COC 2020 - FINAL EXAM STUDY
QUESTIONS (SET 7) 2025 EXPERT
VERIFIED | ACE THE TEST
Medicare payment for inPt eligible new tech is based on the cost to the
hospital for the new tech. Medicare pays: - 🧠 ANSWER ✔✔50% for the
costs of the new tech in excess of the full MS-DRG payment
Medicare reimbursable drugs are found in this code book. - 🧠 ANSWER
✔✔HCPCS Level II Rationale: Medicare reimbursable drugs are found in
the HCPCS Level II code book. Medicare reimbursable drugs must be
billed in the appropriate dosage amount defined by the long descriptor of
their respective HCPCS Level II codes and adjusted for the units to reflect
the amount of drug administered.
MeV: - 🧠 ANSWER ✔✔Radiation dosage in million electron volts =
maximum energy level of the X-ray beam
,Modifier TC is reported on the UB-04 claim form. True or False? Why? - 🧠
ANSWER ✔✔False. Modifier TC indicates the technical component. This is
understood in the facility setting and is not reported on the UB-04.
Mr. Elliot visits the surgeon for evaluation for a wedge resection ofleft lung
cancer. During the admission, the patient reports pain in the chest due to
the malignancy. Applying the coding concept from ICD-10-CM guideline
I.C.6.b.5, what ICD-10-CM code(s) should be reported? - 🧠 ANSWER
✔✔C34.92, G89.3
Mr. McFarland visits his oncologist for prostate cancer. He is reporting
more fatigue than usual. Lab tests determine the patient has anemia due to
the cancer. Applying the coding concept from ICD-10-CM guideline
I.C.2.c.l, what ICD-10-CM codes should be reported for the visit? - 🧠
ANSWER ✔✔C61, D63.0
Mr. Smith is scheduled for a splenectomy for hypersplenism. Before his
splenectomy, he is required to have clearance from his pulmonologist. The
pulmonologist performs a pre-operative screening. Applying the coding
concept from ICD-10-CM guideline IV.M, which ICD-10-CM codes would be
reported for the pre-operative clearance? - 🧠 ANSWER ✔✔Z01.811, D73.1
,Mr. Smith presents to the office for a screening test to detect sickle cell
disorder. What ICD-10-CM code(s) is/are reported? - 🧠 ANSWER ✔✔Z13.0
Mr. Timmins fell off a roof and suffered a spinal injury. As a result of the
injury, he has been suffering from chronic pain in his lower back for several
years. Today, he presents for insertion of a neurostimulator for pain control.
Applying the coding concept from ICD-10-CM guidelines I.C.6.b.l.a and
I.C.6.b.l.b.ii, what ICD-10-CM codes should be reported for the pain? (Do
not code the external cause.) - 🧠 ANSWER ✔✔G89.21, M54.5
Mrs. Bixby, 83, is being admitted for dehydration and anorexia. The
probable cause is dementia. She was brought in by her daughter who is
visiting from out of town. Her daughter will take her from our office to St.
Mary's. The gerontology unit will evaluate her mental condition tomorrow
after she is stabilized. How would you code the diagnoses? - 🧠 ANSWER
✔✔R63.0, E86.0
Mrs. Fryer visits her nephrologist for an erythropoietin (EPO) injection for
her anemia. She has Stage 3 chronic kidney disease, which is the cause of
the anemia. Applying the coding concept from ICD-10-CM guideline I.A.13,
what ICD- 10-CM code(s) should be reported for the EPO injection? - 🧠
ANSWER ✔✔N18.3,D63.1
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STATEMENT. ALL RIGHTS RESERVED
3
, Mrs. Johnson is here today to receive an intercostal nerve block to mitigate
the debilitating pain of her malignancy. Her cancer has metastasized to her
bones in her thoracic spine Primary cancer is unknown. What ICD-10-CM
codes are reported? - 🧠 ANSWER ✔✔G89.3, C79.51,C80.1
Mrs. Smith is visiting her mother and is 150 miles away from home. She is
in the 26th week of pregnancy. In the late afternoon she suddenly feels a
gush of fluid followed by strong uterine contractions. She is rushed to the
hospital but the baby is born before they arrive. In the ED, she and the
baby are examined, and the retained placenta is delivered. The baby is in
the neonatal nursery doing okay. Mrs. Smith has a 2nd degree perineal
laceration secondary to precipitous delivery, which was repaired by the ED
physician. She will return home for her postpartum care. What codes does
the facility ED report (CPT® and ICD-10-CM codes)? - 🧠 ANSWER
✔✔59414, 59300, O73.0, O70.1, Z37.0, Z3A.26
Multifield: - 🧠 ANSWER ✔✔Use of three or more fields to deliver dosage
Muscle is attached to bone by what method? - 🧠 ANSWER ✔✔Tendons,
aponeurosis and directly to the bone
QUESTIONS (SET 7) 2025 EXPERT
VERIFIED | ACE THE TEST
Medicare payment for inPt eligible new tech is based on the cost to the
hospital for the new tech. Medicare pays: - 🧠 ANSWER ✔✔50% for the
costs of the new tech in excess of the full MS-DRG payment
Medicare reimbursable drugs are found in this code book. - 🧠 ANSWER
✔✔HCPCS Level II Rationale: Medicare reimbursable drugs are found in
the HCPCS Level II code book. Medicare reimbursable drugs must be
billed in the appropriate dosage amount defined by the long descriptor of
their respective HCPCS Level II codes and adjusted for the units to reflect
the amount of drug administered.
