Question 1

Which of the following is a type of connective tissue?

Accepted Answer

A) Adipose tissue 
B) Epithelial tissue 
C) Nerve tissue 
D) Cardiac tissue 
A) Adipose tissue 
B) Epithelial tissue 
C) Nerve tissue 
D) Cardiac tissue

Question 2

Jaime is a 9-year-old obese boy. Jaime's pediatrician suspects that he may have hypertension due to his weight, but has not come to a conclusive diagnosis yet. So far, he has had two elevated blood pressure readings, but has not been diagnosed with hypertension. Jaime saw his pediatrician today for a blood pressure reading, which was elevated. What is the correct diagnosis code for Jaime's office visit?

Accepted Answer

A) 401.9 
B) 401.0 
C) 405.9 
D) 796.2 
A) 401.9 
B) 401.0 
C) 405.9 
D) 796.2

Question 3

Sheila took her 5-year-old daughter to the pediatrician's office for an annual well-child exam. She has a commercial Blue-Cross Blue-Shield insurance plan, through her work, which covers her daughter. Sheila also has Medicaid coverage on her daughter, due to her low-income status. Which one of her insurances is billed for the well-child exam?

Accepted Answer

A) You bill Blue-Cross Blue-Shield first and Medicaid second 
B) You bill Medicaid only 
C) You bill Blue-Cross Blue-Shield only 
D) You bill Medicaid first and Blue-Cross Blue-Shield second 
A) You bill Blue-Cross Blue-Shield first and Medicaid second 
B) You bill Medicaid only 
C) You bill Blue-Cross Blue-Shield only 
D) You bill Medicaid first and Blue-Cross Blue-Shield second

Question 4

A 76-year-old woman visited her dermatologist's office in response to a large suspicious nevus on her back. The dermatologist excised the nevus and sent it to the pathology lab for examination. The patient experienced pain excision site, due to its large size and was prescribed pain medication. What two part of Medicare insurance will the patient need to pay for the dermatologist's office visit and the prescription charges?

Accepted Answer

A) Medicare Parts A and B 
B) Medicare Parts B and C 
C) Medicare Parts B and D 
D) Medicare Parts D and E 
A) Medicare Parts A and B 
B) Medicare Parts B and C 
C) Medicare Parts B and D 
D) Medicare Parts D and E

Question 5

The physician on duty examined the patient and determined that patient was ready for discharge. The physician spent 25 minutes on the hospital discharge of an inpatient discharge. What is the correct procedure code?

Accepted Answer

A) 99238 
B) 99239 
C) 99217 
D) 99315 
A) 99238 
B) 99239 
C) 99217 
D) 99315

Question 6

What is the purpose of a compliance plan?

Accepted Answer

A) It makes sure you are properly credentialed 
B) It allows your office to defend itself in case of an audit 
C) It helps your employees claim worker's compensation 
D) It helps your office follow the correct coding and billing protocols 
A) It makes sure you are properly credentialed 
B) It allows your office to defend itself in case of an audit 
C) It helps your employees claim worker's compensation 
D) It helps your office follow the correct coding and billing protocols

Question 7

In order for a physician to appropriately code for a consultation service, three things must be documented. What are those three things?

Accepted Answer

A) The referral or request from the PCP, the rendering of the opinion by the specialist or consultant, and the written report or findings sent from the specialist to the PCP 
B) The rendering of the specialty service to the patient, the referral of the patient from the specialist to an additional specialist, and the written report of the findings provided to the specialist 
C) The specialist request of a second opinion regarding the patient, the PCP's advice regarding which second specialist the patient should see, and the second specialist's report or findings 
D) The referral from the PCP to the specialist, an additional referral from the specialist to another specialist, and the written report or findings sent from the specialist to the PCP 
A) The referral or request from the PCP, the rendering of the opinion by the specialist or consultant, and the written report or findings sent from the specialist to the PCP 
B) The rendering of the specialty service to the patient, the referral of the patient from the specialist to an additional specialist, and the written report of the findings provided to the specialist 
C) The specialist request of a second opinion regarding the patient, the PCP's advice regarding which second specialist the patient should see, and the second specialist's report or findings 
D) The referral from the PCP to the specialist, an additional referral from the specialist to another specialist, and the written report or findings sent from the specialist to the PCP

Question 8

When listing both CPT and HCPCS modifiers on a claim, you:

Accepted Answer

A) List the HCPCS modifier first 
B) Do not list the HCPCS modifier at all 
C) Only list the CPT modifier 
D) List the CPT modifier first 
A) List the HCPCS modifier first 
B) Do not list the HCPCS modifier at all 
C) Only list the CPT modifier 
D) List the CPT modifier first

Question 9

Why are ICD-9 codes necessary to include on a claim?

Accepted Answer

A) They report the procedures performed on the patient 
B) They are the services that are charged for on the claim 
C) They indicate the medical necessity of the service 
D) They indicate the code linkage on the claim 
A) They report the procedures performed on the patient 
B) They are the services that are charged for on the claim 
C) They indicate the medical necessity of the service 
D) They indicate the code linkage on the claim

Question 10

HCPCS Level II codes are updated every quarter by:

Accepted Answer

A) CMS 
B) Medicaid 
C) Tricare 
D) Commercial payers 
A) CMS 
B) Medicaid 
C) Tricare 
D) Commercial payers

Question 11

There are four different classifications of a vulvectomy (the removal of the vulva). What classification should be used for a vulvectomy with the removal of skin and deep subcutaneous tissues?

