You are right. Here are the questions for exam 1:
1. In the Tabular List, where would you find alternative terms and explanatory phrases?
A. In parentheses
B. After a colon
C. In square brackets
D. In double braces
2. Codes that have mandatory fifth digits are codes that
A. require the use of the digit "5" as the fifth character.
B. use the numbers 1 or 2 as the fifth digit.
C. require four supporting codes.
D. always require a fifth digit to fully describe them.
3. A patient presents in the office with diarrhea. Physician documents gastroenteritis. What is the first listed diagnosis?
C. Both have equal precedence. Code either one first.
D. E&M code for office visit
Which of the following is not one of the most common forms of Medicare fraud?
Billing for services provided
Misrepresenting a diagnosis to justify a payment
Routine waiver of copayment
Billing for services not furnished
What convention in the Alphabetic Index tells you to look elsewhere before assigning a code?
An established patient is seen for amenorrhea and galactorrhea, to rule out pituitary tumor. Identify the
Amenorrhea and galactorrhea
What are the correct code(s) for acute and chronic laryngitis?
What category can not be assigned with any other delivery code in the 630–676 range?
What volume of the ICD-9-CM is used by hospitals to report inpatient procedures?
Volume 1, Supplement
An established patient is seen for redness, blurriness and sensitivity to light in her right eye. The
documentation states the diagnosis is iritis. Using the ICD-10 guidelines, which would be the
diagnosis for this patient encounter?
Iritis of the right eye
Sensitivity to light
The abbreviation NOS is used
to indicate that another code may describe the condition more completely or specifically.
to provide assurance that the code is correct by listing various terms that are covered by the code.
when the medical record doesn't provide enough information to permit assignment of a more specific code.
when a separate code for a specific condition isn't provided in the classification system.
The correct ICD-10 reporting block that would contain acute cholecystitis with cholelithiasis with
A patient is diagnosed with controlled Type 2 Diabetes on insulin without complication. Assign the
Identify the correct code for status asthmaticus.
What are the correct codes for dehydration due to pneumonia?
Identify the correct code for family history of breast cancer, female.
What is the main term for "fractured clavicle"?
E codes are used to report
external causes of injury and poisoning.
extra descriptors for coding.
extenuating circumstances surrounding an injury.
exercise method after injury.
When a correct substance is properly administered but has an adverse effect, this is called
Patient is admitted for radiation therapy for metastatic bone cancer, primary unknown. Patient develops
severe vomiting secondary to the course of radiation and is kept an extra day for stabilization. Assign the
V58.0, 787.03, 198.05, 199.1
V58.0, 787.03, 198.05, 199.1, E879.2
170.9, V58, 787.03, 198.05, 199.1, E879.2
787.03, 198.05, 199.1, E879.2
Which chapter in the ICD-10 contains codes for the perinatal period?
Which of the following is true about the ICD-10-CM?
There's additional information relevant to inpatient encounters.
There are limited injury codes.
An eighth character was added.
There are combination diagnosis/symptom codes.
When coding late effects, the code for the _______ is usually sequenced first.
Single braces are used in the Tabular List to
connect terms on both sides of the braces.
connect a series of terms on the left with one term on the right.
indicate fifth digits required with a code.
include nonessential modifiers and alternative codes.
What does the acronym ICD-9-CM mean?
International Classification of Diseases, 9th Edition, Coding Manual
International Coding Definitions, 9th Version, Coding Manual
International Classification of Diseases, 9th Revision, Clinical Modification
International Classification of Diagnoses, 9th Edition, Coding Modification
If a QIO provider renders a covered service that costs $100 and bills Medicare for the services and
Medicare allows $58, the provider would bill _______ to the patient.
Identify the correct diagnosis code for benign essential hypertension.
A physician has certified that a patient is terminally ill and is expected to live six months or less. The
patient is receiving hospice care. Which part of Medicare will cover this service?
What is the main term in the diagnosis "pituitary gland hypofunction"?
What is the correct code for impending shock?
No code is assigned.
_______ are used to indicate factors influencing health status and contact with health services.
Which of the following is the correct code for a threatened spontaneous abortion, unspecified episode
End of exam
An established patient presents with chest pain. He has a history of previous myocardial infarction and
coronary artery bypass surgery. Using the ICD-10 guidelines, which would be the
first-listed diagnosis for
this patient encounter?
Previous myocardial infarction
Possible myocardial infarction
Status-post coronary artery bypass surgery
For which of the following does Medicare Part A pay?
