CPT
A patient presents for a colonoscopy. The physician removes a polyp in the transverse colon by hot biopsy forceps. Which of the following is the correct CPT® code assignment?
A. 45380
B. 45384
C. 45378
D. 45385
45384
The patient presents to the physician's office for an initial encounter of a crushing injury of the left middle finger. Which of the following ICD-10-CM codes should be assigned?
S67.198S
S67.193A
S67.193D
S67.194A
S67.193A
Threading a catheter with balloon into a coronary artery and expanding it to repair arteries describes which of the following procedures?
A. Valvuloplasty
B. Artherectomy
C. Angioplasty
D. Ablation
C. Angioplasty
Box 3
Patient date of birth and gender
The provider is paid the same rate per patient whether or not they provide services and no matter which services were provided. This payment is known as
Captitation
If the removal of the fallopian tubes and ovaries is the only procedure performed, which of the following is the appropriate code?
A. 58615
B. 58720
c. 58700
D. 58150
B. 58720
A 6-month-old infant is diagnosed with acute suppurative otitis media with spontaneous rupture of the ear drum of the left ear. What is the correct ICD-10-CM code?
H66.015
H66.011
H66.013
H66.012
H66.012
When coding a front torso burn, which of the following percentages should be coded?
18 %
1%
36%
9%
18%
Box 33
Billing provider information
The patient is sent a statement for an office visit. The total amount of the bill is $100.00 and this amount must be paid before the insurance company will pay on the claim. What is this called?
deductible
An insurance and coding specialist is reviewing Appendix M in the CPT® book. Which of the following tasks is she most likely performing?
A. getting a list of Category III codes
B. checking for renumbered codes
C. determining which codes have been deleted
D. verifying pending FDA approvals
B. checking for renumbered codes
Eighteen hours following the delivery of her baby, a female patient who has been discharged suffers atonic hemorrhage. Which ICD-10-CM code should be assigned?
O72.3
O72.0
O72.1
O72.2
O72.1
A provider performs an examination of a patient's knee joint via small incisions and an optical device. Which of the following terms describes this procedure?
Arthroscopy
Arthrography
Meniscectomy
Chondroplasty
Arthroscopy
A physician performed a bilateral L4/L5 Laminectomy on a patient in an ambulatory surgical center. Which place of service code should be used on the CMS 1500?
24
Which MCO always requires an authorization before seeing a specialist?
HMO
A 57-year-old patient with severe systemic disease is having surgery to remove an integumentary mass from his neck. Which of the following is the correct CPT® code assignment for the anesthesia service?
A. 00350-P3
B. 00322-P3
C. 00320-P3
D. 00300-P3
D. 00300-P3
A patient presents with low back pain. The physician ordered an MRI and discovered the patient has L5/S1 spondylolisthesis. What is the correct ICD-10-CM code assignment?
M43.17
M43.07, M54.5
M43.17, M54.5
M43.07
M43.17
Urine moves from the kidneys to the bladder through which of the following parts of the body?
Ureters
Renal Pelvis
Urethra
Adrenal gland
Ureters
In what box does the referring providers NPI number go?
17b
What prohibits the submission of a fraudulent claim or making a false statement or representation in connection with a claim?
Federal False Claims Act
A patient had surgery two weeks ago to repair a dislocated ankle, and returns today to have a flexor tendon in the hand repaired. Which modifier should be reported for today’s service?
A. 58
B. 79
C. 78
D. 51
B. 79
The patient’s diagnosis is vesicoureteral reflux with nephropathy (without hydroureter) and chronic obstructive pyelonephritis due to E-coli infection. Which of the following ICD-10-CM codes should be assigned?
N13.729, N11.1, B96.2
N11.0, N13.70
N13.70, N11.0, B96.2
N11.1, B96.2
N13.729, N11.1, B96.2
A provider surgically punctures through the space between the patient's ribs using an aspirating needle to withdraw fluid from the chest cavity. Which of the following is the name of this procedure?
A. Thoracotomy
B. Pleurocentesis
C. Thoracoscope
D. Pleurodesis
B. Pleurocentesis
In what box does the place of service code go?
24b
If the insurance carrier’s rate of benefits is 80%, the remaining 20% is known as
coinsurance