Deck 1: Free Coding Specialist

Question 1

Theodore is an elderly 90-year-old man, who has been unable to leave his bed for the last six months. During his last check-up, the physician noticed a pressure ulcer on the back of his calf muscle. The ulcer was already at an elevated stage, with partial thickness skin loss involving the epidermis of the back of the calf. His physician recommended that Theodore be moved to an upright position to relieve the pressure on his calf muscle and prevent infection. If the pressure ulcer persists, Theodore's physician may recommend using a healing chamber as a way to treat the wound before it gets any worse. What is the appropriate way to code Theodore's pressure ulcer?

A)707.09
B)707.06, 707.20
C)707.09, 707.22
D)707.21, 707.22

Answer 1

707.09, 707.22

Question 2

A 76-year-old woman visited her dermatologist's office in response to a large suspicious nevus on her back. The dermatologist excised the nevus and sent it to the pathology lab for examination. The patient experienced pain excision site, due to its large size and was prescribed pain medication. What two part of Medicare insurance will the patient need to pay for the dermatologist's office visit and the prescription charges?

A)Medicare Parts A and B
B)Medicare Parts B and C
C)Medicare Parts B and D
D)Medicare Parts D and E

Answer 2

Medicare Parts B and D

Question 3

A physician performed the following trigger point injections: Two injections into the flexor carpi muscle
One injection into the extensor carpi muscle
Three injections into the triceps brachii
One injection into the biceps brachii
What is the correct code for these injections?

A)20553 (X7)
B)20553
C)20552 (X2), 20553 (X5)
D)20552, 77021

Answer 3

20553

Question 4

A physician performed craniotomy on a patient with a severe head trauma and intracerebral hematoma. Due to the patient's condition the procedure was extremely difficult, requiring a significant amount of extra time and effort. What is the correct code for this procedure?

A)61315
B)61313
C)61313 -22
D)61315 -23

Question 5

HIPAA was created to:

A)Protect patient privacy
B)Enact ways to uncover fraud and abuse
C)Create standards of electronic transactions
D)All of the above
E)Only options A and B

Question 6

A physician biopsied the skin on a 30-year-old woman's upper eyelid, with a possible fungal infection. Three sites were biopsied. How should the physician code for this procedure?

A)11100, 11101 (X2)
B)11100 (X3)
C)11100, 67810
D)67810

Question 7

A pediatric patient presented to the office with a severe asthma attack. The pediatrician ordered a pulse oximetry to check the patient's blood oxygen saturation level and a spirometry to evaluate her lung capacity. The physician interpreted the results and ordered an albuterol nebulizer treatment and a post-spirometry to check the patient's responsiveness to the albuterol treatment. What are the correct codes for this office visit?

A)99214, 94060, 94760, 94640, A7015, A4616, J7630
B)99214, 94010 (X2), 94760, 94640, A7015, A4616, J7630
C)99214, 94060, 94640, A7015, A4616, J7630
D)99214, 94010, 94760, 94640, A7015, A4616, J7630

Question 8

Medical billing fraud is:

A)Billing for services at a reduced level
B)Billing correctly for services performed
C)Billing for services that are not medically necessary
D)Billing for services that were not performed

Question 9

Tricare Prime patients typically must see physicians:

A)Whenever they feel like it
B)At their military treatment facility
C)Whenever their commander asks them to
D)At their typical private practice doctor's office

Question 10

Why are ICD-9 codes necessary to include on a claim?

A)They report the procedures performed on the patient
B)They are the services that are charged for on the claim
C)They indicate the medical necessity of the service
D)They indicate the code linkage on the claim

Question 11

A physician excised the head of the humeral bone and replaced it with the appropriate implant. What is the correct code for this procedure?

A)23195
B)23470
C)23195, 23470
D)23472

Question 12

A physician performed a complex repair of the scalp measuring 7.2 cm and an intermediate repair of the arm measuring 3.4 cm. The repairs are different complexities, so they would be reported with separate repair codes, but you would need to add a modifier to indicate that they are two separate procedures performed on the same date of service. Which modifier would you use?

