CPC Practice 4

Question 1

Under ICD-10-CM guidelines, when should you code signs and symptoms as the principal diagnosis?

Accepted Answer

When no definitive diagnosis has been established

Answer

Signs and symptoms are coded when a definitive diagnosis has not been confirmed by the provider.

Question 2

A patient is seen for a new patient office visit. The physician spends 45 minutes total time on date of encounter. Which E/M code applies under the 2021 guidelines?

Accepted Answer

99204

Answer

Under 2021 AMA guidelines, 99204 corresponds to 45–59 minutes of total time on the date of service for a new patient.

Question 3

Which modifier is appended to indicate a service was reduced or eliminated at the physician's discretion?

Accepted Answer

-52

Answer

Modifier -52 indicates that a service or procedure was partially reduced at the physician's discretion.

Question 4

A patient is admitted with acute respiratory failure due to pneumonia. Which condition should be sequenced as the principal diagnosis?

Accepted Answer

Either can be principal diagnosis per ICD-10-CM guidelines

Answer

ICD-10-CM guidelines allow either the acute respiratory failure or the underlying cause (pneumonia) to be the principal diagnosis when both are present on admission.

Question 5

Which CPT code range covers Surgery of the Musculoskeletal System?

Accepted Answer

20000–29999

Answer

CPT codes 20000–29999 cover musculoskeletal system surgeries including bones, joints, and soft tissues.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

CPC Practice 4