MeV: - 🧠 ANSWER ✔✔Radiation dosage in million electron volts =
maximum energy level of the X-ray beam
,Modifier TC is reported on the UB-04 claim form. True or False? Why? - 🧠
ANSWER ✔✔False. Modifier TC indicates the technical component. This is
understood in the facility setting and is not reported on the UB-04.
Mr. Elliot visits the surgeon for evaluation for a wedge resection ofleft lung
cancer. During the admission, the patient reports pain in the chest due to
the malignancy. Applying the coding concept from ICD-10-CM guideline
I.C.6.b.5, what ICD-10-CM code(s) should be reported? - 🧠 ANSWER
✔✔C34.92, G89.3
Mr. McFarland visits his oncologist for prostate cancer. He is reporting
more fatigue than usual. Lab tests determine the patient has anemia due to
the cancer. Applying the coding concept from ICD-10-CM guideline
I.C.2.c.l, what ICD-10-CM codes should be reported for the visit? - 🧠
ANSWER ✔✔C61, D63.0
Mr. Smith is scheduled for a splenectomy for hypersplenism. Before his
splenectomy, he is required to have clearance from his pulmonologist. The
pulmonologist performs a pre-operative screening. Applying the coding
concept from ICD-10-CM guideline IV.M, which ICD-10-CM codes would be
reported for the pre-operative clearance? - 🧠 ANSWER ✔✔Z01.811, D73.1
,Mr. Smith presents to the office for a screening test to detect sickle cell
disorder. What ICD-10-CM code(s) is/are reported? - 🧠 ANSWER ✔✔Z13.0
Mr. Timmins fell off a roof and suffered a spinal injury. As a result of the
injury, he has been suffering from chronic pain in his lower back for several
years. Today, he presents for insertion of a neurostimulator for pain control.
Applying the coding concept from ICD-10-CM guidelines I.C.6.b.l.a and
I.C.6.b.l.b.ii, what ICD-10-CM codes should be reported for the pain? (Do
not code the external cause.) - 🧠 ANSWER ✔✔G89.21, M54.5
Mrs. Bixby, 83, is being admitted for dehydration and anorexia. The
probable cause is dementia. She was brought in by her daughter who is
visiting from out of town. Her daughter will take her from our office to St.
Mary's. The gerontology unit will evaluate her mental condition tomorrow
after she is stabilized. How would you code the diagnoses? - 🧠 ANSWER
✔✔R63.0, E86.0
Mrs. Fryer visits her nephrologist for an erythropoietin (EPO) injection for
her anemia. She has Stage 3 chronic kidney disease, which is the cause of
the anemia. Applying the coding concept from ICD-10-CM guideline I.A.13,
what ICD- 10-CM code(s) should be reported for the EPO injection? - 🧠
ANSWER ✔✔N18.3,D63.1
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Mrs. Johnson is here today to receive an intercostal nerve block to mitigate
the debilitating pain of her malignancy. Her cancer has metastasized to her
bones in her thoracic spine Primary cancer is unknown. What ICD-10-CM
codes are reported? - 🧠 ANSWER ✔✔G89.3, C79.51,C80.1
Mrs. Smith is visiting her mother and is 150 miles away from home. She is
in the 26th week of pregnancy. In the late afternoon she suddenly feels a
gush of fluid followed by strong uterine contractions. She is rushed to the
hospital but the baby is born before they arrive. In the ED, she and the
baby are examined, and the retained placenta is delivered. The baby is in
the neonatal nursery doing okay. Mrs. Smith has a 2nd degree perineal
laceration secondary to precipitous delivery, which was repaired by the ED
physician. She will return home for her postpartum care. What codes does
the facility ED report (CPT® and ICD-10-CM codes)? - 🧠 ANSWER
✔✔59414, 59300, O73.0, O70.1, Z37.0, Z3A.26
Multifield: - 🧠 ANSWER ✔✔Use of three or more fields to deliver dosage
Muscle is attached to bone by what method? - 🧠 ANSWER ✔✔Tendons,
aponeurosis and directly to the bone
