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Exam (elaborations)

CCS Final Exam 2

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Exam of 26 pages for the course ccs at ccs (CCS Final Exam 2)

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Uploaded on
February 12, 2025
Number of pages
26
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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1. What does CPT code 99232 represent?
A. A new patient office visit
B. A follow-up inpatient visit, low complexity
C. A routine examination in a clinical setting
D. A consult for a second opinion
Answer: b) A follow-up inpatient visit, low complexity
Rationale: CPT code 99232 is used for a follow-up inpatient visit
with low complexity, involving an evaluation and management
service.


2. When coding for a laceration repair, which of the following
factors does NOT affect the selection of the CPT code?
A. Length of the laceration
B. Location of the laceration
C. Time of day the repair was done
D. Depth of the laceration
Answer: c) Time of day the repair was done
Rationale: The time of day does not impact the selection of a CPT
code for a laceration repair. Factors such as length, location, and
depth are considered.

,3. Which of the following is the correct ICD-10 code for obesity
due to excess calories?
A. E66.9
B. E66.0
C. E66.1
D. E66.8
Answer: b) E66.0
Rationale: E66.0 is the ICD-10 code for obesity due to excess
calories.


4. What does the term "capitation" refer to in medical billing?
A. A payment method where providers receive a fixed payment per
patient per month
B. A method to track patient satisfaction
C. The coding of emergency medical procedures
D. The process of submitting claims for a single service
Answer: a) A payment method where providers receive a fixed
payment per patient per month
Rationale: Capitation refers to a payment arrangement where
healthcare providers are paid a set amount per patient, regardless
of the number of services provided.

, 5. Which ICD-10 code would be appropriate for a diagnosis of
Type 2 diabetes mellitus with diabetic retinopathy?
A. E11.9
B. E11.40
C. E11.65
D. E11.21
Answer: c) E11.65
Rationale: E11.65 is the correct ICD-10 code for Type 2 diabetes
mellitus with diabetic retinopathy.


6. What does the term "bundled payment" refer to in medical
billing?
A. Single payment for multiple services
B. Separate payments for each service
C. Insurance claim rejection
D. Payment for services not rendered
Answer: a) Single payment for multiple services
Rationale: Bundled payments refer to a payment system where a
single payment is made for a group of related services provided
during an episode of care.


7. What is the main purpose of a CPT code in medical billing?
A. To report procedures and services performed
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