MAS156 ADVANCE BILLING AND CODING

How many stages of diabetic retinopathy development are there?

4

John Johnson is seen by the optometrist today for a granuloma of the left orbit, xeroderma of the right lower eyelid, and bilateral aphakia. What are the correct codes assigned?

H05.112, H01.142, H27.03

Mary Matheson is seen in the eye clinic today for pain in her left eye. The physician determines she has Soemmering's ring of the left eye with a cyst of the ora serrata. What codes are assigned?

H26.412, H33.112

Kevin is a 63-year-old patient who was diagnosed with congestive heart failure two years ago. He is having an echocardiogram today so his practitioner can monitor the progression of the disease. The ICD-10 code for Kevin's procedure today is found in which of the following series of codes?

I00-I99

Which part of the ear is the most complex?

Inner ear

Which of the following is not a mood disorder?

Insomnia

Which modifier is used to indicate that a colorectal screening was converted to a diagnostic test?

PT

What does the abbreviation PFSH stand for?

Patient, family, and social history

Which of the following is a condition also known as exophthalmos?

Proptosis

A carpal tunnel release was performed in an ASC. Which modifier should be used?

SG

Dr. Prescott ordered two medications to be infused into Roger Reiber concurrently. The second infusion code would be appended with the modifier:

SH.

It is flu season, and the state health department has delivered serum for distribution to high-risk patients. Which modifier would be used?

SL

Ongoing, regular consumption of a substance with resulting clinical manifestations is called:

abuse.

A condition that is of sudden onset or that suddenly becomes much worse is considered a(n) ____.

acute condition

HCPCS Level II modifiers may be appended to:

both CPT codes and HCPCS Level II codes

HCPCS Level II modifiers may consist of:

both numbers and letters.

The control center of the human body is the:

brain.

Bipolar disorder is categorized as a(n):

mood disorder.

The center of the intervertebral discs is called the:

nucleus pulposus.

Which set of ribs are also called the true ribs?

1-7

Women are affected how many more times than men with lower urinary tract infections?

10 times

In ICD-10, which chapter would include the diagnosis codes for congenital malformations, deformations, and chromosomal abnormalities?

17

How many categories of glaucoma are there?

2

How many functions does the inner ear have?

2

How many chapters are contained in the ICD-10 coding book?

21

How many bones are in the adult human skull?

22

What is the correct code assignment for an open treatment, with plates/screws, of a left tibial fracture for the surgeon managing the surgical care only?

27758-LT-54

Which of the following glomerular filtration rates indicates stage 3 chronic kidney disease?

30-59 mL/min

Jeremy is a 44-year-old patient who has been diagnosed with mitral regurgitation. He has been having some shortness of breath lately, so today he is having an echocardiogram to evaluate whether the condition has worsened. The ICD-9 code for Jeremy's procedure today is found in which of the following series of codes?

390-459

Ellie was playing softball and was accidentally hit on the nose with a baseball bat. After examining her nose, the practitioner tells her that her nose is broken and orders a complete radiologic examination of the nasal bones. Where will the ICD-9 code for this radiologic examination be located?

800-999

Which of the following is a normal glomerular filtration rate range?

90-120 mL/min

Which of the following ICD-9-CM conventions is used in the Tabular List after an incomplete term that needs one of the terms that follow to make it assignable to a given category?

:

Which of the following seventh characters is used to show that the patient was seen for an initial encounter for treatment of a fracture?

A

What is a locum tenens physician?

A temporary replacement for the regular doctor

A BLS ambulance had to wait 2 hours and 15 minutes for the patient to arrive at the airport for ground transportation to the hospital. What is/are the appropriate code(s)?

A0420, A0420, A0420, A0420

Ambulance ALS services are used for transportation of a nonemergency transport, Level I. What code is reported?

A0426

If a dressing change is required for one patient with three wounds, which modifier will be assigned?

A3

Billing for surgical gloves can be found in category:

A4000-A8999.

JoAnn Warren, RN, visited John Drew to change the dressings on his five wounds. Use modifier:

A5.

Fifty feet of nondisposable corrugated tubing was supplied to Frank Smith for use with his nebulizer. Report this with code:

A7011 (five times).

What HCPCS Level II code is used to report a tracheostomy shower protector?

A7523

Dr. Zeimer, an anesthesiologist, administered general anesthesia during surgery. Use modifier:

AA.

