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Modifier -47 is used to report:


A) multiple procedures that involve anesthesia.
B) use of local anesthesia.
C) anesthesia administered by a surgeon.
D) procedure performed by a surgical assistant.

E) B) and C)
F) None of the above

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Which type of procedure is reported as an additional procedure performed in addition to a main procedure?


A) primary procedure
B) elective procedure
C) essential procedure
D) secondary procedure

E) A) and B)
F) None of the above

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Normal uncomplicated care following a surgical procedure is typically included in the global surgical fee.

A) True
B) False

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The CPT index provides a pointer to the correct code range in the ________.

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The codes to be reported for each day's service are ranked in order of: are ranked in order of:


A) lowest to highest code number.
B) highest to lowest code number.
C) lowest to highest reimbursement rate.
D) highest to lowest reimbursement rate.

E) None of the above
F) B) and D)

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Codes for services provided by an occupational therapist would be found in the Medicine section of the CPT code book.

A) True
B) False

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A physical status modifier is only used to code anesthesia if there is an extraordinary condition or unusual risk factor.

A) True
B) False

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CPT codes for immunizations can be found in the:


A) Evaluation and Management section.
B) Medicine section.
C) Surgical section.
D) Pathology and Laboratory section.

E) A) and B)
F) B) and C)

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Supplies and materials usually included with the office visit can be billed separately.

A) True
B) False

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The largest section of the CPT code book is ________.

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The period of time included in the surgical package is determined by each individual third-party payer.

A) True
B) False

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The physical status modifier P1 refers to a:


A) normal, healthy patient.
B) patient with mild systemic disease.
C) patient with severe systemic disease.
D) patient who is not expected to survive without the surgery.

E) All of the above
F) C) and D)

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With respect to global surgical package guidelines, surgical supplies are:


A) always included in the global fee.
B) always billed separately from the surgical code.
C) billed separately only if they are over and above those usually included with procedures.
D) never coded.

E) B) and D)
F) A) and C)

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All services or procedures coded must be: (Select all that apply)


A) performed by the provider who is billing for the charge.
B) documented in the patient's medical record.
C) covered under the patient's insurance.
D) unbundled.

E) A) and B)
F) B) and C)

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To locate the main term for a procedure or service in the CPT code book, the medical office assistant should use the ________.

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If a physician's office collects a blood sample and sends it to an outside lab, the physician:


A) can bill for obtaining the sample.
B) can never bill for any type of lab work.
C) can bill for analyzing the test results only in certain cases.
D) cannot bill for obtaining the sample.

E) A) and D)
F) B) and C)

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Codes reported for services and procedures performed on the same day should be ranked from lowest to highest rate of reimbursement.

A) True
B) False

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The global surgical period is determined by the:


A) patient's primary care physician.
B) surgeon.
C) patient.
D) insurance carrier or other third-party payer.

E) B) and D)
F) A) and C)

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The lowest level of an in-office lab certified by Clinical Laboratory Improvement Amendment (CLIA) can perform which tests?


A) CBC and dipstick urine
B) urine pregnancy and blood alcohol level
C) dipstick urine and urine pregnancy
D) CBC and blood alcohol level

E) B) and D)
F) B) and C)

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Add-on codes describe procedures/services that are always performed:


A) at a later date than the primary procedure.
B) in addition to the primary procedure.
C) as an elective part of the primary procedure.
D) in anticipation of the primary procedure.

E) B) and D)
F) B) and C)

Correct Answer

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