Coding and Coding Guidelines Flashcards

1
Q
Which of the following HCPCS codes is used to report a pediatric crib, hospital grade, fully enclosed?
A. E0293
B. E0296
C. E0300
D. E0303
A

C. E0300

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2
Q
Which of the following ICD-10-CM codes indicate chronic cholecystitis with cholelithiasis without obstruction?
A. K80.00
B. K80.10
C. K80.20
D. K80.31
A

B. K80.10

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3
Q
A billing and coding specialist is preparing a claim for a patient who has chronic tonsilitis. According to the suffix -itis, which of the following is occurring with the tonsils?
A. Abnormal condition
B. Inflammation
C. Enlargement
D. Pain
A

B. Inflammation

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4
Q
Which of the following is the correct ICD-10-CM code to report for an encounter for gestational diabetes controlled with diet and insulin?
A. O24.414
B. O24.410, O24.414
C. O24.419
D. O24.819
A

A. O24.414

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5
Q
Which of the following HCPCS modifiers indicate the anatomical location of left hand, fifth digit?
A. F2
B. F9
C. FA
D. F4
A

D. F4

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6
Q
Which of the following ICD-10-CM codes should be used for an encounter for human immunodeficiency virus(HIV) testing?
A. Z11.3
B. Z11.4
C. Z11.51
D. Z71.7
A

B. Z11.4

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7
Q
Which of the following abbreviations describe the route in which a medication is introduced into the subdural space of the spinal cord?
A. IM
B. SC
C. INH
D. IT
A

D. IT

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8
Q
A billing and coding specialist is coding a patient's visit with a provider. After querying the provider, the diagnosis is confirmed to be type 1 diabetes mellitus with hyperglycemia. Which of the following codes should the specialist use for this condition?
A. E10.9, R73.9
B. E11.9
C. E10.65
D. E11.65
A

C. E10.65

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9
Q
A billing and coding specialist is processing a claim for a patient who has hypoglycemia. In the term hypoglycemia, the prefix hypo- means which of the following?
A. Below
B. Above
C. Between
D. Excessive
A

A. Below

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10
Q
A billing and coding specialist should use which of the following CPT procedure code(s) to report a screening CT colonography?
A. 74150, 74263
B. 74261
C. 74263
D. 74262
A

C. 74263

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11
Q
A patient is diagnosed with exudative otitis media. Which of the following is the anatomic location of this condition?
A. Middle ear
B. Inner ear
C. Outer ear
D. Eustachian tube
A

A. Middle ear

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12
Q
Which of the following categories in the ICD-10-CM is used to report a routine prenatal visit with no complications?
A. Z00
B. Z34
C. O09
D. O80
A

B. Z34

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13
Q
A child received the measles, mumps, rubella, and varicella(MMRV) vaccine with provider counseling. Which of the following CPT codes should be reported for the vaccine and administration?
A. 90707, 90716, 90471, 90472 x 3
B. 90707, 90716, 90460, 90461 x 3
C. 90710, 90460
D. 90710, 90460, 90461 x 3
A

D. 90710, 90460, 90461 x 3

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14
Q
A billing and coding specialist is completing a claim for a new patient who reports swelling in their ankles. The provider performs a comprehensive history, examination, and spends 60 minutes with the patient. Which of the following Evaluation and Management (E/M) codes should the specialist select?
A. 99285
B. 99205
C. 99214
D. 99215
A

B. 99205

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15
Q
A patient presents to their provider's office with a sore throat, and the provider diagnoses acute and chronic tonsilitis. Which of the following codes should be billing and coding specialists use for this diagnosis?
A. J03.90
B. J35.01
C. J35.01, J03.90
D. J03.90, J35.01
A

D. J03.90, J35.01

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16
Q
A billing and coding specialist is coding an initial encounter with a provider. The chief complaint states the patient fell a week ago and is concerned by the lingering pain in the left leg, but x-rays indicate a right femur fracture. The specialist queries the provider who confirms a right femur fracture. Which of the following codes should be used to report the fracture?
A. S72.001
B. S72.002A
C. S72.001A
D. S72.001B
A

C. S72.001A

17
Q
Which of the following CPT modifiers indicate only the professional component of a radiology service was provided?
A. 26
B. 25
C. 24
D. 22
A