A)-59
B)-51
C)-25
D)-24

Question 13

Sheila took her 5-year-old daughter to the pediatrician's office for an annual well-child exam. She has a commercial Blue-Cross Blue-Shield insurance plan, through her work, which covers her daughter. Sheila also has Medicaid coverage on her daughter, due to her low-income status. Which one of her insurances is billed for the well-child exam?

A)You bill Blue-Cross Blue-Shield first and Medicaid second
B)You bill Medicaid only
C)You bill Blue-Cross Blue-Shield only
D)You bill Medicaid first and Blue-Cross Blue-Shield second

Question 14

Devonne recently experienced a death in her family and has been severely depressed. She went to her psychiatrist and he prescribed a new anti-depressant drug. After Devonne started taking the anti-depressant, she experienced nausea, vomiting, and dizziness. She called her physician, who advised her to stop taking the anti-depressant and come into the clinic so that he could examine her and prescribe a new anti-depressant. What are the appropriate ICD-9 diagnosis codes for Devonne's reaction to the anti-depressant?

A)969.00, 787.01, 780.4, E939.0
B)969.01, 787.01, E854.0
C)969.00, 780.4, 787.01
D)969.09, 787.01, 780.4, E950.3

Question 15

What is the purpose of an internal audit?

A)It allows an outside agency to see your records to make sure that the patients were billed correctly
B)It allows the coders and billers in your office to make sure your claims were billed correctly
C)It allows Medicare to go through your charges to make sure that they are reasonable
D)It allows patients to make sure they were not overcharged for their office visit co pays

Question 16

Alma is a 32-weeks pregnant, Type I diabetic, who was diagnosed at 10-years-old. She has taken insulin continuously since her diagnosis. So far, Alma' diabetes has not significantly affected her pregnancy, but Alma and her physicians have closely monitored her pregnancy and diabetes. What are the correct ICD-9 diagnosis codes for Alma's condition?

A)648.80, V58.67
B)648.00, 250.00
C)648.00, 250.01, V58.67
D)648.80, 250.01, V58.67

Question 17

In the RBRVS calculation, the GPCI takes into account:

A)The geographic location of a practice or provider
B)The type of provider specialty
C)The malpractice risk of a procedure
D)The overhead cost of the practice

Question 18

The patient is a 20-month-old with end-stage renal disease receiving dialysis twice a week, awaiting a kidney transplant. The patient's parents receive weekly face-to-face counseling services regarding the patient's care and ESRD status. What is the correct code for the patient's dialysis care?

A)90951 (X4)
B)90951
C)90952
D)90954 (X4)

Question 19

Level 1 studies in the surgical pathology section of the Laboratory and Pathology chapter of the CPT manual describe:

A)Gross and Microscopic Examination
B)Quantitative Examination
C)Qualitative Examination
D)Gross Examination Only

Question 20

The physician on duty examined the patient and determined that patient was ready for discharge. The physician spent 25 minutes on the hospital discharge of an inpatient discharge. What is the correct procedure code?

A)99238
B)99239
C)99217
D)99315

Question 21

An forensic pathologist performed a gross post=mortem examination on a stillborn infant. The exam included the infant's brain, but did not include the infant's spinal cord. How should the pathologist code for this service?

A)88005
B)88012
C)88025
D)88014

Question 22

A radiographic image of the colon's interior is referred to as which of the following?

A)Colonography
B)Colonoscopy
C)Duodenoscopy
D)Cholangiography

Question 23

A pediatric patient with a history of asthma and pneumonia presented to the office with severe respiratory distress. The pediatrician performed a detailed history and comprehensive examination, and diagnosed the patient with status asthmaticus. A pulse oxygen level was taken and it was determined that the patient's blood oxygen level was at 88%. The patient was started on a nebulizer treatment at 0950 hours, which lasted until 1015 hours. The physician then re-checked the patient and determined that the patient's breathing had only slightly improved. A pulse oxygen level was taken again and it was determined that the patient was at 92%. The physician then ordered another nebulizer treatment, which was started at 1032 and continued until 1054. After this second breathing treatment, an additional pulse oxygen level was taken and the patient's blood oxygen level had risen to 97%. The pediatrician then determined that the patient needed to be sent for chest x-rays to determine whether or not pneumonia was present in the lungs. Due to the resulting amount of data and risk, the pediatrician considered the MDM of high complexity. The total time spent with the patient was 1 hour 45 minutes.
What E&M codes would you use to code for the office visit?

