MEDICAL CODING AND BILLING CERTIFICATION
(MCBC) QUESTIONS I
The services medically necessary for diagnostic code linkage - Answer -What must a
coder understand in order to determine the correct diagnosis code assignment?
Correctly identifying primary and secondary insurance policies in order to preserve
coordination of benefits - Answer -Avoiding the duplication of benefits paid by the
primary and secondary insurance is achieved by:
Use the combination code - Answer -If a combination code is available, a coder should:
blue triangle - Answer -When a code is "revised" in the CPT manual, it will be indicated
by:
particular radiology service provided is not described by a specific CPT code - Answer -
A coder should use an "unlisted' radiology CPT code when:
Code blocks - Answer -Major topic headings in the Tabular List of ICD-10-CM are
known as:
Healthcare Common Procedure Coding System - Answer -Most state Medicaid
programs use what type of system to report professional services, procedures, supplies,
and equipment?
always a letter - Answer -The first character of ICD-10-CM:
Using a fourth, fifth, sixth or seventh digit when required - Answer -Coding to the
highest level of specificity means:
Without - Answer -According to the ICD-10-CM conventions, if the documentation is
unclear or does not state that the complication or comorbidity listed in the code
description is present with the condition, the default is:
E/M service codes - Answer -Reported in addition to the appropriate casting code when
a cast or splint is intended to be the definitive treatment of a fracture
Subsequent Encounter - Answer -Care encounter after the initial care event
Diagnostic codes from encounter form - Answer -What information is needed to fill out
a CMS-1500 claim form?
Billing more than the proper fee for a service - Answer -Upcoding is:
(MCBC) QUESTIONS I
The services medically necessary for diagnostic code linkage - Answer -What must a
coder understand in order to determine the correct diagnosis code assignment?
Correctly identifying primary and secondary insurance policies in order to preserve
coordination of benefits - Answer -Avoiding the duplication of benefits paid by the
primary and secondary insurance is achieved by:
Use the combination code - Answer -If a combination code is available, a coder should:
blue triangle - Answer -When a code is "revised" in the CPT manual, it will be indicated
by:
particular radiology service provided is not described by a specific CPT code - Answer -
A coder should use an "unlisted' radiology CPT code when:
Code blocks - Answer -Major topic headings in the Tabular List of ICD-10-CM are
known as:
Healthcare Common Procedure Coding System - Answer -Most state Medicaid
programs use what type of system to report professional services, procedures, supplies,
and equipment?
always a letter - Answer -The first character of ICD-10-CM:
Using a fourth, fifth, sixth or seventh digit when required - Answer -Coding to the
highest level of specificity means:
Without - Answer -According to the ICD-10-CM conventions, if the documentation is
unclear or does not state that the complication or comorbidity listed in the code
description is present with the condition, the default is:
E/M service codes - Answer -Reported in addition to the appropriate casting code when
a cast or splint is intended to be the definitive treatment of a fracture
Subsequent Encounter - Answer -Care encounter after the initial care event
Diagnostic codes from encounter form - Answer -What information is needed to fill out
a CMS-1500 claim form?
Billing more than the proper fee for a service - Answer -Upcoding is:
