Certified Coding Associate Professional Flashcards
7 cards from real Certified Coding Associate Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Certified Coding Associate Professional flashcards as text
Which CPT code range covers Evaluation and Management (E/M) services?
Answer: 99202-99499
CPT E/M codes are found in the 99202-99499 range and are used to report physician and qualified healthcare professional visits.
What is the definition of 'unbundling' in medical coding?
Answer: Reporting multiple procedure codes separately when a single comprehensive code should be used
Unbundling is the practice of using multiple procedure codes that should be captured by a single comprehensive code, and it is considered fraudulent billing.
A coder assigns a code from category Z23 (Encounter for immunization). Where in the medical record should the coder look to confirm which vaccine was administered?
Answer: The physician's order and immunization record
The physician's order and immunization administration record document the specific vaccine given, which guides accurate code assignment.
Which modifier is appended to a CPT code to indicate a procedure was performed bilaterally?
Answer: -50
CPT modifier -50 is used when a procedure is performed bilaterally during the same operative session.
An operative report states the surgeon performed a laparoscopic cholecystectomy that was converted to an open procedure. How should this be coded?
Answer: Code only the open approach
Per CPT guidelines, when a laparoscopic procedure is converted to open, only the open procedure code is reported.
What is the purpose of the NCCI (National Correct Coding Initiative) edits?
Answer: To prevent improper payment of procedures that should not be reported together
NCCI edits identify pairs of CPT codes that should not be billed together because one code is considered a component of the other.
Which code set is primarily used for reporting durable medical equipment (DME) on Medicare claims?
Answer: HCPCS Level II codes
HCPCS Level II codes are alphanumeric codes (A–V prefixes) used to report DME, supplies, and other services not covered by CPT.