Medical Billing and Coding Test 1 Questions and Answers with complete solutions

Medical Billing and Coding Test 1 Questions and Answers with complete solutions ICD-10-CM is mandated code set for diagnosis under the HIPPA: - ANS- transaction and code sets A code in ICD-10-CM has up to how many characters? - ANS- Seven An ICD-10-CM category code has how many characters? - ANS- Three A subcategory code in ICD-10-CM has how many characters? - ANS- Four An example of subcategory code: - ANS- S81.2 The correct code set to be used is according to the CMS is based on what? - ANS- Date of service The first step to begin coding is to look in the - ANS- Alphabetical Index TO code correctly a disease or diagnosis you must first look in the: - ANS- Alphabetical Index and then confirm in the Tabular list. The Alphabetical index is organized by what? - ANS- Conditon The Alphabetical Index is also known as ICD-10-CM to : - ANS- Disease and Injury Which code number is based on their anatomical site and are divided by description? - ANS- Subterms Define Subterm - ANS- Word of phrase that discribes a main term in the alphabetical index If you have patient presents with blindness following an accident with a bow and arrow when he was a child, what is the main term? - ANS- Blindness The term acquired, congenital, and both eyes that may modify the main term in the diagnostic statement is considered : - ANS- Non-essensial Modifier. If a cross reference appears after a main term, the coder must: - ANS- look up the term that follows the word SEE in the index. What type of code describes two diagnoses or a diagnosis with an associated complication? - ANS- Combining Code What letter is not used in ICD-10-CM coding? - ANS- U A valid code must have at least___characters - ANS- 3 When you see the colon punctuation it means: - ANS- Incompleate term If the Tabular index has the instruction to ( code first underlying disease) it means the code selected would be listed: - ANS- second The primary diagnosis coding is listed when?> - ANS- FIrst IF the patient has a co-existing condition that the physicaion diagnosis and treats the coder must: - ANS- Use a combo code to code both diagnosis When an established diagnosis has been determined the coder must code : - ANS- The established code The ICD-10-CM outpatient coding guidelines what can be coded: - ANS- Abnormal test results IN the medical record if it mentions a type or form of a condition that is not listed the code would - ANS- "other" How many chapters does ICD-10CM have? - ANS- 21 chapters if you are coding in an outpatient setting what is the cheif complaint - ANS- " CC" Main issue for visit What is the final step in coding? - ANS- Check compliance with any applicable official guide lines What must a coder do to verify when selecting a code 1 the tabular List? - ANS- IF you need to list multiple codes and if they are in the correct order. The ICD-10-CM offers a ; - ANS- High level of specificity and an extension for expanded detail that ICD-9-CM Level 1 codes in HCPS are : - ANS- CPT codes What does CPT Category 11 codes report: - ANS- Performance Measures. When a medical practice receives revised edition of CPT, what activities should be followed - ANS- Update encounter forms, update patient billing software, educate medical staff. ALL OF THE ABOVE! IN CPT what appendix contains the Summary of Modifier 51 exempt codes? - ANS- Appendix A In CPT, a + signs indicates: - ANS- An Add on In CPT, a triangle next to a code indicates: - ANS- The discripter has changed The CPT code that is listed first for an enounter is the procedure that: - ANS- Is the most resource intensive procedure If a doctor performed a carpal tunnel relased on the right and left median nerves during the same operative session what is the correct modifirer? - ANS- 51 A chest X-ray was performed before placing a chest tube and then after the chest tube placement to verify the position what is the modifier - ANS- 76 A patient is scheduled to have a arthroscopy of the left knee. The dr inserted the arthroscope and the patient went into respiratory distress. the arthroscope was withdrawn and procedure was terminated. what is the correct modifier? - ANS- 53 E/M is the abbreviation for: - ANS- Evaluation Managment What is the correct process for selecting CPT codes? - ANS- Technical and Professional Comp which level is the most complete that a dr can perform? - ANS- Comprehensive