1. What is the correct modifier for a procedure performed in an
outpatient setting that is unrelated to the current diagnosis?
A. -57
B. -51
C. -59
D. -78
Answer: c) -59
Rationale: Modifier -59 is used to indicate that a procedure is
distinct or unrelated to the primary service or diagnosis.
2. What modifier would you use to report a procedure performed
on the wrong side of the body?
A. -50
B. -59
C. -XU
D. -76
Answer: c) -XU
Rationale: Modifier -XU is used to indicate that the procedure was
performed on the wrong side (unilateral procedure) or a different
site than intended.
,3. Which of the following is true about the use of ICD-10-CM
codes in medical records?
A. They are only used for billing purposes
B. They help document the reason for the patient's visit and the
diagnosis
C. They are not necessary for patient care documentation
D. They are only required in outpatient settings
Answer: b) They help document the reason for the patient's visit
and the diagnosis
Rationale: ICD-10-CM codes provide a standardized way to
document and classify diagnoses, which is essential for accurate
medical record-keeping and billing.
4. What is the correct procedure code for a laparoscopic
cholecystectomy?
A. 47562
B. 49000
C. 43235
D. 47200
Answer: a) 47562
Rationale: CPT code 47562 is used for laparoscopic
cholecystectomy, which involves the removal of the gallbladder
using a laparoscope.
, 5. What is the appropriate CPT code for a mammogram?
A. 77067
B. 99385
C. 36415
D. 71020
Answer: a) 77067
Rationale: CPT code 77067 is used to report a bilateral screening
mammogram.
6. Which of the following is an example of a non-covered service
in medical insurance?
A. Routine check-ups for preventative care
B. Emergency room visits
C. Surgery deemed medically unnecessary
D. Dialysis treatment
Answer: c) Surgery deemed medically unnecessary
Rationale: Non-covered services are treatments or procedures
deemed not medically necessary or outside the scope of a patient's
insurance coverage.
7. What is the primary purpose of the HCPCS Level II codes?
A. To report laboratory services
outpatient setting that is unrelated to the current diagnosis?
A. -57
B. -51
C. -59
D. -78
Answer: c) -59
Rationale: Modifier -59 is used to indicate that a procedure is
distinct or unrelated to the primary service or diagnosis.
2. What modifier would you use to report a procedure performed
on the wrong side of the body?
A. -50
B. -59
C. -XU
D. -76
Answer: c) -XU
Rationale: Modifier -XU is used to indicate that the procedure was
performed on the wrong side (unilateral procedure) or a different
site than intended.
,3. Which of the following is true about the use of ICD-10-CM
codes in medical records?
A. They are only used for billing purposes
B. They help document the reason for the patient's visit and the
diagnosis
C. They are not necessary for patient care documentation
D. They are only required in outpatient settings
Answer: b) They help document the reason for the patient's visit
and the diagnosis
Rationale: ICD-10-CM codes provide a standardized way to
document and classify diagnoses, which is essential for accurate
medical record-keeping and billing.
4. What is the correct procedure code for a laparoscopic
cholecystectomy?
A. 47562
B. 49000
C. 43235
D. 47200
Answer: a) 47562
Rationale: CPT code 47562 is used for laparoscopic
cholecystectomy, which involves the removal of the gallbladder
using a laparoscope.
, 5. What is the appropriate CPT code for a mammogram?
A. 77067
B. 99385
C. 36415
D. 71020
Answer: a) 77067
Rationale: CPT code 77067 is used to report a bilateral screening
mammogram.
6. Which of the following is an example of a non-covered service
in medical insurance?
A. Routine check-ups for preventative care
B. Emergency room visits
C. Surgery deemed medically unnecessary
D. Dialysis treatment
Answer: c) Surgery deemed medically unnecessary
Rationale: Non-covered services are treatments or procedures
deemed not medically necessary or outside the scope of a patient's
insurance coverage.
7. What is the primary purpose of the HCPCS Level II codes?
A. To report laboratory services
