2026 CODING SCRIPT SOLVED
QUESTIONS VERIFIED ANSWERS A+
◉ 2. If another status T procedure were performed, how much would the
facility receive for the second status T procedure?
998323-billing#, V-status indicator, 99285-25-CPT/HCPCS, 0612-APC.
998324-billing#, T-status indicator, 25500-CPT/HCPCS, 0044-APC.
998325-billing#, X-status indicator, 72050-CPT/HCPCS, 0261-APC.
998326-billing#, S-status indicator, 70450-CPT/HCPCS, 0283-APC.
998327-billing#, S-status indicator, 70450-CPT/HCPCS, 0283-APC
a. 0%
b. 50%
c. 75%
d. 100%.
Answer: b. 50%
,Multiple surgical procedures with payment status indicator T performed
during the same operative session are discounted. The highest-weighted
procedure is fully reimbursed. All other procedures with payment status
indicator T are reimbursed at 50%.
◉ 3. A health information technician is processing payments for hospital
outpatient services to be reimbursed by Medicare for a patient who had
two physician visits, underwent radiology examinations, clinical
laboratory tests, and who received take-home surgical dressings. Which
of the following services is reimbursed under the outpatient prospective
payment system?
a. Clinical laboratory tests
b. Physician office visits
c. Radiology examinations
d. Take-home surgical dressings.
Answer: c. Radiology examinations
Radiology procedures are identified under the outpatient perspective
payment system with a status indicator X. Status indicator X identifies
ancillary services that are separately paid .
◉ 4. Which of the following types of hospitals are excluded from the
Medicare inpatient prospective payment system?
a. Children's
, b. Rural
c. State supported
d. Tertiary.
Answer: a. Children's
Psychiatric and rehabilitation hospitals, long-term care hospitals,
children's hospitals, cancer hospitals, and critical access hospitals are
paid on the basis of reasonable cost, subject to payment limits per
discharge or under separate PPS.
◉ 5. Diagnosis-related groups are organized into:
a. Case-mix classifications
b. Geographic practice cost indices
c. Major diagnostic categories
d. Resource-based relative values.
Answer: c. Major diagnostic categories
Diagnosis-related groupings [DRGs] are classified by one of 25 major
diagnostic categories [MDCs].
◉ 6. In processing a Medicare payment for outpatient radiology
examinations, a hospital outpatient services department would receive
payment under which of the following?