Certified Medical Coding Specialist CPT Procedure Coding 3

Question 1

In CPT, Evaluation and Management (E/M) documentation requirements since 2021 for office visits are based on:

Accepted Answer

Medical decision making or total time on the date of the encounter

Answer

The number of organ systems examined

Answer

The number of diagnoses and management options

Answer

History, examination, and medical decision making equally

Question 2

CPT code 99213 represents which level of office visit?

Accepted Answer

Established patient, low level of medical decision making

Answer

New patient, low level of medical decision making

Answer

Established patient, moderate medical decision making

Answer

New patient, moderate medical decision making

Question 3

Which code set is used to report supplies and equipment not covered by other CPT codes?

Accepted Answer

HCPCS Level II codes (A–V codes)

Answer

CPT Category II codes

Answer

ICD-10-PCS codes

Answer

CPT unlisted procedure codes

Question 4

What is the purpose of CPT modifier -59?

Accepted Answer

To indicate a distinct procedural service that is separate from other services performed on the same day

Answer

To report an E/M service on the same day as a procedure

Answer

To indicate a bilateral procedure

Answer

To report a repeat procedure

Question 5

Anesthesia CPT codes are reported using which unit-based formula?

Accepted Answer

(Base units + Time units + Modifying units) × Conversion factor

Answer

RVU × Conversion factor

Answer

Time units only × Conversion factor

Answer

Base units × Conversion factor only

Question 6

Which CPT modifier indicates that a service was performed by a resident under the direction of a teaching physician?

Accepted Answer

-GC

Answer

-GE

Answer

-AT

Answer

-AI