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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q75-Q80):
NEW QUESTION # 75
When seen next to a diagnosis code, the term "Excludes 20 indicates that the condition excluded is not part of the condition represented by the code and that the patient may have both conditions simultaneously.
- A. True
- B. b False
Answer: A
Explanation:
The statement is true. The term "Excludes 2" shows that two seemingly related conditions can be billed in the same encounter. See Section I of the Coding Guidelines in the ICD-IO-CM 2020 edition for reference.
NEW QUESTION # 76
The base unit for anesthesia CPT code 00600 is 10 units. If an anesthesiologist spends 105 minutes in the procedure room with a patient, how many units should be reported for reimbursement?
- A. 14 units
- B. 11 units
- C. 12 units
- D. 17 units
Answer: D
Explanation:
To calculate the total number of units, it is important to understand that anesthesia time is measured in 15-minute intervals (or in fractions thereof). In this scenario, take the total number of minutes spent on the procedure (105) and divide it by 15. The total number of time units is 7. The time units are then added to the base unit (10) for a total of 17 units.
NEW QUESTION # 77
Based on the following documentation for an established patient, which CPT code should be reported?
Number and complexity of problems addressed: Moderate
Amount or complexity of data to be reviewed and analyzed: Straightforward Risk of complications, morbidity, or mortality of patient management: Low Total time: 35 minutes
- A. 0
- B. 1
- C. 2
- D. 3
Answer: D
Explanation:
When leveling a visit based on the documentation, the lower of the two highest components should be used to determine the level of complexity. In this case, because the number and complexity of problems addressed is moderate and level of risk of complications and/or morbidity or mortality of patient management is low, the MDM is low. On the other hand, because total time is documented and would constitute a higher level of service, total time should be used to select CPT
99214.
NEW QUESTION # 78
Which service would NOT be covered under Medicare part A?
- A. Inpatient hospital care
- B. Home health care
- C. Observation hospital care
- D. Hospice care
Answer: C
Explanation:
Observation hospital care is provided to patients who are not sick enough to be admitted.
Therefore, it is considered an outpatient service and is covered under Medicare part B.
NEW QUESTION # 79
CPT code 11102 is a column 2 code that has an NCCI edit of 1 when paired with CPT code 11402. How would this be interpreted?
- A. The two codes can be billed together with an appropriate modifier.
- B. If being billed together, only report one unit of each.
- C. The two codes are inclusive of each other and can never be billed together.
- D. The two codes are exclusive of each other and can never be billed together.
Answer: A
Explanation:
NCCI stands for National Correct Coding Initiative and was created by CMS to prevent unbundling and prevent incorrect payments. Column one represents a correct code when listed next to column two. There are three edits listed with the combination of the two columns: 0, 1, and
9. Edit 0 means that the two codes should never, under any circumstance, be reported together. Edit
1 means that the procedures may be coded together with the use of a modifier. Edit 9 means that the edit does nota I .
NEW QUESTION # 80
......
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