CPC Knowledge Skill 2

Question 1

Which code set is used to report diagnoses and reasons for encounters in outpatient settings in the United States?

Accepted Answer

ICD-10-CM

Answer

ICD-10-CM is the diagnosis coding system used for outpatient and inpatient encounters in the US.

Question 2

A coder notices that a surgeon's operative note describes a procedure that is more extensive than the CPT code billed. What is the most appropriate action?

Accepted Answer

Query the physician for clarification before coding

Answer

The coder should query the physician to clarify the documentation before assigning the appropriate code.

Question 3

Which modifier is appended to indicate a service was performed by a physician other than the primary surgeon during the postoperative period?

Accepted Answer

-55

Answer

Modifier -55 is used when postoperative care is transferred to and performed by a different physician.

Question 4

What does the term 'unbundling' refer to in medical coding?

Accepted Answer

Reporting separate codes for services included in a comprehensive code

Answer

Unbundling is the practice of reporting component services separately when a single comprehensive code should be used.

Question 5

In ICD-10-CM, a 7th character 'A' appended to a fracture code indicates:

Accepted Answer

Initial encounter for fracture

Answer

The 7th character 'A' designates the initial encounter while the patient is receiving active treatment for the fracture.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

CPC Knowledge Skill 2