Physician services and durable medical equipment
Hospital/facility care and durable medical equipment
Professional services and durable medical equipment
In which edition of the Federal Register would hospital facilities be especially interested?
Its Exam # XXXXX
Tomorrow by 3:00 PM.
Hi Cher. Sorry about that. That would be Eastern standard. Also if this exam is satisfactory (95-100%), I would like to employ your services on the other 6 exams at the agreed upon price.
How are you? I have been sick for a few days and still recovering...but feeling better. I am satisfied with the last exam and thank you for the quick help. I received an 80% which is good but I think I will bump the next help against my answers prior to submitting. Basically like you suggested.
Attachments are only available to registered users.
I have another exam I need help with if you are willing...
381755RR - CPT AND HCPCS BASICS; EVALUATION AND MANAGEMENT.
I'll look for those answers that I missed but in the mean time here are the exam questions I am now referring to:
Where is specific coding information about each section located in the CPT?
Code assignments in the Evaluation and Management section vary according to three factors. Which
factor below is
not one of these factors?
Place of service
Type of service
To qualify for a given level of multi-specialty examination, how many content and documentation
requirements should be met?
At times, the five-digit CPT code may not reflect completely the services or procedures provided. In this
situation, you would add a/an
Level II code.
When a neonate or infant is not considered critically ill but still needs intensive observation and other
intensive care services, the initial and continuing intensive care services codes are
99499, unlisted evaluation and management services.
What CPT code is assigned to an ED service that has a detailed history and exam with a moderate level
What type of code includes all the words that describe the procedure the code represents?
The _______ is the universal health insurance form for submission of outpatient services.
J codes in the HCPCS Level II system are used to indicate
medications and dosages.
durable medical equipment.
When a range of CPT codes are given in the index, this range is indicated by which symbol?
Mr. Smith presents to the Emergency Department at the local hospital for chest pain and is seen by the
ED physician on duty. The physician obtains an extended HPI, an extended ROS, and a pertinent PFSH.
What is the level of history?
How often are Category III codes released?
As often as necessary
Every three years
Twice a year
An attending physician asks a specialist to see a patient about a specific problem and to advise him
regarding treatment. This situation is called a
transfer of care.
The words that follow a code number in the CPT manual are called the
Critical care codes are reported based on
the three key components—history, exam, MDM.
amount of documentation.
In the index of the CPT manual, which punctuation mark between codes indicates a range of codes is
A list of all CPT modifiers used to alter or modify codes may be found in which CPT Appendix?
The physician must consider multiple diagnoses and management options. There is a moderate amount
of data to be reviewed and the risk of complications or death is moderate. What is the level of MDM?
Modifier -59, distinct procedure service, is used to indicate that
a subsequent surgery was planned or staged at the time of the first surgery.
a patient was taken back to the operating room for surgical treatment of a complication resulting from a previous surgery.
services that are usually bundled into one payment were provided as separate services.
a service was repeated.
A surgical assistant provides service (an extra set of hands) to the primary surgeon during a surgical
procedure. The assistant surgeon's services are reported using the same codes as the primary surgeon's, but
What year was CPT first developed and published?
When a physician performs a preventive care service, the extent of the exam is determined by the
patient's gender and age.
length of time elapsed since last exam.
A procedure or service not found in the CPT manual can be coded as an unlisted procedure if no
category I or II exists to describe the procedure/service provided. Unlisted Service or Procedure codes end
Which category number or level codes represent services and procedures that have been approved by
the FDA and have been proven to have clinical effectiveness?
Which of the following types of examination is limited to an affected body area or organ system and
other related organ systems?
Expanded problem focused
After the first eligible procedure is reimbursed at 100% of Medicare allowance, the remaining (up to
four) procedures are reimbursed at _______ percent.
Modifier -58, staged or related procedure or service by the same physician during the postoperative
period, is used to indicate that
a subsequent surgery was planned at the time of the first surgery.
Modifier -51, Multiple Procedure, is used on what type of services?
The physician performs an extended exam of the affected body areas and related organ systems. What
is the level of the examination?
In which CPT appendix would additions, deletions, and revisions be found?
Which one of the following items must be included in a general multisystem examination of a
Palpation of lymph nodes
Inspection of teeth and gums
Auscultation of the lungs
Who publishes CPT?
How many main sections are in the CPT manual?
Which modifier is used by an anesthesiologist to indicate a service for which general anesthesia was
used when normally the anesthesia would have been local or regional?
Which of the following range of codes is located in the Evaluation and Management section of the CPT
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