Certified Medical Coding Specialist

FREE Medical Coding (CMCS) Trivia Questions and Answers

The physician performs a cardiovascular treatment that the coder is unfamiliar with, and the procedure's name does not appear in the CPT index. What action should the developer take first in such a circumstance?

Assign a similar cardiovascular procedure code

Request that the medical professional look at the CPT codes in the cardiovascular area

Use an unlisted procedure code from the cardiovascular section

Postpone coding the specific procedure until a code is established by the AMA

Correct! Wrong!

Explanation:
If the coder is unfamiliar with a cardiovascular treatment that the physician has performed and the procedure's name does not appear in the CPT index, the coder should first consult with the physician or other qualified medical professionals involved in the system. The coder should ask the physician to describe the process and provide any necessary documentation, such as a surgical report or operative note, to determine the appropriate code to assign.

A patient with tachycardia and hypotension visited the emergency room. Upon investigation, it was discovered that the patient's condition was brought on by a tetanus toxoid shot given four hours earlier.

Which of the following is the appropriate sequencing?

Hypotension; tachycardia; and therapeutic use E code, tetanus toxoid

Hypotension; tachycardia; and accidental poisoning E code, tetanus toxoid

Unspecified adverse reaction and undetermined cause E code, tetanus toxoid

Poisoning due to tetanus toxoid and therapeutic use E code, tetanus toxoid

Correct! Wrong!

Which of the subsequent statements is false:

They were changing the code on a claim because the provider did not fulfill documentation standards

Use modifier -59 to report a unique and distinct service that would otherwise be against NCCI policies

All of the above are acceptable practices

Modifier -25 is applied to a fair assessment and management service coded alongside a connected operation

Correct! Wrong!

Explanation:
A minor evaluation and management service are part of the procedures. Only the process should be recorded if an I&D is done while the patient complains of an abscess. It would be acceptable to report an examination and management service if the patient presents complaining of hypertension and a spot is found.

Excision, lesion, skin (malignant)

Excision, lesion, skin (benign)

Lesion, skin, destruction

Lesion, skin, excision

Correct! Wrong!

You code charts for clients at a billing company. Because your team is two months behind schedule and needs to comply with the terms of your service line agreement in the contract with your client, your manager sends out claims that have not been professionally coded. However, they claim it is acceptable because the provider already coded the shares at the time of service, and the client does not want to pay for additional coding. Which of the following assertions is accurate?

This is unacceptable since billing businesses are responsible for any fraudulent claims they submit, including under coding

This is acceptable because the supplier made the best effort while coding the claim and is therefore exempt from liability

Most of the time, the suppliers under code their offerings, which saves the insurance company money and spares us effort

Only over coding is fraudulent, so this is acceptable.

Correct! Wrong!

To rule out pneumonia, a patient with a cough (symptom code: 786.2) was referred by his doctor to the outpatient department (486). The outcomes could have been better.

Which of the following is the appropriate sequencing?

786.2

V72.5; 786.2

V72.5

V72.5; 486

Correct! Wrong!

Explanation:
The code 786.2 refers to cough, which was the reason for the patient's initial visit to the physician. The patient was then referred to the outpatient department for a chest x-ray to rule out pneumonia, which was not diagnosed.

The coding supervisor performs weekly quality checks to evaluate the precision of the coded data. Which of the following codes listed as the principal diagnostic is the sole code that can be assigned as the principal diagnosis?

V71.1 Observation for suspected malignant neoplasm

321.2 Meningitis due to viruses, not else- where classified

E855.0 Accidental poisoning by anticonvulsant and anti-Parkinsonism drugs

V27.0 Outcome of delivery, single liveborn

Correct! Wrong!

Explanation:
The coding supervisor performs weekly quality checks to evaluate the precision of the coded data. Regarding the principal diagnosis, it is essential to note that the sole code that can be assigned as the principal diagnosis is the condition or diagnosis chiefly responsible for the patient's admission to the hospital.

FREE Medical Coding (CMCS) Trivia Questions and Answers

The physician performs a cardiovascular treatment that the coder is unfamiliar with, and the procedure's name does not appear in the CPT index. What action should the developer take first in such a circumstance?

A patient with tachycardia and hypotension visited the emergency room. Upon investigation, it was discovered that the patient's condition was brought on by a tetanus toxoid shot given four hours earlier. Which of the following is the appropriate sequencing?

Which of the subsequent statements is false:

To rule out pneumonia, a patient with a cough (symptom code: 786.2) was referred by his doctor to the outpatient department (486). The outcomes could have been better. Which of the following is the appropriate sequencing?

The coding supervisor performs weekly quality checks to evaluate the precision of the coded data. Which of the following codes listed as the principal diagnostic is the sole code that can be assigned as the principal diagnosis?

Related Post

A patient with tachycardia and hypotension visited the emergency room. Upon investigation, it was discovered that the patient's condition was brought on by a tetanus toxoid shot given four hours earlier.

Which of the following is the appropriate sequencing?

To rule out pneumonia, a patient with a cough (symptom code: 786.2) was referred by his doctor to the outpatient department (486). The outcomes could have been better.

Which of the following is the appropriate sequencing?