CPC pretest 1

MAC stands for
Medicare Administrative Contractor

Local Coverage Determinations are administered by
Each regional MAC

What will the scope of a compliance program depend on
Size and resources of the physician’s practice

What is the value of a remittance advice ?
It tells you what you will be paid and why any changes to charges were made

AAPC credentialed coders have not proven mastery of
Administrative regulations

What is affected by myasthenia gravis ?
Neuromuscular junction

How many lobes make up the right lung ?
Three

Urine is transported from the kidneys to the urinary bladder by which structure ?
Ureter

A part of the male genital system sitting below the urinary bladder and surrounding the urethra is called the
Prostate

What is the function of the thyroid gland ?
It secretes hormones regulating body metabolism and blood calcium

Which of the following does not contribute to refraction in the eye ?
Macula

Which of the following is true about the function of the cochlea ?
It transmits sound only

Arthritis is an inflammation of what ?
Joint

The dome-shaped muscle under the lungs flattening during inspiration is the
Diaphram

A procedure widening a narrowed vessel or obstructed blood vessel is called a
Angioplasty

A deficiency of cells in the blood is defined as
Cytopenia

The root for pertaining to pancreatic islet cells is
Insul/o

Who are the parties responsible for overseeing changes and modifications to ICD-9-CM ?
NCHS and CMS

What type of code is assigned when the provider documents a reason for a patient seeking health care that is not an injury or disease ?
V code

What does ICD-9CM stand for ?
International Classification of Diseases-9th Revision-Clinical Modification

The terms malignant, benign, in situ, and uncertain behavior are all terms used when coding what ?
Neoplasm

What month do the new ICD-9-CM coding books take effect each year ?
October

The instructions and conventions of the classification take precedence over what ?
Official Coding Guidelines

If a patient uses insulin, what type of diabetic does it mean the patient is ?
The use of insulin, does not specify the patient is a certain type of diabetic

In ICD-10-CM, what condition is reported as the default code when the provider documents UROSEPIS ?
The provider must be queried before an ICD-10-CM code can be applied

In which circumstances would an external cause code be reported ?
Causes of injury, poisoning, and other adverse affects

How many days does it take for CMS to implement HCPCS Level II Temporary Codes that have been reported as added, changed, or deleted ?
90

What temporary HCPCS Level II codes are required for use by Outpatient Prospective Payment System OPPS Hospitals ?
C codes

What type of CPT code is Modifier 51 exempt even though there is no modifier 51 exempt symbol next to it ?
Add-on codes

What agency maintains and distributes HCPCS Level II codes ?
CMS

HCPCS Level II includes code ranges which consist of what type of codes ?
Permanent national codes, miscellaneous codes, and temporary national codes

The Table of Drugs in the HCPCS Level II book indicates various medication routes of administration. What abbreviation represents the route where a drug is introduced into the subdural space of the spinal cord ?
IT

What is the appropriate modifier to use when two surgeons perform separate distinct portions of the same procedure ?
Modifier 62

If a CPT code and a HCPCS Level II code exist for the same service, which should you report ?
It depends on the payer

Melanin is found in what layer of the epidermis ?
Basal

In ICD-10-CM, what type of burn is considered corrosion ?
Burn from chemical

Most nasal passages have how many turbinates present on the lateral wall of each nasal cavity ?
3

What is included in all vascular injection procedures ?
Necessary local anesthesia, introduction of needles or catheters, injection of contrast media with or without automatic power injection, and/or necessary pre-and post injection care specifically related to the injection procedure

Where is the vermilion border located ?
Upper lip

Which statement is true regarding reporting calculi in both the kidney and ureter ?
One code reports both the calculi in the kidney and the ureter

What is a root word for vagina ?
Colp/o

What does the abbreviation VBAC mean ?
Vaginal birth after cesarean

What is a laminotomy ?
Partial excision of one or more lamina

What is the transparent part of the eye ?
Cornea

What is the abbreviation for EACH EYE ?
O.U.

To code for the operating microscope, what verbiage are you looking for in the medical record ?
The operating microscope was sterilely draped and brought into the surgical field.

42 year old patient was undergoing anesthesia in an ASC and began having complications prior to the administration of anesthesia. The surgeon immediately discontinued the planned surgery. If the insurance company requires a reported modifier, what modifier best describes the extenuating circumstances ?
Modifier 73

When an anesthesiologist is medically supervising six cases, what modifier is reported for the CRNA’s medically directed service ?
QX

Which anatomic position has the patient lying at an angle instead of lying flat or directly on their side ?
Oblique

Tests in the Chemistry section of CPT are what types of tests unless specified otherwise ?
Quantitative

HCPCS Level II codes specifically for Pathology and Laboratory services all start with what letter ?
P

Referring to the CPT codebook in the Evocative / Suppression, if a patient has adrenal insufficiency and testing is performed to identify if the insufficiency is due to insufficient stimulating hormones or inability to reat to those hormones what substance is tested for and how many times must the test be performed ?
Cortisol x 2

What category of codes should be used to report an evaluation and management service provided to a patient in a psychiatric residential treatment center ?
Nursing facility services

When tissue glue is used to close a wound involving the epidermis layer how is it reported ?
As though it was a simple closure

Panel G. in CPT, a single code that groups laboratory tests that are frequently done together. Professional Component A. The physician’s skill, time, and expertise used in performing a procedure. WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC …

Identify the correct structure of Category II codes in CPT. four digits followed by an alphabetical character When a physician asks a patient questions to obtain an inventory of constitutional symptoms and of the various body systems, the results are …

HCPCS Health Care Common Procedure Coding System The HCPCS is divided in to how many manuals? 2 manuals, level 1 manal is the AMA CPT-4 and Level 2 manual is the HCPCS National Codes WE WILL WRITE A CUSTOM ESSAY …

ICD-9 is updated twice a year; each April and October True Computer skills are not necessary for coders to have if the record is not electronic True WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU …

surgical laparopscopy always includes diagnostic laparoscopy for medical complication of pregnancy, the physician would report his additional professional services using codes from what section or subsection Medicine or E/M WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY …

There are various types of anesthesia, and these include general, regional, or local sedation. True Local anesthesia is a type of anesthesia that provides a decreased level of consciousness. False WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC …

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