COC 2020 - FINAL EXAM STUDY QUESTIONS (SET 7) | 100 Questions with 100% Correct Answers | Updated & Verified | 29 Pages

Medicare payment for inPt eligible new tech is based on the cost to the hospital for the new tech. Medicare pays: - 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. - 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: - 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? - 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? - C34.92, G89.3