A)99214, 99354, 99355 (X2)
B)99215, 99354, 99355
C)99215, 99355 (X3)
D)99215, 99354, 99355 (X2)

Question 24

HOSPITAL CHARGE SHEET PATIENT: Carson, Cason
AGE: 10
DATE OF ADMISSION: 01/02/2014
DIAGNOSIS: Coccidiomycosis Meningitis
DATE OF DISCHARGE: 01/08/2014
The patient was admitted on 01/02/2014 complaining of a severe headache and hyperpyrexia. An lumbar puncture determined on 01/02/2014 that the patient was suffering from coccidiomycosis meningitis. The patient was administered antibiotics and admitted to the hospital for observation and management of the condition. The patient's condition improved slowly with a regression on 01/05/2014, at which time the antibiotics were changed. After the change in medication, the patient's condition rapidly improved and by 01/07/2014, the patient no longer developed a fever or headache when not on pain medications. On 01/08/2012, the physician spent 20 minutes managing patient discharge, with instructions to continue antibiotics and pain medications, as needed.
What E&M service codes would be reported for this service?

A)99222 (X2), 99232 (X3), 99231 (X3), 99238 (X2)
B)99232 (X7)
C)99222, 99232, 99231 (X6)
D)99222, 99232 (X3), 99231 (X2), 99238

Question 25

The physician saw the disabled patient during a home visit. The patient recently moved to be closer to her family therefore she is considered a new patient. The physician performs a detailed history and an expanded problem-focused examination. Due to the lack of risk and small amount of data to be analyzed, the MDM is of low complexity. What is the correct evaluation and management service code?

A)99342
B)99343
C)99348
D)99349

Question 26

Diaphragmatic hernia repair codes are divided based upon what?

A)The age of the patient and whether or not mesh was used
B)The age of the patient and whether or not the hernia is acute or chronic
C)The stage of the hernia and the site of the hernia
D)The age of the patient and the site of the hernia

Question 27

The diaphragm is the major muscle that controls breathing. Is this muscle voluntary or involuntary?

A)Voluntary
B)Involuntary
C)Both
D)Neither

Question 28

The nurse practitioner returned a phone call from a concerned daughter regarding her ailing mother's health. She spent 20 minutes counseling the daughter on how to provide hospice care during the last stages of her mother's life. It had been three weeks since the patient had been seen in the office, and her next scheduled appointment was in two weeks. What E&M service can be reported for this phone call?

A)You cannot report an E&M service for this phone call
B)99442
C)98967
D)99443

Question 29

A 47-year-old male patient with advanced cancer of the lower left mandible presented to the hospital for surgical removal of the lower left jawbone with secondary insertion of mandibular prosthesis. In order to perform surgery, the patient had to be intubated through a tracheostomy. After anesthesia, the surgeon performed the tracheostomy by incising the cricothyroid membrane horizontally along the trachea and inserting the intubation device. The surgeon completed the primary surgical procedure on the patient's mandible. What is the correct code for the intubation?

A)31605
B)31600
C)No code would be used for the intubation
D)31603

Question 30

What is the correct code for a complete chest x-ray?

A)71020
B)71034
C)71030
D)71020, 71021, 71022, 71023

Question 31

What is the difference between anterior nasal packing versus posterior nasal packing procedure codes?

