Common Proficiency Test (CPT) Quiz 1

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Lindsaystippel
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  • 1/8 Questions

    The words that follow a code number in the cpt manual are called? 

    • Procedure/service descriptor
    • Format descriptor
    • Identified descriptor
    • Listing order
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About This Quiz

Common Proficiency Test (CPT) Quiz 1 assesses knowledge of medical coding procedures, focusing on code types, reporting requirements, and healthcare billing forms. It is crucial for professionals in medical coding and billing.

CPT Quizzes & Trivia

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  • 2. 

    Procedures that are experimental, newly developed, or seldom used are reported with what type of code? 

    • Technical

    • Modified

    • Unlisted/category III

    • Variable

    Correct Answer
    A. Unlisted/category III
    Explanation
    Experimental, newly developed, or seldom used procedures are reported with unlisted/category III codes. These codes are used when there is no specific code available for a particular procedure. It indicates that the procedure is not commonly performed or recognized.

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  • 3. 

    The universal health insurance form for submission of out patient services is the  

    • HCFA1500

    • UB04

    • CMS1500

    • CMS1400

    Correct Answer
    A. CMS1500
    Explanation
    The correct answer is CMS1500. The CMS1500 form is the universal health insurance form for submission of outpatient services. It is used by healthcare providers to bill insurance companies for services rendered to patients. This form includes information such as the patient's demographics, the provider's information, the services provided, and the associated charges.

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  • 4. 

     A code that has all of the words that describe the code that follows is what type of code?

    • Complete

    • Isolated

    • Developed

    • Stand alone

    Correct Answer
    A. Stand alone
    Explanation
    A "stand alone" code is a code that is complete and does not rely on any external dependencies or modules. It is self-contained and can be executed independently without needing any additional code or resources.

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  • 5. 

    Who requires a special report with the use of unlisted codes? 

    • Third party payers

    • CPT manual

    • National Center for Health Care

    • AMA

    Correct Answer
    A. Third party payers
    Explanation
    Third party payers require a special report with the use of unlisted codes. This is because third party payers, such as insurance companies, need detailed information about the services provided in order to determine coverage and reimbursement. Unlisted codes are used when there is not a specific code available for a particular procedure or service, and a special report helps provide additional information to justify the use of these unlisted codes.

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  • 6. 

    What is the function of an add-on code 

    • Identifies those services that are provided with a major service

    • Indicates additional body surface measurements

    • Identifies a code that is never used alone

    • Serves as a primary code under certain conditions

    Correct Answer
    A. Identifies a code that is never used alone
    Explanation
    An add-on code is used in medical coding to identify a code that is never used alone. This means that it can only be used in conjunction with another primary code to provide a more specific description of the service or procedure being performed. The add-on code provides additional information or clarification to the primary code, ensuring accurate and detailed documentation of the healthcare service provided.

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  • 7. 

    The rules that govern coding in various health care settings are 

    • Variable

    • Static

    • Unchanging

    • Nationally established

    Correct Answer
    A. Variable
    Explanation
    The coding rules in health care settings can vary depending on factors such as the specific setting, the type of healthcare service being provided, and any changes in regulations or guidelines. This means that the rules can change or be different in different situations, making them variable.

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  • 8. 

    Which of the following represents three of the six elements that a special report must contain? 

    • Condition, service, description

    • Nature, extent, need

    • Anatomic site, service, extent

    • Service, extent, procedure

    Correct Answer
    A. Nature, extent, need
    Explanation
    A special report must contain information about the nature of the subject being reported on, the extent or scope of the issue, and the need or justification for the report. These three elements are crucial in providing a comprehensive and informative special report.

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  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 01, 2011
    Quiz Created by
    Lindsaystippel
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