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 physician performs a laparoscopic appendectomy and also performs an incidental laparoscopic cholecystectomy at the same session. How should this be reported?
Answer: Report both procedures with modifier -51 on the secondary procedure
Both procedures should be reported, with modifier -51 appended to the secondary (lower-valued) procedure to indicate multiple procedures.
Which of the following best describes an 'unbundling' error in medical coding?
Answer: Reporting component codes separately when a comprehensive code should be used
Unbundling occurs when services covered by a single comprehensive CPT code are billed as separate codes, inflating reimbursement.
A patient has Type 2 diabetes mellitus with diabetic chronic kidney disease, stage 3. Which ICD-10-CM combination code captures both conditions?
Answer: E11.22
E11.22 represents Type 2 diabetes mellitus with diabetic chronic kidney disease, stage 3 as a combination code.
Which of the following describes the correct sequencing when a patient is admitted for chemotherapy and also has the underlying malignancy?
Answer: Sequence the chemotherapy encounter code (Z51.11) first, followed by the malignancy code
When the admission is solely for chemotherapy, Z51.11 is the principal diagnosis; the malignancy is coded as a secondary diagnosis.
What is the global surgical period for most major surgeries in the Medicare fee schedule?
Answer: 90 days
Medicare assigns a 90-day global period to most major surgical procedures, encompassing pre- and post-operative care.
A coder is reviewing a chart where the physician documented 'UTI' without further specification. Which ICD-10-CM code should be assigned?
Answer: N39.0
N39.0 (Urinary tract infection, site not specified) is used when the physician documents UTI without identifying a specific site.
Which HCPCS Level II code range is used to report durable medical equipment (DME)?
Answer: E0100–E9999
HCPCS Level II E-codes (E0100–E9999) are designated for durable medical equipment such as wheelchairs, walkers, and hospital beds.