Ch11 review COC 2020 Exam 2026
Questions and Answers
Report the code for a bilateral tubal ligation. - Correct answer-58600
Rationale: Look in the CPT ® Index for Ligation/ Tubal referring you to 58600.
The descriptor for 58600 indicates ligation or transection of fallopian tube(s),
abdominal or vaginal approach, unilateral or bilateral, so modifiers 50, RT and LT
are not used. Report only 58600.
What is the reported HCPCS code for a diaphragm for contraceptive use? - Correct
answer-A4266
Rationale: Look in the HCPCS Level II Index for Contraceptives/Diaphragm
referring you to A4266. Verify this code.
A patient with symptoms of menopause is given an injection of Estradiol Valerate,
10 mg in the muscle. What HCPCS Level II code is reported? - Correct answer-
J1380
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, Rationale: Injections given in the muscle are IM. Look in the HCPCS Level II
Table of Drugs and Biologicals for Estradiol Valerate referring you to J1380. Look
up J1380 and you will see this is correct for an injection of up to 10 mg.
How are NCCI edits used in OPPS? - Correct answer-NCCI edits are used to
determine codes considered by CMS to be bundled in a major procedure.
Rationale: NCCI edits are used by professional coders to determine codes
considered by CMS to be bundled codes for procedures and services deemed
necessary to accomplish a major procedure. Bundled procedure codes are not
reported separately.
What is the parent code of 45382? - Correct answer-45378
Rationale: Find 45382 in the CPT ® codebook. This is a partial description (it
begins with a lower case letter and is not a complete description). Look at each
code above 45382 until you find a code with a complete description that includes
the semi-colon. In this case, the parent code is 45378. The complete description of
45382 is Colonoscopy, flexible; with control of bleeding, any method. The
©COPYRIGHT 2025, ALL RIGHTS RESERVE 2
Questions and Answers
Report the code for a bilateral tubal ligation. - Correct answer-58600
Rationale: Look in the CPT ® Index for Ligation/ Tubal referring you to 58600.
The descriptor for 58600 indicates ligation or transection of fallopian tube(s),
abdominal or vaginal approach, unilateral or bilateral, so modifiers 50, RT and LT
are not used. Report only 58600.
What is the reported HCPCS code for a diaphragm for contraceptive use? - Correct
answer-A4266
Rationale: Look in the HCPCS Level II Index for Contraceptives/Diaphragm
referring you to A4266. Verify this code.
A patient with symptoms of menopause is given an injection of Estradiol Valerate,
10 mg in the muscle. What HCPCS Level II code is reported? - Correct answer-
J1380
©COPYRIGHT 2025, ALL RIGHTS RESERVE 1
, Rationale: Injections given in the muscle are IM. Look in the HCPCS Level II
Table of Drugs and Biologicals for Estradiol Valerate referring you to J1380. Look
up J1380 and you will see this is correct for an injection of up to 10 mg.
How are NCCI edits used in OPPS? - Correct answer-NCCI edits are used to
determine codes considered by CMS to be bundled in a major procedure.
Rationale: NCCI edits are used by professional coders to determine codes
considered by CMS to be bundled codes for procedures and services deemed
necessary to accomplish a major procedure. Bundled procedure codes are not
reported separately.
What is the parent code of 45382? - Correct answer-45378
Rationale: Find 45382 in the CPT ® codebook. This is a partial description (it
begins with a lower case letter and is not a complete description). Look at each
code above 45382 until you find a code with a complete description that includes
the semi-colon. In this case, the parent code is 45378. The complete description of
45382 is Colonoscopy, flexible; with control of bleeding, any method. The
©COPYRIGHT 2025, ALL RIGHTS RESERVE 2
