Deck 28: Hcpcs Level II

Question 1

Which modifier is used to indicate an investigational clinical service provided in clinical research?

A) Q0
B) Q1
C) Q2
D) Q4

Answer 1

A

Question 2

What HCPCS Level II modifier is used to indicate the technical component of a radiological procedure?

A) TD
B) TC
C) TE
D) TA

Answer 2

B

Question 3

Dr. Heinz had his patient transfused while in the OR with 2 units of antihemophilic factor, purified, nonrecombinant. What codes are used to report the transfusion?

A) J7189, J7189
B) J7190, J7190
C) J7191, J7191
D) J7193, J7193

Answer 3

D

Question 4

What HCPCS Level II code is used to report a tracheostomy shower protector?

A) A7520
B) A7522
C) A7524
D) A7523

Question 5

Which modifier is used to indicate that a colorectal screening was converted to a diagnostic test?

A) PS
B) PT
C) PD
D) PM

Question 6

A BLS ambulance was used to transport a patient. The ambulance service was a volunteer ambulance provider. What HCPCS Level II modifier is attached to the HCPCS code?

A) TF
B) TK
C) TP
D) TQ

Question 7

Sampson received an inflatable penile prosthesis to treat his erectile dysfunction. What code is used to report the device?

A) C1785
B) C1788
C) C1789
D) C1813

Question 8

Terry suffered a broken denture tooth from a fall, and the dentist replaced it. What is the code for this procedure?

A) D5421
B) D5422
C) D5510
D) D5520

Question 9

Jonathan is a quadriplegic, and his wheelchair had to be repaired. A temporary wheelchair was given by his primary care provider. What is the code for the temporary wheelchair?

A) K0108
B) K0070
C) K0056
D) K0462

Question 10

What HCPCS Level II code is used to report a TEE without contrast, followed by with contrast; including probe placement, image acquisition, interpretation, and report?

A) C8924
B) C8925
C) C8926
D) C8927

Question 11

What symbol is used to indicate a code for females only?

A) ♀
B) ♂
C) ▲
D) ●

Question 12

What code is used to report a CTLSO (Milwaukee), inclusive of furnishing initial orthosis, including model.

A) L1000
B) L1001
C) L1005
D) L1010

Question 13

Mrs. Stevenson was taken to the operating suite to treat an incisional hernia with a mesh. What is the HCPCS code to report the mesh?

A) C1781
B) C1815
C) C1817
D) C1875

Question 14

Dr. Leonard performed a sialodochoplasty on a patient. Which code is used to report this?

A) D7963
B) D7980
C) D7982
D) D7983

Question 15

Mr. Rodgers suffered with fecal incontinence and was given an incontinence diaper while in the hospital for 3 days, using 3 diapers per day. What code is reported for the use of the incontinence diaper for the hospital stay?

A) A4520x9
B) A4520x3
C) A4554x9
D) A4554x3

Question 16

The nurse gave Mr. Jones 150 mg of cyclophosphamide, IV. Report this with code(s):

A) J9060.
B) J9070, J9070.
C) J9060, J9060.
D) J9070.

Question 17

Social services ordered a rented nonpowered advanced pressure-reducing mattress for Mr. Taylor to be delivered to his home to help reduce his potential for pressure ulcers. What code would be reported for the mattress?

A) E0371-RR
B) E0372-RR
C) E0373-RR
D) E0430-RR

Question 18

Mr. Smith was admitted for management of chronic lower back pain, and 0.2 mg of fentanyl nitrate was administered by IV. What codes are used to report the fentanyl administration?

A) J2997, J2997
B) J3000, J3000
C) J3010, J3010
D) J3030, J3030

Question 19

Mildred was given a home blood glucose monitor by per PCP to monitor her newly diagnosed diabetes. What code is used to report the glucose monitor?

A) E0607
B) E0605
C) E0616
D) E0621

Question 20

Jessica has a history of breast cancer in her left breast. She had an MRI done of her left breast with contrast. Which code is used to report the MRI?

A) C8903
B) C8904
C) C8905
D) C8906

Question 21

An example of an orthotic is a(n):

A) scoliosis back brace.
B) cast for a fractured limb.
C) traction device.
D) artificial hand.

Question 22

One surgical boot was supplied to Jason Litman and reported with code L3208. This tells you that the patient is:

A) female.
B) male.
C) an infant.
D) over age 50.

Question 23

Medications are listed in HCPCS Level II using:

A) generic names.
B) brand names.
C) chemical names.
D) All of these

Question 24

Most regular dental services are coded from:

A) A codes.
B) Category II codes.
C) D codes.
D) F codes.

Question 25

The provision of nutritional solutions is coded from the:

A) HCPCS Level II book.
B) CPT Category I.
C) CPT Category III.
D) ICD-10-CM.

