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CPB Certification > Chapter 6 Test > Flashcards

Chapter 6 Test Flashcards

1
Q

A stationary toilet chair with fixed arms is ordered for a patient who is confined to a bed. What is the code for this DME?

(A) E0171.

(B) E0165.

(C) E0163.

(D) E0170.

A

(C) E0163.

Look in the HCPCS Level II Alphabetic Index for Commode/Chair, mobile or stationary; which directs you to codes E0163-E0165. Cross reference the Tabular List for complete detailed description. The code choice is based on the type of chair and accessories
included. The correct code is E0163.

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2
Q

What is the HCPCS Level II code for Morphine Sulfate 100 mg, IM?

(A) J2274.

(B) J2270 x 10.

(C) J2270.

(D) J2274 x 10.

A

(B) J2270 x 10.

Look in the Table of Drugs and Biologicals for Morphine Sulfate; which directs you to codes J2274 and J2270. Cross reference to the Tabular List for complete detailed description. The choice of code is based on whether the morphine sulfate is preservative-free and being used for epidural or intrathecal; which is not documented in this case. In this case 100 mg was administered. The correct code is J2770 x 10 to show that 100 mg was administered.

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3
Q

What is the HCPCS Level II code for transportation of portable EKG to facility or location, per patient?

(A) R0076.

(B) R0075.

(C) R0070.

(D) C8925.

A

(A) R0076.

Look in the HCPCS Level II Alphabetic Index for
Transportation/EKG equipment, portable which directs you to R0076. Cross reference to the Tabular List to confirm the complete detailed description. The correct code is R0076.

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4
Q

A 65-year-old patient is seen in her physician’s office with a laceration on her forehead. The cut is not deep for a suture repair. The physician decides to repair the wound with tissue adhesive. How would this be billed?

(A) A4364.

(B) A4452.

(C) G0168.

(D) C1765.

A

(C) G0168.

Look in the HCPCS Level II Alphabetic Index for Adhesive/Tissue (wound closure) which directs you to code G0168. Cross reference to the Tabular List for complete detailed description. The correct code is G0168.

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5
Q

What is the HCPCS Level II code for complete assembly footrest replacement for a wheelchair billed to a DME MAC?

(A) K0043.

(B) K0044.

(C) K0045.

(D) K0046.

A

(C) K0045.

Look in the HCPCS Level II Alphabetic Index for Footrest/Complete assembly, replacement; which directs you to K0045. Cross reference to the Tabular List for complete detailed description. The choice of code is based on the insurance being billed, and the accessory parts included. The correct code is K0045 for billing to a DME MAC for Medicare.

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6
Q

Patient weighing 500 pounds is receiving a captain’s chair, group 2, very heavy duty powered wheelchair. What HCPCS Level II code is billed?

(A) K0839.

(B) K0837.

(C) K0853.

(D) K0827.

A

(D) K0827.

Look in the HCPCS Level II Alphabetic Index for Wheelchair/Power Operated; which directs you to codes E1230, E1239, K0813-K0898. Cross reference to the Tabular List for complete detailed description. The choice of code is based on the weight of the patient, the type of chair, and the accessories attached. The correct code is K0827 for the captain’s chair for a patient between 451 to 600 pounds. K0839 has no mention a captain’s chair.. K0837 is for reporting only heavy duty, 301-450 pounds, with no mention of a captain’s chair. K0853 is reported for group 3, not group 2.

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7
Q

What is the HCPCS Level II code for administration of Hepatitis B vaccine?

(A) G0008.

(B) G0010.

(C) G0009.

(D) 96372.

A

(B) G0010.

Look in the HCPCS Level II Alphabetic Index for
Administration/vaccine/Hepatitis B, which directs you to
G0010. Cross reference to the Tabular List for complete detailed description. The correct code is G0010.

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8
Q

What is the HCPCS Level II code for an infusion pump which delivers soy-based 100 calories/unit pediatric enteral nutrition?

(A) B9006.

(B) B9002.

(C) K0455.

(D) C2626.

A

(B) B9002.

Look in the HCPCS Level II Alphabetic Index for Pump/Enteral infusion; which directs you to code B9002. Cross reference to the Tabular List for complete detailed description. The correct code is B9002.

