HCPCS LEVEL II (80%) EXAMS QUESTIONS WITH COMPLETE
SOLUTIONS VERIFIED.
A healthy 32-year-old with a closed distal radius fracture received monitored
anesthesia care for an ORIF of the distal radius. What is the code for the
anesthesia service?
A. 01830-P1
B. 01860-QS-P1
C. 01830-QS-P1
D. 01860-QS-G9-P1
C (01830-QS-P1) (MAC stands for? monitored anesthesia care) ("Monitored anesthesia
care" is reported with a HCPCS Level II code modifier = QS) (G9 = HCPCS Level II
code modifier = history or cardiopulmonary condition) ("ORIF" = open reduction internal
fixation = open procedure) (location = "distal radius") (Anesthesia--> forearm, wrist,
hand--> anesthesia for open/surgical-athroscopic/surgical-endoscopic on distal radius,
distal ulna, wrist, and hand) (R:The patient receives monitored anesthesia care also
known as MAC which is reported with HCPCS Level II modifier QS. There is no
indication the patient has a history of cardiopulmonary condition so G9 would not be
appropriate. Look in the CPT® Index for Anesthesia/Forearm. You are referred to
multiple codes (00400, 01810-01820, 01830-01860). Refer to these codes in the
numeric section to determine the correct code using the code descriptions. The
procedure was open and performed on the distal radius. The appropriate code is
01830.)
A very large lipoma is removed from the chest measuring 8 sq cm and the defect
is 12.2 cm requiring a layered closure with extensive undermining. MAC is
performed by a medically directed Certified Registered Nurse Anesthetist (CRNA).
Code the anesthesia service.
A. 00400-QX-QS
B. 00400-QS
, C. 00300-QS
D. 00300-QX-QS
A (00400-QX-QS) (!!ATTENTION HCPCS LEVEL II MODIFIER!!) (MAC stands for?
monitored anesthesia care) ("Monitored anesthesia care" is reported with a HCPCS
Level II code modifier = QS) (QX = anesthesia provided by medically directed
CRNA) ("chest" = anterior trunk) (R:1. Look in the CPT® Index
for Anesthesia/Integumentary System/Anterior Trunk referring you to 00400 which is the
correct code. The HCPCS modifier QX is appended to report the service was provided
by a medically directed CRNA. Modifier QS is appended to identify that the type of
anesthesia is MAC or monitored anesthesia care.)
Select the HCPCS code to report a patient having a spinal needle inserted into the
nucleus pulposus of the L3-L4 intervertebral disc until the desired
decompression is accomplished using radio frequency energy.
a. S2350
b. S2348
c. S9090
d. S2351
S2348 (Rationale: Look in the HCPCS Level II Index for Decompression procedure,
intervertebral disc directing you to code S2348.)
A 66-year-old Medicare patient, who has a history of ulcerative colitis, presents
for a colorectal cancer screening. The screening is performed via barium enema.
What HCPCS Level II code is reported for this procedure?
A. G0104
B. G0105
C. G0120
D. G012
C. G0120 (1. Patient is not having a flexible sigmoidoscopy performed for the
colorectcal cancer screening, eliminating multiple choice A. The screening for the
cancer is being performed via barium enema instead of a colonoscopy. This eliminates
multiple choices B and D. This patient is qualified by Medicare to be a high risk by
having a history of ulcerative colitis. An individual with ulcerative enteritis or a history of
SOLUTIONS VERIFIED.
A healthy 32-year-old with a closed distal radius fracture received monitored
anesthesia care for an ORIF of the distal radius. What is the code for the
anesthesia service?
A. 01830-P1
B. 01860-QS-P1
C. 01830-QS-P1
D. 01860-QS-G9-P1
C (01830-QS-P1) (MAC stands for? monitored anesthesia care) ("Monitored anesthesia
care" is reported with a HCPCS Level II code modifier = QS) (G9 = HCPCS Level II
code modifier = history or cardiopulmonary condition) ("ORIF" = open reduction internal
fixation = open procedure) (location = "distal radius") (Anesthesia--> forearm, wrist,
hand--> anesthesia for open/surgical-athroscopic/surgical-endoscopic on distal radius,
distal ulna, wrist, and hand) (R:The patient receives monitored anesthesia care also
known as MAC which is reported with HCPCS Level II modifier QS. There is no
indication the patient has a history of cardiopulmonary condition so G9 would not be
appropriate. Look in the CPT® Index for Anesthesia/Forearm. You are referred to
multiple codes (00400, 01810-01820, 01830-01860). Refer to these codes in the
numeric section to determine the correct code using the code descriptions. The
procedure was open and performed on the distal radius. The appropriate code is
01830.)
A very large lipoma is removed from the chest measuring 8 sq cm and the defect
is 12.2 cm requiring a layered closure with extensive undermining. MAC is
performed by a medically directed Certified Registered Nurse Anesthetist (CRNA).
Code the anesthesia service.
A. 00400-QX-QS
B. 00400-QS
, C. 00300-QS
D. 00300-QX-QS
A (00400-QX-QS) (!!ATTENTION HCPCS LEVEL II MODIFIER!!) (MAC stands for?
monitored anesthesia care) ("Monitored anesthesia care" is reported with a HCPCS
Level II code modifier = QS) (QX = anesthesia provided by medically directed
CRNA) ("chest" = anterior trunk) (R:1. Look in the CPT® Index
for Anesthesia/Integumentary System/Anterior Trunk referring you to 00400 which is the
correct code. The HCPCS modifier QX is appended to report the service was provided
by a medically directed CRNA. Modifier QS is appended to identify that the type of
anesthesia is MAC or monitored anesthesia care.)
Select the HCPCS code to report a patient having a spinal needle inserted into the
nucleus pulposus of the L3-L4 intervertebral disc until the desired
decompression is accomplished using radio frequency energy.
a. S2350
b. S2348
c. S9090
d. S2351
S2348 (Rationale: Look in the HCPCS Level II Index for Decompression procedure,
intervertebral disc directing you to code S2348.)
A 66-year-old Medicare patient, who has a history of ulcerative colitis, presents
for a colorectal cancer screening. The screening is performed via barium enema.
What HCPCS Level II code is reported for this procedure?
A. G0104
B. G0105
C. G0120
D. G012
C. G0120 (1. Patient is not having a flexible sigmoidoscopy performed for the
colorectcal cancer screening, eliminating multiple choice A. The screening for the
cancer is being performed via barium enema instead of a colonoscopy. This eliminates
multiple choices B and D. This patient is qualified by Medicare to be a high risk by
having a history of ulcerative colitis. An individual with ulcerative enteritis or a history of