Question 26

Ambulance ALS services are used for transportation of a nonemergency transport, Level I. What code is reported?

A) A0422
B) A0424
C) A0425
D) A0426

Question 27

HCPCS Level II codes are used:

A) when no CPT code is accurate.
B) to report supplies.
C) when the insurance carrier permits.
D) All of these

Question 28

Kelli suffers from obstructive sleep apnea and was given a CPAP machine to use each night. What is the code to report the CPAP machine?

A) E0607
B) E0605
C) E0601
D) E0621

Question 29

The administration of chemotherapy is coded from the CPT Medicine section, while the drug actually delivered is coded from:

A) D codes.
B) J codes.
C) M codes.
D) R codes.

Question 30

HCPCS Level II codes may be used for reporting services in a:

A) hospital.
B) nursing home.
C) patient's own home.
D) All of these

Question 31

A patient was given 15 mg of alemtuzumab. Report this with code(s):

A) J9010
B) J0202x15
C) J0202-52.
D) J0202.

Question 32

Mr. Faulkner had his annual physical, and it was documented that he is a current non-tobacco user. What code is used to report the current non-tobacco user?

A) G9275
B) G9276
C) G9278
D) G9266

Question 33

One hundred feet of disposable corrugated tubing was supplied to Frank Smith for use with his nebulizer. Report this with code:

A) A7010-52.
B) A7010
C) A7010x4
D) A7010x3.

Question 34

A parenteral feeding tube may be attached to the patient:

A) via esophagus.
B) subcutaneously.
C) via small intestine.
D) via stomach.

Question 35

Mrs. George had a bilateral mastectomy performed 2 months ago and is now ready for a breast prosthesis bra with integrated breast prosthesis form. What code is used to report this type of bra?

A) L8000
B) L8001
C) L8002
D) L8020

Question 36

The provision of a urinal was reported with E0325. What do you know about the patient?

A) The patient is age 50 or over.
B) The patient is male.
C) The patient is female.
D) The patient is under the age of 10.

Question 37

A HCPCS Level II code may be used to report the provision of:

A) a humidifier.
B) an eye patch.
C) a preoperative IV.
D) All of these

Question 38

A pair of orthopedic high-top, depth inlay shoes was provided for Mrs. Reynolds. Report this with code(s):

A) L3217.
B) L3222.
C) L3217, L3217.
D) L3222, L3222.

Question 39

A contraceptive supply was provided to a patient and reported with code A4261. This tells you that the patient is:

A) female.
B) male.
C) bed-ridden.
D) incontinent.

Question 40

Twelve-year-old Silas had a folding, adjustable wheelchair with seating ordered by his physician for his cerebral palsy. What is the code to report for the wheelchair?

A) E1235
B) E1236
C) E1237
D) E1238

Question 41

Debi Seeson is a certified diabetic educator. The code for her classes should be appended with modifier:

A) SA.
B) SW.
C) SD.
D) TE.

Question 42

Which modifier is used to report that a nurse midwife provided the service?

A) SB
B) GF
C) AI
D) AM

Question 43

What modifier is needed if medication has been infused through a DME rather than injected?

A) KO
B) KD
C) SS
D) SH

Question 44

If a dressing change is required for one patient with three wounds, which modifier will be assigned?

A) GR
B) GO
C) A3
D) AQ

Question 45

Which modifier is appended to the anesthesia code when an anesthesiologist administers monitored anesthesia care for a patient?

A) QS
B) AA
C) 47
D) 23

Question 46

Dr. Jeppapi is a clinical psychologist. The correct modifier is:

A) AE.
B) AF.
C) AG.
D) AH.

Question 47

An example of a modifier that identifies the qualifications of the provider is:

A) LS.
B) TD.
C) AA.
D) CB.

Question 48

Roger received replacement tips for his three-prong cane. Report this with code(s):

A) A4637.
B) A4637, A4637.
C) A4637, A4637, A4637.
D) A4367.

Question 49

A full leather sole was added to Mr. Murphy's orthopedic shoe. Report this with code:

A) L3500.
B) L3510.
C) L3530.
D) L3540.

Question 50

Harold decided to rent his wheelchair. What is the correct modifier?

A) RR
B) AW
C) GA
D) GZ

Question 51

Dr. Jasper was asked to provide a second opinion regarding Mr. Finnegan's surgery. Which modifier would be used?

A) SM
B) 62
C) SN
D) 26

Question 52

500 ml of enteral formula was provided to Davin, a 5-year-old boy. Report this with code(s):

A) B4102.
B) B4103.
C) B4104.
D) B4103, B4103.

Question 53

A BLS ambulance had to wait 2 hours and 15 minutes for the patient to arrive at the airport for ground transportation to the hospital. What is/are the appropriate code(s)?