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9
Q

What is the HCPCS Level II code for PSA screening?

(A) G0102.

(B) G0103.

(C) G0105.

(D) G0104.

A

(B) G0103.

Look in the HCPCS Level II Alphabetic Index for
Screening/Cancer/Prostate, rectal, digital exam/PSA (prostate specific antigen) test; which directs you to code G0103. Cross reference to the Tabular List for complete detailed description. The correct code is G0103.

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10
Q

A patient is coming in to see her oncologist due to severe nausea and vomiting from her anti-cancer treatment. The oncologist orders one IM injection of 10 mg of prochlorperazine, and another injection of 10 mg after three hours. How is this treatment billed?

(A) J0780.

(B) J0780 x 2.

(C) Q0164 x 4.

(D) S0183 x 2.

A

(B) J0780 x 2.

Look in the HCPCS Level II Table of Drugs and Biologicals for prochlorperazine which directs you to code J0780. Cross reference to the Tabular List for complete detailed description. The choice is based on administrative method and dosage quantity. In this case a total of 20 mg was administered. The correct code is
J0780 x 2 to show that 20 mg was administered.

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11
Q

What is the HCPCS Level II code for monaural hearing aid dispensing fee?

(A) V5160.

(B) V5200.

(C) V5241.

(D) V5240.

A

(C) V5241.

Look in HCPCS Level II Alphabetic Index for Dispensing
fee/Monaural hearing aid, any type which directs you to V5241. Cross reference to the Tabular List for complete detailed description. The correct code is V5241.

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12
Q

The physician writes an order for 35 mm/Hg thigh high compression stockings. Which HCPCS Level II code is correct for this item?

(A) A6531.

(B) A6537.

(C) A6540.

(D) A6534.

A

(D) A6534.

Look in the HCPCS Level II Alphabetic Index for Compression stockings which directs you to codes A6530-A6549. Cross reference to the Tabular List for complete detailed description. The code choice is based on the weave (mm/HG) and the length of the stocking. The correct code is A6534 for 35 mm/Hg of thigh length.

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13
Q

Bilateral removable foot inserts are molded directly to a patient’s longitudinal arch model for use in athletic shoes. This is to alleviate the patient’s back pain associated
with collapsed arches. What is the code that reports the orthotic device?

(A) L3030 x 2.

(B) L3010 x 2.

(C) L3020 x 2.

(D) L3040 x 2.

A

(B) L3010 x 2.

Look in the HCPCS Level II Alphabetic Index for Shoes/Insert, removable/Longitudinal arch support, each; which directs you to code L3010. Cross reference to the Tabular List for complete detailed description. In this case, bilateral (two) inserts were molded. The correct code is L3010 x 2 to report that 2 were made for the patient.

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14
Q

What is the HCPCS Level II code for cervical traction equipment not requiring additional stand or frame?

(A) E0849.

(B) E0850.

(C) E0856.

(D) E0855.

A

(D) E0855.

Look in the HCPCS Level II Alphabetic Index for Cervical/Traction which directs you to codes E0855 and E0856. Cross reference to the Tabular list to confirm complete detailed description. The correct code is E0855.

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15
Q

What is the HCPCS Level II code for speech screening?

(A) V5363.

(B) V5362.

(C) S9128.

(D) S9152.

A

(B) V5362.

Look in the HCPCS Level II Alphabetic Index for Screening/Speech which directs you to V5362. Cross reference to the Tabular List to confirm complete detailed description. The correct code is V5362.

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16
Q

What is the HCPCS Level II code for a vinyl urinary drainage bag?

(A) A5105.

(B) A5112.

(C) A4357.

(D) A4358.

A

(D) A4358.

Look in the HCPCS Level II Alphabetic Index for Bag/Urinary, vinyl which directs you to A4358. Cross reference to the Tabular List for complete detailed description. The code is dependent on the type of bag. The correct code is A4358.

17
Q

If a procedure is performed on a 72 year-old Medicare patient, which code category is preferred for reporting?

(A) S code in the HCPCS Level II.

(B) G code in the HCPCS Level II.

(C) CPT® code.

(D) A HCPCS Level II code and CPT® code.

A

(B) G code in the HCPCS Level II.

