MEDICAL BILLING AND CODING FINAL
EXAM QUESTIONS AND ANSWERS
Which organization has been responsible for the development of ICD-10? - Answer-
NCHS
Terms that may be used to describe a threatened condition include: - Answer-
evolving
impending
threatening
(all of the above)
The correct code for threatened spontaneous aborting, unspecified episode of care
is: - Answer-640.0
The correct code for impending shock is: - Answer-785.50
The correct code for cough due to pneumonia is/are: - Answer-none of the above
The correct codes for dehydration due to pneumonia are: - Answer-486,276.50
The correct code(s) for viral pneumonia is/are: - Answer-480.9
The correct code(s) for acute and chronic laryngitis is/are: - Answer-464.00,476.0
What are the words that follow a code number in the CPT manual called? - Answer-
a. procedure/service descriptor
A code that has all of the words that describe the code that follows in what type of
code? - Answer-Stand-alone
Procedures that are experimental, newly approved, or seldom used are reported with
what type of code? - Answer-unlisted category III
What requires a special report with the use of an unlisted report? - Answer-Third-
party payers
Which of the following represents three of the six elements that as special report
must contain? - Answer-nature, extent, need
Which punctuation mark between codes in the index of the CPT manual indicates a
range of codes is available? - Answer-hyphen
The list of unlisted procedures for use in the specific section of the CPT manual is
contained in: - Answer-Guidelines
In which Appendix would deletions, additions, and revisions be found? - Answer-
Appendix B
, All modifiers can be found in which Appendix? - Answer-A
CPT stands for: - Answer-Current Procedural Terminology
Which term reflects the technologic advances made in medicine that are
incorporated into the CPT manual? - Answer-Revisions
What year was CPT first developed and published? - Answer-1966
Who publishses the CPT? - Answer-AMA
66. Category I CPT codes have how many digits? - Answer-5
Which is an example of an add-on code? - Answer-15201
Which of the following would be used to code drugs? - Answer-J codes
CMS - Answer-Centers for Medicare and Medicaid Services
QIO - Answer-Quality Improvement Organizations
V codes consist of one alphanumeric character (V), followed by two or more numeric
characters. - Answer-True
When a code is listed inside slanted brackets, you must sequence that code after the
underlying condition code. - Answer-True
Excludes notes are informational only and are not necessary for coding purposes. -
Answer-False
The same coding guidelines apply to both inpatient and outpatient settings. -
Answer-True
In the outpatient setting the term "first-listed diagnosis" is used instead of "principal
diagnosis." - Answer-True
The first-listed diagnosis is the diagnosis the physician lists first. - Answer-True
In an outpatient setting a diagnosis that is documented as "rule out" should be coded
as if it exists. - Answer-False
V codes can be assigned as first-listed diagnoses. - Answer-False
If a patient is admitted for observation for a medical condition, a code is assigned for
the medical condition as the first-listed diagnosis. - Answer-True
It is acceptable to use codes that describe signs or symptoms when a definitive
diagnosis has not been established by the provider. - Answer-True
EXAM QUESTIONS AND ANSWERS
Which organization has been responsible for the development of ICD-10? - Answer-
NCHS
Terms that may be used to describe a threatened condition include: - Answer-
evolving
impending
threatening
(all of the above)
The correct code for threatened spontaneous aborting, unspecified episode of care
is: - Answer-640.0
The correct code for impending shock is: - Answer-785.50
The correct code for cough due to pneumonia is/are: - Answer-none of the above
The correct codes for dehydration due to pneumonia are: - Answer-486,276.50
The correct code(s) for viral pneumonia is/are: - Answer-480.9
The correct code(s) for acute and chronic laryngitis is/are: - Answer-464.00,476.0
What are the words that follow a code number in the CPT manual called? - Answer-
a. procedure/service descriptor
A code that has all of the words that describe the code that follows in what type of
code? - Answer-Stand-alone
Procedures that are experimental, newly approved, or seldom used are reported with
what type of code? - Answer-unlisted category III
What requires a special report with the use of an unlisted report? - Answer-Third-
party payers
Which of the following represents three of the six elements that as special report
must contain? - Answer-nature, extent, need
Which punctuation mark between codes in the index of the CPT manual indicates a
range of codes is available? - Answer-hyphen
The list of unlisted procedures for use in the specific section of the CPT manual is
contained in: - Answer-Guidelines
In which Appendix would deletions, additions, and revisions be found? - Answer-
Appendix B
, All modifiers can be found in which Appendix? - Answer-A
CPT stands for: - Answer-Current Procedural Terminology
Which term reflects the technologic advances made in medicine that are
incorporated into the CPT manual? - Answer-Revisions
What year was CPT first developed and published? - Answer-1966
Who publishses the CPT? - Answer-AMA
66. Category I CPT codes have how many digits? - Answer-5
Which is an example of an add-on code? - Answer-15201
Which of the following would be used to code drugs? - Answer-J codes
CMS - Answer-Centers for Medicare and Medicaid Services
QIO - Answer-Quality Improvement Organizations
V codes consist of one alphanumeric character (V), followed by two or more numeric
characters. - Answer-True
When a code is listed inside slanted brackets, you must sequence that code after the
underlying condition code. - Answer-True
Excludes notes are informational only and are not necessary for coding purposes. -
Answer-False
The same coding guidelines apply to both inpatient and outpatient settings. -
Answer-True
In the outpatient setting the term "first-listed diagnosis" is used instead of "principal
diagnosis." - Answer-True
The first-listed diagnosis is the diagnosis the physician lists first. - Answer-True
In an outpatient setting a diagnosis that is documented as "rule out" should be coded
as if it exists. - Answer-False
V codes can be assigned as first-listed diagnoses. - Answer-False
If a patient is admitted for observation for a medical condition, a code is assigned for
the medical condition as the first-listed diagnosis. - Answer-True
It is acceptable to use codes that describe signs or symptoms when a definitive
diagnosis has not been established by the provider. - Answer-True