Dr. Jeppapi is a clinical psychologist. The correct modifier is:

AH.

A HCPCS Level II code may be used to report the provision of:

All of these

An IPPB machine is a type of:

All of these

Medications are listed in HCPCS Level II using:

All of these

What is typically prescribed to treat bipolar disorder?

All of these

Which of the following medications might cause ototoxic hearing loss?

All of these

Who accepts HCPCS Level II modifiers?

Any payer may accept them

How many modifiers may be appended to procedure codes?

As many as apply to the procedure

How many E codes can be used with a single diagnosis code?

As many as necessary

Which of the following types of fractures happens when a tiny bone piece breaks off at the point where a ligament or tendon attaches to the bone?

Avulsion

500 ml of enteral formula was provided to Davin, a 5-year-old boy. Report this with code(s):

B4103.

A patient was administered nutrition orally without using a feeding tube. Which modifier would be assigned?

BO

Which of the following is not a sign and symptom category for schizophrenia?

Behavioral symptoms

Which of the following is not a word root used to refer to the kidney?

Both of these are word roots used to refer to the kidney.

How can a modifier prevent a claim from being denied?

By further clarifying the appropriateness of the assigned code

Mrs. Stevenson was taken to the operating suite to treat an incisional hernia with a mesh. What is the HCPCS code to report the mesh?

C1781

What is the correct code for a patient with a malignant neoplasm of the right ureter?

C66.1

Jessica has a history of breast cancer in her left breast. She had an MRI done of her left breast with contrast. Which code is used to report the MRI?

C8903

What HCPCS Level II code is used to report a TEE without contrast, followed by with contrast; including probe placement, image acquisition, interpretation, and report?

C8925

A claim was denied because one code was entered incorrectly. The procedure code was corrected and should be appended with modifier:

CC.

In ICD-10, which chapter contains codes to identify who, what, when, and where an accident or injury occurred?

Chapter 20: External causes of morbidity

CLIA stands for:

Clinical Laboratory Improvement Amendment.

Which of the following bones is also called the tailbone?

Coccyx

Which of the following types of fractures identifies the breaking of the bone into several pieces?

Comminuted

Which of these is the curved, multilayer, transparent portion of the eye?

Cornea

Which of the following is not a psychotic symptom?

Depression

Which of the following statements is not true about E codes?

E codes are always the primary or first diagnosis listed.

Social services ordered a rented nonpowered advanced pressure-reducing mattress for Mr. Taylor to be delivered to his home to help reduce his potential for pressure ulcers. What code would be reported for the mattress?

E0373-RR

What is/are the correct code(s) for a patient with diabetes mellitus, type 1, with diabetic chronic kidney disease, stage 2?

E10.22, N18.2

Dr. Kini removed a fat pad from Blaise's upper eyelid, right side. The correct modifier is:

E3.

Which ICD-10 convention describes a condition that is not part of the condition represented by the code, but if the patient actually has both conditions, both may be coded?

Excludes2

Which part of the ear is visible on the sides of the head?

External ear

What is the correct code for senile dementia?

F03.90

What is the correct code for a mood disorder due to a known physiological condition with depressive features?

F06.31

Dr. Tamarah removed a cyst from Erin's left index finger. The correct modifier is:

F1

What is the correct code for alcohol abuse with intoxication delirium?

F10.121

What is the correct code for alcohol dependence with alcohol-induced anxiety disorder?

F10.280

What is the correct code for opioid use with withdrawal?

F11.93

What is the correct code for sedative hypnotic abuse with intoxication delirium?

F13.121

What is the correct code for cocaine dependence in remission?

F14.21

What is the correct code for hallucinogen dependence with hallucinogen-induced psychotic disorder with delusions?

F16.250

What is the correct code assigned for hebephrenic schizophrenia?

F20.1

What is the correct code assigned for cyclic schizophrenia?

F25.0

What is the correct code for bipolar disorder, current episode, manic without psychotic features, moderate?

F31.12

What is/are the correct code(s) assigned for a patient with a fear of blood, fear of injections, and fear of injury?

F40.230, F40.231, F40.233

What is the correct code assigned for a patient with claustrophobia?

F40.240

What is the correct code assigned for a patient with a fear of women?

F40.291

What is the correct code assigned for a patient with acute PTSD?

F43.11

What are the correct codes assigned for a patient with chronic PTSD and social phobia?

