CPC Procedure Coding & Documentation 2

Question 1

A surgeon performs a laparoscopic appendectomy that is converted to an open procedure. How should this be coded?

Accepted Answer

Code only the open appendectomy

Answer

Code both the laparoscopic attempt and the open procedure

Answer

Code only the laparoscopic procedure with a modifier

Answer

Code the open procedure with modifier -22

Question 2

Which CPT modifier indicates a surgical procedure was performed on the right side of the body?

Accepted Answer

-RT

Answer

-LT

Answer

-50

Answer

-51

Question 3

A physician documents 'SOAP note completed.' Which element of documentation is missing that is required for E/M coding?

Accepted Answer

Medical decision making or time

Answer

Date of service

Answer

Time spent with patient

Answer

Patient's name

Question 4

What does CPT add-on code +11001 represent when billed with 11000?

Accepted Answer

Each additional 10 sq cm of debridement beyond the first

Answer

A more complex debridement requiring general anesthesia

Answer

Debridement of infected tissue on a separate anatomical site

Answer

Use of laser technology during debridement

Question 5

A coder sees 'discussed findings with patient's family' in the documentation. For E/M purposes, this time is:

Accepted Answer

Countable on the date of service with documentation

Answer

Countable only if patient is present

Answer

Never counted toward E/M time

Answer

Countable only for inpatient encounters

Question 6

Which CPT section contains codes for reporting radiological supervision and interpretation performed by a physician?

Accepted Answer

Radiology (70010-79999)

Answer

Evaluation and Management (99201-99499)

Answer

Medicine (90281-99199)

Answer

Surgery (10004-69990)

Question 7

When a procedure note states 'difficult dissection due to prior surgery, procedure took 2.5× normal time,' which modifier best captures the additional work?

Accepted Answer

-22

Answer

-51

Answer

-62

Answer

-80