CMA Medical Billing and Coding 2

Question 1

Which modifier is appended to a CPT code to indicate a procedure was performed bilaterally?

Accepted Answer

-50

Answer

Modifier -50 indicates a procedure was performed on both sides of the body during the same operative session.

Question 2

What is the purpose of an Explanation of Benefits (EOB)?

Accepted Answer

It explains how the insurer processed a claim and what was paid or denied

Answer

An EOB is a document from the insurer detailing how a claim was adjudicated, including amounts paid, denied, and patient responsibility.

Question 3

In ICD-10-CM coding, which category of codes is used for external causes of morbidity?

Accepted Answer

V, W, X, Y codes

Answer

V, W, X, and Y codes in ICD-10-CM classify external causes of injury, such as accidents, falls, and assaults.

Question 4

A patient is seen for a sprained ankle and a follow-up on hypertension in the same visit. How should the diagnoses be sequenced?

Accepted Answer

The condition chiefly responsible for the visit listed first

Answer

The principal diagnosis or the condition chiefly responsible for the visit should be listed first according to ICD-10-CM guidelines.

Question 5

What does the acronym HIPAA stand for?

Accepted Answer

Health Insurance Portability and Accountability Act

Answer

HIPAA stands for the Health Insurance Portability and Accountability Act of 1996, which governs privacy and security of health information.

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