CPCA Surgical and Reconstructive Procedure Coding

Question 1

What is the standard global surgery period for major surgical procedures under Medicare guidelines?

Accepted Answer

90 days

Answer

10 days

Answer

30 days

Answer

60 days

Question 2

In CPT coding, a procedure listed as a 'separate procedure' may be billed independently when:

Accepted Answer

It is performed alone and not as part of a more comprehensive service

Answer

It is performed by a different surgeon

Answer

It requires general anesthesia

Answer

It is documented with a modifier -59

Question 3

Which modifier is appended to a CPT code to indicate that a procedure was performed bilaterally during the same operative session?

Accepted Answer

-50

Answer

-51

Answer

-59

Answer

-76

Question 4

For insurance reimbursement purposes, what primarily distinguishes a reconstructive procedure from a cosmetic procedure in an aesthetic practice?

Accepted Answer

Medical necessity and restoration of normal function or appearance after disease, injury, or birth defect

Answer

The cost of the procedure

Answer

The physician's board certification

Answer

Whether the procedure is performed in a hospital or office setting

Question 5

Which CPT code range covers procedures of the integumentary system, the primary section used for most skin procedures in aesthetic practices?

Accepted Answer

10004–19499

Answer

20000–29999

Answer

30000–39999

Answer

40000–49999

Question 6

When a physician uses a qualified surgical assistant during an aesthetic procedure, which modifier is typically appended to the assistant's claim?

Accepted Answer

-80

Answer

-22

Answer

-51

Answer

-59

Question 7

What is the global surgery period for minor surgical procedures, such as excision of a small skin lesion?

Accepted Answer

10 days

Answer

0 days

Answer

30 days

Answer

90 days