Question 1

Ambulance services that include establishment of an IV, drawing of blood, use of a cardiac monitor, intubation, tracheotomy, use of CPAP, and nasogastric tube placement are considered:

Accepted Answer

These procedures are considered advanced life support (ALS) because they go beyond basic first aid and CPR to include invasive and complex procedures that require specialized training and equipment.

Question 2

What general heading of codes is found in the A4206-A9999 code range?

Accepted Answer

The A4206-A9999 code range is designated for Medical and Surgical Supplies in the HCPCS (Healthcare Common Procedure Coding System).

Question 3

Which organization maintains HCPCS Level II codes?

Accepted Answer

The Center for Medicare and Medicaid Services (CMS) is responsible for maintaining HCPCS Level II codes, which are used in the healthcare system primarily for billing and coding purposes related to medical procedures, services, and supplies not covered by CPT codes (maintained by the American Medical Association).

Question 4

The following are examples of durable medical equipment, which would be coded with a code from range E0100-E8002, except for which of the following?

Accepted Answer

Dialysis supplies are not considered durable medical equipment in the same category as canes, crutches, and wheelchairs. They are instead medical supplies used in the process of dialysis and would not be coded within the E0100-E8002 range, which is designated for durable medical equipment.

Question 5

Two patients present to the OR for a live kidney donor procedure. The patients are sisters and are a match for kidney donation. What HCPCS Level II modifier will be appended to their services?

Accepted Answer

Q3 is the HCPCS Level II modifier used to indicate a live kidney donor and related services, making it the correct choice for a procedure involving a live kidney donation between two sisters.

Question 6

A patient is picked up at home and is en route to the hospital. The first responders communicate with the patient's physician, who requests the patient be brought to the office. What is the correct ambulance services modifier?

Accepted Answer

The answer of A patient is picked up at home...

Question 7

When both a Level I and Level II code are provided to describe the same service, but the code descriptions are not identical, what should the coder do?

Accepted Answer

When both Level I (CPT codes) and Level II (HCPCS codes) are available for a service, and the Level II code provides a more specific description, the coder should choose the Level II code for its specificity. This ensures the most accurate and detailed billing and documentation of the service provided.

Question 8

What does ambulance services modifier "S" signify?

Accepted Answer

Modifier "S" is used to indicate that the ambulance service was provided in response to an emergency situation where the patient was picked up from the scene of an accident or acute event.

Question 9

Which ambulance services modifier means "Intermediate stop at a physician's office on the way to the hospital"?

Accepted Answer

The answer of Which ambulance services modifier means "Intermediate stop...

Question 10

Which of the following is not included in the table of drugs?

Accepted Answer

Manufacturer information is typically not included in a standard table of drugs, which usually focuses on the drug's generic name, route of administration, and dosage amount.

Question 11

What does HCPCS Level II modifier AD signify?

Accepted Answer

HCPCS Level II modifier AD is used to indicate that a physician is providing medical supervision for more than four concurrent anesthesia procedures.

Question 12

The "Site of transfer (e.g. airport or helicopter pad) between modes of ambulance transport" is coded using which ambulance services modifier?

Accepted Answer

The answer of The "Site of transfer (e.g. airport or...

Question 13

Code range M0075-M0301 contains codes for which services?

Accepted Answer

The code range M0075-M0301 is designated for Medical Services.

Question 14

Modifier "G" in ambulance services coding indicates:

Accepted Answer

The answer of Modifier "G" in ambulance services coding indicates:
...

Question 15

The description "Second concurrently administered infusion therapy" corresponds to which HCPCS Level II modifier?

Accepted Answer

The modifier "SH" is used to indicate a second concurrently administered infusion therapy.

Question 16

A guideline informs coders that Medicare requires documentation from the prescribing physician showing that certain conditions have been met in order for a patient to receive Medicare-covered:

Accepted Answer

Medicare has specific documentation requirements for diabetic shoes, inserts, and modifications to ensure that these items are medically necessary. This includes a certification from the prescribing physician that the patient has diabetes and meets certain conditions related to their feet, such as previous amputations, past foot ulcers, or neuropathy with evidence of callus formation, among others. This is to ensure that the provision of these items is appropriately justified and to prevent unnecessary costs.

Question 17

What is therapy administered within the intestine?

Accepted Answer

Enteral therapy refers to the delivery of nutrients or medications directly into the gastrointestinal tract, typically through the mouth or a tube inserted into the stomach or small intestine.

Question 18

Where are Vision Services located in the HCPCS Level II manual?

Accepted Answer

Vision Services are located in the HCPCS Level II manual under codes V2020-V2799. These codes are specifically designated for vision services, including eyeglasses, contact lenses, and related procedures.

Question 19

The abbreviation AKA stands for _________ in the HCPCS Level II manual:

Accepted Answer

In the HCPCS Level II manual, AKA stands for "above-the-knee amputation."

Question 20

How many characters do HCPCS Level II codes have?

Accepted Answer

HCPCS Level II codes consist of five characters.

Quiz 20: HCPCS Level II: Category II and Category III Codes