CPC - Certified Professional Coder HCPCS Level II Coding Questions and Answers

Question 1

A patient with chronic obstructive pulmonary disease (COPD) is prescribed a new standard wheelchair for home use. Which HCPCS Level II code range would be used to report the wheelchair?

Accepted Answer

E-codes (E0100-E8002)

Answer

HCPCS Level II E-codes are specifically designated for Durable Medical Equipment (DME), which includes items like wheelchairs, hospital beds, and oxygen equipment. A-codes are for medical and surgical supplies, L-codes for orthotics and prosthetics, and J-codes for drugs administered other than oral method.

Question 2

A 55-year-old male patient receives a 50 mg injection of a non-chemotherapeutic drug in the physician's office. The HCPCS Level II drug table lists the code for this drug as 'per 25 mg'. How should this be coded?

Accepted Answer

Report the J-code with 2 units

Answer

When the dosage administered is greater than the amount listed in the HCPCS code descriptor, the coder must report the appropriate number of units. In this scenario, since the code is for 25 mg and the patient received 50 mg, the J-code should be reported with 2 units (50 mg / 25 mg = 2).

Question 3

Which of the following HCPCS Level II modifiers is used to indicate that a colorectal cancer screening test was converted to a diagnostic test?

Accepted Answer

Modifier PT

Answer

Modifier PT is a HCPCS Level II modifier specifically used to indicate that a service that began as a screening procedure (in this case, for colorectal cancer) was converted into a diagnostic or therapeutic procedure. The other modifiers have different purposes: 26 for professional component, TC for technical component, and 59 for a distinct procedural service.

Question 4

Which category of HCPCS Level II codes is used to report drugs administered by a non-oral method, such as injections and infusions?

Accepted Answer

J-codes

Answer

J-codes are used to identify drugs that are administered by routes other than oral, as well as chemotherapy drugs. G-codes are for temporary procedures, Q-codes are temporary codes for services not otherwise classified, and S-codes are used by private payers for items not in the national code set.

Question 5

A supplier provides a patient with a new, off-the-shelf ankle-foot orthosis. Which HCPCS Level II modifier should be appended to the L-code to indicate the item is new?

Accepted Answer

NU - New equipment

Answer

The NU modifier is used to indicate that the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) item is new. RR is for rental equipment, LT specifies the left side of the body, and KX is an informational modifier related to medical necessity documentation.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder HCPCS Level II Coding Questions and Answers