Certified Medical Coding Specialist Medical Coding (CMCS) Sample 4

Question 1

An add-on code in CPT is best described as:

Accepted Answer

A code always reported in addition to a primary procedure code

Answer

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.

Question 2

When coding burns, which characteristic determines the first-listed diagnosis when multiple burns are present?

Accepted Answer

The highest degree burn

Answer

ICD-10-CM guidelines direct the coder to sequence the highest degree burn as the principal or first-listed diagnosis.

Question 3

Which of the following is an example of an unbundling violation?

Accepted Answer

Billing component parts of a surgical package separately to increase reimbursement

Answer

Unbundling means billing components of a comprehensive service separately to receive higher combined reimbursement, which is fraudulent.

Question 4

In ICD-10-CM, code Z23 is used for:

Accepted Answer

An encounter for immunization

Answer

Z23 is assigned for encounters specifically for immunization/vaccination administration.

Question 5

Which revenue code is commonly associated with pharmacy charges on a UB-04 claim form?

Accepted Answer

Revenue code 0250

Answer

Revenue code 0250 is designated for pharmacy charges on institutional UB-04 claims.

Certified Medical Coding Specialist Practice Test

Certified Medical Coding Specialist Practice Test

Certified Medical Coding Specialist Medical Coding (CMCS) Sample 4