Accepted Answer

A) Simple Vulvectomy 
B) Radical Vulvectomy 
C) Partial Vulvectomy 
D) Complete Vulvectomy 
A) Simple Vulvectomy 
B) Radical Vulvectomy 
C) Partial Vulvectomy 
D) Complete Vulvectomy

Question 12

The nasal turbinates are part of which anatomical system?

Accepted Answer

A) Digestive 
B) Respiratory 
C) Cardiovascular 
D) Integumentary 
A) Digestive 
B) Respiratory 
C) Cardiovascular 
D) Integumentary

Question 13

Tricare Prime patients typically must see physicians:

Accepted Answer

A) Whenever they feel like it 
B) At their military treatment facility 
C) Whenever their commander asks them to 
D) At their typical private practice doctor's office 
A) Whenever they feel like it 
B) At their military treatment facility 
C) Whenever their commander asks them to 
D) At their typical private practice doctor's office

Question 14

PRE-PROCEDURAL NOTE PATIENT: Carter, Clara
AGE: 46
DATE: 04/10/2014
PREOPERATIVE DIAGNOSIS: Primary Malignancy, Thyroid
PROCEDURE PLANNED: Thyroidectomy
Patient is being treated unsuccessfully for primary malignancy of the thyroid and has elected to have a subtotal removal of the left thyroid. The physician will perform a partial thyroid lobectomy without isthmusectomy. How should the physician code for the procedure?

Accepted Answer

A) 60212 -LT 
B) 60210 -LT 
C) 60220 -LT 
D) 60210 -50 
A) 60212 -LT 
B) 60210 -LT 
C) 60220 -LT 
D) 60210 -50

Question 15

A physician performed craniotomy on a patient with a severe head trauma and intracerebral hematoma. Due to the patient's condition the procedure was extremely difficult, requiring a significant amount of extra time and effort. What is the correct code for this procedure?

Accepted Answer

A) 61315 
B) 61313 
C) 61313 -22 
D) 61315 -23 
A) 61315 
B) 61313 
C) 61313 -22 
D) 61315 -23

Question 16

What is the purpose of provider credentialing?

Accepted Answer

A) To make sure that your provider is performing the correct procedures 
B) To make sure that your provider is correctly licensed to perform procedures 
C) To make sure your provider pays all the necessary fees to practice medicine 
D) To allow your doctor to check the credentials of private insurance companies 
A) To make sure that your provider is performing the correct procedures 
B) To make sure that your provider is correctly licensed to perform procedures 
C) To make sure your provider pays all the necessary fees to practice medicine 
D) To allow your doctor to check the credentials of private insurance companies

Question 17

The patient is a 20-month-old with end-stage renal disease receiving dialysis twice a week, awaiting a kidney transplant. The patient's parents receive weekly face-to-face counseling services regarding the patient's care and ESRD status. What is the correct code for the patient's dialysis care?

Accepted Answer

A) 90951 (X4) 
B) 90951 
C) 90952 
D) 90954 (X4) 
A) 90951 (X4) 
B) 90951 
C) 90952 
D) 90954 (X4)

Question 18

A pediatric patient presented to the office with a severe asthma attack. The pediatrician ordered a pulse oximetry to check the patient's blood oxygen saturation level and a spirometry to evaluate her lung capacity. The physician interpreted the results and ordered an albuterol nebulizer treatment and a post-spirometry to check the patient's responsiveness to the albuterol treatment. What are the correct codes for this office visit?

Accepted Answer

A) 99214, 94060, 94760, 94640, A7015, A4616, J7630 
B) 99214, 94010 (X2), 94760, 94640, A7015, A4616, J7630 
C) 99214, 94060, 94640, A7015, A4616, J7630 
D) 99214, 94010, 94760, 94640, A7015, A4616, J7630 
A) 99214, 94060, 94760, 94640, A7015, A4616, J7630 
B) 99214, 94010 (X2), 94760, 94640, A7015, A4616, J7630 
C) 99214, 94060, 94640, A7015, A4616, J7630 
D) 99214, 94010, 94760, 94640, A7015, A4616, J7630

Question 19

SURGICAL NOTE PATIENT: JOHNSON, GOLDIE
AGE: 36
DATE: 01/15/2017
A 36-year-old woman with a history of multiple complicated ectopic pregnancies presented to the clinic for abdominal hysterectomy. Two days ago, an advanced interstitial uterine ectopic pregnancy was discovered and after careful consideration the patient elected to have a full hysterectomy. After the patient was prepped and anesthetized, the obstetrician performed a full incisional hysterectomy with removal of ectopic pregnancy, without removal of ovaries. Patient tolerated the procedure well and was sent to post-operational recovery.
How should the OB code for this surgical procedure?

Accepted Answer

A) 58150 
B) 59120 
C) 59135 
D) 59136 
A) 58150 
B) 59120 
C) 59135 
D) 59136

Question 20

A physician performed a complex repair of the scalp measuring 7.2 cm and an intermediate repair of the arm measuring 3.4 cm. The repairs are different complexities, so they would be reported with separate repair codes, but you would need to add a modifier to indicate that they are two separate procedures performed on the same date of service. Which modifier would you use?

Accepted Answer

A) -59 
B) -51 
C) -25 
D) -24 
A) -59 
B) -51 
C) -25 
D) -24

Exam 1: Free Coding Specialist