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Certified Paraoptometric Coder Exam 2025 – Full Q&A Study Guide with Correct Answers and Medical Coding Terminology

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This 2025 Certified Paraoptometric Coder (CPC) Exam guide provides a complete set of verified questions and correct answers. It covers medical coding practices, ophthalmic anatomy, CPT/ICD-10/HCPCS coding, PQRS measures, E&M documentation, modifiers (e.g., 24, 25, 51, 52), billing procedures, post-cataract eyewear rules, Medicare documentation, and optometric clinical terms. Also includes medical prefixes, suffixes, and insurance claim protocols essential for paraoptometric coders.

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CERTIFIED PARAOPTOMETRIC CODER
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Geüpload op
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Aantal pagina's
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Geschreven in
2024/2025
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1 | Page

CERTIFIED PARAOPTOMETRIC CODER
2025 QUESTIONS AND ANSWERS.

24 - correct answer- What modifier is commonly used if a
provider performs an unrelated office visit during a post
operative period?




Patient encounter documented using a certified EHR system -
correct answer- PQRS measure G8477 refers to what?




Zonules - correct answer- What are radially arranged natural
fibers in the eye that suspend the crystalline lens from the
ciliary body and hold it in position?




face down/ palm down - correct answer- Prone




Nine - correct answer- For an E&M service, what is the
minimum number of elements required by the Documentation
Guidelines for a Detailed Physical Exam?

,2 | Page

No - correct answer- Does Medicare have standard guidelines
physicians must follow for the "written interpretation of medical
findings?"




No - correct answer- Is it a federal requirement to do self audits
of patient charts and coding in private practices?




within - correct answer- -endo




vertical body plain, divides the body into front & back sections -
correct answer- coronal




like - correct answer- -oid




face up/palm up - correct answer- supine




A company that a provider contracts with to transmit claims
legally and safely between the provider and the insurance
companies - correct answer- What is an e-claim clearing
house?

,3 | Page



Intacs - correct answer- What are surgically implanted plastic
half rings that change the shape of the cornea?




A written policy between the individual (policy holder) and
health plan (payer) - correct answer- What is medical
insurance?




Qualified Medicaid Beneficiary- limited benefits - correct
answer- What is "QMB" Medicaid?




For indicating which lid is involved. E1= Upper left eyelid, E2=
Lower left eyelid, E3= Upper right eyelid, E4= Lower right eyelid
- correct answer- What are the four "E" modifiers used for?




4 - correct answer- How many "E" modifiers are there?




19 - correct answer- On the CMS 1500, what box is designated
to provide additional information to the payer?




behind, back - correct answer- -retro

, 4 | Page




Reason for the encounter and assessment, medical plan and
date, and legible identity of the observer - correct answer- The
documentation of each patient encounter should include which
items(s):




across, through - correct answer- trans-




No - correct answer- Is it acceptable for a staff person to
correct a CPT or ICD-10 code on a route slip or claim without
the consent of the doctor?




Medical Decision Making, Examination, and History - correct
answer- What are the Key Components of E and M Coding?




51 - correct answer- What modifier is used if two non bundled
surgical procedures are performed on the same eye at the
same visit?




24 - correct answer- What modifier should you use on the office
visit if a patient comes in with allergic conjunctivitis during their
global post-op period?

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