Deck 6: Introduction to Level II National Codes HCPSC

Question 1

A modifier:

A)subtracts from the definition of the code
B)adds to the HCPCS code number
C)provides additional information to the third-party payer
D)increases third-party payer reimbursement

Answer 1

provides additional information to the third-party payer

Question 2

What year did CMS develop and publish HCPCS?

A)1966
B)1970
C)1983
D)none of the above

Answer 2

1983

Question 3

This modifier indicates required Waiver of Liability statement issued.

A)GX
B)GY
C)GA
D)GL

Answer 3

GA

Question 4

HCPCS stands for:

A)Healthcare Coding Procedure Charge System
B)Health Coding Procedures Creating Standards
C)Healthcare Current Procedure Coding System
D)Healthcare Common Procedure Coding System

Question 5

Items billed before a signed and dated order has been received by the supplier must be submitted with this modifier.

A)ET
B)EY
C)EJ
D)EP

Question 6

Subset HCPCS modifier indicating denial expected as not reasonable or necessary.

A)GV
B)GZ
C)GS
D)GW

Question 7

Temporary national codes for items or services requiring uniform national coding between one year's update and the next.

A)G, K, Q
B)E, D, A
C)J, S, T
D)P, L, J

Question 8

Level II National Modifiers are found in the introduction section of HCPCS and also in what Appendix of CPT?

A)Appendix A
B)Appendix B
C)Appendix C
D)Appendix D

Question 9

HCPCS codes have how many digits?

A)4
B)3
C)5
D)6

Question 10

HCPCS codes that are used to identify services that would not be reported with a CPT code, such as drugs, biologicals, and types of medical equipment/services which are not identified by Level II National codes.

A)Q
B)K
C)J
D)G

Question 11

HCPCS alphanumeric codes are also known as:

A)Level II codes
B)Level I codes
C)CPT codes
D)ICD-10-CM codes

Question 12

Level II National Modifiers are located in the introduction section of the HCPCS and also in Appendix A of CPT.

Question 13

What types of codes are not recognized by Medicare and other federal payers but may be useful for claims to some private payers?

A)L codes
B)S codes
C)J codes
D)G codes

Question 14

The entries in the index of the National Codes are listed under one main term.

Question 15

Subset HCPCS modifier indicating the service was provided by a resident under a teaching physician's direction.

A)GE
B)TH
C)GC
D)TE

Question 16

K codes are used to identify:

A)The drugs administered and the amount or dosage given
B)Vision/Hearing services
C)The use of durable medical equipment
D)Diagnostic Radiology Services

Question 17

Subset HCPCS modifier indicating an "Opt out" physician providing emergency service.

A)GP
B)GH
C)GJ
D)GB

Question 18

G codes are used to identify:

A)Professional procedures and services that would otherwise be reported with a CPT code but no CPT code has been established
B)The use of durable medical equipment
C)Drugs, biologicals, and types of medical equipment/services which are not identified by Level II National codes
D)The drugs administered and the amount or dosage given

Question 19

HCPCS is a collection of codes that represent the following:

A)Providers, payers, and patient advocates
B)Process, purpose, and services
C)Procedures, surgeries, radiology, and laboratory services
D)Procedures, supplies, products, and services

Question 20

The rules that govern coding in various health care settings are:

A)variable
B)static
C)unchanging
D)nationally established

Question 21

Do not report HCPCS modifiers with ________ CPT Category II codes.

Question 22

Reporting of National Codes is _________________ on all Medicare and Medicaid claims submitted to report professional services, procedures and supplies.

Question 23

The entries in the index of the National Codes may be listed under more than ____________________(two words) term.

Question 24

Chemotherapy drugs J9000-J9999 include the ____________________ of the drug.

Question 25

Match the following types of injections to the correct drug delivery method as used in the HCPCS Table of Drugs:

subcuntaneous

A)IT
B)IV
C)IM
D)SC
E)IHN

Question 26

How often are Category III codes released?

A)annually
B)twice a year
C)every 3 years
D)as often as necessary

Question 27

Medicare and other federal payers do not recognize ___ codes.

Question 28

Codes beginning with letters ___, ___, ___, and ___ are for temporary assignment until a definitive decision can be made about appropriate code assignment.

Question 29

Match the following types of injections to the correct drug delivery method as used in the HCPCS Table of Drugs:

intrathecal

A)IT
B)IV
C)IM
D)SC
E)IHN

Question 30

According to the notes preceding the Category III codes in the CPT manual, the digits of the Category III codes are not intended to reflect the placement of the code in the Category I section of the CPT:

A)heading
B)subsection
C)nomenclature
D)category

Question 31

What is the HCPCS Level II code for Injection, gadoterate meglumine, 0.1 ml?

Question 32

Match the following types of injections to the correct drug delivery method as used in the HCPCS Table of Drugs:

inhalant solution

A)IT
B)IV
C)IM
D)SC
E)IHN

Question 33

J codes do not include drug _____________.

Question 34

Match the following types of injections to the correct drug delivery method as used in the HCPCS Table of Drugs:

intraveneous

A)IT
B)IV
C)IM
D)SC
E)IHN

Question 35

Match the following types of injections to the correct drug delivery method as used in the HCPCS Table of Drugs:

intramuscular

A)IT
B)IV
C)IM
D)SC
E)IHN

Question 36

Level II National Modifiers are located in the introduction section of the HCPCS and also in ____________________ of CPT.

Question 37

What is the HCPCS Level II code for home blood glucose monitor?

Question 38

There are more than 50 alphabetical modifiers available for assignment to add further specificity to the five-digit national code. List the modifiers that reference a waiver of liability.