HCM 425 Midterm Exam Questions
and Answers
Which are terms that clarify the assignment of a CPT code and can occur in the middle
of a main clause or after the semicolon, and may or may not be enclosed in
parentheses? - Answer-descriptive qualifiers
Main terms in the CPT index are printed in __________. - Answer-boldface type
Which is a CPT cross-reference that directs coders to an index entry under which codes
are listed? - Answer-See
Which typeface is used for cross-reference terms in the CPT index? - Answer-italics
CPT modifiers __________ the meaning of services and procedures performed by
providers. - Answer-clarify and alter
Which of the procedural terms in the statement "Ankle Amputation" would you search
for as a main term in the alphabetical index to CPT? - Answer-amputation
Which of the procedural terms in the statement "Lower arm biopsy" would you search
for as a main term in the alphabetical index to CPT? - Answer-biopsy
Which of the terms in the procedure "Postpartum dilation and curettage" would you look
up as a main term in the alphabetical index to CPT? - Answer-dilation and curettage
Which of the terms in the procedure "Clamp circumcision of newborn" would you look
up as a main term in the alphabetical index to CPT? - Answer-circumcision
Which of the organ or other anatomic sites in the procedural statement "Artery
angioplasty" would you look up as a main term in the alphabetical index to CPT? -
Answer-artery
Which of the organ or other anatomic sites in the procedural statement "Excision of heel
spur" would you look up as a main term in the alphabetical index to CPT? - Answer-heel
spur
Which term in the procedural statement "Toe polydactyly reconstruction" would you look
up when searching a condition as a main term in the alphabetical index to CPT? -
Answer-polydactyly
, Which term in the procedural statement "Drainage of hip hematoma" would you look up
when searching a condition as a main term in the alphabetical index to CPT? - Answer-
hematoma
Which of the terms in "Albarran test" would you look up when searching a Synonym as
a main term in the alphabetical index to CPT? - Answer-Albarran
Which of the terms in operative procedure "Dwyer procedure" would you look up when
searching an Eponym as a main term in the alphabetical index to CPT? - Answer-Dwyer
HCPCS level II was introduced in 1983 after Medicare found that its payers used more
than 100 different coding systems, making it ______ - Answer-difficult to analyze claims
data
HCPCS furnishes health care providers and suppliers with a ______ language for
reporting professional services, procedures, supplies, and equipment. - Answer-
standardized
Although the majority of procedures and services are reported using CPT (HCPCS level
I), that coding system does not describe ________ (services) and certain other services
reported on claims submitted for Medicare and some Medicaid patients. - Answer-
DMEPOS
HCPCS level II national codes are five characters in length, and they begin with letters
_____, followed by four numbers. - Answer-A-V
Because HCPCS level II is not a reimbursement methodology or system, its procedure,
product, and service codes _____ coverage (e.g. payment). - Answer-do not guarantee
HCPCS level II codes are developed and maintained by ______ and do not carry the
copyright of a private organization, which means they are in the public domain and
many publishers print annual coding manuals. - Answer-CMS
Medicare defines __________ as equipment that can withstand repeated use in the
patient's home and not in the absence of illness or injury. - Answer-durable medical
equipment
Which party signs a contract with a health insurance company thus, owns the health
insurance policy? - Answer-policy holder
Which has as its goal access to health care coverage for every individual, regardless of
the system implemented to achieve that goal? - Answer-universal health insurance
The terms electronic health record (EHR) and electronic medical record (EMR) are often
used interchangeably, but the ____ is a more global concept that includes the collection
and Answers
Which are terms that clarify the assignment of a CPT code and can occur in the middle
of a main clause or after the semicolon, and may or may not be enclosed in
parentheses? - Answer-descriptive qualifiers
Main terms in the CPT index are printed in __________. - Answer-boldface type
Which is a CPT cross-reference that directs coders to an index entry under which codes
are listed? - Answer-See
Which typeface is used for cross-reference terms in the CPT index? - Answer-italics
CPT modifiers __________ the meaning of services and procedures performed by
providers. - Answer-clarify and alter
Which of the procedural terms in the statement "Ankle Amputation" would you search
for as a main term in the alphabetical index to CPT? - Answer-amputation
Which of the procedural terms in the statement "Lower arm biopsy" would you search
for as a main term in the alphabetical index to CPT? - Answer-biopsy
Which of the terms in the procedure "Postpartum dilation and curettage" would you look
up as a main term in the alphabetical index to CPT? - Answer-dilation and curettage
Which of the terms in the procedure "Clamp circumcision of newborn" would you look
up as a main term in the alphabetical index to CPT? - Answer-circumcision
Which of the organ or other anatomic sites in the procedural statement "Artery
angioplasty" would you look up as a main term in the alphabetical index to CPT? -
Answer-artery
Which of the organ or other anatomic sites in the procedural statement "Excision of heel
spur" would you look up as a main term in the alphabetical index to CPT? - Answer-heel
spur
Which term in the procedural statement "Toe polydactyly reconstruction" would you look
up when searching a condition as a main term in the alphabetical index to CPT? -
Answer-polydactyly
, Which term in the procedural statement "Drainage of hip hematoma" would you look up
when searching a condition as a main term in the alphabetical index to CPT? - Answer-
hematoma
Which of the terms in "Albarran test" would you look up when searching a Synonym as
a main term in the alphabetical index to CPT? - Answer-Albarran
Which of the terms in operative procedure "Dwyer procedure" would you look up when
searching an Eponym as a main term in the alphabetical index to CPT? - Answer-Dwyer
HCPCS level II was introduced in 1983 after Medicare found that its payers used more
than 100 different coding systems, making it ______ - Answer-difficult to analyze claims
data
HCPCS furnishes health care providers and suppliers with a ______ language for
reporting professional services, procedures, supplies, and equipment. - Answer-
standardized
Although the majority of procedures and services are reported using CPT (HCPCS level
I), that coding system does not describe ________ (services) and certain other services
reported on claims submitted for Medicare and some Medicaid patients. - Answer-
DMEPOS
HCPCS level II national codes are five characters in length, and they begin with letters
_____, followed by four numbers. - Answer-A-V
Because HCPCS level II is not a reimbursement methodology or system, its procedure,
product, and service codes _____ coverage (e.g. payment). - Answer-do not guarantee
HCPCS level II codes are developed and maintained by ______ and do not carry the
copyright of a private organization, which means they are in the public domain and
many publishers print annual coding manuals. - Answer-CMS
Medicare defines __________ as equipment that can withstand repeated use in the
patient's home and not in the absence of illness or injury. - Answer-durable medical
equipment
Which party signs a contract with a health insurance company thus, owns the health
insurance policy? - Answer-policy holder
Which has as its goal access to health care coverage for every individual, regardless of
the system implemented to achieve that goal? - Answer-universal health insurance
The terms electronic health record (EHR) and electronic medical record (EMR) are often
used interchangeably, but the ____ is a more global concept that includes the collection
