The Perfect Study Tool for Coding Certification (CPC)
Questions and Answers
abdomin/o - Ans -abdomen
What are NCD's interpreted at the MAC level
considered? - Ans -LCD
-agon - Ans -assemble
-algia - Ans -pain
-22 - Ans -Increase procedural services
ABN - Ans -Advance Beneficiary Notice;
When should an ABN be signed? - Ans - used by CMS to notify beneficiary of payment of
When a service is not expected to be covered by provider services
Medicare.
adipose - Ans -fatty
acetabul/o - Ans -hip socket
an- - Ans -not
-78 - Ans -Unplanned return to the
operating/procedure room by the same physician
or other qualified health care professional ante- - Ans -before
following initial procedure for a related procedure
during the postoperative procedure
Albinism - Ans -Lack of color pigment
-algesia - Ans -pain sensation
ACL - Ans -anterior cruciate ligament
ABG - Ans -Arterial blood gas
AD - Ans -right ear
Absence - Ans -without
AFB - Ans -acid-fast bacillus
a- - Ans -not
AFI - Ans -Amniotic fluid index
acr/o - Ans -height/extremities
AGA - Ans -appropriate for gestational age
-79 - Ans -Unrelated procedure or service
by the same physician during the postoperative -ar - Ans -pertaining to
period
,The Perfect Study Tool for Coding Certification (CPC)
Questions and Answers
-arche - Ans -beginning
Intentional billing of services not provided is
-ary - Ans -pertaining to considered? - Ans -Fraud.
-asthenia - Ans -weakness What OIG document should a provider review for
potential problem areas that will receive special
scrutiny in the upcoming year? - Ans -OIG
-blast - Ans -embryonic Work Plan. Each year in October.
-capnia - Ans -carbon dioxide -80 - Ans -Assistant surgeon
-cele - Ans -hernia -81 - Ans -Minimum assistant surgeon
-centesis - Ans -puncture to remove (drain) -82 - Ans -Assistant surgeon (when
qualified resident surgeon not available)
What is medical billing? - Ans -Translating
medical documentation into codes. -90 - Ans -Reference (outside) laboratory
What part of Medicare should be billed for the -91 - Ans -Repeat clinical diagnostic
pain medication by the pharmacy? - Ans - laboratory test
Part D
-99 - Ans -Multiple modifiers
The amount on an ABN should be within how
much of the cost to the patient? - Ans -
$100 or 25% of cost. -23 - Ans -Unusual anesthesia
An entity that processes nonstandard health aden/o - Ans -in a relationship to a gland
information they receive from another entity into
a standard is considered what? - Ans -
Clearinghouse. audi- - Ans -hearing
What is PHI? - Ans -Personal Health bi- - Ans -two
Information.
, The Perfect Study Tool for Coding Certification (CPC)
Questions and Answers
Terminology. What was changed into codes-
Allograft - Ans -Homograft, same species services/procedures.
graft
What is ICD-9-CM? - Ans -International
Alopecia - Ans -Condition in which hair falls Classification of Disease, 9th Clinical
out Modification. Why are diagnoses changed to
codes?
AGCUS - Ans -atypical glandular cells of
undetermined -24 - Ans -Unrelated E/M service by the
same physician during a postoperative period
AKA - Ans -above-knee amputation
What is HIPAA? - Ans -Health Insurance
Portability and Accountability Act of 1996. Law
-chezia - Ans -defecation passed by Congress to improve the portability
and continuity of healthcare coverage.
-clast, -clasia, -clasis - Ans -break
-25 - Ans -Significant, separately identifiable
evaluation and management service by the same
physician on the same day of the procedure or
-coccus - Ans -spherical bacterium
other service
-cyesis - Ans -pregnancy
adenoid/o - Ans -adenoids
-desis - Ans -fusion
adip/o - Ans -fat
-dilation - Ans -widening, expanding
adren/o, adrenal/o - Ans -adrenal gland
What is ABN? - Ans -Advance Beneficiary
albin/o - Ans -white
Notification
albumin/o - Ans -albumin
What is AMA? - Ans -American Medical
Association.
