CPC Basic 3

Question 1

When coding an outpatient encounter, what should be coded as the first-listed diagnosis?

Accepted Answer

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

Answer

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

Question 2

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

Accepted Answer

Postoperative complications requiring return to the OR

Answer

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

Question 3

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

Accepted Answer

E codes

Answer

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

Question 4

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

Accepted Answer

Not Elsewhere Classified

Answer

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

Question 5

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

Accepted Answer

-47

Answer

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

CPC - Certified Professional Coder Practice Test