F43.12, F40.10

Kyle's most recent URR reading is 61. The correct modifier is:

G2.

What modifier would be used to report a patient with ESRD who had less than six days of dialysis in one month?

G6

Dr. Davidson certified that Anita's pregnancy was life threatening and it had to be terminated. The correct modifier is:

G7.

Wilma's diagnostic mammogram was converted from the screening mammogram she came in for today because something was identified on the film. Which modifier will be used?

GH

By further clarifying the appropriateness of the assigned code

GM.

Jane Janson is seen today for cellulitis of her left orbit. What is the correct code assigned?

H05.012

What are the correct codes for a patient who has myopathy of the extraocular muscles of the right orbit and a cyst and atrophy of the left orbit?

H05.821, H05.812, H05.312

What is the correct code for acute conjunctivitis of the left eye?

H10.32

An example of a possible HCPCS Level II code is:

H1234.

What is the correct code for a patient with a corneal abscess of the left eye?

H16.312

What is the correct code assigned for a patient with deep vascularization of the cornea in both eyes?

H16.443

What is the correct code assigned for a patient with adherent leukoma of the left eye?

H17.02

What are the correct codes assigned for a patient with a horseshoe tear of the left eye, Harada's disease of both eyes, and retinal vasculitis of the right eye?

H33.312, H30.813, H35.061

What is the correct code assigned for a patient with Coats retinopathy, left eye?

H35.022

What is/are the correct code(s) assigned for a patient with hypertensive retinopathy of the left eye?

H35.032, I10

What is the correct code assigned for a patient with Eales disease in the right eye?

H35.061

What is the correct code assigned for a patient with bilateral stage 5 retinopathy of prematurity?

H35.163

What is the correct code for capsular glaucoma with pseudoexfoliation of lens in the right eye, moderate stage?

H40.1412

Which of the following is the correct code for acute reactive otitis externa, bilateral?

H60.553

What is the correct code assigned for a patient with impacted cerumen of the left ear?

H61.22

What is the correct code for chronic serous otitis media of the left ear?

H65.22

What is the correct code for a patient with an osseous obstruction of the left eustachian tube?

H68.112

What is the correct code assigned for a patient with a cholesteatoma of the mastoid in his left ear?

H71.22

What is the correct code assigned for a patient with bilateral tympanosclerosis?

H74.03

What is the correct code assigned for a patient with bilateral adhesive middle ear disease?

H74.13

What is the correct code assigned for a patient with nonobliterative otosclerosis involving the oval window of the left ear?

H80.02

Max Mawell was seen in the office today for left cochlear otosclerosis and recurrent cholesteatoma of a postmastoidectomy cavity of the right ear. What are the correct codes?

H80.22, H95.01

What is the correct code assigned for a patient with aural vertigo, left ear?

H81.312

What is the correct code for mixed conductive and sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side?

H90.72

What are the correct codes for ototoxic hearing loss, right ear, after taking gentamicin?

H91.01, T36.5X5A

What is the correct code for high-frequency deafness, right ear?

H91.91

What is the correct code assigned for a patient with bilateral otorrhagia?

H92.23

Callin Collin is seen in the office today for bilateral hyperacusis and bilateral perceptive hearing loss. What are the correct codes?

H93.233, H90.3

What is the correct code assigned for a patient diagnosed with an ear disorder?

H93.90

Jake is only an intern, but he was the only doctor at the clinic. The correct modifier is:

HL.

The administration of chemotherapy is coded from the CPT Medicine section, while the drug actually delivered is coded from:

J codes.

The nurse gave Mr. Jones 150 mg of cyclophosphamide, IV. Report this with code(s):

J9070, J9070.

Which of these modifiers is not used to identify a specific anatomical site?

JC

When services are provided relating to the supply of a lower extremity prosthetic device, a modifier from which range will be used?

K0-K4

Jonathan is a quadriplegic, and his wheelchair had to be repaired. A temporary wheelchair was given by his primary care provider. What is the code for the temporary wheelchair?

K0462

What modifier is needed if medication has been infused through a DME rather than injected?

KD

Ben rented a hospital bed on June 20. The bill for the month of June would have modifier:

KR

Harry is a type 2 diabetic, NIDM, and his physician wants him to check his glucose regularly, so he orders a glucose monitor for Harry. The correct modifier is:

KS.

