CCS REVIEW EXAM PART ONE QUESTIONS WITH CORRECT ANSWERS

CCS REVIEW EXAM PART ONE QUESTIONS WITH CORRECT ANSWERS Alphabetic Index for fracture, traumatic; orbit, orbital; roof guides the coder to S02.19 (Leon-Chisen 2018, 483-488). If another status T procedure were performed, how much would the facility receive for the second status T procedure? Billing Number Status Indicator CPT/HCPCS APC* 989323 V 989323 T 25500 00129 989323 X 989323 S 989323 N * This is not the actual reimbursement for the designated APC. a. 50% b. 75% c. 0% d. 100% - Answer-Correct Answer: A Multiple surgical procedures with payment status indicator T performed during the same operative session are discounted. The highest-weighted procedure is fully reimbursed. All other procedures with payment status indicator T are reimbursed at 50%. Because of this, if another T procedure were coded, it would be reimbursed at 50% (Casto and Forrestal 2015, 167). A 64-year-old female was discharged with the final diagnosis of acute renal failure and hypertension. What coding rule applies? a. Use combination code of hypertension and renal failure. b. Use separate codes for hypertension and chronic renal failure. c. Use separate codes for hypertension and acute renal failure. d. Use separate codes for elevated blood pressure and chronic renal failure. - Answer-Correct Answer: C There isn't a combination code for acute renal failure and hypertension. Acute kidney failure is not the same as chronic kidney disease (Leon-Chisen 2018, 264-265). Assign the code(s) for chest x-ray, complete. 71045 Radiologic examination, chest; single view 71046 Radiologic examination, chest; 2 views 71047 Radiologic examination, chest; 3 views 71048 Radiologic examination, chest; 4 or more views a. 71045 b. 71046 c. 71047 d. 71048 - Answer-Correct Answer: D In 71045, a single x-ray is taken of the patient's chest. Report 71046 for two views; 71047 for three views; and 71048 for four or more views (CPT Changes 2018, Nov. 2017, Radiology). The outpatient code editor (OCE) has all of the following types of edits except: a. Claim accuracy b. Discharge date discrepancy c. Assigning APCs to the claim d. Age and sex edits - Answer-Correct Answer: B The OCE has four basic functions: editing the data on the claims for accuracy, specifying the action the MAC should take when specific edits occur, assigning APCs to the claim (for hospital outpatient services), and determining payment-related conditions that require direct reference to HCPCS codes or modifiers. (Smith 2018, 299).