Prepare for medical coding exams with these CPT coding practice questions and answers. This guide covers CPT procedure codes, modifiers, and coding guidelines.
Q: the most accurate method for identifying a CPT code is to
Answer: determine the code from the body of the manual
Q: an addition to the initial CPT code that identifies certain circumstances is a
Answer: modifier
Q: a person who has not received care from The Physician or other physician of the same specialty in the same group practice within 3 years is a
Answer: new patient
Q: coding for an evaluation and management office visit involves five components, one of the components is
Answer: problem severity
Q: the minimum evaluation and management CPT level of care is called
Answer: problem-focused
Q: an example of a hcpcs level 2 code is a charge for
Answer: Pharmaceuticals
Q: an example of hcpcs level 2 code charges are
Answer: appendectomy
Q: similar Services provided do the same patient on the same day by more than one physician is referred to as
Answer: concurrent care
Q: the CPT codes are located in the
Answer: hcpcs level 1
Q: the largest section of the CPT code is
Answer: surgery
Q: the section of CPT codes most commonly used in the medical office is
Answer: E & M
Q: the ICD-9-CM codes in use in the United States generally contain
Answer: 3 to 5 numerical digits with a decimal
Q: a supplementary classification of ICD-9 coding that denotes the external cause of an injury or poisoning rather than a disease is referred to as a
Answer: e code
Q: ICD-9 coding that identifies Healthcare encounters for reasons other than illness is called
Answer: V codes
Q: an example of a modifier in CPT coding is
Answer: T5
Q: the universal healthcare insurance claim form currently in use in the United States is called the
Answer: CMS 1500 form
Q: the final appeal for a disputed CMS claim is
Answer: federal court review
Q: unnecessary or excessive referrals of a patient to other providers and then back to the primary medical office is referred to as
Answer: ping ponging
Q: the fraudulent practice of billing for services or supplies not provided
Answer: Phantom billing
Q: the fraudulent practice of deliberately using an incorrect code to bill at a higher rate is called
Answer: upcoding
Q: the process of using several CPT codes to identify procedures normally covered by a single code is referred to as
Answer: unbundling
Q: CMS (Formerly Known as hcfa) developed additional codes or use one specific Services, materials, drugs, and procedures are not listed in the CPT code book. These are known as
Answer: HCPCS level II
Q: the abbreviation NEC in medical insurance coding is used
Answer: to mean that information is unavailable in a more specific code “
Q: under the ICD 9 system, which code would you use on an insurance claim for a patient who received an external and jury in order to explain the mechanism of the injury
Answer: e code
Q: when a patient has a fractured ankle but then experience a malUnion of the fracture, the malunion diagnosis is referred to as
Answer: late effect
Q: when coding Medical Services, the term used for the level of care that involves multi systems or complex involvement of one organ system is
Answer: comprehensive
Q: what a primary condition or disease exist and the patient also has a condition that coexist with the primary condition and complicates the treatment of the primary condition, it is referred to as
Answer: comorbidity
Q: the primary coding manual for procedures and services performed by doctors and medical offices is commonly called
Answer: CPT
Q: V codes found in the ICD – 9 – CM codes identify Healthcare and counters for
Answer: reasons other than illness or injury
Q: the CPT section used to code Services of a referral physician whose opinion or advice assists in the evaluation of the patient’s illness or suspected problem is
Answer: consultation