Which of the following parts of the urinary system is/are responsible for the production and elimination of urine?

Kidneys

Which of the following extraocular muscles pulls the eye laterally?

Lateral rectus muscle

What does the acronym LPM stand for?

Liters per minute

What is the correct code for adolescent postural kyphosis in the thoracolumbar region?

M40.05

What is the correct code for localized osteoporosis?

M81.6

What is the correct code for a patient being seen for a stress fracture of the ischium with delayed healing?

M84.350G

Which of the following is not a bone in the cranium?

Mandible

Modifiers U1-UD may be appended only to services provided to the beneficiaries of:

Medicaid.

What is the correct code for vesicoureteral reflux with nephropathy without hydroureter, bilateral?

N13.722

What is the correct code for acute renal failure with medullary necrosis?

N17.2

What is the correct code for a patient with stage 4 chronic kidney disease?

N18.4

What is the correct code assigned for a patient with nephrolithiasis?

N20.0

What is the correct code assigned for a patient with a urinary bladder stone?

N21.0

What is the correct code for chronic interstitial cystitis with hematuria?

N30.11

What is the correct code assigned for a patient with urethrotrigonitis?

N30.30

What is the correct code assigned for a patient with an abscess of the bladder?

N30.80

What is/are the correct code(s) for a patient with an enlarged prostate with urinary frequency?

N40.1, R35.0

What is the correct code for a patient diagnosed with prostatocystitis?

N41.3

What is the correct code for a patient with painful prostate syndrome?

N42.81

Which of the following is not a sign or symptom of hypertensive retinopathy?

Nausea

What does the ICD convention NEC indicate?

Not elsewhere classified

What is the correct abbreviation for left eye?

OS

Which of the following is an inflammation of the middle ear?

Otitis media

Which of the following is a condition of increasing growth of spongy bone in the otic capsule?

Otosclerosis

What does the abbreviation PERRLA stand for?

Pupils equal, round, reactive to light and accommodation

Mrs. Evans has brought her child in for surgery to correct a cleft palate. Which code range in ICD-10 applies to this procedure?

Q00-Q99

What is the correct code for spina bifida, lumbar?

Q05.7

Paula is donating her kidney to her brother. The code for her surgical procedure may be appended with which modifier?

Q3

What is the correct code for congenital acetabular dysplasia?

Q65.89

Dr. Colter used a digital recorder to tape her psychotherapy sessions with her patient. The correct HCPCS Level II modifier is:

QD.

Which modifier is appended to the anesthesia code when an anesthesiologist administers monitored anesthesia care for a patient?

QS

Dr. Fawzi performed a surgical procedure on Nancy's right coronary artery. The correct modifier is:

RC.

Harold decided to rent his wheelchair. What is the correct modifier?

RR

Which of the following is photosensitive in low light?

Rod

Eight-year-old Geri climbed the oak tree in her back yard to rescue her cat, who had climbed the tree but could not get back down. Unfortunately, Geri slipped and fell out of the tree and hurt her left arm. The lower arm is bent at an odd angle and the radius bone is visible. The physician diagnoses an open fracture and orders X-rays of the lower arm. Where will you locate the ICD-10 code for this?

S00-T88

Teresa is being seen today in the urgent care center after spilling a pot of boiling water over her stomach and legs, which resulted in second-degree burns. In which ICD-10 series will you locate the code for her treatment?

S00-T88

What is the correct code for a patient being seen for delayed healing of a Le Fort III fracture?

S02.413G

What is the correct code for a patient being seen for a follow-up visit for a healing fracture of the sacrum? The fracture was a nondisplaced Zone 1 fracture.

S32.110D

What is the correct code for a patient seen for a nonunion of a greenstick fracture of the shaft of the right humerus?

S42.311K

What is the correct code for a patient seen for malunion of a displaced fracture of the coronoid process of the right ulna?

S52.041P

What is the correct code for a patient seen for a sequela for a torus fracture of the lower end of the right ulna?

S52.621S

What are the correct codes for a patient who slipped on the ice and fractured the head of his left femur?

S72.052A, W00.0XXA

What is the correct code for a patient with a Salter-Harris type I physeal fracture of the upper end of the right femur being seen today for a recheck of the healing fracture?

S79.011D

What is the correct code for a displaced oblique fracture to the shaft of the left tibia, initial encounter?

