Certified Professional Coder MCQ Flashcards
7 cards from real CPC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Certified Professional Coder MCQ flashcards as text
A physician documents that a patient's condition was 'due to' a prior surgery. In ICD-10-CM, how is this relationship captured?
Answer: Using the appropriate complication code from the T80-T88 range
Postprocedural complications are reported using codes from the T80-T88 range in ICD-10-CM, which specifically classify complications of surgical and medical care.
Which HCPCS Level II code category covers durable medical equipment (DME)?
Answer: E codes
HCPCS Level II E codes (E0100-E8002) are used to report durable medical equipment such as wheelchairs, crutches, and hospital beds.
When a surgeon performs a procedure and closes an incision, and separately repairs a hernia discovered incidentally during the same surgery, how should this be coded?
Answer: Code both procedures with modifier -51 on the secondary procedure
When multiple procedures are performed at the same operative session, modifier -51 (multiple procedures) is appended to the secondary procedure code to indicate reduced reimbursement applies.
Which of the following describes the correct use of a 'V code' equivalent in ICD-10-CM?
Answer: Z codes for factors influencing health status
ICD-10-CM Z codes (replacing ICD-9-CM V codes) report factors influencing health status and contact with health services, such as vaccination status or family history.
A patient undergoes a diagnostic arthroscopy of the knee which is converted to a surgical arthroscopy during the same session. How should this be coded?
Answer: Code only the surgical arthroscopy
When a diagnostic arthroscopy is immediately converted to a surgical arthroscopy, only the surgical arthroscopy is reported because the diagnostic scope is integral to the surgical procedure.
Under the Outpatient Prospective Payment System (OPPS), how are hospital outpatient services reimbursed?
Answer: Based on ambulatory payment classifications (APCs)
The OPPS reimburses hospital outpatient services using Ambulatory Payment Classifications (APCs), which group services with similar clinical characteristics and costs.
A coder notices the attending physician documented 'acute-on-chronic heart failure.' How should this be coded in ICD-10-CM?
Answer: Code the combined acute-on-chronic heart failure with a single combination code
ICD-10-CM provides combination codes for acute-on-chronic heart failure (e.g., I50.23 for acute-on-chronic systolic heart failure) that capture both components in a single code.