MEDICAL CODING CHAPTER 47 EXAM
QUESTIONS WITH VERIFIED
ANSWERS
In the ICD-10 code M84.50xA, what is the function of the "x"? - Answer-It is a
placeholder for information that is not specified.
What is the purpose of external cause codes in the ICD-10? - Answer-They are used
to gather statistics about causes and severity of injury.
When a diagnosis code in the index of the ICD-10 manual ends in a dash, what
should be assumed? - Answer-The code must be used with a second code for the
underlying condition.
If a diagnosis is listed by the physician as "wedge compression fracture of the fifth
lumbar vertebra," which word should be referenced in the alphabetic index of the
ICD-10 manual? - Answer-Fracture
Which of the following abbreviations or punctuation indicates that a more specific
ICD-9 or ICD-10 code cannot be identified? - Answer-NOS
In the ICD-10, which term indicates that a condition is not coded here, and the
patient cannot have this condition in addition to the condition listed above it? -
Answer-Excludes 1
How many characters are contained in category codes (ICD-10 codes)? - Answer-
Three
Why is it important for a medical assistant to be aware of guidelines for medical
necessity? - Answer-To link procedure codes to correct diagnosis codes
If an office has a pattern of downcoding, what is the effect on insurance payments? -
Answer-Insurance payments will tend to be lower than average for the services
What is the penalty (if any) if a medical office is found to have a practice of
upcoding? - Answer-The practice must pay a large fine.
HCPCS Level I codes include the current CPT codes. - Answer-True
Category II CPT codes represent services that represent emerging technology. -
Answer-False
The section of the CPT manual that contains the most codes is the Evaluation and
Management section. - Answer-False
In the CPT manual, a code that provides only text to replace the words after a
semicolon in the code above it is called an indented code. - Answer-True
, If the Evaluation and Management code on an insurance claim is for a lower level of
care than is reflected in the patient's medical record, the claim is an example of
upcoding. - Answer-False
The medical assistant must look up CPT codes for most office visits and office
procedures in the CPT manual before entering patient charges into the computer. -
Answer-False
The standards of electronic transmission and require code sets had to be changed in
order to accommodate ICD-10 codes. - Answer-True
When coding the diagnosis "tachycardia, R/O angina pectoris," the medical assistant
should look up the code in the index under "angina." - Answer-False
Which type of anesthesia does not receive a separate code? - Answer-Local
anesthesia administered by infiltration
Which factor is used to calculate payment for anesthesia services? - Answer-The
type of facility at which the services were provided
In an anesthesiologist's practice, which type of modifiers indicate the patient's
condition at the time of the administration of the anesthesia? - Answer-Physical
status modifiers
What is included in the code for a surgery? - Answer-Local or topical anesthesia
Which of the following diagnostic tests is/are included in the Radiology section of the
CPT manual? - Answer--Standard angiography
-Computed tomography
-Magnetic resonance imaging
-Standard radiologic procedures
What is a panel? - Answer-A group of laboratory tests that are done together
When procedure codes are used to bill an insurance company, which of the following
is an example of upcoding? - Answer-A physician sends a patient to an outside
laboratory and the laboratory bills the insurance company
During a routine examination, the physician decides to have an electrocardiogram
(ECG) performed on the patient. How should this be coded? - Answer-As a separate
procedure
What problems with CPT codes may cause insurance claims to be rejected? -
Answer-The service is not backed up with documentation in the patient record.
If the medical assistant is coding for the removal of a lesion, what might influence
selection of the proper code? - Answer--Type of lesion
-Size of the lesion
-Location of the lesion
QUESTIONS WITH VERIFIED
ANSWERS
In the ICD-10 code M84.50xA, what is the function of the "x"? - Answer-It is a
placeholder for information that is not specified.
What is the purpose of external cause codes in the ICD-10? - Answer-They are used
to gather statistics about causes and severity of injury.
When a diagnosis code in the index of the ICD-10 manual ends in a dash, what
should be assumed? - Answer-The code must be used with a second code for the
underlying condition.
If a diagnosis is listed by the physician as "wedge compression fracture of the fifth
lumbar vertebra," which word should be referenced in the alphabetic index of the
ICD-10 manual? - Answer-Fracture
Which of the following abbreviations or punctuation indicates that a more specific
ICD-9 or ICD-10 code cannot be identified? - Answer-NOS
In the ICD-10, which term indicates that a condition is not coded here, and the
patient cannot have this condition in addition to the condition listed above it? -
Answer-Excludes 1
How many characters are contained in category codes (ICD-10 codes)? - Answer-
Three
Why is it important for a medical assistant to be aware of guidelines for medical
necessity? - Answer-To link procedure codes to correct diagnosis codes
If an office has a pattern of downcoding, what is the effect on insurance payments? -
Answer-Insurance payments will tend to be lower than average for the services
What is the penalty (if any) if a medical office is found to have a practice of
upcoding? - Answer-The practice must pay a large fine.
HCPCS Level I codes include the current CPT codes. - Answer-True
Category II CPT codes represent services that represent emerging technology. -
Answer-False
The section of the CPT manual that contains the most codes is the Evaluation and
Management section. - Answer-False
In the CPT manual, a code that provides only text to replace the words after a
semicolon in the code above it is called an indented code. - Answer-True
, If the Evaluation and Management code on an insurance claim is for a lower level of
care than is reflected in the patient's medical record, the claim is an example of
upcoding. - Answer-False
The medical assistant must look up CPT codes for most office visits and office
procedures in the CPT manual before entering patient charges into the computer. -
Answer-False
The standards of electronic transmission and require code sets had to be changed in
order to accommodate ICD-10 codes. - Answer-True
When coding the diagnosis "tachycardia, R/O angina pectoris," the medical assistant
should look up the code in the index under "angina." - Answer-False
Which type of anesthesia does not receive a separate code? - Answer-Local
anesthesia administered by infiltration
Which factor is used to calculate payment for anesthesia services? - Answer-The
type of facility at which the services were provided
In an anesthesiologist's practice, which type of modifiers indicate the patient's
condition at the time of the administration of the anesthesia? - Answer-Physical
status modifiers
What is included in the code for a surgery? - Answer-Local or topical anesthesia
Which of the following diagnostic tests is/are included in the Radiology section of the
CPT manual? - Answer--Standard angiography
-Computed tomography
-Magnetic resonance imaging
-Standard radiologic procedures
What is a panel? - Answer-A group of laboratory tests that are done together
When procedure codes are used to bill an insurance company, which of the following
is an example of upcoding? - Answer-A physician sends a patient to an outside
laboratory and the laboratory bills the insurance company
During a routine examination, the physician decides to have an electrocardiogram
(ECG) performed on the patient. How should this be coded? - Answer-As a separate
procedure
What problems with CPT codes may cause insurance claims to be rejected? -
Answer-The service is not backed up with documentation in the patient record.
If the medical assistant is coding for the removal of a lesion, what might influence
selection of the proper code? - Answer--Type of lesion
-Size of the lesion
-Location of the lesion
