Certified Professional Coder (CPC) Certification EXAM
QUESTIONS AND VERIFIED ACCURATE SOLUTION
|GET IT 100% ACCURATE
Can category II codes be used as a substitute for category I codes, true or false? - ANSWER-False
Can codes be very specific? - ANSWER-Yes
Can you code something that has a red dot? - ANSWER-No, never code, go down one more.
(If it has a number in it, that's how many characters it will have in it.
Carcin/o - ANSWER-Cancer
Cardi - ANSWER-Heart(cardiology)
Carditis - ANSWER-Inflammation of the heart
Category I codes are mandatory for reporting & reimbursement, True or False? - ANSWER-True
Category I CPT Codes: - ANSWER-5-digit numeric codes
Category I PLA Symbol - ANSWER-Up/Down Arrows
Category II Codes - ANSWER-- Are optional
- 5 character codes that end with the letter F
,- Will ultimately reduce provider's administrative burden.
Category II Codes: - ANSWER-5-character temporary codes
Category II CPT: - ANSWER-5-character performance measurement codes
Category III Codes - ANSWER-- Temporary codes
-Used for emerging technology
- Up to 5 characters and ends with "T"
- Can be reported separately
- Takes precedence over an unlisted code.
Category III codes are Temporary codes, True or False? - ANSWER-True
Category III codes cannot be reported alone, true or false? - ANSWER-False
Category III codes end in what letter? - ANSWER-T-Temporary
Celi/o - ANSWER-Belly, abdomen
Centesis - ANSWER-Puncture to withdraw fluid
CF - ANSWER-Conversion factor - fixed dollar amount used to translate the RVUs into fees.
,Cheil/o - ANSWER-Lip
Chem/o - ANSWER-Chemical
Cholecyst/o - ANSWER-Gall bladder
Choledoch/o - ANSWER-Common bile duct
Cis/o - ANSWER-To cut
Clearing House - ANSWER-An entity that processes nonstandard health information they receive from
another entity into a standard format.
CMS - ANSWER-Centers for Medicare and Medicaid Services
CMS developed polices regarding medical necessities are based on regulations found in title XVIII: -
ANSWER-Social Security Act
CMS regulations often serves as______ word in coding requirement for Medicare and non-Medicare
payers alike. - ANSWER-Last
CMS rules require the provider to present the ABN to patient when: - ANSWER-Far enough in advance
that the beneficiary or representative have time to consider the options and make an informed choice.
CMS will accept the ____________ for either a "potentially non=covered" service or for a statutorily
excluded service. - ANSWER-CMS-R-131
CMS-R-131 - ANSWER-ABN form
or
, Advance Beneficiary Notice which explains to the patient why Medicare may deny the particular service
or procedure.
Codes are grouped, how (wound repairs)? - ANSWER-By anatomical location within the type of repair.
Codes for excision procedures are distinguished by what? - ANSWER-The lesion type (whether or not
benign or cancerous) followed by the anatomical location of the lesion.
Coding is ____. - ANSWER-The process of translating this written or dictated medical record into a series
of numeric or alpha-numeric codes.
Col/o - ANSWER-Colon
Colon/o - ANSWER-Colon
Combining Form - ANSWER-A component formed from a word root and a vowel.
Combining Vowel - ANSWER-Make it possible to pronounce long terms.
Combining Vowels - ANSWER-Connect other word parts.
Commercial (non-Medicare) may develop their own medical policies which do not follow Medicare
guidelines and are specified in____. - ANSWER-Private contracts between the payer, practice, and or
provider.
Commercial carrier are considered what? - ANSWER-Private payers that offer both group and individual
plans.
Complete the statement: Code to the highest level of provider: - ANSWER-Certainty and specialty
QUESTIONS AND VERIFIED ACCURATE SOLUTION
|GET IT 100% ACCURATE
Can category II codes be used as a substitute for category I codes, true or false? - ANSWER-False
Can codes be very specific? - ANSWER-Yes
Can you code something that has a red dot? - ANSWER-No, never code, go down one more.
(If it has a number in it, that's how many characters it will have in it.
Carcin/o - ANSWER-Cancer
Cardi - ANSWER-Heart(cardiology)
Carditis - ANSWER-Inflammation of the heart
Category I codes are mandatory for reporting & reimbursement, True or False? - ANSWER-True
Category I CPT Codes: - ANSWER-5-digit numeric codes
Category I PLA Symbol - ANSWER-Up/Down Arrows
Category II Codes - ANSWER-- Are optional
- 5 character codes that end with the letter F
,- Will ultimately reduce provider's administrative burden.
Category II Codes: - ANSWER-5-character temporary codes
Category II CPT: - ANSWER-5-character performance measurement codes
Category III Codes - ANSWER-- Temporary codes
-Used for emerging technology
- Up to 5 characters and ends with "T"
- Can be reported separately
- Takes precedence over an unlisted code.
Category III codes are Temporary codes, True or False? - ANSWER-True
Category III codes cannot be reported alone, true or false? - ANSWER-False
Category III codes end in what letter? - ANSWER-T-Temporary
Celi/o - ANSWER-Belly, abdomen
Centesis - ANSWER-Puncture to withdraw fluid
CF - ANSWER-Conversion factor - fixed dollar amount used to translate the RVUs into fees.
,Cheil/o - ANSWER-Lip
Chem/o - ANSWER-Chemical
Cholecyst/o - ANSWER-Gall bladder
Choledoch/o - ANSWER-Common bile duct
Cis/o - ANSWER-To cut
Clearing House - ANSWER-An entity that processes nonstandard health information they receive from
another entity into a standard format.
CMS - ANSWER-Centers for Medicare and Medicaid Services
CMS developed polices regarding medical necessities are based on regulations found in title XVIII: -
ANSWER-Social Security Act
CMS regulations often serves as______ word in coding requirement for Medicare and non-Medicare
payers alike. - ANSWER-Last
CMS rules require the provider to present the ABN to patient when: - ANSWER-Far enough in advance
that the beneficiary or representative have time to consider the options and make an informed choice.
CMS will accept the ____________ for either a "potentially non=covered" service or for a statutorily
excluded service. - ANSWER-CMS-R-131
CMS-R-131 - ANSWER-ABN form
or
, Advance Beneficiary Notice which explains to the patient why Medicare may deny the particular service
or procedure.
Codes are grouped, how (wound repairs)? - ANSWER-By anatomical location within the type of repair.
Codes for excision procedures are distinguished by what? - ANSWER-The lesion type (whether or not
benign or cancerous) followed by the anatomical location of the lesion.
Coding is ____. - ANSWER-The process of translating this written or dictated medical record into a series
of numeric or alpha-numeric codes.
Col/o - ANSWER-Colon
Colon/o - ANSWER-Colon
Combining Form - ANSWER-A component formed from a word root and a vowel.
Combining Vowel - ANSWER-Make it possible to pronounce long terms.
Combining Vowels - ANSWER-Connect other word parts.
Commercial (non-Medicare) may develop their own medical policies which do not follow Medicare
guidelines and are specified in____. - ANSWER-Private contracts between the payer, practice, and or
provider.
Commercial carrier are considered what? - ANSWER-Private payers that offer both group and individual
plans.
Complete the statement: Code to the highest level of provider: - ANSWER-Certainty and specialty
