Certified Medical Coding Specialist CPT Procedure Coding 2

Question 1

CPT modifier -25 is used when:

Accepted Answer

A significant, separately identifiable E/M service is performed on the same day as a procedure

Answer

A procedure is performed by a different physician

Answer

A procedure requires unusual anesthesia

Answer

Services are provided in two separate locations

Question 2

What does the surgical package (global surgical package) in CPT include?

Accepted Answer

Pre-operative care, the surgery itself, and standard post-operative care

Answer

Only the surgical procedure itself

Answer

All hospital services during the admission

Answer

Only post-operative follow-up visits

Question 3

Which CPT modifier indicates that a procedure was performed bilaterally?

Accepted Answer

-50

Answer

-51

Answer

-52

Answer

-53

Question 4

Unbundling in CPT coding refers to:

Accepted Answer

Reporting multiple codes for components of a procedure that should be reported with one comprehensive code

Answer

Reporting one code for multiple procedures

Answer

Adding unnecessary modifiers

Answer

Upcoding a service

Question 5

The National Correct Coding Initiative (NCCI) edits are designed to:

Accepted Answer

Prevent improper payment of services that should not be reported together

Answer

Require prior authorization for procedures

Answer

Determine medical necessity

Answer

Assign ASA units for anesthesia

Question 6

Which CPT modifier is used when a procedure is discontinued after anesthesia administration?

Accepted Answer

-53

Answer

-52

Answer

-74

Answer

-73