S82.232A

What are the correct codes for a patient with a displaced trimalleolar fracture of the right lower leg resulting from a fall into a manhole?

S82.851A, W17.1XXA

Which modifier is used to report that a nurse midwife provided the service?

SB

The physician ordered a CT scan of the brain due to a suspected mass revealed on an x-ray of the head. Which modifier would be used for this code?

SC

Dr. Jasper was asked to provide a second opinion regarding Mr. Finnegan's surgery. Which modifier would be used?

SM

Debi Seeson is a certified diabetic educator. The code for her classes should be appended with modifier:

SW.

Dr. Files gave flu shots to all the staff members of the Golden Nursing Home. The correct modifier is:

SY.

What is the correct code for a patient being seen for kidney transplant rejection?

T86.11

Dr. Israel amputated the little toe of John's right foot after gangrene had set in. The correct modifier is:

T9.

An example of a modifier that identifies the qualifications of the provider is:

TD.

Nurse Frances had to work on Labor Day. The appropriate modifier would be:

TV.

Denise is being seen today because of blurry vision and pain in both eyes. The physician documents that diabetes has damaged the blood vessels in Denise's eyes, resulting in diabetic retinopathy. How will this diagnosis be coded?

The diabetes is coded first, followed by the retinopathy.

What is the function of the cornea?

To refract light rays

Which of the following tests is used to evaluate whether the eardrum has been damaged?

Tuning fork test

Which of the following parts of the urinary system is/are responsible for storing urine?

Urinary bladder

Barry is a healthy 32-year-old established patient who has come in for his annual physical exam. When asked if he has any current problems or complaints, he says no. The ICD-9 code for his visit will be found in which of the following code ranges?

V01-V83

Jenni is a healthy 24-year-old patient who is in the office today for routine obstetric care. The ICD-9 code for routine obstetric care will be found in which of the following series of codes?

V01-V83

Which of the following is also known as the posterior chamber of the eye?

Vitreous chamber

Which of the following bones is part of the nasal septum?

Vomer

Mary was excited at her last visit to find that she is pregnant. She came in for a prenatal checkup today because she wants to take excellent care of herself and her baby. Everything seems fine, and the physician told her to keep up the good work. The ICD-10 code for routine obstetric care will be found in which of the following series of codes?

Z00-Z99

What is/are the correct code(s) for a patient who is being fitted for a peritoneal dialysis catheter who has stage 3 CKD?

Z49.02, N18.3

Modifiers are used to:

add detail or information to the codes.

EPSDT is a preventive health program for:

all children who are Medicaid recipients

One surgical boot was supplied to Jason Litman and reported with code L3208. This tells you that the patient is:

an infant.

A(n) ___________ implant is a small, complex electronic device that can help to provide a sense of sound.

cochlear

A code in which two diagnoses are included in one code is known as a(n) ____.

combination code

A patient's diagnosis for a visit, as established by the practitioner, ______.

describes the primary condition for which the patient is receiving treatment

The Alphabetic Index is organized by ____.

diagnosis or condition description

Another name for urinary incontinence is:

enuresis.

A contraceptive supply was provided to a patient and reported with code A4261. This tells you that the patient is:

female.

Bladder cancer is the __________ most frequently diagnosed cancer in men.

fourth

The test KUB stands for:

kidney ureter bladder.

Modifier LT stands for:

left side.

Diagnosis-related groups, or DRGs, are based on all of the following except ____.

length of hospital stay

Nerve cells communicate with each other aided by:

neurotransmitters

Modifiers Q7, Q8, and Q9 are used for:

podiatry services.

The head of the humerus is also known as the:

proximal end.

The costae are also known as the:

ribs.

An example of an orthotic is a(n):

scoliosis back brace.

A parenteral feeding tube may be attached to the patient:

subcutaneously.

All HCPCS Level II modifiers are listed in:

the HCPCS Level II code book.

The Tabular List is mainly organized by ____.

the body system involved

The abbreviation UTI stands for:

urinary tract infection

Consumption of a substance without significant clinical manifestations is called:

use.

When you encounter the word see in the Alphabetic Index, you know that ____.

you must look in another category to find the correct term

What HCPCS Level II symbol is used to indicate that the code was deleted but has now been reinstated?

○

What HCPCS Level II symbol is used to indicate that this is the first year the code has been included in the code set?

●

What symbol is used to indicate a code for females only?

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