2022 CPC Exam Study - Coding Guidelines QUESTIONS WITH
COMPLETE SOLUTIONS
A0429 Correct Answer: Ambulance Service, BLS Emergency Transport
square centimeters. Correct Answer: The size of a skin graft is measured in
69209 Correct Answer: When impacted cerumen is removed by irrigation only, what code(s)
would be appropriate?
GA Correct Answer: Medicare patient requests EKG/blood work for which there is no
documentation to support medical necessity An Advance Beneficiary Notice (ABN) is signed by
the patient prior to proceeding with the requested services. What modifier should be appended to
these services?
Without contrast Correct Answer: When a radiology service is performed with oral contrast,
how should it be coded?
written request, referring physician, and written report for each consultant, as well as specific
reason each unique specialist is seeing patient Correct Answer: Multiple consultations were
performed by multiple specialists during the same hospitalization. In order for each of these
services to be considered for payment, what information must be documented and coded?
96365, 96366 x 3 units Correct Answer: When an intravenous infusion of medication is
documented from 8:00 AM to 12:15 PM, what code(s) should be assigned?
97602 Correct Answer: When nonexcisional debridement is performed to an entire wound area,
what code(s) are assigned?
Rule of Nines Correct Answer: What guidelines are utilized in ICD-10-CM when determining
the extent of body surface area?
Append modifier -25. Correct Answer: Per CPT guidelines, would it be appropriate to code a
procedure or service on the same date of service as an E/M service that is significantly separately
identifiable. If so, what modifier should be appended?
Colonoscopy with biopsy only Correct Answer: When a diagnostic colonoscopy and
colonoscopy with biopsy are performed during the same surgical session, what code(s) are
reported?
96365, 96375 Correct Answer: When an intravenous medication infusion is performed for 1
hour as well as an intravenous injection (IVP) during the same encounter, how are these services
reported?
COMPLETE SOLUTIONS
A0429 Correct Answer: Ambulance Service, BLS Emergency Transport
square centimeters. Correct Answer: The size of a skin graft is measured in
69209 Correct Answer: When impacted cerumen is removed by irrigation only, what code(s)
would be appropriate?
GA Correct Answer: Medicare patient requests EKG/blood work for which there is no
documentation to support medical necessity An Advance Beneficiary Notice (ABN) is signed by
the patient prior to proceeding with the requested services. What modifier should be appended to
these services?
Without contrast Correct Answer: When a radiology service is performed with oral contrast,
how should it be coded?
written request, referring physician, and written report for each consultant, as well as specific
reason each unique specialist is seeing patient Correct Answer: Multiple consultations were
performed by multiple specialists during the same hospitalization. In order for each of these
services to be considered for payment, what information must be documented and coded?
96365, 96366 x 3 units Correct Answer: When an intravenous infusion of medication is
documented from 8:00 AM to 12:15 PM, what code(s) should be assigned?
97602 Correct Answer: When nonexcisional debridement is performed to an entire wound area,
what code(s) are assigned?
Rule of Nines Correct Answer: What guidelines are utilized in ICD-10-CM when determining
the extent of body surface area?
Append modifier -25. Correct Answer: Per CPT guidelines, would it be appropriate to code a
procedure or service on the same date of service as an E/M service that is significantly separately
identifiable. If so, what modifier should be appended?
Colonoscopy with biopsy only Correct Answer: When a diagnostic colonoscopy and
colonoscopy with biopsy are performed during the same surgical session, what code(s) are
reported?
96365, 96375 Correct Answer: When an intravenous medication infusion is performed for 1
hour as well as an intravenous injection (IVP) during the same encounter, how are these services
reported?
