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When an unlisted procedure or service code is reported, a __________ must accompany the claim to describe the nature, extent, and need for the procedure or service along with the time, effort, and equipment necessary to provide the service.


A) CMS-1500 claim
B) copy of the record
C) remittance advice
D) special report

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

Correct Answer

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Which describes the short-term, intensive treatment program where individuals who are experiencing an acute episode of an illness can receive medically supervised treatment during a significant number of daytime or nighttime hours?


A) inpatient hospitalization
B) outpatient hospitalization
C) partial hospitalization
D) skilled nursing facility hospitalization

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

Correct Answer

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A triangle located to the left of a code number identifies a code description that has been __________.


A) added to CPT for new procedures and services
B) deleted from CPT since its last edition
C) reinstated or recycled since the last edition
D) revised since the last edition of CPT

E) A) and B)
F) All of the above

Correct Answer

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Subcategories of hospital inpatient evaluation and management services include observation or inpatient care services, which include the __________.


A) admission and discharge from observation/inpatient status on the same day
B) final examination of the patient, discussion of hospital stay with patient or caregiver, instructions for continued care, and preparation of discharge records, prescriptions, and referral forms
C) inpatient's first encounter
D) review of the chart for changes in patient's condition, results of diagnostic studies, and/or reassessment of patient's condition since performance of last assessment

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

Correct Answer

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Which code represents excision of 6.2 centimeter malignant lesion including margins, face?


A) 11606
B) 11640
C) 11644
D) 11646

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

Correct Answer

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Which code represents cholecystectomy with exploration of common duct?


A) 47600
B) 47605
C) 47610
D) 47612

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

Correct Answer

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Which are reported when a physician directly delivers medical care for a critically ill or critically injured patient?


A) critical care services
B) emergency department services
C) inpatient services
D) outpatient services

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

Correct Answer

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The global period is the number of days associated with the surgical package (or global surgery) and is designated by the payer as __________.


A) a specific number of days for each surgery
B) including the management of any complications
C) requiring a repeat surgery, if indicated
D) treating the patient until (s) he is healed

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

Correct Answer

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Which code represents repair of the anomalous coronary artery from pulmonary artery origin (Takeuchi procedure) ?


A) 33500
B) 33502
C) 33505
D) 33506

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

Correct Answer

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The CPT comprehensive history includes the __________.


A) chief complaint and brief history of present illness or problem
B) chief complaint, brief history of present illness or problem, and problem-pertinent system review
C) chief complaint, extended HPI, problem-pertinent system review extended to include a limited number of additional systems, and pertinent PFSH directly related to the patient's problem
D) chief complaint, extended HPI, ROS directly related to the problem(s) identified in the HPI in addition to a review of all additional body systems, and complete PFSH

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

Correct Answer

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Which are provided at an intermediate care facility or mentally handicapped, long-term care facility, or psychiatric residential treatment facility?


A) critical care services
B) inpatient services
C) nursing facility services
D) outpatient services

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

Correct Answer

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Which code represents removal of foreign body, intranasal, by lateral rhinotomy?


A) 30220
B) 30300
C) 30310
D) 30320

E) All of the above
F) A) and B)

Correct Answer

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The Evaluation and Management __________ of service reflects the amount of work involved in providing health care to a patient.


A) complexity
B) level
C) place
D) type

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

Correct Answer

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A history is an interview of the patient that includes which of the following elements?


A) chief complaint, history of present illness, past/family/social history
B) chief complaint, history of present illness, past/family/social history, physical examination
C) chief complaint, history of present illness, past/family/social history, review of systems
D) chief complaint, past/family/social history, physical examination, review of systems

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

Correct Answer

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Which code represents pelvimetry with placental localization?


A) 74470
B) 74710
C) 74742
D) 74775

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

Correct Answer

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Which code represents closure of cystostomy?


A) 51860
B) 51880
C) 51920
D) 51940

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

Correct Answer

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Which parenthetical note follows a code description to identify procedures that are an integral part of another procedure or service?


A) add-on procedure
B) routine procedure
C) separate procedure
D) unlisted procedure

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

Correct Answer

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The CPT detailed history includes the __________.


A) chief complaint and brief history of present illness or problem
B) chief complaint, brief history of present illness or problem, and problem-pertinent system review
C) chief complaint, extended HPI, problem-pertinent system review extended to include a limited number of additional systems, and pertinent PFSH directly related to the patient's problem
D) chief complaint, extended HPI, ROS directly related to the problem(s) identified in the HPI in addition to a review of all additional body systems, and complete PFSH

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

Correct Answer

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Which are provided in a hospital that is open 24 hours for the purpose of providing unscheduled episodic services to patients who require immediate medical attention?


A) ambulatory services
B) emergency department services
C) inpatient services
D) outpatient services

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

Correct Answer

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Which occurs when a surgeon requests a specialist or other physician to examine a patient to determine if the patient can withstand the expected risks of a specific surgery?


A) consultation
B) preoperative clearance
C) referral
D) transfer

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

Correct Answer

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