A)None, they are the same codes
B)Posterior packing is done in the larynx, whereas anterior packing is done at the back of the throat
C)There are no nasal packing procedure codes in the CPT manual
D)Anterior packing is applied pressure and gauze and posterior packing is the insertion of a balloon into the back of the nasal cavity

Question 32

Larry works at a cola bottling company and as one of his job duties, he is required to lift heavy boxes of syrup onto pallets. He is also required, by the safety department, to wear a back brace and hernia belt. Larry was lifting a large box of syrup on to a pallet when he suffered a severe abdominal hernia. Will worker's compensation insurance cover his medical costs?

A)Yes
B)No
C)Only if he was wearing the back brace and hernia belt while he was lifting the box
D)Only if he was clocked in and lifting the box as one of his job duties

Question 33

What is the purpose of provider credentialing?

A)To make sure that your provider is performing the correct procedures
B)To make sure that your provider is correctly licensed to perform procedures
C)To make sure your provider pays all the necessary fees to practice medicine
D)To allow your doctor to check the credentials of private insurance companies

Question 34

Which of the following is always the payer of last resort?

A)Medicare
B)Medicaid
C)Worker's Compensation Insurance
D)Commercial Insurance

Question 35

What is the purpose of a compliance plan?

A)It makes sure you are properly credentialed
B)It allows your office to defend itself in case of an audit
C)It helps your employees claim worker's compensation
D)It helps your office follow the correct coding and billing protocols

Question 36

In order for a physician to appropriately code for a consultation service, three things must be documented. What are those three things?

A)The referral or request from the PCP, the rendering of the opinion by the specialist or consultant, and the written report or findings sent from the specialist to the PCP
B)The rendering of the specialty service to the patient, the referral of the patient from the specialist to an additional specialist, and the written report of the findings provided to the specialist
C)The specialist request of a second opinion regarding the patient, the PCP's advice regarding which second specialist the patient should see, and the second specialist's report or findings
D)The referral from the PCP to the specialist, an additional referral from the specialist to another specialist, and the written report or findings sent from the specialist to the PCP

Question 37

A new patient was seen in the office complaining of ear pain, headache and a mild fever. The physician performed a problem-focused history assessment and an expanded problem-focused examination on the patient. The physician diagnosed the patient with an acute inner ear infection. This medical diagnosis was considered to be of low complexity. What is the correct E&M code for the service?

A)99212
B)99202
C)99201
D)99211

Question 38

When selecting an evaluation and management code, what is the first thing that the coder needs to determine?

A)The time the provider spent with the patient
B)The appropriate category of E&M service
C)Whether the patient was new or established
D)How long the discharge took

Question 39

Mr. Beck was recently seen in the hospital by Dr. Johnson, who is his PCP. Dr. Johnson usually treats Mr. Beck for his stomach issues, but he has not had any problems in the last four years, so he has not scheduled any follow-up appointments. Mr. Beck was recently weed-eating in his backyard when a rock flew up and hit him in the eye. Dr. Johnson was the on-call physician, who treated Mr. Beck for his eye injury. He recommended that Mr. Beck schedule a follow-up visit the next week. Will Dr. Johnson bill the follow-up visit as a new patient or as an established patient?

A)New
B)Established
C)Not enough information provided to determine patient status

Question 40

A physician can base the level of an evaluation and management service on the time spent counseling the patient and nothing else.

Question 41

What is a result of a nasal polyp?

A)It will cause nose cancer in the affected patient
B)It can change the shape of the nose and necessitate rhinoplasty
C)It results in the release of histamine causing an allergic reaction
D)It can obstruct the nasal passageway making it difficult to breathe

Question 42

SURGICAL NOTE PATIENT: JOHNSON, GOLDIE
AGE: 36
DATE: 01/15/2017
A 36-year-old woman with a history of multiple complicated ectopic pregnancies presented to the clinic for abdominal hysterectomy. Two days ago, an advanced interstitial uterine ectopic pregnancy was discovered and after careful consideration the patient elected to have a full hysterectomy. After the patient was prepped and anesthetized, the obstetrician performed a full incisional hysterectomy with removal of ectopic pregnancy, without removal of ovaries. Patient tolerated the procedure well and was sent to post-operational recovery.
How should the OB code for this surgical procedure?

