NCCT REVIEW HCPCS EXAM QUESTIONS AND ANSWERS

NCCT REVIEW HCPCS EXAM QUESTIONS AND ANSWERS 1. A patient came into office today after slamming his hand in a car door. Assessment: X-ray showed no broken hand; very bad sprain. A hand splint will be applied. Which of the following HCPCS codes should be assigned? A. A4590 B. A4580 C. A4565 D. A4570 - Answer-A4570 Rationale A4590 is Special casting material (e.g., fiberglass). A4580 is Cast supplies (e.g. plaster). A4565 is for Slings. A4570 is for a Splint. For this scenario, HCPCS code A4570 would be applied. 2. The physician provides the patient with a 2.5 mg inhaler of albuterol and ipratropium bromide . Which of the following is the correct HCPCS code assignment? A. J7620 B. J7620 x 5 C. J7610 D. J7610 x 5 - Answer-J7620 Rationale J7610 is code for Albuterol in the concentrated form and in units of 1MG. J7620 is Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA-approved final product. J7620 is the correct answer because it includes both the albuterol and the ipratropium. The physician orders an influenza vaccine for a Medicare patient. Which of the following codes should be used for administration of the vaccine? A. G0008 B. G0009 C. 90658 D. 90472 - Answer-G0008 Rationale The administration of the flu vaccine for a Medicare patient is G0008. G0009 is for the pneumococcal vaccine for a Medicare patient. 90658 is for the supply of the flu vaccine only. 90472 is an immunization administration, for each additional vaccine, for non- Medicare patients. 4. A physician prescribed an injection of Furosimide 40mg for a 47-year-old female. Which of the following is the correct HCPCS code assignment? A. J1451 B. J1451 X3 C. J1940 D. J1940 X2 - Answer-J1940 X2 Rationale In the HCPCS manual, under Furosimide, the code is listed as J1940. The description of J1940 states that it is up to 20 mg. Since the dose is 40 mg, the code will be times two, J1940 X2. 5. Which of the following is the correct HCPCS code assignment for injection of 50 units of insulin? A. J1815 B. J1817 C. J1815x10 D. J1817x10 - Answer-J1815x10 Rationale J1815 is for 5 units of insulin. Since the injection was 50 units of insulin, HCPCS code J1815 x 10 is the correct way to bill this injection. J1817 is per 5 units for use in an insulin pump. 6. Which of the following sets of codes represent E/M visits and DME, such as wheelchairs covered by the Medicare program? A. HCPCS codes; ICD-10-CM codes B. HCPCS codes; CPT® category II codes C. ICD-10-CM codes; HCPCS codes D. CPT® category I codes; HCPCS codes - Answer-CPT® category I codes; HCPCS codes Rationale When coding an E&M visit and DME (Durable Medical Equipment), code the CPT® Category I E&M code first and the DME code second. So, the CPT® code is primary and the HCPCS code is secondary. 7. A patient was seen in the ER due to a fracture to the left tibia. A long leg cast was applied and a pair of underarm wooden crutches was provided for the patient. In addition to any E&M services, which of the following is the correct code assignment for these services?