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

Multiple Choice

1.

What does the ICD-10 coding guidelines indicate for proper coding if the type of diabetes (Type I or Type II) if it is not indicated in the medical record?

a. If they take insulin you will automatically default to type I diabetes mellitus

b. Do not code diabetes if not specified as type I or type II diabetes

c. Default is E10 for type I diabetes mellitus

d. Default is E11 for type II diabetes mellitus

2.

Per ICD-10-CM guidelines which answer correctly identifies the sequencing of severe sepsis that meets the definition of a principal diagnosis?

a. Code R65.21 is coded first followed by the underlying systemic infection

b. Underlying systemic infection is principal diagnosis followed by R65.2 category

c. Noninfectious condition is sequenced first followed by the code for the resulting infection and R65.2

d. For septic shock code for the systemic infection first, followed by R65.21 and T81.12 plus the organ dysfunction

3.

Per ICD-10-CM when the HIV patient remains asymptomatic without any documentation of symptoms, what code would be used for encounters?

a. B20 and Z21

b. B20

c. Z21

d. B20 and other diagnosis. Sequencing will depend on whether the condition is related or unrelated to the HIV.

4.

Some procedures in CPT say “separate procedure” after the code. According to the surgery guidelines some procedures are NOT to be reported in addition to another procedure. Which statement below is TRUE?

a. Would not be reported in additional to the code for total procedure or service of which it is considered an integral component.

b. Would be reported in addition to the code for total procedure or service and is not an integral component of the main procedure

c. Would not be reported in additional to the code for total procedure or service of which it is considered an integral component, however you could add a modifer 51 to unbundle

d. You will always bill both procedures, attach modifiers when needs and list the most expensive procedure first on the billing form.

5. Patient brought into out-patient facility for a screening colonoscopy. The physician was unable to advance to the cecum because the colon was not completed evacuated with feces. The physician was unable to complete this screening colonoscopy. How would this be billed to the insurance?

a. 45330-52

b. 45330-53

c. 45378-53

d. 45378-52

6. Which statement is true according to CPT guidelines for use of 72275 for Injection, Drainage, or Aspiration of the Spine and Spinal Cord codes?

a. Code 72275 is not used when an epidurogram is performed images documented, and formal radiologic report is issued.

b. Code 72275 is only used when an epidurogram is performed images documented, and formal radiologic report is issued.

c. Code 72275 is only used when an epidurogram, a formal contrast study and formal radiologic report is issued.

d. Code 72275 is only used when an epidurogram is included in a percutaneous insertion and removal of an epidural catheter and formal radiologic report is issued.

7. According to CPT radiology guidelines what is the correct statement below for oral and/or rectal contrast administration?

a. Administration alone does qualify as study “with contrast”

b. Administration alone does not qualify as study “with contrast”

c. Administration alone does not qualify as study “with contrast” unless injection is performed

d. Administration alone does qualify as study “with contrast” unless injection is performed

8. How does the CPT guidelines define “Intraservice” time and administration for moderate conscious sedation?

a. Intraservice time starts with the administration of the sedation agent(s), require continuous attendance, and ends at the conclusion of personal contact by the physician providing the sedation

b. Intraservice time starts with the administration of the IV and require continuous face-to-face attendance, and ends at the conclusion of personal contact by the physician providing the sedation

c. Intraservice time starts with the administration of the sedation agent(s), require continuous face-to-face attendance, and ends at the conclusion of personal contact by the physician providing the sedation

d. Intraservice time starts with the administration of the sedation agent(s), require continuous face-to-face attendance, and ends at the conclusion of personal contact by the facility providing the sedation

9. What does the CPT guidelines for cardiovascular monitoring services identify as definition for MCT?

a. Elements derived from recordings of the electrical activation of the heart including but not limited to heart rhythm, rate ST analysis, heart rate variability, T-wave alternans.

b. The immediate availability of a remote technician to respond to rhythm or device alert transmissions from a patient, either from an implant or wearable monitoring or therapy device.

c. Continuously records the electrocardiographic rhythm from external electrodes placed on the patient’s body.

d. All of the above

10. According to ICD-10-CM guidelines what is the correct definition of an adverse effect of a drug?

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

b. Error was made in drug prescription

c. Poisoning or reaction to the improper use of a medication

d. Drug has been correctly prescribed and properly administered

 

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