ACTUAL Exam Questions and CORRECT
Answers
How does a classification system become a coding system? - CORRECT ANSWER -
Names are replaced by numbers and letters.
How often should the medical office purchase new code books or computer code sets? -
CORRECT ANSWER - Annually
What is the format of most CPT codes? - CORRECT ANSWER - Five-digit code
If the patient has multiple problems and is seriously ill, what type of medical decision making is
probably necessary? - CORRECT ANSWER - High-complexity
What is included in the code for a surgery? - CORRECT ANSWER - Local or topical
anesthesia
What is a panel? - CORRECT ANSWER - A group of laboratory tests that are done
together
When procedure codes are used to bill an insurance company, which of the following is an
example of upcoding? - CORRECT ANSWER - A medical office uses a separate code for
each lab test in a panel when all tests in the panel were performed
During a routine examination, the physician decides to have an electrocardiogram (EGG)
performed on the patient. How should this be coded? - CORRECT ANSWER - As a
separate procedure
What problems with CPT codes may cause insurance claims to be rejected? - CORRECT
ANSWER - The service is not backed up with documentation in the patient record
, What is most likely to require a HCPCS level II code? - CORRECT ANSWER - Metal
crutches
Why were diagnosis codes developed? - CORRECT ANSWER - To track disease
processes
To classify the cause of disease
To collect data for medical research
To evaluate hospital service utilization
What organization first published and continues to manage the International Classification of
Diseases? - CORRECT ANSWER - The World Health Organization
What part of the ICD-9 code makes it most specific? - CORRECT ANSWER - The second
digit after the decimal point
What type of diagnosis codes are used when a patient comes to the office for a physical
examination in ICD-9? - CORRECT ANSWER - V codes
How are most diseases or conditions arranged in the tabular section of the ICD-10 manual? -
CORRECT ANSWER - By classification of disease or condition
How do insurance companies use diagnosis codes? - CORRECT ANSWER - To decide
whether the care given corresponds to the patient's disease
Abbreviations or punctuation indicates that a more specific ICD-9 or ICD-10 code cannot be
identified? - CORRECT ANSWER - NOS
What is the penalty (if any) if a medical office is found to have a practice of upcoding? -
CORRECT ANSWER - The practice must pay a large fine