Medical Billing & Coding Week 4
To practice and review some of the concepts of Medical Billing and Coding, please go to the following site to practice all the quizzes: https://www.tests.com/practice/Medical-Coding-Practice-Test.
Please take some time to read the following to help prepare you for patient care. If prompted for a password, the password is: nurse.
Following this module, you will find several practice exams to help build your skill and knowledge in the medical field. These practice tests do not count toward your grade; they are only to help you learn.
Below are some of the quizzes that you will find on the site. These do not have the answers, but try them anyway and see how you do.
Medical Coding Quiz: CPT Coding Questions 1
Objective: Answer 7 out of 10 questions correctly.
Click on Refresh or Reload to start Over. JavaScript required! A current CPT™ manual is recommended. These questions are easier than an actual certification exam.
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The physician interpreted (only) a limited study for transthoracic echocardiogram for congenital cardiac anomalies. Code this:
- 93303.
- 93303-26.
- 93304.
- 93304-26.
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An implant “outside the muscle cone” refers to:
- Your heart.
- Your bicep
- Your eye
- The pectoralis major
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Report a diagnostic laparoscopy.
- 49320
- 50541
- 50544
- 50545
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Code for the initiation of ECMO (V-A) for cardiopulmonary insufficiency. The notes indicated that the heart as well as the lungs need to rest and heal.
- 33946.
- 33947
- 33948
- 33949
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When performing a “necropsy of the brain”, the patient will:
- Be under only local anesthesia.
- Be under full anesthesia.
- Most likely, elect acupuncture (the preferred method of anesthesia in this case).
- Not care. (no anesthesia is necessary).
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Under radiological supervision, the physician performed the preoperative placement of a needle localization wire in the breast for two lesions.
- 19287-26, 19288-26, 77021
- 19281, 19282, 77021
- 19287X2
- 19287, 19288
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The male patient had a severe case of gynecomastia (LCD). A mastectomy was performed.
- 19140
- 19180
- 19300
- 19301
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A conjuctivo-Tarso Muller Resection:
- Repairs drooping of the upper eyelid.
- Excises foreign bodies from the patella.
- Corrects a “cross-eyed” condition.
- Is a technique for obtaining skin grafts with minimal scarring.
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If someone performs an Abbe-Estlander procedure, what most likely has been repaired?
- Knee.
- Ear.
- Finger.
- None of the above.
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The patient had a congenital cleft lip. It was repaired with closure of the alveolar ridge which included a bone graft to the alveolar ridge. The nose was also repaired and a columellar lengthening of the septum was performed requiring a bone graft. Code for these procedures:
- 30462, 42210-51, 21210-51
- 30462, 42210, 21210.
- 30462, 42210-50, 21210-50
- 30420, 42210, 21210
Medical Coding Quiz: Outpatient Coding Guidelines 1 – True or False (Derived from VA Coding Guidelines)
Objective: Answer True or False 7 out of 10 questions correctly to pass.
Click on Refresh or Reload to start Over. Netscape 3.0 or higher and JavaScript required!
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“Fragmenting” is another term for bundling and unbundling.
- True
- False
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If a patient has a foreign body removed (20520) and an injection (20550), it would be appropriate to code for both.
- True
- False
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If a patient has morbid obesity, diabetes and hypertension and presents today for an ingrown toenail, be sure to code for all four diagnoses. (It could impact reimbursement!)
- True
- False
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When coding for therapeutic services, sequence the appropriate V code first for patients receiving chemotherapy, radiation therapy or rehabilitation services.
- True
- False
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Administrative functions that a physician must provide, to care for the patient, such as phone calls, documentation and ordering supplies (for that patient) are considered part of the E & M encounter and ARE part of the coding for ambulatory services.
- True
- False
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A visit for a medication refill is always billable at least a level I visit.
- True
- False
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When patient services are provided within 12 hours in order to avoid the likely onset of an emergency medical condition, select an E & M from the 99281 – 99288 range.
- True
- False
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Collection of blood by capillary stick qualifies for the 36415 venipuncture code.
- True
- False
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Use code 99000 when a urine specimen is sent to a reference lab.
- True
- False
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After a serious accident, the patient was admitted for observation and evaluation for a possible cranial injury. The injury was ruled out. The patient only had minor abrasions and was not admitted to the hospital. The coder coded a V71.4 as primary and the minor abrasions as second. Is this correct?
- True
- False
Medical Coding Quiz: HCPCS 1
Objective: Answer 7 out of 10 questions correctly.
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Where do you find HCPCS level II codes?
- They are at the back of the ICD-10 book.
- They are in Appendix D of the CPT book.
- They are only available from Medicare.
- They are in their own book: HCPCS level II.
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HCPCS Level II codes include what services not represented in CPT™?
- Ambulance services, durable medical equipment, Chiropractic services.
- Chemotherapy treatment, durable medical equipment, specific supplies.
- Ambulance services, Neurological testing, specific supplies.
- Ambulance services, durable medical equipment, specific supplies.
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HCPCS level II codes main difference with CPT codes is:
- HCPCS codes can have from 3 to 6 digits.
- HCPCS level II codes begin with a letter.
- HCPCS level II codes DO NOT accept any modifiers.
- HCPCS level II codes end with a letter.
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What HCPCS level II code is used for mesh used during a hernia repair via laparatomy?
- The mesh is never coded separately but included in the CPT™ procedure code.
- C1781.
- C9363
- S2077
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What is the HCPCS level II code for the oral administration of gamma globulin?
- J1460.
- J1561.
- 82787
- There is no such HCPCS level II code.