Chapter 6 Quiz Flashcards
When 8 mg of Dilaudid® are given intravenously, how many units are reported?
(A) 1.
(B) 2.
(C) 3.
(D) 4.
(B) 2.
Look in the Table of Drugs and Biologicals for Dilaudid; it refers you to see Hydromorphone, HCL. Hydromorphone HCL is up to 4 mg given SC, IM or IV and the table refers you to J1170. J1170 is for 4 mg per unit, so 2 units are reported. Verify code selection the tabular section of the HCPCS Level II codebook.
An audiologist provided a battery for a hearing device to a patient. What HCPCS Level II code is reported for the battery?
(A) A4601.
(B) L8622.
(C) L8624.
(D) V5266.
(D) V5266.
Look in the HCPCS Level II index for Hearing Devices and you are directed to V5000-V5299, L8614. Review the codes and code V5266 is the correct code to report.
What are C codes used for in the HCPCS Level II codebook?
(A) Reporting ambulance services.
(B) Reporting durable equipment.
(C) Reporting procedures for professional services.
(D) Reporting outpatient services used by hospitals paid under the ACS.
and OPPS
(D) Reporting outpatient services used by hospitals paid under the ACS.
At the beginning of the C section, the subheading indicates Outpatient PPS (C1713-C9899). C codes are used on Medicare Ambulatory Surgical Center (ACS) and Hospital Outpatient Prospective Payment System (OPPS)
claims.
What codes are NOT reported by Medicare?
(A) A codes.
(B) G codes.
(C) J codes.
(D) S codes.
(D) S codes.
S codes are used by the Blue Cross Blue Shield Associate and the Health Insurance Association of America. They are also used by the Medicaid program but not payable by Medicare. In the beginning of the S codes the heading indicates Temporary National Codes Established by Private Payers (Non-Medicare) (S0000-S9999).
What HCPCS Level II code and unit(s) is reported for 4 boxes of alcohol wipes?
(A) A4245 x 4.
(B) A4245 x 1.
(C) A4244 x 1.
(D) A4244 x 4.
(A) A4245 x 4.
Look in the HCPCS Level II index for Alcohol wipes. It directs you to A4245. HCPCS code A4245 is reported per box, so you will need to report 4 units for the 4 boxes of alcohol wipes.
What abbreviation is used for a drug or biological given into the subdural space of the spinal cord?
(A) IV.
(B) IM.
(C) IT.
(D) SC.
C) IT.
IT is an abbreviation for intrathecal, for an administration of the drug is given into the subdural space of the spinal cord.
A female patient is getting a right and left breast mastectomy bra with integrated form breast prosthesis. What HCPCS Level II code is reported?
(A) L8002.
(B) L8002-50.
(C) L8001-50.
(D) L8000.
(A) L8002.
Look in the HCPCS Level II index for Breast prosthesis. It directs you to L8000-L8035, L8600. The correct code for both breasts needing the prosthesis in the bra is L8002. Modifier 50 is not reported on the code because the code description already indicates that the bra is for a bilateral integrated prosthesis.
Select the supply code for an insertion tray that has a two way all silicone Foley catheter with a drainage bag?
(A) A4312.
(B) A4314.
(C) A4315.
(D) A4311.
(C) A4315.
Look in the HCPCS Level II Index for Foley catheter. It directs you to codes A4312-A4316, A4338-A4346. Review the codes, code A4315 is the correct code because the two way Foley catheter was all silicone with a drainage bag.
Patient is given 15 mg of methotrexate sodium IM for rheumatoid arthritis given from 5mg vials. What HCPCS Level II code and unit(s) is reported?
(A) J8610 x 6.
(B) J9260.
(C) J9250 x 5.
(D) J9250 x 3.
(D) J9250 x 3.
Look in the HCPCS Level II Table of Drugs for Methotrexate Sodium, one of the routes is IM (intramuscular) directing you to code J9250. This drug
is reported for 5mg. The patient received 15 mg of methotrexate. The correct way to code this injection is J9250 x 3 (3 x 5 = 15 mg).
What is the correct code and units to report for 80 mg of Depo-Medrol given IM?
(A) J1020 x 1.
(B) J1020 x 4.
(C) J1030 x 2.
(D) J1040 x 1.
(D) J1040 x 1.
Look in the Table of Drugs and Biologicals for Depo-Medrol. There are three entries for the amount given. 80 mg given IM is reported with J1040. Because the unit per is 80 mg, only one unit is reported. Verify code selection the tabular section of the HCPCS Level II codebook.
