CPC Certified Professional Coder 3 — Questions and Answers
Question 1: Which CPT code range is used to report Anesthesia services?
- 00100–01999 (Correct answer)
- 10000–19999
- 20000–29999
- 30000–39999
Correct answer: 00100–01999
CPT codes 00100–01999 cover Anesthesia services for various surgical procedures.
Question 2: When reporting anesthesia, which formula is used to calculate the total anesthesia units billed?
- Base units only
- Time units only
- Base units + Time units + Qualifying circumstance units (Correct answer)
- Time units × Base units
Correct 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.
Question 3: A patient has hypertension and chronic kidney disease stage 3. How should these conditions be coded in ICD-10-CM?
- Two separate codes for each condition
- A combination code for hypertensive chronic kidney disease (Correct answer)
- Only the more severe condition is coded
- Code hypertension first, then a Z code for CKD
Correct 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.
Question 4: Which HCPCS Level II code type is used to report durable medical equipment (DME)?
- A-codes
- E-codes (Correct answer)
- L-codes
- Q-codes
Correct answer: E-codes
HCPCS Level II E-codes are used to report durable medical equipment such as wheelchairs, walkers, and hospital beds.
Question 5: What does the CPT 'separate procedure' designation mean for a listed code?
- It must always be reported separately
- It is only reportable when not performed as part of a larger, more complex service (Correct answer)
- It requires modifier -59 automatically
- It cannot be billed with other codes on the same day
Correct 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.
Question 6: A physician interprets an X-ray taken at the hospital but does not perform the technical component. Which modifier should be appended?
- Modifier -TC
- Modifier -26 (Correct answer)
- Modifier -52
- Modifier -GC
Correct answer: Modifier -26
Modifier -26 (Professional Component) is appended when a physician provides only the interpretation and report for a diagnostic test.
Question 7: Which CPT subsection contains codes for integumentary system procedures such as wound repairs and skin grafts?
- 10004–10021
- 10030–19499 (Correct answer)
- 20000–29999
- 40490–49999
Correct answer: 10030–19499
Integumentary system procedures, including wound repairs, lesion excisions, and skin grafts, are found in CPT codes 10030–19499.
CPC Certified Professional Coder 3
Which CPT code range is used to report Anesthesia services?