Melody S. Irvine

CPC, CEMC, CPC-I, CCS-P, CPMA, CMRS
Consulting - Education - Auditing

Office (970) 663-0020
Fax (970) 663-0060

 

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Test Your Coding Knowledge

Multiple Choice

1 . Removal of impacted cerument in both ears.

a. 69210

b. 69210-50

c. 69210 x 2

d. 69000

e. None of the above

2 . Chest x-ray, two views, is performed in the physician office. The x-rays are then sent out to a radiologist to read. The radiologist is not part of the physician practice. How would the office charge for the x-ray?

a. 71020

b. 71020-26

c. 71020-TC

d. 71010

e. None of the above

3 . What is the correct code for urinalysis, by dip stick; non-automated, with microscopy?

a. 81000

b. 81001

c. 81002

d. 81003

e. None of the above

4 . How would the following immunizations be charged? The patient was 6 years old and the physician counseled the family concerning these vaccinations: MMRV, DT, Influenza for intranasal use

a. 90707, 90702, 90658, 90471, 90472 x 2

b. 90707, 90702, 90658, 90471, 90472, 90473

c. 90710, 90702, 90660, 90465, 90466 x 2

d. 90710, 90702, 90660, 90465, 90466, 90467

e. None of the above

5 . Which modifier would be used for an office visit and office procedure performed on the same day, by the same physician?

a. 51

b. 59

c. 25

d. 21

e. None of the above

6 . Which modifier would be used if Dr. A assisted Dr. B in surgery?

a. 62

b. 66

c. 80

d. 81

e. None of the above

7 . Which modifier would be used if a third party payer requested the patient to get a consult for a second opinion?

a. 25

b. 32

c. 56

d. 57

e. None of the above

8 . Which modifer would be used by a radiologist for reading of a x-ray only?

a. 26

b. 55

c. 56

d. 58

e. None of the above

9 . Which is the correct code for Lanoxin?

a. J1931

b. J1990

c. J1160

d. J1650

e. None of the above

10 . Which is the correct code for Breast Pump, hospital grade?

a. E0602

b. E0603

c. E0604

d. E0600

e. None of the above

11 . Which is the correct HCPCS modifier for Right hand, fourth digit?

a. F8

b. F3

c. T3

d. T8

e. None of the above

12 . Which modifier identifies the patient has signed a Medicare ABN and the waiver is on file?

a. SC

b. GZ

c. GA

d. QW

e. None of the above

13 . Which section of HCPCS book will you find Medical and Surgical Supplies?

a. A Codes

b. L Codes

c. M Codes

d. V Codes

e. None of the above

14 . Uncontrolled Diabetic Type I with macular edema

a. 250.51, 362.07

b. 250.51, 362.83

c. 250.53, 362.07

d. 250.53, 362.83

e. None of the above

15 . Interstitial inguinal hernia with obstruction and gangrene, bilateral

a. 551.92

b. 551.9

c. 552.9

d. 550.02

e. None of the above

16 . This 10 year old patient was seen in the office for Otitis Media, Acute Bronchitis and possible asthma. Select the correct ICD-9 codes for this visit.

a. 382.9, 466.0, 493.90

b. 382.4, 490, 493.90

c. 382.4, 466.0, 786.07

d. 382.9, 466.0, 786.07

e. None of the above

17 . This 8 year old patient developed a severe cough when he was overcome by the smell of clorox bleach.

a. 786.2, 983.9, E864.3

b. 786.2, 983.9

c. 786.2, E864.3

d. 786.3, 983.9, E864.3

e. None of the above

18 . A 52 year old male fell from a ladder while work on the roof of his home. He suffered an open fractured of his left tibia and fibula with shaft. What is the proper billing of this injury?

a. 823.31, E881.1,

b. 823.30, E881.1

c. 823.32, E881.0

d. E881.0, 823.32

e. None of the above

19 . This 48 year-old female has a personal history of ovarian cancer.

a. V16.41

b. V10.43

c. V16.49

d. V10.41

e. None of the above

20 . A patient was seen in the office for an severe abdominal pain. Her blood pressure was very high because of the pain she is experiencing but does not have a history of high blood pressure. What are the ICD-9 codes for this visit?

a. 789.00, 401.9

b. 789.01, 401.9

c. 789.00, 796.2

d. 789.01, 796.2

e. None of the above

21 . ICD-9-CM codes are used for....

a. Procedures

b. Procedures and Diagnosis

c. Diagnosis

d. Hospital Billing only

e. None of the above

22 . The physician removed a lesion from the skin of the neck of this 76 year-old patient. The pathology report came back as malignant. What is the correct code for the lesion?

a. 232.4

b. 195.01

c. 173.6

d. 173.4

e. None of the above

23 . Which statement is not true?

a. Fractures are coded as closed unless otherwise specified

b. You can not use possible, probably or rule out for a diagnosis

c. All neoplasms are malignant

d. E codes are never used as a primary diagnosis

e. None of the above

24 . What would be the correct code for an established physician office visit and the provider performed a detailed history, detailed examination with medical decision making of moderate complexity?

a. 99213

b. 99203

c. 99214

d. 99243

e. None of the above

25 . What would be the correct code for a wellness exam of a 26 year old established patient?

a. 99385

b. 99395

c. 99213

d. 99203

e. None of the above

26 . What would be the correct code for anesthetist that performed the anesthesia for a total hip arthroplasty of a 75 year old male that has a severe systemic disease?

a. 01214-P3, 99100

b. 01214-P2, 99100

c. 27130, 01214-P3, 99100

d. 27130-23-P3, 01214, 99100

e. None of the above

27 . What is the correct code for skin excision of a malignant lesion on the foot, 3.2 cm, and simple closure.

a. 28090

b. 11424, 12002

c. 11624, 12002

d. 11624

e. None of the above

28 . The physician is charging the global fracture care for a closed treatment of a femoral shaft fracture, with manipulation and applied a long leg cast.

a. 27500, 29345

b. 27506, 29345

c. 27502, 29345

d. 27502

e. None of the above

29 . The physician performed a tonsillectomy and adenoidectomy on this 15 year old patient. What is the correct code?

a. 42820

b. 42821

c. 42825

d. 42826

e. None of the above

30 . This 28 year old female had a previous cesarean delivery 3 years ago, she now presents with the expectation of a vaginal delivery. She attempts the vaginal delivery but again the cesarean delivery was performed.

a. 59400

b. 59510

c. 59610

d. 59618

e. None of the above

 

 

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