Certified Coding Associate Exam Certified Coding Associate Professional 5

Question 1

Which root operation in ICD-10-PCS is defined as 'cutting out or off, without replacement, all of a body part'?

Accepted Answer

Resection

Answer

Resection in ICD-10-PCS means cutting out or off, without replacement, all of a body part, distinguishing it from Excision which is only part of the body part.

Question 2

In CPT, a 'separate procedure' designation means:

Accepted Answer

It is commonly part of a larger procedure and should not be billed separately when performed with a related procedure

Answer

A 'separate procedure' designation in CPT indicates the procedure is integral to a larger service and should not be reported separately when performed as part of that service.

Question 3

When a patient is seen for aftercare following a fracture repair, which Z code category is typically used?

Accepted Answer

Z47 (Orthopedic aftercare)

Answer

Category Z47 codes are used for orthopedic aftercare, such as follow-up care after fracture repair with hardware removal or cast change.

Question 4

Which of the following best describes the function of a code editor in medical billing?

Accepted Answer

Reviews claims for coding accuracy before submission

Answer

A code editor or claims scrubber reviews submitted codes for compliance, accuracy, and payer-specific requirements prior to claim submission.

Question 5

A surgeon performs an arthroscopic repair of a torn medial meniscus. Which CPT code range would apply?

Accepted Answer

29800-29999 (Arthroscopy)

Answer

Arthroscopic knee procedures, including meniscal repairs, are found in the Arthroscopy subsection of the Musculoskeletal CPT codes (29800-29999).

Certified Coding Associate Exam Practice Test

Certified Coding Associate Exam Practice Test

Certified Coding Associate Exam Certified Coding Associate Professional 5