A)58150
B)59120
C)59135
D)59136

Question 43

PRE-PROCEDURAL NOTE PATIENT: Carter, Clara
AGE: 46
DATE: 04/10/2014
PREOPERATIVE DIAGNOSIS: Primary Malignancy, Thyroid
PROCEDURE PLANNED: Thyroidectomy
Patient is being treated unsuccessfully for primary malignancy of the thyroid and has elected to have a subtotal removal of the left thyroid. The physician will perform a partial thyroid lobectomy without isthmusectomy. How should the physician code for the procedure?

A)60212 -LT
B)60210 -LT
C)60220 -LT
D)60210 -50

Question 44

A 23-year old woman, pregnant with her second child, received antepartum care from her physician in Atlanta, GA. After 9 visits with her physician in Atlanta, the patient moved to Albuquerque, NM where she continued her prenatal care with a new doctor. The new physician saw the patient for the remaining antepartum visits. The new physician also performed vaginal delivery and postpartum care, which included the 6-week postpartum checkup. How should the physician in Atlanta code for his services?

A)59426
B)59425
C)59410
D)59430

Question 45

The term "alopecia" is commonly referred to as what?

A)Athlete's foot
B)Hair loss
C)Heat rash
D)Head lice

Question 46

What is the correct code for a parathyroidectomy with parathyroid autotransplantation performed on a 42-year-old male patient?

A)60512
B)60500, 60512
C)60500, 60512 -51
D)60500

Question 47

An adolescent patient's hard contact lenses were shattering when a bouncy ball that he was playing with at school bounced up at hit him in the eye. The patient was transported to the emergency department where the on-call physician removed the contact lens fragments from his cornea, using a slit lamp. What is the correct code for the procedure?

A)65205
B)65210
C)65220
D)65222

Question 48

A patient is injured in a motor-cross accident and shattered two of his vertebrae. Now he is paralyzed from the chest down and can move his arms, but not his legs. At what level is his injury?

A)Cervical
B)Lumbar
C)Thoracic
D)Sacral

Question 49

PROCEDURAL NOTE PATIENT: Ortiz, Pamela
AGE: 12
DATE: 04/16/2015
PREOPERATIVE DIAGNOSIS: Obstructive Sleep Apnea
POSTOPERATIVE DIAGNOSIS: Obstructive Sleep Apnea
PROCEDURE: Tonsillectomy and Adenoidectomy
The patient was anesthetized and placed on the operating table in a supine position. Her mouth was set open to allow access to the tonsils at the beginning of the pharynx. Both tonsils and adenoids appeared to be grossly enlarged. Using electrocautery, the patient's tonsils were dissected from the subcapsular plane and removed from the pharynx. Minimal bleeding was noted on the right side of the tonsillar excision, which was cauterized to stop the bleeding. Adenoids were dissected in the same manner and no bleeding was noted. Thrombin was applied to both sides of the tonsillar excision to induce clotting and stop any additional bleeding that might occur postoperatively. The patient tolerated the procedure well and was given a pain medication prescription for possible throat pain. The physician recommended that the patient only consume cold foods and liquids for postoperative pain management. The patient was scheduled for a follow-up exam in one week.
How should you code this procedure?

A)42820, 327.23, 474.10
B)42821, 327.23, 474.10
C)42826, 42831, 474.10
D)42826, 42836, 474.10

Question 50

The physician performed a partial Nissen Fundoplasty via a lower thoracic incision. What is the correct code for this procedure?

A)43327
B)43328
C)43325
D)43331

Question 51

What is the difference between a craniotomy and a craniectomy?

A)A craniotomy removes a part of the skull and allows the surgeon to perform the craniectomy
B)They are the same thing
C)A craniotomy removes a part of the skull and replaces it once the procedure is finished. A craniectomy removes a part of the skull and does not replace it.
D)A craniotomy allows access into the patient's spinal column. A craniectomy is repairs the patient's spinal column.

