Coding Midterm

ICD-9 is updated twice a year; each April and October

True

Computer skills are not necessary for coders to have if the record is not electronic

True

All HCPCS Level 1 and Level 2 codes are alphanumeric

False

HCPCS stands for the Healthcare Common Professional Coding System

False

Coding Clinic contains coding advice given by the cooperating parties for coders in the inpatient setting only

False

Anesthesia codes are assigned based on the body site being operated on and not based on type of anesthesia administered

True

CPT coding guidelines are located in front of the code book as in ICD-9-CM

False

HCPCS codes are used to identify procedures, supplies, and medications including vaccines

False

With anesthesia services, there may be unusual forms of monitoring which are reported separately

True

Membership in a professional association is not beneficial since continuing education and bulletins are available via the internet

False

Patient has multiple myeloma and presents to the hospital with severe back pain. Patient can not recall any injury to the back. Films reveal pathological compression fractures of the spine. What is the correct code assignment?

203.00

Patient had a 10cm malignant neoplasm removed from the forehead. Z plasty was used to repair the site. What is the correct code?

14040

Which chapter of HCPCS 2 does not require ICD-9-CM codes to be linked to the HCPCS code?

A0000

Computer systems, encounter forms, charge tickets, and code books should be updated when?

Annually

Dr. Lewis spent 30 minutes with the patient on the day of discharge observing, providing discharge instructions, examining the patient, and educating the patient on medication. What code would the physician submit for this service?

99217

What modifier would be most appropriate in the following scenario? Physician performs a tubal ligation on a patient, and 3 weeks later the patient returns to the office. She now has an infected Bartholin's gland cyst. The following week the same physician

-79

A man was using a ladder to clean out his gutters at home. He fell off the ladder and landed in the shrubs below. He received many scratches and bruises along with a dislocated shoulder. He was treated and released from the ER the same day. How many E cod

Two

Inpatient time spent at the bedside or nursing station during or after the visit is what kind of time?

Unit time

How many modifiers are allowed to be reported per code?

No limit

When coding diseases that are caused by a specific organism, the coder should assign a code for the condition and the causative organism. Under what term would the organism be located?

Infection

An anesthesiologist supervised a nurse anesthetist (CRNA) providing MAC anesthesia. Which modifiers are applied to the procedure code and placed on the claim for the anesthesiologist?

QS and QY

ICD-9-CM requires assignment of the most blank code to represent the problem being treated by the provider.

Specific

What modifier is assigned for a hammertoe surgery perform on the right little toe?

T9

A 42 year old woman sees her OB/GYN for her regular annual GYN exam. She is healthy and in no distress, and there has been no change since last year's exam. Exam was detailed, history was detailed, and medical decision making was straightforward. What is

99396

A visible clinical observation or evidence determined by the physician is called a blank

Sign

A patient is seen in her physician's office because of severe migraine and nausea. He has seen her in the recent past for the same condition. Physician decides to admit her to observation, treat her with Demerol and Phenergan, and do some blood work and C

99218

If fluoroscopic guidance is used to ensure appropriate placement of a central venous catheter, what code is reported?

75998

Time for counseling and coordination of care is not a factor in which circumstance?

All answers are correct. ER, neonatal, and preventative medicine

HCPCS 2 codes are alphanumeric and how many characters in length?

five

Patient suffers from L5-S1 radiculopathy. Lumbar epidural steroid injection with fluoroscopy was performed on the left. What will the physician code and bill?

62311-LT, 76005-26

List the code describing an anesthesiologist's service of administering a Bier block on the patient's right arm. The patient underwent carpal tunnel surgery.

01995-P1

When a physician determines that surgery is required and performs the procedure on the same day, which modifier would be appended to the E/M code?

-57

A 79 year old frail patient accidentally sat down on the arm of the chair instead of the cushion. Patient sustained a fractured hip requiring hip replacement. What should the coder assign as the principal diagnosis?

Query the physician for possible underlying disease.

This credential is referred to as an entry-level certification.

CPC

CPC distinguishes between catheters inserted in patients over or under the age of how many years?

Five

Which volume of the ICD-9-CM is used to report inpatient procedures?

Volume 3

Physician exercises a 1.5 cm lesion of the nose. He sends the specimen to pathology for diagnosis and for margins. Diagnosis came back basal cell carcinoma with unclear margins. Physician excised an additional .25 cm margin. Second path report came back w

11642

Each lesion removal site is coded separately using which modifier for the following scenario? Excision of benign lesions, .5 cm lesion of the upper arm, 1.2 cm lesion of the back, and .6 cm lesion of chest.

59

Which chapter of HCPCS 2 has single-digit modifiers to describe origin and destination?

A0000

Dentists would file HCPCS 2 codes from which section?

Section D

What is a physician specializing in the evaluation and preparation of the patient for surgery?

Anesthesiologist

Assign the appropriate HCPCS code for intravenous infusion of 25 mg of Chlorpromazine HCL

J3230

If a physician performs a procedure and provides the anesthesia for the procedure, codes are assigned from what section of the CPT?

medicine

What reduction is one where the physician manually or through the use of traction or force aligns the bone ends and or fragments?

Closed

Diagnosis codes must be correctly lined to what codes on the claim form to demonstrate medical necessity?

ICD-9-CM

What is a section of the CPT manual requiring practitioners to make a decision as to the level of service for offices, hospitals, nursing homes, etc?

Evaluation and Management

Insurance contracts indicate that physicians must get what signed before a potentially non-covered service is performed?

ABN - Advanced Beneficiary Notice

What is defined as the translation of diagnoses, procedures, services, and supplies into numeric and/or alphanumeric components for reporting and reimbursement?

Coding

What is the process of securing bone ends or fragments together by means of hardware such as screws, nails, plates, and rods?

Internal Fixation

Office visit, date of service 9/5/11, last date of treatment 8/14/07. The patient is seen for a chief complaint of shortness of breath, malaise, and fatigue. The physician performs a detailed history, comprehensive examination, and medical decision making

99203