CPC Certified Professional Coder MCQ 2

Question 1

A patient undergoes a laparoscopic cholecystectomy with intraoperative cholangiography. Which modifier should be appended to the cholangiography code?

Accepted Answer

No modifier needed

Answer

Intraoperative cholangiography performed during the same operative session as cholecystectomy does not require a modifier because it is a separately identifiable procedure bundled with the surgical report.

Question 2

When coding for Evaluation and Management (E/M) services under the 2021 guidelines, the level of medical decision making (MDM) is based on which three elements?

Accepted Answer

Number of diagnoses, amount of data reviewed, and risk of complications

Answer

Under 2021 E/M guidelines, MDM is determined by the number and complexity of problems, amount and complexity of data reviewed, and risk of complications and/or morbidity or mortality.

Question 3

A coder is reviewing a claim for a new patient office visit. The physician documented a comprehensive history, comprehensive exam, and high complexity MDM. Which E/M code is most appropriate?

Accepted Answer

99205

Answer

99205 represents a new patient office visit with high complexity medical decision making (or 60-74 minutes of total time).

Question 4

Which of the following describes the correct use of modifier -25?

Accepted Answer

Significant, separately identifiable E/M service on the same day as a procedure

Answer

Modifier -25 indicates a significant, separately identifiable evaluation and management service was provided by the same physician on the same day as a procedure or other service.

Question 5

In ICD-10-CM, what does the 7th character 'A' represent when used with injury codes?

Accepted Answer

Initial encounter

Answer

The 7th character 'A' designates the initial encounter, meaning the patient is receiving active treatment for the condition.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

CPC Certified Professional Coder MCQ 2