CPC Medical Coding Systems 2

Question 1

Which ICD-10-CM convention indicates that a code cannot be used as a principal diagnosis?

Accepted Answer

Code first

Answer

'Code first' instructs the coder that the condition must be sequenced after an underlying disease.

Question 2

In CPT, what does the term 'separate procedure' indicate?

Accepted Answer

The procedure is integral to a larger service and should not be billed when done with a related procedure

Answer

A 'separate procedure' designation means the code is bundled when performed alongside a related, more complex procedure.

Question 3

HCPCS Level II codes are maintained by which organization?

Accepted Answer

CMS

Answer

CMS (Centers for Medicare & Medicaid Services) maintains HCPCS Level II codes used for supplies, equipment, and non-physician services.

Question 4

When coding an encounter for a patient with a confirmed HIV infection being treated for pneumonia, which code is sequenced first?

Accepted Answer

The HIV code (B20)

Answer

ICD-10-CM guidelines require B20 (HIV disease) to be sequenced first when a patient with confirmed HIV is treated for an HIV-related condition.

Question 5

Which CPT modifier indicates a procedure was performed bilaterally?

Accepted Answer

-50

Answer

Modifier -50 is appended to report bilateral procedures performed during the same operative session.

(CPC) Certified Professional Coder Practice Test