What is the appropriate modifier to indicate NPP assist at surgery for a Medicare patient?
100
October 1, 2013
What is the deadline to adopt ICD-10-CM?
100
The physician must be present and immediately available to furnish assistance and direction throughout the performance of the procedure, but does not need to be present in the room when the procedure is performed.
What is "direct supervision?"
100
C9399
What is the appropriate code to describe/report a new drug or biological recently approved by the FDA, but that does does not have a product-specific HCPCS Level II code assigned?
100
Medical decision-making.
Which E/M compoment is the overarching criterion for E/M level selection?
200
Modifier 24.
Which modifier applies when the same physician performs an unrelated E/M service that occurs during the global peiod of a previous procedure?
200
Sport during which the injury occurred.
What do E-Activity codes describe?
200
Every two years, regardless of age.
How often, under Medicare guidelines, is a patient with high-risk for colon cancer eligible for a covered screening colonoscopy?
200
20610
Which code best describes Depo-Medrol injection to the knee?
200
30 minutes.
How many minutes beyond the "reference time" for a given level of E/M service must the physician document to report prolonged services?
300
Modifier G9
What is the appropriate modifier to report monitored anesthesia care for a patient with a history of severe cardio-pulmonary condition, assuming the payer accepts such modifiers?
300
488.1; October 1, 2009
What is the new ICD-9-CM code to describe the swine flu and what is its effective date?
300
Prior to excision.
Ideally for correct code description, lesion measurements should be taken when?
300
99291, 99292
Which codes are appropriate to report critical care services for a six-year old, critically-injured patient?
300
New Patient office visits, Hospital Observation and Emergency Department services.
What are three E/M service categories that require 3 of 3 key components to report a given level of service?
400
Modifier 53
Which modifier does Medicare recommend to indicate an incomplete colonoscopy?
400
Location and stage.
Under ICD-9-CM, you must use a minimum of two separate codes to describe what characteristics of a presure ulcer?
400
November 1, 2009
What is the effective date for implementation of the Federal Trade Commission's "Red Flag Rules" to protect against identity theft?
400
HCPCS Level II G-codes.
What codes are used exclusively for Medicare payers, but are generally paid by non-Medicare payers on appeal?
What are the four levels of E/M exam, depending on the extent of physician work?
500
Modifier 22
What is the modifier to indicate that a procedure was more difficult or time-consuming to perform, and requires physician documentation to support why it was more difficult and what he/she did to correct the issue?
500
Report the screening code as primary, and the ICD-9-CM code that describes the condition as secondary.
How would you assign ICD-9-CM codes if a condition is found during a screening procedure?
500
2% of the total estimated charges for eligible services, per year, to and including 2010; 1% 2011, to and including 2012; 0.5% in 2013.
What is the payment percentage increase, by year, for participation in CMS's e-prescribing incentives?
500
Lesion at its widest + twice the narrowest margin.
How do you determine the size of a skin lesion (benign or malignant) when selecting among lesion excision code(s) 11400-11646?
500
99214, 99354
What is the appropriate coding if the physician documents an expanded-problem-focused history, a detailed exam, and a MDM of moderate complexity for an established patient in an outpatient setting, for a 90 minute exam with well-documented medical necessity for the service?