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Test Your HCPCS Codes Knowledge

Multiple Choice

1.

What route is Blenoxane administered?

a. IM, IV, SC

b. IM, SC

c. IV, IM

d. INH, IM, SC

2.

Physician prescribes a wheelchair accesory (E2373) for a patient.  Patient orders this accessory from a DME supplier that is not approved by Medicare.  How will this be paid?

a. DME supplier will bill Medicare and paid because the patient has a prescription written by the provider and Medicare cannot deny services due to prescription and DME supplier will be paid but at a lower rate than a participating DME provider.

b. Patient will be responsible for payment because the DME supplier is not approved by Medicare

c. DME will bill Medicare because the patient has a prescription written by provider. Medicare will pay the patient and not the DME supplier because they are non-participating.

d. There are no Medicare or DME guidelines for wheelchair accessories because of Medical Necessity for these types of products.

3.

What is the correct HCPCS code for an external urinary pouch collection device for a 68 year-old female?

a. A4326

b. A4349

c. A4327

d. None of the above

4.

Which answer is TRUE for the difference between HCPCS code G0402 and G0438?

a. G0402 is a annual wellness examination and a benefit to a new Medicare beneficiary within the first 6 months of enrollment. G0438 is used thereafter for Medicare beneficiary annual wellness physical examination.

b. G0402 is a preventive physical examination and benefit to a new Medicare beneficiary within the first 12 months of Medicare enrollment. G0438 can only be used with those Medicare patients enrolled in Medicare Part C.

c. G0402 is a preventive physical examination and benefit to a new Medicare beneficiary within the first 12 months of Medicare enrollment. G0438 is a annual wellness visit only and does not include a physical examination.

d. G0402, G0438 are both annual physician examinations. G0402 is used for the Medicare beneficiary during the first 12 months of Medicare enrollment. G0438 is an annual physical and examination used yearly after the Initial Preventive Exam of G0402.

5.

This Medicare patient needs a foot arch support for his flat foot. Is this covered by Medicare?

a. No flat foot is not covered unless it is documented that it is a routine procedure by a podiatrist

b. No, flat foot is not covered for correction of any condition

c. Yes if medical record indicates the patient has diabetes

d. Yes if performed by a podiatrist or other qualified heathcare individual

 

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