Question 52

If a patient is in the prone position, he is:

A)Lying flat on his back
B)Lying flat on his stomach
C)Sitting up straight
D)Lying flat on his back with his feet elevated

Question 53

A doctor performed a partial pneumonectomy on a patient. This procedure included:

A)Removing part of the patient's lung
B)Cutting into the patient's abdomen
C)Creating an opening in the patient's chest
D)Removing a patient's entire spleen

Question 54

Which of the following is a type of connective tissue?

A)Adipose tissue
B)Epithelial tissue
C)Nerve tissue
D)Cardiac tissue

Question 55

Which of the following answers below identifies all three different types of blood cells?

A)Neutrophils, Eosinophils, and Basophils
B)Monocytes, Leukocytes, and Platelets
C)Erythrocytes, Leukocytes, and Thrombocytes
D)Erythrocytes, Monocytes, and Leukocytes

Question 56

In the electrical conduction system of the heart, the sinoatrial node is located in the right atrium near the superior vena cava. It serves as the normal pacemaker of the heart. There is another node, which is located in the right atrium on the septal wall. This node slows the impulses of the heart so that the atria can fill with blood before it contracts. What is the name of this node?

A)Sinoatrial Node
B)Bundle of His
C)Purkinje Fibers
D)Atrioventricular Node

Question 57

A pacemaker or pacing cardioverter-defibrillator that has pacing and sensing functions in three or more chambers of the heart is considered a:

A)Multiple Lead
B)Dual Lead
C)Single Lead
D)Triple Lead

Question 58

A 38-year-old female patient presented to the office for an extended ophthalmoscopy with retinal drawing. The physician also performed interpretation and report of the findings. The physician performing the procedure also performed the anesthesia service for the patient, due to the fact that the anesthesiologist was not available. What are the correct codes for the procedure?

A)00148-47
B)92225-47
C)92225, 00148-47
D)92225-47, 00148

Question 59

The nasal turbinates are part of which anatomical system?

A)Digestive
B)Respiratory
C)Cardiovascular
D)Integumentary

Question 60

The patient, a 35-year-old female with well-controlled Type I diabetes mellitus, received anesthesia for a regular vaginal delivery with no complications. Code for the anesthesia services only.

A)01961 - P3
B)62310
C)01960 - P3
D)01960 - P2

Question 61

Walt has metastatic lung cancer. He also has skin melanoma, which is the primary neoplasm. Today he is being seen for treatment and evaluation of his lung cancer. Which of the following is the correct way to code his diagnoses for today's visit?

A)172.8, 197.0
B)162.9, 172.8
C)197.0, 172.8
D)197.0

Question 62

Debbie has Type II diabetes, and has been working with her physician to develop diet and exercise techniques that help control her symptoms. Today her doctor also put her on a new medication, which may help control her blood sugar levels better. What is the correct ICD-9 code for Debbie's diabetes?

A)250.0
B)250.00
C)250.02
D)250.80

Question 63

Two weeks ago, James was walking in the mountains and scratched his leg with a large branch on the edge of the trail. Yesterday, he went to the pediatrician's office because his scratch was not healing and was getting worse. Today, he is being seen again by the pediatrician, who diagnosed James with MRSA cellulitis at the site of the wound on his leg. Which of the following represents the correct code(s) for today's visit?

A)682.6, 041.12
B)686.9, 041.11
C)958.3, 041.12
D)041.12

Question 64

A physician performed the open excision of two deep axillary nodes in a 45-year-old female patient. What is the correct code for this procedure?

A)38500
B)38555
C)38525
D)38525 (X2)

Question 65

Steve gets tested regularly for HIV at his local health clinic because he is part of a high-risk group. So far, Steve has not had any positive HIV test results, but his last test came back as inconclusive. What diagnosis code(s) would be assigned for Steve?

A)042
B)795.71, V69.8
C)V73.89, V65.44
D)V08

Question 66

What is the appropriate ICD-9 code for a diagnosis of a personal history of heart attacks?

