Certified Coding Associate Exam CPT and HCPCS Coding 1 — Questions and Answers
Question 1: CPT codes are published and maintained by which organization?
- Centers for Medicare & Medicaid Services (CMS)
- American Medical Association (AMA) (Correct answer)
- American Health Information Management Association (AHIMA)
- World Health Organization (WHO)
Correct answer: American Medical Association (AMA)
The AMA (American Medical Association) owns and publishes the CPT code set, which is updated annually.
Question 2: Which section of CPT codes covers Evaluation and Management (E/M) services?
- 10000–19999
- 70000–79999
- 99202–99499 (Correct answer)
- 90281–99199
Correct answer: 99202–99499
E/M codes fall in the 99202–99499 range and represent office visits, hospital care, and other evaluation services.
Question 3: What does a CPT Category III code indicate?
- An unlisted procedure code
- A temporary code for emerging technology and services (Correct answer)
- A code for performance measurement
- A code for anesthesia services
Correct answer: A temporary code for emerging technology and services
Category III codes are temporary T-codes used to track emerging technologies, services, and procedures for data collection.
Question 4: When a surgeon performs a procedure and a second surgeon assists throughout the operation, which modifier is appended to the assistant surgeon's claim?
- -51
- -62
- -80 (Correct answer)
- -66
Correct answer: -80
Modifier -80 indicates assistant surgeon services when a second surgeon assists the primary surgeon throughout the procedure.
Question 5: HCPCS Level II codes are used primarily to report which of the following?
- Physician office procedures
- Supplies, durable medical equipment, and non-physician services (Correct answer)
- Inpatient hospital diagnoses
- Laboratory reference ranges
Correct answer: Supplies, durable medical equipment, and non-physician services
HCPCS Level II codes cover products, supplies, durable medical equipment, ambulance services, and non-physician services not in CPT.
Question 6: Which CPT code range covers Anesthesia services?
- 00100–01999 (Correct answer)
- 10004–69990
- 70010–79999
- 80047–89398
Correct answer: 00100–01999
Anesthesia CPT codes are found in the 00100–01999 range, organized by anatomical site and procedure.
Question 7: What is the correct code format for HCPCS Level II codes?
- Five numeric digits
- One letter followed by four numeric digits (Correct answer)
- Two letters followed by three numeric digits
- Four numeric digits followed by one letter
Correct answer: One letter followed by four numeric digits
HCPCS Level II codes consist of one alphabetic letter (A–V) followed by four numeric digits, totaling five characters.
Certified Coding Associate Exam CPT and HCPCS Coding 1
CPT codes are published and maintained by which organization?