CPC Practice 5

Question 1

Which of the following best describes the 'correct coding initiative' (CCI) edits?

Accepted Answer

Automated prepayment edits preventing improper code combinations from being billed together

Answer

CCI (Correct Coding Initiative) edits are CMS automated prepayment edits that prevent improper billing of code combinations that are considered mutually exclusive or bundled.

Question 2

A patient has a confirmed HIV infection and also presents with Pneumocystis pneumonia. Which is the correct coding approach?

Accepted Answer

Code B20 first, followed by a code for the Pneumocystis pneumonia

Answer

ICD-10-CM guidelines instruct sequencing B20 (HIV disease) first, followed by additional codes for all associated conditions.

Question 3

Modifier -25 is used to indicate what?

Accepted Answer

A significant, separately identifiable E/M service was performed on the same day as a procedure

Answer

Modifier -25 indicates that a significant, separately identifiable E/M service was provided by the same physician on the same day as a procedure or other service.

Question 4

Which of the following is true regarding CPT add-on codes?

Accepted Answer

They are reported in addition to the primary procedure and never reported alone

Answer

CPT add-on codes (marked with a '+') are always reported with a primary procedure code and cannot be used as stand-alone codes.

Question 5

A patient sustains a fracture of the right distal radius in a car accident. The accident occurred in a parking lot. Which external cause code category would be used?

Accepted Answer

V47 (Car occupant injured in collision with fixed or stationary object)

Answer

A collision in a parking lot involving a car hitting a fixed or stationary object falls under category V47 for the car occupant.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

CPC Practice 5