Practice 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 Practice flashcards as text
A patient undergoes an office visit for an established patient with a detailed history, detailed examination, and medical decision making of moderate complexity. Which E/M level is most appropriate?
Answer: 99214
99214 requires detailed history, detailed exam, and moderate complexity MDM for an established patient office visit.
When coding a procedure with a modifier -51 (multiple procedures), which procedure should be listed first on the claim?
Answer: The procedure with the highest RVU or fee
The primary procedure with the highest relative value or fee is listed first; subsequent procedures use modifier -51.
A surgeon performs a colonoscopy and removes a polyp via snare technique and another polyp via hot biopsy forceps. How should this be coded?
Answer: Code both techniques using appropriate colonoscopy codes with modifier -51
When different removal techniques are used during the same colonoscopy session, each is coded separately with modifier -51 appended.
Which section of CPT contains codes for Evaluation and Management services?
Answer: The introductory pages before Section I
E/M codes (99202–99499) appear in the introductory pages of the CPT manual before the Surgery section.
A patient presents with chest pain. The physician documents a comprehensive history, comprehensive exam, and high-complexity medical decision making. The patient is new. Which code applies?
Answer: 99205
99205 is the highest-level new patient office visit requiring comprehensive history, comprehensive exam, and high-complexity MDM.
Which modifier indicates a procedure was performed bilaterally?
Answer: -50
Modifier -50 is appended to indicate a procedure was performed on both sides of the body during the same operative session.
Under the OPPS (Outpatient Prospective Payment System), which coding system is primarily used for reimbursement?
Answer: CPT and HCPCS Level II
Hospital outpatient services billed under OPPS use CPT and HCPCS Level II codes grouped into Ambulatory Payment Classifications (APCs).