Leaderboard

Test Your Coding Guidelines for ICD-10-CM and CPT Knowledge

Multiple Choice

1.

Which answer is TRUE for coding of Proctosigmoidoscopy, Sigmoidoscopy and Colonosocpy?

a. Colonoscopy is the examination of of the entire rectum, sigmoid colon and may include examination of a portion of the descending colon

b. Report flexible sigmoidoscopy (43578-45398) for endoscopic examination during which the endoscope is not advanced beyond the splenic flexure

c. If a therapeutic colonoscopy such as a 45380 is performed and does not reach the cecum or colon-small intestine anastomosis, report the appropriate therapeutic colonoscopy code with modifier 53

d. When bleeding occurs as a result of an endoscopic procedure, control of bleeding is not reported separately during the same operative session

2.

Per CPT when exploration is reported in conjunction with other definitive procedure including arthrodesis and decompression, what is appended to exploration of the spinal infusion?

a. 20930-20938

b. Modifier 62

c. Modifier 51

d. Instrumentation procedures

3.

What are the correct guidelines for coding superficial injuries?

a. Superficial injuries such as abrasions or contusions are not coded when associated with more injuries of different sites

b. Superficial injuries such as abrasions or contusions are coded when associated with of the same or different site

c. Superficial injuries such as abrasions or contusions are coded when associated with more severe injuries of the same site

d. Superficial injuries such as abrasions or contusions are not coded when associated with more severe injuries of the same site

4.

Which answer is TRUE for definition of a physician or qualified health care professional?

a. These individuals or other qualified health care professionals and include doctors, PA, NP, MA or nurses with documented license to perform and report services independently

b. These are individuals that are qualified by education, training, licensure and reports the professional services independently

c. These are individuals such as a clinical staff members who work under the supervision of a physician and reports the professional services(s) they perform

d. Answers b and c

5.

Which answer identifies the correct definition of an adverse effect of a drug?

a. Drug has been correctly prescribed and properly administered

b. Error is made in drug prescription

c. Poisoning or reaction to the improper use of medication

d. When a harmful substance is ingested or comes into contact with a person

6.

Per CPT what is included in a complete ultrasound examination of the retroperitoneum?

a. Real time scans of the kidneys, heart aorta, common iliac artery origins, and inferior vena cava including any demonstrated retroperitoneal abnormality

b. Real time scans of the kidneys, abdominal aorta, common iliac artery origins and inferior vena cava including any demonstrated retroperitoneal abnormality

c. Real time scans of the liver, gall bladder, common bile duct, pancreas, spleen, kidneys and the upper abdominal aorta and interior vena cava including any demonstrated abdominal abnormality

d. Real time scans of the liver, gall bladder, common bile duct, pancreas, spleen, esophagus and the upper abdominal aorta and inferior vena cava including any demonstrated abdominal abnormality

7.

If the patient is diagnosed with abscess of lung and mediastinum what aditional information should be reported with these codes?

a. Code first the underlying disease

b. Code first any sepsis or cellulitis

c. Use additional code B95-B97 to identify infectious agent

d. Use additional code to identify disorder such as pneumonia or aspiration

8.

Which statement is FALSE for Spinal Instrumentation?

a. Do not append modifier 62 to bone graft codes 20900-20938

b. Code 22841 can be used in conjunction with codes 63001-63030

c. A non-segmental instrumentation is different than a segmental instrumentation because is may span several vertebral segments without attachment to the intervening segments.

d. Modifier 62 can be added to spinal instrumentation codes 22840-22848, 22850, 22852, 22953, 22954, 22859

9.

Per CPT ERCP procedures performed, ducts may be reported as stented or subject to stent replacement or balloon dilation. What ducts are included in these procedures?

a. Gall bladder, pancreas, liver, major and minor ducts of esophagus

b. Major and minor ducts of pancreas

c. Common bile duct, right hepatic duct, left hepatic duct, cystic duct/gallbladder in biliary tree

d. Answers b and c

10.

Which is TRUE for reporting panel codes that include any of the same constituent tests performed from the same collection?

a. Group of tests that overlaps two or more panels, report the panel that incorporates the greater number of test and report remaining tests using individual test codes

b. Group of test that overlaps two or more panels, report both panels and test are duplicate in panels with modifier 52

c. Group of tests that overlaps two or more panels, report the panel that incorporates the greater number of test, remaining test are not separately reportable

d. Group of tests that overlaps two or more panels, report each test independently and do not report either panel

 

Dedicated to making positive changes in your life and career.