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 patient undergoes a laparoscopic cholecystectomy with intraoperative cholangiography. Which modifier should be appended to the cholangiography code?
Answer: No modifier needed
Intraoperative cholangiography performed during the same operative session as cholecystectomy does not require a modifier because it is a separately identifiable procedure bundled with the surgical report.
When coding for Evaluation and Management (E/M) services under the 2021 guidelines, the level of medical decision making (MDM) is based on which three elements?
Answer: Number of diagnoses, amount of data reviewed, and risk of complications
Under 2021 E/M guidelines, MDM is determined by the number and complexity of problems, amount and complexity of data reviewed, and risk of complications and/or morbidity or mortality.
A coder is reviewing a claim for a new patient office visit. The physician documented a comprehensive history, comprehensive exam, and high complexity MDM. Which E/M code is most appropriate?
Answer: 99205
99205 represents a new patient office visit with high complexity medical decision making (or 60-74 minutes of total time).
Which of the following describes the correct use of modifier -25?
Answer: Significant, separately identifiable E/M service on the same day as a procedure
Modifier -25 indicates a significant, separately identifiable evaluation and management service was provided by the same physician on the same day as a procedure or other service.
In ICD-10-CM, what does the 7th character 'A' represent when used with injury codes?
Answer: Initial encounter
The 7th character 'A' designates the initial encounter, meaning the patient is receiving active treatment for the condition.
Which CPT code range covers Surgery on the Musculoskeletal System?
Answer: 20000-29999
CPT codes 20000-29999 cover procedures on the musculoskeletal system including the spine, fracture care, and joint procedures.
A patient is seen for hypertension and type 2 diabetes with diabetic chronic kidney disease, stage 3. How many ICD-10-CM codes are required?
Answer: Three codes: hypertension, diabetes with CKD, and CKD stage 3
You need E11.22 (type 2 diabetes with diabetic CKD), N18.3 (CKD stage 3), and I10 (essential hypertension) — three separate codes per ICD-10-CM guidelines.