Surgical Coding Principles Flashcards
6 cards from real CPC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Surgical Coding Principles flashcards as text
What is the correct code sequence when a surgeon performs an unplanned return to the OR during the global period?
Answer: Append modifier -78
Modifier -78 is used for an unplanned return to the operating room for a related procedure during the postoperative period.
Which CPT subsection is used to report wound repair involving the use of local anesthesia, chemical or electrocauterization, thermocauterization, and/or adhesive strips?
Answer: Simple repair
Simple repair involves superficial wound closure with a single-layer closure and local anesthesia or adhesives.
When coding an open fracture treatment, what does the CPT definition of 'open treatment' mean?
Answer: The fracture site is surgically opened for visualization
In CPT terminology, 'open treatment' means the fracture site is surgically opened and exposed, regardless of whether the overlying skin is intact.
Which modifier is appended when a procedure is discontinued after anesthesia was administered but before the surgical incision?
Answer: -53
Modifier -53 is used by physicians when a procedure is discontinued after anesthesia induction due to extenuating circumstances.
In the Surgery section, what is a 'separate procedure' designation?
Answer: A procedure not billable when performed with a related, more comprehensive service
A 'separate procedure' code should not be reported when it is performed as an integral part of a more comprehensive procedure.
What does unbundling refer to in surgical coding?
Answer: Billing component parts of a procedure separately when a comprehensive code exists
Unbundling is the improper practice of billing separately for services that should be included in a single comprehensive CPT code.