EXAM NEWEST 2024-2025 ACTUAL
EXAM 140 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
What form is used to submit a provider's charge to the insurance carrier?
km km km km km km km km km km km km
a. UB-04
km
b. Provider reimbursement form
km km km
c. CMS-1500
km
d. ABN - ans-c. CMS-1500
km km km km
Which coding manuals do outpatient coders focus on learning?
km km km km km km km km
a. CPT, HCPCS Level II and ICD-10-CM
km km km km km km
b. CPT and ICD-10-CM
km km km
c. ICD-10-CM and ICD-10-PCS
km km km
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS - ans-a. CPT, HCPCS Level II and ICD-
km km km km km km km km km km km km km km
10-CM
In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?
km km km km km km km km km km km km km km
a. 2010
km
b. 2009
km
c. 2000
km
d. 2007 - ans-b. 2009
km km km km
Voluntary compliance programs also provide benefits by not only helping to prevent erroneou
km km km km km km km km km km km km
s or ____, but also by showing that the provider practice is making additional good faith effort
km km km km km km km km km km km km km km km km
s to submit claims appropriately.
km km km km
a. Over utilized codes
km km km
b. Duplicative claims
km km
c. Fraudulent claims
km km
d. Mistaken principals - ans-c. Fraudulent claims
km km km km km km
Which CMS product describes whether specific medical items, services, treatment procedure
km km km km km km km km km km
s or technologies are considered medically necessary under Medicare?
km km km km km km km km
a. Medicare Claims Processing Manual
km km km km
b. National Coverage Determinations Manual
km km km km
c. Relative Value Files
km km km
,d. Medicare Physician Fee Schedule Final Rule - ans-
km km km km km km km km
b. National Coverage Determinations Manual
km km km km
Which condition results from an injury to the head?
km km km km km km km km
The symptoms include headache, dizziness and vomiting.
km km km km km km km
a. Meningitis
km
b. Concussion
km
c. Epilepsy
km
d. Parkinson's disease - ans-b. Concussion
km km km km km
In order, starting with the innermost layer, what are the four walls of the digestive tract?
km km km km km km km km km km km km km km km
a. Mucosa, submucosa, muscle, serosa
km km km km
b. Serosa, mucosa, submucosa, muscle
km km km km
c. Mucosa, submucosa, serosa, muscle
km km km km
d. Muscle, submucosa, mucosa, serosa - ans-a. Mucosa, submucosa, muscle, serosa
km km km km km km km km km km
Which one of the following best describes psoriasis?
km km km km km km km
a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery scales
km km km km km km km km km km km km km
b. An inflammatory condition characterized by redness pustular and vesicular lesions, crusts,
km km km km km km km km km km km km
and scales km
c. An allergic reaction characterized by wheals and generally accompanied by pruritus
km km km km km km km km km km km
d. A contagious infection of skin generally caused by staphylococcus bacterium - ans-
km km km km km km km km km km km km
a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery scales
km km km km km km km km km km km km km
A form of milk produced the first few days after giving birth is:
km km km km km km km km km km km km
a. Prolactin
km
b. Colostrum
km
c. Lactose
km
d. Chorion - ans-b. Colostrum
km km km km
A condition where the thyroid is overactive is called:
km km km km km km km km
a. Thyrotoxicosis
km
b. Panhypopituitarism
km
c. Ketosis
km
d. Thyroiditis - ans-a. Thyrotoxicosis
km km km km
What do the instructions and conventions of the classification take precedence over?
km km km km km km km km km km km
a. CPTkm
b. Documentation
km
c. Official Coding Guidelines
km km km
d. Nothing. They are only used in the event of no other instruction. - ans-
km km km km km km km km km km km km km km
c. Official Coding Guidelines
km km km
What is the sequencing order when coding a sequela (late effect)?
km km km km km km km km km km
a. They symptom is coded first followed by the residual condition and the late effect code
km km km km km km km km km km km km km km km
b. The cause of the late effect is coded first and the residual condition is coded second
km km km km km km km km km km km km km km km km
, c. The cause of the late effect is coded first; the residual condition is second followed by the s
km km km km km km km km km km km km km km km km km km
ymptoms
d. The residual condition is coded first, and the code(s)for the cause of the late effect are cod
km km km km km km km km km km km km km km km km km
ed as secondary - ans-
km km km km
d. The residual condition is coded first, and the code(s)for the cause of the late effect are cod
km km km km km km km km km km km km km km km km km
ed as secondary km km
Using the ICD-10- km km
CM Alphabetic Index, which main term below has an instructional note indicating another mai
km km km km km km km km km km km km km
n term may also be referenced that may provide additional Alphabetic Index entries that may
km km km km km km km km km km km km km km km
be useful? km
a. Diabetes km
b. Fibrosarcoma
km
c. Appendicitis
km
d. Symptoms - ans-b. Fibrosarcoma
km km km km
A 50-year-
km
old female presents to her provider with symptoms of insomnia and upset stomach. The provi
km km km km km km km km km km km km km km
der suspects she is premenopausal. She is diagnosed with impending menopause. What dia
km km km km km km km km km km km km
gnosis code(s) should be reported? km km km km
a. E28.319 km
b. G47.00, K30km km
c. N95.9, G47.00, K30
km km km
d. N95.9 - ans-b. G47.00, K30
km km km km km
Rationale: ICD-10-CM guideline I.B.11 states to reference the ICD-10- km km km km km km km km
CM Alphabetic Index to determine if the condition has a subentry for impending or threatened
km km km km km km km km km km km km km km k
mand also reference main term entries for Impending and Threatened. If the subterms are liste
km km km km km km km km km km km km km km
d, assign the given code. If the subterms are not listed, code the existing underlying condition
km km km km km km km km km km km km km km km
(s) and not the condition described as impending or threatened. Look in the Alphabetic Index
km km km km km km km km km km km km km km km
for Impending. There is not a subterm for menopause; therefore, the symptoms are coded. Lo
km km km km km km km km km km km km km km
ok for Insomnia (organic) which directs the coder to G47.00. Next, look for Upset/
km km km km km km km km km km km km km
stomach which directs the coder to K30. Verify code selection in the Tabular List.
km km km km km km km km km km km km km
What is the ICD-10-CM code for a laceration on the left shoulder, subsequent encounter?
km km km km km km km km km km km km km
a. S51.009D km
b. S46.001D km
c. S51.801D km
d. S41.012D - ans-d. S41.012D
km km km km
According to ICD-10- km km
CM guidelines, when a patient is seen for management of anemia due to malignancy, how is i
km km km km km km km km km km km km km km km km
t reported?
km
a. Anemia is reported first, followed by the code for the malignancy
km km km km km km km km km km km
b. The malignancy is the only condition reported
km km km km km km km
c. Anemia is the only condition reported
km km km km km km
d. The malignancy is reported first, followed by the code for the anemia - ans-
km km km km km km km km km km km km km km
d. The malignancy is reported first, followed by the code for the anemia
km km km km km km km km km km km km