Certified Professional Coder Flashcards

Which CPT code range is used to report Anesthesia services?

Answer: 00100–01999

CPT codes 00100–01999 cover Anesthesia services for various surgical procedures.

When reporting anesthesia, which formula is used to calculate the total anesthesia units billed?

Answer: Base units + Time units + Qualifying circumstance units

Anesthesia reimbursement is calculated by adding base units, time units (per 15-minute increments), and any qualifying circumstance units.

A patient has hypertension and chronic kidney disease stage 3. How should these conditions be coded in ICD-10-CM?

Answer: A combination code for hypertensive chronic kidney disease

ICD-10-CM presumes a causal relationship between hypertension and CKD, requiring a combination code from category I12.

Which HCPCS Level II code type is used to report durable medical equipment (DME)?

Answer: E-codes

HCPCS Level II E-codes are used to report durable medical equipment such as wheelchairs, walkers, and hospital beds.

What does the CPT 'separate procedure' designation mean for a listed code?

Answer: It is only reportable when not performed as part of a larger, more complex service

A code marked as a 'separate procedure' is routinely included in larger services and should only be reported independently when performed as a distinct, unrelated procedure.

A physician interprets an X-ray taken at the hospital but does not perform the technical component. Which modifier should be appended?

Answer: Modifier -26

Modifier -26 (Professional Component) is appended when a physician provides only the interpretation and report for a diagnostic test.

Which CPT subsection contains codes for integumentary system procedures such as wound repairs and skin grafts?

Answer: 10030–19499

Integumentary system procedures, including wound repairs, lesion excisions, and skin grafts, are found in CPT codes 10030–19499.