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Basic Flashcards

7 cards from real CPC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Basic flashcards as text
  1. When coding an outpatient encounter, what should be coded as the first-listed diagnosis?

    Answer: The condition established after study to be chiefly responsible for the visit

    For outpatient encounters, the first-listed diagnosis is the condition established after study to be chiefly responsible for the visit.

  2. A surgical package (global period) typically includes all of the following EXCEPT:

    Answer: Postoperative complications requiring return to the OR

    Return trips to the operating room for complications are NOT included in the surgical package and should be billed separately.

  3. Which HCPCS Level II code range is used for durable medical equipment (DME)?

    Answer: E codes

    HCPCS Level II E codes (E0100–E9999) are designated for durable medical equipment.

  4. What does the abbreviation NEC mean in ICD-10-CM?

    Answer: Not Elsewhere Classified

    NEC stands for 'Not Elsewhere Classified,' indicating the condition is not specifically described by any other available code.

  5. A physician performs a procedure and also provides the anesthesia. Which modifier should be appended to the anesthesia code?

    Answer: -47

    Modifier -47 indicates anesthesia by the surgeon, meaning the operating physician personally administered the anesthesia.

  6. In CPT, what does a bullet (•) symbol next to a code indicate?

    Answer: The code is new for the current year

    A bullet (•) symbol in the CPT codebook indicates that the code is new for the current edition.

  7. Which of the following is considered a Category III CPT code?

    Answer: 0042T

    Category III CPT codes are temporary codes for emerging technology and services, identified by a letter suffix 'T' (e.g., 0042T).