Chapter 47-Medical Coding Quiz
What is the meaning of the "10" in the abbreviation ICD-10-CM?
10th edition
What is a panel?
A group of laboratory tests that are done together
How is an established patient defined?
A patient who has been seen in the past three years
When procedure codes are used to bill an insurance company, which of the following is an example of upcoding?
A physician sends a patient to an outside laboratory and the laboratory bills the insurance company
What would be added to a code for a procedure that was extensive or unusual or that required an assistant?
A two-digit modifier
For which reason(s) are procedure codes used?
All of the above
If the medical assistant is coding for the removal of a lesion, what might influence selection of the proper code?
All of the above
Which of the following diagnostic tests is/are included in the Radiology section of the CPT manual?
All of the above
Which of the following is an addition in the ICD-10 compared to the ICD-9?
All of the above
Why was diagnostic coding originally developed?
All of the above
Which organization compiled the first disease classification system in the United States?
American Medical Association
Who publishes the CPT manual for procedure codes?
American Medical Association
In the index of the CPT manual, which of the following may modifying terms identify?
Anatomic location
How often should the medical office purchase new code books or computer code sets?
Annually
During a routine examination, the physician decides to have an electrocardiogram (ECG) performed on the patient. How should this be coded?
As a separate procedure
How are most diseases or conditions arranged in the tabular section of the ICD-10 manual?
By classification of disease or condition
In order to give more specificity to the cause of a problem, the letters E and M are used in ICD-9-CM. What is the letter E used to identify?
Cause of a wound
Dr. Barry Manning is an internist. In which section of the CPT manual would the codes for his office visits be found?
Evaluation and Management
In which section of the CPT manual is there an attempt to link reimbursement to the completeness of the examination and the amount of skill required to manage the patient's problems?
Evaluation and Management
What is the first section of the CPT manual?
Evaluation and Management
In the ICD-10, which term indicates that a condition is not coded here, and the patient cannot have this condition in addition to the condition listed above it?
Excludes 1
What is the format of most CPT codes?
Five-digit code
What do CPT Category II and Category III codes consist of?
Four digits and one letter
If a diagnosis is listed by the physician as "wedge compression fracture of the fifth lumbar vertebra," which word should be referenced in the alphabetic index of the ICD-10 manual?
Fracture
What coding system is used by the Centers for Medicare and Medicaid Services for services and equipment that are not usually covered by ordinary health insurance?
HCPCS Level II
If the patient has multiple problems and is seriously ill, what type of medical decision making is probably necessary?
High-complexity
If an office has a pattern of downcoding, what is the effect on insurance payments?
Insurance payments will tend to be lower than average for the services
In the ICD-10 code M84.50xA, what is the function of the "x"?
It is a placeholder for information that is not specified.
Which type of anesthesia does not receive a separate code?
Local anesthesia administered by infiltration
What is included in the code for a surgery?
Local or topical anesthesia
Which of the following is most likely to require a HCPCS Level II code?
Metal crutches
Which of the following abbreviations or punctuation indicates that a more specific ICD-9 or ICD-10 code cannot be identified?
NOS
How does a classification system become a coding system?
Names are replaced by numbers and letters.
What is the format of HCPCS Level II codes?
One letter followed by four digits
What is the format of the first three characters of an ICD-10 code?
One letter followed by two digits
In an anesthesiologist's practice, which type of modifiers indicate the patient's condition at the time of the administration of the anesthesia?
Physical status modifiers
Which of the following types of history focuses mainly on the chief complaint?
Problem-focused history
What organization first published and continues to manage the International Classification of Diseases?
The World Health Organization
When a diagnosis code in the index of the ICD-10 manual ends in a dash, what should be assumed?
The code must be used with a second code for the underlying condition.
Which of the following is a key factor determining the level of service for an E/M code?
The extent of the history
In which chapter of the ICD-10 manual would you expect to find the diagnosis code for an adolescent who comes to the office for a physical examination before enrolling in a school sports program?
The last chapter
What is the penalty (if any) if a medical office is found to have a practice of upcoding?
The practice must pay a large fine.
Which part of the ICD-9 code makes it most specific?
The second digit after the decimal point
What problems with CPT codes may cause insurance claims to be rejected?
The service is not backed up with documentation in the patient record.
Which factor is used to calculate payment for anesthesia services?
The type of facility at which the services were provided
What is the purpose of external cause codes in the ICD-10?
They are used to gather statistics about causes and severity of injury.
How many characters are contained in category codes (ICD-10 codes)?
Three
How do insurance companies use diagnosis codes?
To decide whether the care given corresponds to the patient's disease
Why is it important for a medical assistant to be aware of guidelines for medical necessity?
To link procedure codes to correct diagnosis codes
What type of diagnosis codes are used when a patient comes to the office for a physical examination in ICD-9?
V codes.
