1. When would you use an ICD-10-PCS code?
A. For coding outpatient diagnostic procedures
B. For coding inpatient procedures performed in a hospital setting
C. For coding physician office visits
D. For coding laboratory tests in an outpatient clinic
Answer: b) For coding inpatient procedures performed in a
hospital setting
Rationale: ICD-10-PCS codes are used specifically for inpatient
hospital procedures, distinguishing them from ICD-10-CM codes
used for diagnoses.
2. What is the appropriate ICD-10 code for a routine post-surgical
follow-up visit?
A. Z09
B. Z34.00
C. Z11.9
D. Z00.00
Answer: a) Z09
Rationale: Z09 is the ICD-10 code used for follow-up visits after
surgery to monitor the patient's recovery.
,3. What is the appropriate ICD-10 code for a history of breast
cancer without active disease?
A. Z85.3
B. C50.9
C. Z00.00
D. Z01.419
Answer: a) Z85.3
Rationale: Z85.3 is the ICD-10 code for a personal history of
malignant neoplasm of the breast, without active disease.
4. What is the purpose of using ICD-10-PCS codes?
A. To document diagnostic procedures in outpatient settings
B. To classify procedures performed in inpatient hospital settings
C. To report laboratory tests
D. To assign insurance payment codes
Answer: b) To classify procedures performed in inpatient hospital
settings
Rationale: ICD-10-PCS codes are used to describe procedures
performed in inpatient settings, such as surgeries and other
hospital treatments.
5. Which modifier should be appended to a CPT code if a
procedure was altered but not completely changed?
, A. -51
B. -22
C. -52
D. -59
Answer: c) -52
Rationale: Modifier -52 is used to indicate that a procedure was
partially reduced or eliminated, but not entirely changed.
6. Which of the following is the correct modifier to indicate a
bilateral procedure?
A. -59
B. -50
C. -22
D. -51
Answer: b) -50
Rationale: Modifier -50 is used to indicate that a procedure was
performed bilaterally (on both sides of the body).
7. What is the primary purpose of the HCPCS Level II codes?
A. To report laboratory services
B. To report non-physician services, such as ambulance
transportation
A. For coding outpatient diagnostic procedures
B. For coding inpatient procedures performed in a hospital setting
C. For coding physician office visits
D. For coding laboratory tests in an outpatient clinic
Answer: b) For coding inpatient procedures performed in a
hospital setting
Rationale: ICD-10-PCS codes are used specifically for inpatient
hospital procedures, distinguishing them from ICD-10-CM codes
used for diagnoses.
2. What is the appropriate ICD-10 code for a routine post-surgical
follow-up visit?
A. Z09
B. Z34.00
C. Z11.9
D. Z00.00
Answer: a) Z09
Rationale: Z09 is the ICD-10 code used for follow-up visits after
surgery to monitor the patient's recovery.
,3. What is the appropriate ICD-10 code for a history of breast
cancer without active disease?
A. Z85.3
B. C50.9
C. Z00.00
D. Z01.419
Answer: a) Z85.3
Rationale: Z85.3 is the ICD-10 code for a personal history of
malignant neoplasm of the breast, without active disease.
4. What is the purpose of using ICD-10-PCS codes?
A. To document diagnostic procedures in outpatient settings
B. To classify procedures performed in inpatient hospital settings
C. To report laboratory tests
D. To assign insurance payment codes
Answer: b) To classify procedures performed in inpatient hospital
settings
Rationale: ICD-10-PCS codes are used to describe procedures
performed in inpatient settings, such as surgeries and other
hospital treatments.
5. Which modifier should be appended to a CPT code if a
procedure was altered but not completely changed?
, A. -51
B. -22
C. -52
D. -59
Answer: c) -52
Rationale: Modifier -52 is used to indicate that a procedure was
partially reduced or eliminated, but not entirely changed.
6. Which of the following is the correct modifier to indicate a
bilateral procedure?
A. -59
B. -50
C. -22
D. -51
Answer: b) -50
Rationale: Modifier -50 is used to indicate that a procedure was
performed bilaterally (on both sides of the body).
7. What is the primary purpose of the HCPCS Level II codes?
A. To report laboratory services
B. To report non-physician services, such as ambulance
transportation
