Billing and Coding Chapter 5

Identify all the correct statements related to categorizing codes that do not have permanent national codes.

All payers use these miscellaneous codes to bill for items or services that do not have permanent national codes. Some codes are miscellaneous or not elsewhere classified. Many of the miscellaneous codes are given permanent national status in the updating process.

Identify all the correct statements related to categorizing codes that do not have permanent national codes.

Many of the miscellaneous codes are given permanent national status in the updating process. All payers use these miscellaneous codes to bill for items or services that do not have permanent national codes. Some codes are miscellaneous or not elsewhere classified.

Identify all the correct statements related to categorizing codes that do not have permanent national codes.

Many of the miscellaneous codes are given permanent national status in the updating process. Some codes are miscellaneous or not elsewhere classified. All payers use these miscellaneous codes to bill for items or services that do not have permanent national codes.

Which of the following codes must be used to bill for items or services that to do not have permanent national codes

Miscellaneous Not elsewhere classified

In the HCPCS code book, what can be used to make assigning drug codes easier? Table of Drugs

Table of Drugs

Identify one of the two levels the CLIA certification program awards.

Waived tests and provider-performed microscopy procedures

Which of the following statements are related to certification and how that determines the relationship between tests performed and reported?

In-office labs are guided by federal safety regulations from OSHA. Some medical practices have laboratory equipment and perform their own testing. The tests that can be performed are regulated by CLIA.

Which of the following codes must be used to bill for items or services that to do not have permanent national codes?

Not elsewhere classified Miscellaneous

Which of the following codes must be used to bill for items or services that to do not have permanent national codes? (

Not elsewhere classified Miscellaneous

which of the following apply to E/M codes not listed in the Medicine section?

Some are considered Evaluation and Management services though they are not listed in the E/M section. Codes not listed in the E/M section cannot use the 51 modifier for multiple procedures.

Which of the following statements are true of the Tabular List of HCPCS codes?

The HCPCS Tabular List of codes has more than twenty sections. A Level II code begins with a letter followed by four numbers. A Level II code is made up of five characters.

Identify how the index is arranged in assigning HCPCS Level II codes.

To assign HCPCS Level II codes, first look up the name of the supply or item in the index. The index is arranged alphabetically with the main term in bold print. The Table of Drugs presents drugs in alphabetical order, followed by dosage.

For the services in the Medicine section that are considered Evaluation and Management services, which modifier may not be used?

51

Identify all the correct information related to Category II codes and tracking data.

Codes reduce the amount of administrative time needed to gather data from documentation. The Category II code set contains supplemental tracking codes to help collect data regarding services.

The E section of Level II coding covers _____ equipment.

Durable medical

Which of the following apply to updating HCPCS Level II codes?

HCPCS Level II is a public code set. HCPCS Level II permanent national codes are released on January 1 of each year. Information about the codes and updates is located on the CMS HCPCS website.

With the implementation of the Health Insurance Portability and Accountability Act (HIPAA) of 1996, HCPCS has become _____ for coding and billing.

mandatory

Which of the following statements are true of the Tabular List of HCPCS codes?

A Level II code begins with a letter followed by four numbers. A Level II code is made up of five characters. The HCPCS Tabular List of codes has more than twenty sections.

Where is information about HCPCS Level II codes and updates located?

CMS HCPCS website

Match the HCPCS Level II modifiers that report erroneous surgeries to their description.

PA- Surgical or other invasive procedure on the wrong body part Surgical or other invasive procedure on the wrong body part PB- Surgical or other invasive procedure on the wrong patient Surgical or other invasive procedure on the wrong patient PC-Wrong surgery or other invasive procedure on a patient Wrong surgery or other invasive procedure on a patient

Correctly identify the three HCPCS Level II modifiers for reporting erroneous surgeries.

PB - Surgical or other invasive procedure on wrong patient PA - Surgical or other invasive procedure on wrong body part PC - Wrong surgery or other invasive procedure on patient

Medicine codes are used by which of the following types of providers?

Psychiatrists Family practice physicians Cardiologists

Some medicine codes are for ancillary services that are used to support diagnosis and treatment for which of the following?

Rehabilitation Nutrition therapy Occupational therapy