alveol/o - Ans -alveolus
What is CPT? - Ans -Current Procedural
Questions and Answers
abdomin/o - Ans -abdomen
What are NCD's interpreted at the MAC level
considered? - Ans -LCD
-agon - Ans -assemble
-algia - Ans -pain
-22 - Ans -Increase procedural services
ABN - Ans -Advance Beneficiary Notice;
When should an ABN be signed? - Ans - used by CMS to notify beneficiary of payment of
When a service is not expected to be covered by provider services
Medicare.
adipose - Ans -fatty
acetabul/o - Ans -hip socket
an- - Ans -not
-78 - Ans -Unplanned return to the
operating/procedure room by the same physician
or other qualified health care professional ante- - Ans -before
following initial procedure for a related procedure
during the postoperative procedure
Albinism - Ans -Lack of color pigment
-algesia - Ans -pain sensation
ACL - Ans -anterior cruciate ligament
ABG - Ans -Arterial blood gas
AD - Ans -right ear
Absence - Ans -without
AFB - Ans -acid-fast bacillus
a- - Ans -not
AFI - Ans -Amniotic fluid index
acr/o - Ans -height/extremities
AGA - Ans -appropriate for gestational age
-79 - Ans -Unrelated procedure or service
by the same physician during the postoperative -ar - Ans -pertaining to
period
,The Perfect Study Tool for Coding Certification (CPC)
Questions and Answers
-arche - Ans -beginning
Intentional billing of services not provided is
-ary - Ans -pertaining to considered? - Ans -Fraud.
-asthenia - Ans -weakness What OIG document should a provider review for
potential problem areas that will receive special
scrutiny in the upcoming year? - Ans -OIG
-blast - Ans -embryonic Work Plan. Each year in October.
-capnia - Ans -carbon dioxide -80 - Ans -Assistant surgeon
-cele - Ans -hernia -81 - Ans -Minimum assistant surgeon
-centesis - Ans -puncture to remove (drain) -82 - Ans -Assistant surgeon (when
qualified resident surgeon not available)
What is medical billing? - Ans -Translating
medical documentation into codes. -90 - Ans -Reference (outside) laboratory
What part of Medicare should be billed for the -91 - Ans -Repeat clinical diagnostic
pain medication by the pharmacy? - Ans - laboratory test
Part D
-99 - Ans -Multiple modifiers
The amount on an ABN should be within how
much of the cost to the patient? - Ans -
$100 or 25% of cost. -23 - Ans -Unusual anesthesia
An entity that processes nonstandard health aden/o - Ans -in a relationship to a gland
information they receive from another entity into
a standard is considered what? - Ans -
Clearinghouse. audi- - Ans -hearing
What is PHI? - Ans -Personal Health bi- - Ans -two
Information.
, The Perfect Study Tool for Coding Certification (CPC)
Questions and Answers
Terminology. What was changed into codes-
Allograft - Ans -Homograft, same species services/procedures.
graft
What is ICD-9-CM? - Ans -International
Alopecia - Ans -Condition in which hair falls Classification of Disease, 9th Clinical
out Modification. Why are diagnoses changed to
codes?
AGCUS - Ans -atypical glandular cells of
undetermined -24 - Ans -Unrelated E/M service by the
same physician during a postoperative period
AKA - Ans -above-knee amputation
What is HIPAA? - Ans -Health Insurance
Portability and Accountability Act of 1996. Law
-chezia - Ans -defecation passed by Congress to improve the portability
and continuity of healthcare coverage.
-clast, -clasia, -clasis - Ans -break
-25 - Ans -Significant, separately identifiable
evaluation and management service by the same
physician on the same day of the procedure or
-coccus - Ans -spherical bacterium
other service
-cyesis - Ans -pregnancy
adenoid/o - Ans -adenoids
-desis - Ans -fusion
adip/o - Ans -fat
-dilation - Ans -widening, expanding
adren/o, adrenal/o - Ans -adrenal gland
What is ABN? - Ans -Advance Beneficiary
albin/o - Ans -white
Notification
albumin/o - Ans -albumin
What is AMA? - Ans -American Medical
Association.
alveol/o - Ans -alveolus
What is CPT? - Ans -Current Procedural