A) A0420
B) A0420x2
C) A0420x3
D) A0420x4

Question 54

Wilma's diagnostic mammogram was converted from the screening mammogram she came in for today because something was identified on the film. Which modifier will be used?

A) P2
B) GG
C) GH
D) GB

Question 55

A carpal tunnel release was performed in an ASC. Which modifier should be used?

A) SC
B) SU
C) AF
D) SG

Question 56

What modifier would be used to report a patient with ESRD who had less than six days of dialysis in one month?

A) G1
B) G2
C) G3
D) G6

Question 57

Paula is donating her kidney to her brother. The code for her surgical procedure may be appended with which modifier?

A) Q3
B) G5
C) G6
D) V7

Question 58

Dr. Files gave flu shots to all the staff members of the Golden Nursing Home. The correct modifier is:

A) SK.
B) ST.
C) SY.
D) TC.

Question 59

Dr. Demming gave Will Calloni an occlusive eye patch after he performed a procedure. Report this with code:

A) A6410.
B) A6411.
C) A6412.
D) A6441.

Question 60

It is flu season, and the state health department has delivered serum for distribution to high-risk patients. Which modifier would be used?

A) FB
B) GZ
C) J3
D) SL

Question 61

Dr. Kini removed a fat pad from Blaise's upper eyelid, right side. The correct modifier is:

A) RT.
B) LT.
C) E3.
D) E1.

Question 62

Ambulance waiting time is billable:

A) in one-hour increments.
B) in 30-minute intervals after the vehicle has been waiting for 31 minutes or more.
C) for each additional hour after the first hour.
D) every 15 minutes after the first hour.

Question 63

Transportation services may be provided by all of the following except a(n):

A) helicopter.
B) ambulance.
C) van.
D) private car.

Question 64

Harry is a type 2 diabetic, NIDM, and his physician wants him to check his glucose regularly, so he orders a glucose monitor for Harry. The correct modifier is:

A) GL.
B) GZ.
C) QN.
D) KS.

Question 65

A claim was denied because one code was entered incorrectly. The procedure code was corrected and should be appended with modifier:

A) GA.
B) CA.
C) CC.
D) GB.

Question 66

The HCPCS Level II book often lists:

A) aspirin as acetylsalicylic acid.
B) routine self-administration of J codes.
C) both generic and brand names for drugs.
D) generic over-the-counter drugs.

Question 67

Marion Penney, a diabetic for 10 years, was fitted for a custom molded pair of shoes. Report this with:

A) A5500.
B) A5500×2.
C) A5501.
D) A5501×2.

Question 68

Dr. Tamarah removed a cyst from Erin's left index finger. The correct modifier is:

A) F6.
B) F1.
C) F2.
D) F7.

Question 69

Nurse Aberne provided Ashlie Morris with a 16-square-inch collagen dressing pad and gave her an extra one for use over the weekend. Report this with code:

A) A6021.
B) A6022.
C) A6021×2.
D) A6022-52.

Question 70

An example of an ancillary supply to be used in conjunction with DME is (a):

A) cannula.
B) porfimer sodium, 75 mg.
C) hospital bed.
D) compression stocking.

Question 71

Most medications in the HCPCS Level II book are coded by:

A) quantity administered to the patient.
B) the type of drug given.
C) whether it is a new or established drug.
D) method of administration.

Question 72

JoAnn Warren, RN, visited John Drew to change the dressings on his five wounds. Use modifier:

A) A1.
B) A3.
C) A5.
D) A9.

Question 73

Most of the codes in the medical supply section of HCPCS Level II are used to report supplies provided to patients for use:

A) in the hospital.
B) in the nursing home.
C) in the home.
D) in assisted-living facilities.

Question 74

Which modifier(s) would be assigned if a patient was transported home via hospital ambulance?

A) QN, HR
B) HR
C) QM, HR
D) QN, DE

Question 75

DME must not be:

A) thrown away after just one use.
B) able to withstand repeated use.
C) used in the patient's home.
D) used for medical purposes.

Question 76

An example of a medical supply reported with HCPCS Level II codes is a:

A) bedpan used in the hospital.
B) syringe with needle, 2 cc.
C) pacemaker.
D) bath/shower chair.

Question 77

Durable medical equipment (DME) may be rented, leased, or sold to the patient and:

A) is used in a health care facility.
B) is not medically necessary.
C) is reimbursed by the insurance carrier.
D) is based on a local coding determination.

Question 78

The Table of Drugs in HCPCS Level II lists all of the following except:

A) nonprescription drugs.
B) oral drugs.
C) injectable drugs.
D) IV drugs.

Question 79

Dr. Zeimer, an anesthesiologist, administered general anesthesia during surgery. Use modifier:

A) AD.
B) QS.
C) AM.
D) AA.

Question 80

What is the correct code for helicopter transport per statute mile?

A) A0435
B) A0999
C) A0434
D) A0436