CODE SPECIALIST MODULE CS NATIONAL FINAL PAPER EXAM QUESTIONS ACCURATE
ANSWERS FULL SOLUTION
CODE Specialist Module CS National Certification
EXAM 2026/2027 Examination Questions and
Answers Verified Solutions Latest Update
Question:
When more than two physicians work together to complete a complicated procedure and each
physician has a specific portion of the surgery to complete, they are called.
Answer:
co-surgeons
Question:
This modifier indicates an increased service and is overused and results in an increase in payment of
20% to 30%. As such, the assignment of this modifier comes under particularly close scrutiny by
third-party payers. What is this modifier?
Answer:
-22
Question:
When adding multiple CPT modifiers to a code, you would list the modifiers from: When adding
multiple HCPCS modifiers, list in: If CPT modifiers and HCPCS modifiers are both used, list:
Answer:
CPT- highest to lowest HCPS-ascending alphabetical order both- CPT (highest to lowest) then
HCPS (ascend. alpha.)
Question:
What part of the CPT manual lists a full description for all modifiers?
Answer:
appendix A
,Question:
When a CPT codes does not fully explain an unusual procedure,what should be added to the code?
Answer:
modifier
Question:
Third-Party payers require this modifier for a mandated service.
Answer:
-32 (like a rape test required by police, or phyiscal exam needed for workers comp; third-party payer
will pay 100% for mandated services)
Question:
Modifier -47, anesthesia by the surgeon, is never added to what CPT code?
Answer:
Anesthesia Code
Question:
How many units of service may be billed when reporting the -50 modifier (bilateral) to Medicare?
Answer:
one unit (For medicare, just submit 27447-50 for procedure done left and right; whereas other
payers want two lines 27447 and 27447-50.)
Question:
When reporting -51 modifier to indicate multiple procedure performed, which procedure should be
reported first on the claim?
Answer:
Primary Procedure
,Question:
Medicare considers what service to be part of the surgery and bundled payment not allowing the -56
modifier?
Answer:
preoperative
Question:
E&M services provided the day before or the day of a major surgery are included in what package?
Answer:
Global Day
Question:
Modifier -63 indicates procedure provided to a neonate or infant up to what weight?
Answer:
4 kg or 8.8 lbs
Question:
A surgical team consists of how many physicians?
Answer:
More than two
Question:
What is defined as a place of service specifically equipped and staffed for the sole purpose of
performing procedures?
Answer:
Operating Room
, Question:
How many modifier area are available on a CMS-1500 insurance claim form for one-line item
charge?
Answer:
four
Question:
Describing a physician's services in radiology or pathology.
Answer:
Professional component
Question:
Describing the services provided by the facility.
Answer:
Technical Component
Question:
Bundling together of time effort and services for a specific procedure into one code instead of
reporting each component separately
Answer:
Surgical Package
Question:
Code assignments in the E/M section varies according to three factors:
Answer:
1. place of service 2. type of service 3. patient status
ANSWERS FULL SOLUTION
CODE Specialist Module CS National Certification
EXAM 2026/2027 Examination Questions and
Answers Verified Solutions Latest Update
Question:
When more than two physicians work together to complete a complicated procedure and each
physician has a specific portion of the surgery to complete, they are called.
Answer:
co-surgeons
Question:
This modifier indicates an increased service and is overused and results in an increase in payment of
20% to 30%. As such, the assignment of this modifier comes under particularly close scrutiny by
third-party payers. What is this modifier?
Answer:
-22
Question:
When adding multiple CPT modifiers to a code, you would list the modifiers from: When adding
multiple HCPCS modifiers, list in: If CPT modifiers and HCPCS modifiers are both used, list:
Answer:
CPT- highest to lowest HCPS-ascending alphabetical order both- CPT (highest to lowest) then
HCPS (ascend. alpha.)
Question:
What part of the CPT manual lists a full description for all modifiers?
Answer:
appendix A
,Question:
When a CPT codes does not fully explain an unusual procedure,what should be added to the code?
Answer:
modifier
Question:
Third-Party payers require this modifier for a mandated service.
Answer:
-32 (like a rape test required by police, or phyiscal exam needed for workers comp; third-party payer
will pay 100% for mandated services)
Question:
Modifier -47, anesthesia by the surgeon, is never added to what CPT code?
Answer:
Anesthesia Code
Question:
How many units of service may be billed when reporting the -50 modifier (bilateral) to Medicare?
Answer:
one unit (For medicare, just submit 27447-50 for procedure done left and right; whereas other
payers want two lines 27447 and 27447-50.)
Question:
When reporting -51 modifier to indicate multiple procedure performed, which procedure should be
reported first on the claim?
Answer:
Primary Procedure
,Question:
Medicare considers what service to be part of the surgery and bundled payment not allowing the -56
modifier?
Answer:
preoperative
Question:
E&M services provided the day before or the day of a major surgery are included in what package?
Answer:
Global Day
Question:
Modifier -63 indicates procedure provided to a neonate or infant up to what weight?
Answer:
4 kg or 8.8 lbs
Question:
A surgical team consists of how many physicians?
Answer:
More than two
Question:
What is defined as a place of service specifically equipped and staffed for the sole purpose of
performing procedures?
Answer:
Operating Room
, Question:
How many modifier area are available on a CMS-1500 insurance claim form for one-line item
charge?
Answer:
four
Question:
Describing a physician's services in radiology or pathology.
Answer:
Professional component
Question:
Describing the services provided by the facility.
Answer:
Technical Component
Question:
Bundling together of time effort and services for a specific procedure into one code instead of
reporting each component separately
Answer:
Surgical Package
Question:
Code assignments in the E/M section varies according to three factors:
Answer:
1. place of service 2. type of service 3. patient status
