Certified Medical Coding Specialist Medical Coding (CMCS) Sample 2

Question 1

A patient is seen for a sprained left ankle. The ICD-10-CM code for the initial encounter would include which 7th character?

Accepted Answer

A

Answer

The 7th character 'A' designates an initial encounter in ICD-10-CM injury coding.

Question 2

Which CPT code range covers Evaluation and Management (E/M) services for hospital inpatient care?

Accepted Answer

99221-99223

Answer

CPT codes 99221-99223 are used for initial hospital inpatient care services.

Question 3

When a patient has both Medicare Part A and a secondary payer, which is billed first?

Accepted Answer

Medicare Part A

Answer

Medicare Part A is the primary payer and must be billed before any secondary insurance.

Question 4

Which modifier indicates a bilateral procedure was performed?

Accepted Answer

-50

Answer

Modifier -50 is appended to a procedure code to indicate it was performed bilaterally.

Question 5

In CPT coding, what does the term 'separate procedure' mean when listed in a code description?

Accepted Answer

The procedure is only reported when not part of a larger service

Answer

A 'separate procedure' designation means the code should only be reported when the procedure is not integral to a larger, more comprehensive service.

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