HCPCS Questions and Answers Latest Version Graded A+

HCPCS Questions and Answers Latest Version Graded A+ **Question:** CPT, HCPCS Level II, and HCPCS Level III codes are all recognized as HIPAA-approved National Code Sets. a.) True b.) False **Answer:** b: False. HCPCS Level III codes are not part of the HIPAA-approved National Code Sets. They were phased out on Dec. 31, 2003. --- **Question:** For most emergency room cases where both a CPT surgery code and evaluation and management (E/M) code are reported, which modifier is typically required? a.) 52 b.) 59 c.) 25 **Answer:** c: Modifier -25 is appended to the ED E/M code. It identifies significant, separately identifiable E/M services on the same day of other procedures. This is crucial as most ED patients require evaluation by a physician before any procedures. --- **Question:** What do HCPCS Level II "A" codes primarily represent? a.) Transportation services, including ambulance b.) Durable medical equipment c.) Temporary medical and surgical supplies **Answer:** a: HCPCS Level II "A" codes are used for reporting transportation services, including ambulance services. --- **Question:** Are CPT codes and HCPCS Level II codes updated annually by CMS? a.) True b.) False **Answer:** b: False. HCPCS Level II codes are updated by CMS annually, while CPT codes are updated by the American Medical Association (AMA). --- **Question:** During a flexible diagnostic colonoscopy, a polyp and a lesion are both removed by snare technique. What is the appropriate coding scenario? a) 45378-59, 45385, 45385-59 b) 45385, 45385-59 c) 45385 d) 45378-59, 45385 **Answer:** c: Only code 45385 is reported. The diagnostic colonoscopy is bundled into the code for any definitive procedure performed. Code 45385 includes removal of