Question 1

Medical decision making (MDM)  is measured by all of the following components EXCEPT the:

Accepted Answer

A)   cost associated with the recommended procedure.
B)   risk of significant complications.
C)   number of medical records or tests that must be analyzed.
D)   number of possible diagnoses that must be considered.

Question 2

The modifier -52 is used to indicate:

Accepted Answer

A)   prolonged evaluation and management (E/M)  service.
B)   unrelated E/M service by the same physician during a postoperative period.
C)   significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.
D)   reduced services.

Question 3

The four types of examinations used in determining the level of evaluation and management (E/M)  services are:

Accepted Answer

A)   problem focused, expanded problem focused, detailed, and comprehensive.
B)   problem focused, expanded problem focused, complete, and comprehensive.
C)   problem focused, detailed, comprehensive, and complete.
D)   expanded problem focused, detailed, expanded detailed, and comprehensive.

Question 4

The first section of the CPT code book is:

Accepted Answer

A)   Anesthesia.
B)   Surgery.
C)   Medicine.
D)   Evaluation and Management .

Question 5

A comprehensive exam would include a general multisystem exam or a complete exam of a single organ system.

Accepted Answer

A) True 
 B)False

Question 6

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:

Accepted Answer

A)   chief complaint.
B)   primary diagnosis.
C)   principal diagnosis.
D)   reason for complaint.

Question 7

An inpatient is defined as a patient who has been admitted to the hospital and is expected to stay 48 hours or more.

Accepted Answer

A) True 
 B)False

Question 8

The temporary codes used for emerging technology, services, or procedures are:

Accepted Answer

A)   Category I CPT codes.
B)   Category II CPT codes.
C)   Category III CPT codes.
D)   ICD-10-CM codes.

Question 9

CPT Category II codes are used principally:

Accepted Answer

A)   for providing more information about the diagnosis.
B)   as temporary codes for emerging technology.
C)   for performance measurement.
D)   to describe the procedure performed by the physician.

Question 10

The modifier -32 is used to indicate:

Accepted Answer

A)   mandated services (used when requested by the payer) .
B)   unrelated E/M service by the same physician during a postoperative period.
C)   significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service.
D)   reduced services.

Question 11

An established patient is defined as one who has received professional service from the physician or another physician of the same specialty in the same group within the last 5 years.

Accepted Answer

A) True 
 B)False

Question 12

In a coding a physical examination, all of the following organ systems are recognized EXCEPT:

Accepted Answer

A)   head, including the face.
B)   eyes.
C)   respiratory.
D)   skin.

Question 13

The transfer of the total care or a portion of care of a patient from one physician to another is a(n) ________.

Accepted Answer

The answer of The transfer of the total care or...

Question 14

Match the following

-Description used for the specific character of a symptom or pain = quality

Accepted Answer

A)   timing
B)   location
C)   severity
D)   social history
E)   modifying factorsF)  past historyG)  associated signs and symptomsH)  durationI)  context

Question 15

What factors are considered in determining the level of medical decision making?

Accepted Answer

The factors are number of possible diagn...

Question 16

A description of how long the symptom or pain has been present is referred to as the:

Accepted Answer

A)   timing.
B)   duration.
C)   severity.
D)   quality.

Question 17

The risk of significant complications, morbidity, and/or mortality is a factor in determining the level of medical decision making (MDM).

Accepted Answer

A) True 
 B)False

Question 18

Dimensions of a history of present illness (HPI)  include all of the following EXCEPT:

Accepted Answer

A)   location in the body where the chief complaint is occurring.
B)   age-appropriate dietary status.
C)   the situation that is associated with the pain or symptom.
D)   how long the symptom or pain has been present and/or how long it lasts.

Question 19

A chronological description of the patient's illness from the first sign or symptom to the present is the:

Accepted Answer

A)   history of present illness.
B)   past history.
C)   family history.
D)   social history.

Question 20

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:

Accepted Answer

A)   -25.
B)   -32.
C)   -52.
D)   -57.

Exam 6: Introduction to CPT and Place of Coding Services

A chronological description of the patient's illness from the first sign or symptom to the present is the:

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The modifier -52 is used to indicate:

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A description of how long the symptom or pain has been present is referred to as the:

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A comprehensive exam would include a general multisystem exam or a complete exam of a single organ system.

Correct AnswerverifiedShow Answer

The transfer of the total care or a portion of care of a patient from one physician to another is a(n) ________.

Correct AnswerverifiedShow Answer

CPT Category II codes are used principally:

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An inpatient is defined as a patient who has been admitted to the hospital and is expected to stay 48 hours or more.

Correct AnswerverifiedShow Answer

The risk of significant complications, morbidity, and/or mortality is a factor in determining the level of medical decision making (MDM).

Correct AnswerverifiedShow Answer

Medical decision making (MDM) is measured by all of the following components EXCEPT the:

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In a coding a physical examination, all of the following organ systems are recognized EXCEPT:

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What factors are considered in determining the level of medical decision making?

Correct AnswerverifiedThe factors are number of possible diagn...View AnswerShow Answer

The first section of the CPT code book is:

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Match the following -Description used for the specific character of a symptom or pain = quality

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Dimensions of a history of present illness (HPI) include all of the following EXCEPT:

Correct AnswerverifiedShow Answer

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:

Correct AnswerverifiedShow Answer

The four types of examinations used in determining the level of evaluation and management (E/M) services are:

Correct AnswerverifiedShow Answer

An established patient is defined as one who has received professional service from the physician or another physician of the same specialty in the same group within the last 5 years.

Correct AnswerverifiedShow Answer

The modifier -32 is used to indicate:

Correct AnswerverifiedShow Answer

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:

Correct AnswerverifiedShow Answer

The temporary codes used for emerging technology, services, or procedures are:

Correct AnswerverifiedShow Answer

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The factors are number of possible diagn...
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