If a code exists in the HCPCS Level II codebook for a procedure and it was performed on a Medicare patient, the HCPCS Level II “G” code is used over a CPT® code. S codes are used by BCBS.

18
Q

Which HCPCS Level II codes are billed for ambulance services?

(A) A codes.

(B) B codes.

(C) C codes.

A

(A) A codes.

On the first page of each HCPCS Level II Tabular List section is a subheading describing the type of services found and the code range. The correct answer is A codes, which are defined in the subheading as Transportation Services Including Ambulance (A0021-A0999).

19
Q

What is the HCPCS Level II code for a folding walker, wheeled, adjustable or fixed height?

(A) E0143.

(B) E0144.

(C) E0141.

(D) E0148.

A

(A) E0143.

Look in the HCPCS Level II Alphabetic Index for Walker which directs you to codes E0130-E0149 or Folding/Walker which directs you to codes E0135 and E0143. Cross reference to the Tabular List for complete detailed description. The choice is based on the accessories included with the walker. The correct code is E0143.

20
Q

Patient is returning to her gynecologist for her annual gynecological exam. She has BCBS for insurance. What HCPCS Level II code is reported?

(A) G0101.

(B) S0613.

(C) S0610.

(D) S0612.

A

(D) S0612.

Look in the HCPCS Level II Alphabetic Index for
Annual/Gynecological examination/Established patient which directs you to S0612. Cross reference to the Tabular List for complete detailed description. The notation of BCBS for the patient’s insurance indicates to use an S code. There is no indication in the question that a breast exam was performed, so S0613 is not billed. The patient is returning to her gynecologist indicating she is an established patient, eliminating S0610. The correct code is S0612.

21
Q

What is the HCPCS Level II code for a gas permeable bifocal contact lens?

(A) V2510.

(B) V2502.

(C) V2599.

(D) V2512.

A

(D) V2512.

Look in the HCPCS Level II Alphabetic Index for Contact lens supplies and services/gas permeable/bifocal per lens which directs you to V2512. Cross reference to the Tabular List for complete detailed description. The correct code is V2512 for gas permeable bifocal contact lens.

22
Q

A 15-year-old female sustained a Colles’ fracture in which the pediatrician performs an application of short arm plaster cast. Identify the HCPCS Level II code that is billed.

(A) Q4011.

(B) Q4009.

(C) Q4017.

(D) Q4021.

A

(B) Q4009.

Look in the HCPCS Level II Alphabetic Index for Cast/Supplies/Short arm/Adult, plaster; which directs you to Q4009. Cross reference to the Tabular List for complete detailed description. The code choice is based
on age of patient, type of material, and length of cast. The correct code is Q4009 based on the patient being 15 years old.

23
Q

Patient with multiple injuries is being released home for home care. A hospital bed with electronic mattress adjustments for head and feet but without handrails will be in the patient’s home. What is the DME HCPCS Level II code to bill?

(A) E0292.

(B) E0296.

(C) E0290.

(D) E0294.

A

(D) E0294.

Look in the HCPCS Level II Alphabetic Index for Bed/Hospital/Semi-electric/With mattress; which directs you to codes E0260 and E0294. Semi-electric allows for only head and foot adjustments, whereas total electric allows for head, foot, and height adjustments. In this case, there is no mention of height adjustments as an accessory. Cross reference to the Tabular List for complete detailed description. The correct code is E0294 for without handrails.

24
Q

Which set of HCPCS Level II codes are covered by Medicaid and not accepted by Medicare?

(A) G codes.

(B) K codes.

(C) L codes.

(D) T codes.

A

(D) T codes.

In the beginning of the T codes section (T1000-T9999), the HCPCS Level II book indicates that T codes are designed for use by Medicaid state agencies and are not accepted by Medicare.

25
Q

What is the HCPCS Level II code for the compounded concentrated form of 0.5 mg Levalbuterol HCL when inhaled?

(A) J7607.

(B) J7612.

(C) J7614.

(D) J7615.

A

(A) J7607.

Look in the Table of Drugs and Biologicals for Levalbuterol HCL, concentrated form; which directs you to codes J7607 and J7612. Cross reference to the Tabular List for complete detailed description. The choice of code is based on the administration method, product form, and drug unit designation. The correct
code is J7607 for inhaled, compound of 0.5 mg.

CPB Certification (17 decks)

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