AAPC CPB - Chapter 13 Review Test (Answered 100% Correct)

AAPC CPB - Chapter 13 Review Test (Answered 100% Correct) On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? a. Not medically necessary b. Invalid CPT code for DOS c. Invalid ICD-10-CM code for DOS d. Timely filing b. Invalid CPT code for DOS CPT codes 11400 and 12031 were reported on a claim. The insurance carrier denied 12031 as bundled with 11400. According to CPT® guidelines for Excision for Benign Lesions what action should the biller take? a. Write-off 12031 as repairs are included in excisions. b. Add modifier 59 to 12031 and submit a corrected claim. c. Add modifier 51 to 12031 and submit a corrected claim. d. Appeal the claim. d. Appeal the claim. What is one way to assist in lowering denials for non-covered services? a. Keep every payer policy on file b. Call insurance companies after any services are rendered c. Be aware of the most common exclusions in the office's major plans d. Appeal all non-covered service denials c. Be aware of the most common exclusions in the office's major plans A patient is involved in an accident at work and their commercial insurance is billed. What type of denial will be received?