ADVANCE CODING MIDTERM 7- Questions and Correct Answers/ Latest Update / Already Graded

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ADVANCE CODING MIDTERM 7-
Questions and Correct Answers/ Latest
Update / Already Graded
Outpatient--Emergency Department (Injury)

Patient Name: Jarrid Foust

Diagnosis: Closed fracture of lower end of right radius and ulna

Procedures: Fracture manipulation, forearm x-ray, cast application

A 7-year-old male patient presented to the emergency department
(ED) after falling off his bicycle. Superficial scrapes were noted on his
right forearm, and he complained of pain in his right forearm. He said
that as he hit the ground, his right arm struck a large rock. The ED
physician provided Level 2 evaluation and management services and
ordered an x-ray of the right forearm. X-ray of the right forearm, two
views, with interpretation and report, revealed a closed fracture of the
distal end of the radius and ulna. The ED physician called the on-call
orthopedic surgeon for consultation, and the patient was prepared for
surgery. After the anesthesiologist administered general anesthesia to
this otherwise healthy child,

Ans: A4580, 99282-57, 25565-RT, 73090-RT, 01820-P1-AA,
S52.501A, S52.601A, W17.89XA, Y92.9, Y93.55


HCPCS level II codes are considered------ codes.

Ans: national

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HCPCS level II codes describe procedures, services, and ,------ ----- ---- -
---- ----- ----- abbreviated------- .

Ans: durable medical equipment, prosthetics, orthotics,
supplies (DMEPOS)


CPT codes are included as HCPCS level------- codes.

Ans: I


HCPCS level II national codes are----- characters in length.

Ans: five


HCPCS level II national codes begin with the letters-----to------ .

Ans: A TO V


HCPCS level II codes are developed and maintained by the ------ --------
----Workgroup.

Ans: CMS HCPCS




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Services and procedures that are reimbursed by a MAC can be found in
the ----- ---- ---- abbreviated-----

Ans: Medicare Carriers Manual (MCM)


Whether a service is covered or excluded under the Medicare program
can be found in the Medicare----- ------ ----- Manual.

Ans: National Coverage Determinations


HCPCS level II permanent codes are maintained by the ---- ----
Workgroup.

Ans: CMS HCPCS


HCPCS level II and CPT codes and multiple modifiers are reported on
the------ same line of Block 24D on the claim, such as 26010 FA F1.

Ans: CMS-1500


HCPCS level II miscellaneous codes are reported when a(n)------ -------
submits a claim for a product or service for which there is no existing
HCPCS level II national code.

Ans: DMEPOS dealer




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HCPCS level II temporary codes allow payers the flexibility to establish
codes that are needed before the next January 1------ update.

Ans: annual


identify the modifier that is added to a code when a procedure is
performed by a registered dietician

Ans: -AE


Modifier-------- is added to codes for procedures that are performed on
both sides during the same operative session.

Ans: -50


HCPCS level II-------- are added to HCPCS level I (CPT) and level II
(national) codes.

Ans: modifiers


Some services must be reported by assigning both a CPT and a HCPCS
code; the most common scenario uses a CPT code for administration of
a(n)------ and the HCPCS code to identify the------ .

Ans: infusion, medication




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