A)V15.9
B)412
C)V12.50
D)V17.3

Question 67

Jaime is a 9-year-old obese boy. Jaime's pediatrician suspects that he may have hypertension due to his weight, but has not come to a conclusive diagnosis yet. So far, he has had two elevated blood pressure readings, but has not been diagnosed with hypertension. Jaime saw his pediatrician today for a blood pressure reading, which was elevated. What is the correct diagnosis code for Jaime's office visit?

A)401.9
B)401.0
C)405.9
D)796.2

Question 68

Jenny is on dialysis three times a week, 4 hours a day, due to her End-Stage Renal Disease. Yesterday she went into her primary care office and they diagnosed her with anemia, as a side-effect of her ESRD. What are the correct ICD-9 codes for her visit?

A)285.22, 585.1
B)285.21, 585.9
C)585.6, 282.21
D)285.21, 585.6

Question 69

A pediatrician performed a routine circumcision on a newborn baby boy in a hospital setting. The physician anesthetized the area with dorsal penile block, clamped the foreskin away from the tip of the penis and excised the excess foreskin. What is the correct code for the circumcision?

A)54160
B)54150 -47
C)54150
D)54160 -47

Question 70

Etta has been using corticosteroids for severe hay fever asthma for the last few years, and is now experiencing some eye problems. Her physician told her that she was only in the early stages of glaucoma, which could be treated to ensure her vision for the rest of her life. What is the correct code for the ICD-9 codes for Etta's condition?

A)365.31, 365.71
B)365.32, 365.71
C)365.31, 365.72
D)365.9, 365.71

Question 71

A 30-year-old woman with high-risk pregnancy suffered a splenic rupture due to a car accident. What is the correct ICD-9-CM diagnosis code for the mother's injury?

A)767.8
B)865.04
C)867.9
D)289.59

Question 72

Mr. Jones was examined after a car accident as a requirement of his car insurance claim. Which modifier is appropriate to use on the claim?

A)-22
B)-51
C)-99
D)-32

Question 73

In the CPT manual, Appendix C lists clinical examples of:

A)Surgical procedures
B)Radiological procedures
C)Dermatology procedures
D)Evaluation and management procedures

Question 74

Sylvia was seen in the office and was diagnosed with acute bronchitis with Chronic Obstructive Pulmonary Disease. What is the correct ICD-9 diagnosis code for her condition?

A)466.0
B)491.22
C)466.0, 491.22
D)491.21

Question 75

The external ear contains the:

A)Auricle and Auditory Canal, leading up to the Tympanic Membrane
B)Incus, Stapes, and Malleus
C)Cochlea, Semicircular Canals, and Eustachian Tube
D)Branches of the Vestibulocochlear Nerve and Tympanic Membrane

Question 76

The HCPCS manual includes codes for:

A)Procedures that are also found in the CPT coding manual
B)Supplies, services, and procedures that are not found in the CPT manual
C)Only supplies that you cannot find in the CPT manual
D)All services performed in the office, except for procedures

Question 77

There are four different classifications of a vulvectomy (the removal of the vulva). What classification should be used for a vulvectomy with the removal of skin and deep subcutaneous tissues?

A)Simple Vulvectomy
B)Radical Vulvectomy
C)Partial Vulvectomy
D)Complete Vulvectomy

Question 78

The HCPCS Level II modifier -E1 stands for:

A)Lower Right, Eyelid
B)Upper Right, Eyelid
C)Upper Left, Eyelid
D)Right Hand, Thumb

Question 79

When listing both CPT and HCPCS modifiers on a claim, you:

A)List the HCPCS modifier first
B)Do not list the HCPCS modifier at all
C)Only list the CPT modifier
D)List the CPT modifier first

Question 80

When you are searching for a diagnosis code in the ICD-9 manual:

A)You must first locate the diagnosis code description in the index and then verify the correct code selection in the tabular list
B)You must locate the diagnosis code in the index and then assign the appropriate code
C)You must determine which procedure you will bill for first, and then find out which diagnosis codes match the procedure
D)You must first locate the diagnosis code description in the index and then verify the code in Volume III