumors treated
D.   Once for the initial tumor with the appropriate add-on code for additional tumors treated
Question #34
When reporting a nonendoscopic biopsy of the ureter and/or renal pelvis, which type of code is used to report a biopsy performed with other genitourinary procedures?
A.   Two CPT codes with modifier 51, Multiple Procedures, appended to the second
B.   Neither one of the options
C.   Once CPT code that includes both procedures
D.   An add-on code to cover the biopsy second to the code for the other genitourinary procedure
Question #35
Which of the following terms refers to the enlargement of the meatus of the urethra or ureter?
A.   Ureteral ablation
B.   Ureteral expansion
C.   Ureterotomy incision
D.   Meatotomy
Question #36
An excision of hydrocele may be accompanied by which of the following procedures?
A.   Hernia repair
B.   Epididymovasostomy
C.   asectomy
D.   Tunica vaginalis
Question #37
  
A.   Orchiopexy
B.   Vasotomy
C.   Vasectomy
D.   Epididymovasostomy
Question #38
The code choice for a vesiculotomy depends on the:
A.   Neither one of the options
B.   The instrument used to perform the procedure
C.   Whether the procedure is performed on an adult or infant
D.   Degree of complexity
Question #39
A standard sextant biopsy is performed:
A.   Using a transperineal approach
B.   Depending on the size of the prostate
C.   Under local anesthesia
D.   Under general anesthesia
Question #40
Treatment for prostate cancer may involve which of the following?
A.   Peyronie’s disease
B.   Tunica vaginalis
C.   Chordee
D.   Chemical destruction
Question #41
Specific codes for the female genital system are separated by:
A.   Approach
B.   Instruments used for completing procedures
C.   Anatomical site subsections
D.   Neither one of the options
Question #42
Therapeutic colposcopies should:
A.   Be performed during a separate encounter from a diagnostic colposcopy
B.   Neither one of the options
C.   Be coded with modifier 58 appended to denote the decision to perform the procedure
D.   Not be reported separately from diagnostic colposcopies performed in the same session
Question #43
The subcategory of codes in the Female Genital System subsection that are used to report open excision and repair procedures:
A.   May be used in place of the laparoscopic procedures for many of the same sites
B.   Come before the laparoscopic procedures for the same sites
C.   Come after the laparoscopic procedures for the same sites
D.   May be used as add-on codes for laparoscopic procedures
Question #44
When a dilation and curettage is medically indicated at the time of a laparoscopic procedure:
A.   It is coded separately with a distinct diagnostic code supporting the separate procedure.
B.   It is not coded separately.
C.   It is coded with modifier 51 appended to denote a multiple procedure.
D.   It is coded as an add-on code to the original laparoscopic procedure.
Question #45
When coding for a tubal ligation or transection procedure:
A.   The use of a modifier to denote unilateral procedure is necessary
B.   The use of a modifier to denote bilateral procedures is necessary
C.   One add-on code is used describe a bilateral procedure
D.   Modifier 50 to denote bilateral procedures is not used
Question #46
  
A.   Hysterectomy
B.   Conization
C.   Fulguration
D.   Vaginal introitus
Question #47
Which of the following terms refers to the excision of a cone of tissue from the cervix?
A.   Cystocele
B.   Fulguration
C.   Conization
D.   Myomectomy
Question #48
Removal of the fallopian tube(s) and/or ovary(s) when performed with an abdominal hysterectomy is not reported separately.
A.   TRUE
B.   FALSE
Question #49
The insertion and removal of intrauterine devices and the introduction of catheters for diagnostic purposes are included in the codes for corpus uteri.
A.   TRUE
B.   FALSE
Question #50
It may be appropriate to use modifier 50 with the tubal ligation or transection procedure codes because there is no indication of unilateral or bilateral in the descriptors of those codes.
A.   FALSE
B.   TRUE
Question #51
The body’s involuntary regulatory functions are governed by which nervous system?
A.   The peripheral nervous system
B.   The autonomic nervous system
C.   The sympathetic nervous system
D.   The parasympathetic nervous system
Question #52
Which nervous system does the brain and spinal cord make up?
A.   The central nervous system
B.   The autonomic nervous system
C.   The peripheral nervous system
D.   The parasympathetic nervous system
Question #53
The nervous system involved in controlling, receiving, and relaying messages throughout the body is the:
A.   Autonomic nervous system
B.   Sympathetic nervous system
C.   Peripheral nervous system
D.   Parasympathetic nervous system
Question #54
Codes for the radiological supervision of procedures described by nervous system codes are found in which section of the CPT codebook?
A.   Nervous System
B.   Surgery
C.   Medicine
D.   Radiology
Question #55
When sessions of stereotactic radiosurgery treatments require more than one session, how are they coded?
A.   Once per session per course of treatment
B.   Once per session with add-on codes to show additional courses of treatment
C.   Neither one of the options
D.   Each course of treatment within each session
Question #56
Which of the following terms describes a method of extracting fluid or cells from a percutaneous disc, nucleus pulposus, or paravertebral tissue for diagnostic purposes?
A.   Embolization
B.   Cerebrospinal fluid
C.   Craniectomy
D.   Aspiration or decompression
Question #57
Stereotactic radiosurgery or radiotherapy is used to treat brain disorders such as cerebral arteriovenous malformations and benign or malignant primary brain tumors.
A.   TRUE
B.   FALSE
Question #58
When reporting stereotactic radiosurgery for numerous lesions or sessions, each lesion or session should be reported separately.
A.   FALSE
B.   TRUE
Question #59
When reporting spine and spinal cord procedures, the terms “percutaneous,” “endoscopic,” “open,” “indirect visualization,” and “direct visualization” are considered interchangeable in choosing the correct codes.
A.   TRUE
B.   FALSE
Question #60
Injection of contrast material is considered an inclusive component of codes for neurolytic injection.
A.   TRUE
B.   FALSE

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