MOS201 Chapter 46 Billing & Coding

What is the purpose of external cause codes in the ICD-10?

Which factor is used to calculate payment for anesthesia services?

Which type of modifiers indicates the patient’s condition at the time of the administration of the anesthesia?

What is the format of the first three characters of an ICD-10 code?

Which chapter of ICD-10 manual would you expect to find the diagnosis code for an child,for a physical exam for sports?

Which type of anesthesia does not receive a separate code?

Diagnosis listed “wedge compression fx of the 5th lumbar vertebra,” which word should be referenced in the Alpha index?

What would be added to a code for a procedure that was extensive or unusual or that required an assistant?

Who publishes the CPT manual for procedure codes?

What is included in the code for a surgery?

Which of the following is most likely to require a HCPCS Level II code?

Why was diagnostic coding originally developed?

How is an established patient defined?

What coding system is used by Medicare and Medicaid for services and equipment that are not usually covered insurance?

Why is it important for a medical assistant to be aware of guidelines for medical necessity?

Which of the following diagnostic tests is/are included in the radiology section of the CPT manual?

If the patient has multiple problems and is seriously ill, what type of medical decision making is probably necessary?

What problems with CPT codes may cause insurance claims to be rejected?

ICD-10 A condition not coded here, and the pt can't have this condition in addition to the condition listed above it?

What is the format of most CPT codes?

What is a panel related to CPT coding?

Which of the following abbreviations or punctuation indicates that a more specific ICD-10 code cannot be identified?

In which section of the CPT manual is there an attempt to link reimbursement to the completeness of the exam and skill?

What do CPT Category II and Category III codes consist of?

Dr. Barry Manning is an internist. In which section of the CPT manual would the codes for his office visits be found?

How does a classification system become a coding system?

When procedure codes are used to bill an insurance company, which of the following is an example of upcoding?

Which of the following types of history focuses mainly on the chief complaint?

How do insurance companies use diagnosis codes?

What is the penalty (if any) if a medical office is found to have a practice of upcoding?

Which of the following is a key factor determining the level of service for an E/M code?

How are most diseases or conditions arranged in the tabular section of the ICD-10 manual?

How often should the medical office purchase new code books or computer code sets?

What is the format of HCPCS Level II codes?

What is the meaning of the “10” in the abbreviation ICD-10-CM?

Which of the following is an addition in the ICD-10 compared to the ICD-9?

What is the first section of the CPT manual?

If an office has a pattern of downcoding, what is the effect on insurance payments?

For which reason(s) are procedure codes used?

In the index of the CPT manual, for which of the following might the medical assistant find a modifying term?

If the medical assistant is coding for the removal of a lesion, what might influence selection of the proper code?

What organization first published and continues to manage the International Classification of Diseases?

During a routine examination, the physician decides to have an electrocardiogram performed. How should this be coded?

In the ICD-10 code M84.50xA, what is the function of the “x”?

Which organization compiled the first disease classification system in the United States?