MEDICAL CODING AND BILLING FINAL EXAM UPDATED
QUESTIONS AND ANSWERS
The insurance and coding specialist is billing the insurance company of a 66-
year-old woman who has Medicare and is covered under her husbands private
insurance which of the following should be billed first?
The husband's insurance
Hey patient presents for a right side hip injection the provider use palpitation for
guidance which of the following is an appropriate CPT code?
20610-RT
Which of the following fees posted to the patient's account is an example of usual
customary and reasonable?
Allowed amount
A 26-year-old female presented to the emergency department with complaints of
severe headaches of 10 hour duration. An expanded problem focused history and
examination were preferring the MDM was moderate complexity which of the
following is the correct evaluation and management code for the services
provided?
99283
Hey patient has not had an alcoholic drink for two years but has been diagnosed
with alcoholic cirrhosis and ascities. Which of the following ICD 10 CM code
should be assigned?
K70.31, F10.21
Which of the following should an insurance and coding specialist do when
checking for completion of a new patient registration form?
Check that demographics are completed, make sure that the patients name matches
the insurance card, make sure that the registration form is signed and dated.
When the patient calls to inquire about an account which of the following does
the insurance and coding specialist need to ask before discussing the account?
Patient's date of birth, patients name, Patient's insurance ID number
, A 72-year-old patient is undergoing a corneal transplant. An anesthesiologist is
personally performing monitored anesthesia care. Which of the following
modifiers should be reported for the anesthesia?
-AA-AS
When filling an electronic insurance claim the insurance and coding specialist
processes which of the following forms?
CMS-1500
A patient presents to the ED with multiple stab wounds to the arm and chest. On
examination there are three deep lacerations to the arms measuring 1.2 cm 1.4
cm and 2.1 cm requiring complex closure and 2 superficial wounds measuring 1.3
cm and 2.4 cm requiring intermediate closure. Which of the following is the
correct CPT code assignment?
13121, 12032-59
Which of the following must be verified to process a credit card transaction?
Account number, credit card number, security code
A patient presents with low back pain. The physician ordered an MRI and
discover the patient has L5/S1 spondylolisthesis. Which of the following is the
correct ICD 10 CM code assignment?
M43.17
When should a provider have a patient sign an ABN?
when the items may be denied and prior to performing the service.
The patient presents to the ED with RLQ pain and fever. The physician list
appendicitis as a possible diagnosis. Which of the following ICD 10 CM code
should be assigned?
R10.31, R50.9
The patient has returned to the operating room to aspirate a hematoma that has
developed from a surgical procedure performed two days ago. A 16 gauge needle
is used to aspirate 600 cc's of non cloudy fluid. Which of the following is the
correct CPT code assignment?
10160-78
QUESTIONS AND ANSWERS
The insurance and coding specialist is billing the insurance company of a 66-
year-old woman who has Medicare and is covered under her husbands private
insurance which of the following should be billed first?
The husband's insurance
Hey patient presents for a right side hip injection the provider use palpitation for
guidance which of the following is an appropriate CPT code?
20610-RT
Which of the following fees posted to the patient's account is an example of usual
customary and reasonable?
Allowed amount
A 26-year-old female presented to the emergency department with complaints of
severe headaches of 10 hour duration. An expanded problem focused history and
examination were preferring the MDM was moderate complexity which of the
following is the correct evaluation and management code for the services
provided?
99283
Hey patient has not had an alcoholic drink for two years but has been diagnosed
with alcoholic cirrhosis and ascities. Which of the following ICD 10 CM code
should be assigned?
K70.31, F10.21
Which of the following should an insurance and coding specialist do when
checking for completion of a new patient registration form?
Check that demographics are completed, make sure that the patients name matches
the insurance card, make sure that the registration form is signed and dated.
When the patient calls to inquire about an account which of the following does
the insurance and coding specialist need to ask before discussing the account?
Patient's date of birth, patients name, Patient's insurance ID number
, A 72-year-old patient is undergoing a corneal transplant. An anesthesiologist is
personally performing monitored anesthesia care. Which of the following
modifiers should be reported for the anesthesia?
-AA-AS
When filling an electronic insurance claim the insurance and coding specialist
processes which of the following forms?
CMS-1500
A patient presents to the ED with multiple stab wounds to the arm and chest. On
examination there are three deep lacerations to the arms measuring 1.2 cm 1.4
cm and 2.1 cm requiring complex closure and 2 superficial wounds measuring 1.3
cm and 2.4 cm requiring intermediate closure. Which of the following is the
correct CPT code assignment?
13121, 12032-59
Which of the following must be verified to process a credit card transaction?
Account number, credit card number, security code
A patient presents with low back pain. The physician ordered an MRI and
discover the patient has L5/S1 spondylolisthesis. Which of the following is the
correct ICD 10 CM code assignment?
M43.17
When should a provider have a patient sign an ABN?
when the items may be denied and prior to performing the service.
The patient presents to the ED with RLQ pain and fever. The physician list
appendicitis as a possible diagnosis. Which of the following ICD 10 CM code
should be assigned?
R10.31, R50.9
The patient has returned to the operating room to aspirate a hematoma that has
developed from a surgical procedure performed two days ago. A 16 gauge needle
is used to aspirate 600 cc's of non cloudy fluid. Which of the following is the
correct CPT code assignment?
10160-78
