Chapter 13 — Quiz
Twenty-two questions.
Multiple choice
1. CPT is maintained by:
- A. CMS
- B. the American Medical Association
- C. NCHS
- D. AAPC
2. CPT is updated effective:
- A. October 1
- B. January 1
- C. quarterly
- D. as needed
3. The body that decides what CPT codes exist is:
- A. the RUC
- B. the CPT Editorial Panel
- C. CMS
- D. the Cooperating Parties
4. A code ending in F is:
- A. Category I
- B. Category II
- C. Category III
- D. unlisted
5. A code ending in T is:
- A. Category I
- B. Category II
- C. Category III
- D. a modifier
6. Category II codes are:
- A. required for payment
- B. optional, for performance measurement, and not paid
- C. emerging technology
- D. temporary Category I codes
7. If a Category III code describes the service, the coder reports:
- A. an unlisted Category I code
- B. the Category III code
- C. the nearest Category I code
- D. either
8. Which section appears first in the CPT book?
- A. Surgery
- B. Anesthesia
- C. Evaluation and Management
- D. Pathology and Laboratory
9. A venipuncture (36415) is found in which section?
- A. Medicine
- B. Pathology and Laboratory
- C. Surgery
- D. Evaluation and Management
10. The ▲ symbol indicates:
- A. a new code
- B. a revised code
- C. an add-on code
- D. a resequenced code
11. The # symbol indicates:
- A. a deleted code
- B. a resequenced code
- C. a Category III code
- D. a telemedicine code
12. Add-on codes are:
- A. reported alone when clinically appropriate
- B. never reported alone and exempt from modifier 51
- C. always Category III
- D. subject to the multiple procedure reduction
13. The relationship between add-on codes and modifier-51-exempt codes is:
- A. identical lists
- B. all add-on codes are modifier-51 exempt, but not all exempt codes are add-on codes
- C. mutually exclusive
- D. all modifier-51-exempt codes are add-on codes
14. A "(separate procedure)" code is reported when:
- A. always
- B. performed independently or distinct from other procedures at the same session
- C. never
- D. only with an add-on code
15. An unlisted procedure code requires:
- A. modifier 51
- B. a special report
- C. a Category III code
- D. prior authorization in all cases
16. An indented CPT code inherits from the code above it:
- A. nothing
- B. everything before the semicolon
- C. the parentheticals only
- D. the symbols only
Short answer
17. Name the six CPT sections and their ranges.
18. Name four kinds of content found in a section guideline, and say why the index never takes you there.
19. Name five kinds of parenthetical note.
20. State the Category III rule and the reason it exists.
21. (Chapter 8) Compare the CPT index and the ICD-10-CM index. Name the one structural difference and why it exists.
22. (Chapter 6) A code marked ▲ produces no rejection. Explain the risk in one sentence and name the January routine that addresses it.