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
Which of the following best describes the 'correct coding initiative' (CCI) edits?
Answer: Automated prepayment edits preventing improper code combinations from being billed together
CCI (Correct Coding Initiative) edits are CMS automated prepayment edits that prevent improper billing of code combinations that are considered mutually exclusive or bundled.
A patient has a confirmed HIV infection and also presents with Pneumocystis pneumonia. Which is the correct coding approach?
Answer: Code B20 first, followed by a code for the Pneumocystis pneumonia
ICD-10-CM guidelines instruct sequencing B20 (HIV disease) first, followed by additional codes for all associated conditions.
Modifier -25 is used to indicate what?
Answer: A significant, separately identifiable E/M service was performed on the same day as a procedure
Modifier -25 indicates that a significant, separately identifiable E/M service was provided by the same physician on the same day as a procedure or other service.
Which of the following is true regarding CPT add-on codes?
Answer: They are reported in addition to the primary procedure and never reported alone
CPT add-on codes (marked with a '+') are always reported with a primary procedure code and cannot be used as stand-alone codes.
A patient sustains a fracture of the right distal radius in a car accident. The accident occurred in a parking lot. Which external cause code category would be used?
Answer: V47 (Car occupant injured in collision with fixed or stationary object)
A collision in a parking lot involving a car hitting a fixed or stationary object falls under category V47 for the car occupant.
Which of the following describes a 'cross-reference' instruction in ICD-10-CM?
Answer: Directions such as 'See,' 'See also,' or 'See condition' guiding the coder to the correct term
Cross-reference instructions in the ICD-10-CM Index, such as 'See' and 'See also,' redirect coders to the most appropriate main term or code.
For a procedure performed in an ambulatory surgery center (ASC), which coding system determines the facility payment?
Answer: CPT/HCPCS with ASC payment groups
ASC payments are based on CPT and HCPCS codes, which are grouped into ASC payment groups under the Medicare ASC payment system.