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

Modifier -25 indicates that a significant, separately identifiable E/M service was provided by the same physician on the same day as a minor procedure.

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

The CPT global surgical package includes pre-operative visits (day of surgery), the intraoperative service, and standard uncomplicated post-operative care.

Question 3

Which CPT modifier indicates that a procedure was performed bilaterally?

Accepted Answer

-50

Answer

Modifier -50 is used to report bilateral procedures performed at the same operative session when the procedure code does not already indicate bilateral.

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

Unbundling is the improper practice of billing separate CPT codes for individual components of a procedure that is correctly reported with a single comprehensive code.

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

NCCI edits consist of procedure-to-procedure code pairs that Medicare and other payers use to prevent unbundling and improper code combinations.

Certified Medical Coding Specialist Practice Test

Certified Medical Coding Specialist Practice Test

Certified Medical Coding Specialist CPT Procedure Coding 2