Possible Questions with Verified
Answers & Detailed Rationale | 100%
Correct | Latest 2025/2026 Update.
When the physician does not specify the method used to remove
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a lesion during an endoscopy, what is the appropriate procedure?
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a. Assign the removal by snare technique code.
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b. Assign the removal by hot biopsy forceps code.
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c. Assign the ablation code.
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d. Query the physician as to the method used.
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Answer: D i,-
It is not appropriate for the coder to assume the removal was
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done by either snare or hot biopsy forceps. The ablation code is
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only assigned when a lesion is completely destroyed and no
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specimen is retrieved. The coding professional must query the
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physician to assign the appropriate code (AHIMA 2012a, 607).
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,What is the best reference tool to determine how CPT codes
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should be assigned? i,- i,-
a. Local coverage determination from Medicare
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b. American Medical Association's CPT Assistant newsletter
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c. American Hospital Association's Coding Clinic
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d. CMS website
i,- i,- i,-i,- i,- Correct Answer: B i,- i,-
CPT Assistant provides additional CPT coding guidance on how
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to assign a CPT code by providing intent on the use of the code
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and explanation of parenthetical instructions. The American
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Medical Association publishes the guidance monthly (AMA
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2012b).
Identify the appropriate ICD-9-CM diagnosis code(s) for right and
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left bundle branch block.
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a. 426.3, 426.4
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b. 426.53
i,-
c. 426.4, 426.53
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d. 426.52
i,- i,-i,- i,- Correct Answer: B i,- i,- i,-
,Index Block, left, with right bundle branch block. Right and left
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bundle branch block is inclusive of one code. It is inappropriate to
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assign a code for right (426.4) and left (426.3) bundle branch
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block when a combination code includes both the right and left
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(Schraffenberger 2012, 201-207). i,- i,-
A software interface is a:
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a. Device to enter data
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b. Protocol for describing data
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c. Program to exchange data
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d. Standard vocabulary
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A software interface is a computer program that allows different
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applications to communicate and exchange data (Johns 2011,
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137).
What did the Centers of Medicare and Medicaid Services develop
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to promote national correct coding methodologies and to control
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improper coding leading to inappropriate payment in Part B
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claims?
, a. Outpatient Perspective Payment System (OPPS)
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b. National Correct Coding Initiative (NCCI)
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c. Ambulatory Payment Classifications (APCs)
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d. Comprehensive Outpatient Rehab Facilities (CORFs)
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Correct Answer: B i,- i,-
CMS developed the NCCI to control improper coding practices
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leading to inappropriate payments in Part B claims (CMS 2012a).
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Identify the appropriate diagnostic and/or procedure ICD-9-CM
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code(s) for reprogramming of a cardiac pacemaker.
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a. V53.31
i,-
b. 37.85
i,-
c. V53.02
i,-
d. V53.31, 37.85
i,- i,- i,-i,- i,- Correct Answer: A i,- i,-
Index Fitting (of) pacemaker (cardiac). No procedure code exists
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in ICD-9-CM to describe reprogramming (Schraffenberger 2012,
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204-205).