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Outpatient Coding 1 Final Exam UPDATED ACTUAL Exam Questions and CORRECT Answers

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Outpatient Coding 1 Final Exam UPDATED ACTUAL Exam Questions and CORRECT Answers Subset HCPCS modifier indicating denial expected as not reasonable or necessary. a. GV b. GZ c. GS d. GW - CORRECT ANSWER - b. GZ Medicare pays for what percentage of covered charges

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Uploaded on
September 6, 2025
Number of pages
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Written in
2025/2026
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Outpatient Coding 1 Final Exam UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Subset HCPCS modifier indicating denial expected as not reasonable or necessary.
a. GV
b. GZ
c. GS

d. GW - CORRECT ANSWER - b. GZ


Medicare pays for what percentage of covered charges?
a. 70%
b. 85%
c. 75%

d. 80% - CORRECT ANSWER - d. 80%


Choledocholithiasis (calculus of the bile duct) with acute and chronic cholangitis.

ICD-10-CM Code:_____________________ - CORRECT ANSWER - K80.36


RECORD OF OPERATION
PREOPERATIVE DIAGNOSIS: Acute myocardial infarction, congestive heart failure with
hypotension.


POSTOPERATIVE DIAGNOSIS: Same.
PROCEDURE.PERFORMED: Insertion of Swan-Ganz catheter.


PROCEDURE: Right neck area was prepped. Sterile drapes were applied. Under sterile gowns
and technique, right internal jugular vein was identified with 22 gauge needle from medial
approach. 18 gauge catheter was inserted into the vein. A guide wire was passed through the

, vein. 9 French introducer was inserted over the guide wire without difficulty. 7.5 French catheter
was inserted. Right atrial pressures were 16, right ventricular pressure 34/10, pulmonary artery
pressure 36/22 with a wedge pressure of 18. The patient tolerated the procedure well.
ICD-10-CM Code(s): ____________________

CPT Code: ___________________ - CORRECT ANSWER - I21.3, I50.9, I95.9
93503


The correct reporting for stage IV chronic kidney disease associated with diabetes mellitus, type
2:
a. E11.29, N18.4
b. N18.4, E13.22
c. E11.22, N18.4

d. N18.4, E11.22 - CORRECT ANSWER - c. E11.22, N18.4


The physician inserted a temporary indwelling Foley catheter.
CPT Code, HCPCS Code: ____________________,_____________________ - CORRECT
ANSWER - 51702, A4355


Name the six basic location methods to locate main terms in the index of CPT. - CORRECT
ANSWER - Procedure/service
Synonym
Eponymous
Anatomic Site
Condition of disease
Abbreviations


The rules that govern coding in various health care settings are:
a. nationally established
b. variable
c. unchanging

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