Medical Coding (CMCS) Sample Flashcards
7 cards from real Certified Medical Coding Specialist practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medical Coding (CMCS) Sample flashcards as text
An add-on code in CPT is best described as:
Answer: A code always reported in addition to a primary procedure code
Add-on codes (marked with a '+' in CPT) are always reported alongside a primary procedure code and are exempt from the multiple procedure modifier -51.
When coding burns, which characteristic determines the first-listed diagnosis when multiple burns are present?
Answer: The highest degree burn
ICD-10-CM guidelines direct the coder to sequence the highest degree burn as the principal or first-listed diagnosis.
Which of the following is an example of an unbundling violation?
Answer: Billing component parts of a surgical package separately to increase reimbursement
Unbundling means billing components of a comprehensive service separately to receive higher combined reimbursement, which is fraudulent.
In ICD-10-CM, code Z23 is used for:
Answer: An encounter for immunization
Z23 is assigned for encounters specifically for immunization/vaccination administration.
Which revenue code is commonly associated with pharmacy charges on a UB-04 claim form?
Answer: Revenue code 0250
Revenue code 0250 is designated for pharmacy charges on institutional UB-04 claims.
The global surgical package typically includes all of the following EXCEPT:
Answer: Treatment of unrelated conditions during the postoperative period
Treatment of conditions unrelated to the original surgery is not included in the global surgical package and may be billed separately.
A patient is admitted with chest pain. During the stay, the chest pain is determined to be due to acute myocardial infarction. What is the principal diagnosis?
Answer: Acute myocardial infarction
Once the definitive diagnosis (AMI) is established, it replaces the symptom (chest pain) as the principal diagnosis for inpatient coding.