CY2014 APC and CPT Updates
Test
Name:
Date:
 I prefer not to take the test, but would like the AHIMA CE certification for listening to the webinar.
Instructions
Registered Health Information Technicians, Registered Health Information Administrators, Certified Coding
Specialists and Certified Coding Specialists--Physician-based may earn one hour of continuing education credit
toward AHIMA’s continuing education requirement by completing this test with a minimum score of 70%.
Note: The answers to the questions can be found in the presentation and included handouts. The number of
spaces provided for some answers does not necessarily reflect the correct number of answers for the question.
Fill in the Blank Questions
1. In the AMA CPT Code book the use of CPT codes simplifies the reporting of procedures and services. In the CPT
code set, the term ____________ is used to describe services, including diagnostic tests.
2. Interprofessional telephone/Internet assessment and management service codes can’t be reported more than
______ within a 7-day period.
3. Transitional Care Management (TCM) starts with the date of discharge and continues for the next ____ days.
4. New Level II HCPCS code ________ is for hospital clinic visits and replaces codes 99201 – 99205 and 99211 –
99215 as of January 1, 2014.
5. A Clinic Visit or a Level 4 or Level 5 Type A ED visit or a Level 5 ___________ ED Visit furnished by a hospital
with observation services of substantial duration will be assigned to APC 8009.
True or False Questions
1. Code 94669 Mechanical chest wall oscillation is reported once per session. _______
2. The new Level II E/M code for clinic visits is for professional use only. _______
Matching Questions
1. Match CPT symbol to its corresponding meaning.
Blue Triangle
Number Sign
Red Bullet
Sideways Green Triangles
a) new code addition for the related calendar year
b) new and revised text like new parenthetical notes and language added to guidelines
c) resequenced code
d) revised codes or those with a substantially altered description
2. Match the CMS addendum tables to their content.
Addendum A
Addendum B
Addendum D1
Addendum E
Addendum M
a) identifies the code description, the status indicator, the APC and relative weight and payment rate for all of
the HCPCS & CPT codes
b) contains all the HCPCS codes that are only paid when provided in an inpatient setting
c) provides information regarding the status indicators, related service and how that service is paid
d) provides a description for each APC, it’s related payment status indicator, relative weight, payment rate and
copayment amount
e) identifies the composite APC to which each HCPCS code is assigned
Coding Questions
1. A patient undergoes removal of impacted cerumen from both ears. Assign the appropriate CPT code(s) AND
any associated modifiers as appropriate.
2. A patient with ASHD had an open infrarenal aneurysm repair 15 years ago and has now developed a 6-cm
diameter aortic aneurysm above his previous aortic repair. He undergoes endovascular repair of the visceral aorta
including endoprosthesis placement to two visceral arteries. Assign the appropriate Category III code(s). DO NOT
assign any associated modifiers.
3. A 72-year-old patient with dysphagia due to a previously identified stenosis of the distal esophagus undergoes
therapeutic esophagoscopy for balloon dilation of the stenois. Assign the appropriate CPT code(s). DO NOT assign
any associated modifiers.
4. A patient with dyspepsia and weight loss that has not responded to medical treatment undergoes a diagnostic
EGD however the duodenum was not examined because it was not considered pertinent. A repeat exam is not
planned. Assign the appropriate CPT code(s) AND any associated modifier(s) as appropriate.
5. A patient in need of an implantable defibrillator system is admitted now for insertion of a subcutaneous
implantable defibrillator system. Assign the appropriate CPT code(s). DO NOT assign any associated modifiers.
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6. A patient with chronic and progressive right sacroiliac pain has had prior blocks that have failed. He undergoes
a right, percutaneous sacroiliac joint stabilization procedure under fluoroscopic guidance. Assign the appropriate
CPT code(s). DO NOT assign any associated modifiers.
7. A patient presents for an ureteroscopy with laser lithotripsy and placement of indwelling double-J stent
insertion. Assign the appropriate CPT code(s). DO NOT assign any associated modifiers.
8. A child is admitted with need for patent ductus arteriosus closure. A percutaneous transcatheter closure is
done. DO NOT assign any associated modifiers.
9. A 9-month old child is seen and the mother authorizes a vaccination to help protect the child from acquiring an
influenza infection. Assign the appropriate CPT code(s). DO NOT assign a code for the services associated with the
administration of the vaccine.
10. A patient has a pressure ulcer on the heel and has low frequency ultrasound therapy delivered to the area. At
the conclusion of the therapy the wound bed is wiped with gauze, dressing is applied and the patient is given
instructions for on-going care. Assign the appropriate CPT code(s). DO NOT assign any associated modifiers.
11. A patient has uncontrollable hypertension and presents for transcatheter renal sympathetic denervation on the
right renal artery. Assign the appropriate CPT code(s). DO NOT assign any associated modifiers.
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