Deck 20: HCPCS Level II: Category II and Category III Codes

Question 1

Coders will find a code for a spinal orthotic device in the:

A) K codes
B) L codes
C) A codes
D) G codes

Answer 1

L codes

Question 2

Transportation Services, Including Ambulance codes are further divided by all of the following except:

A) ambulance waiting time
B) number of miles of the trip
C) ground or air ambulance services
D) age of the patient

Answer 2

age of the patient

Question 3

What does HCPCS Level II modifier GW indicate?

A) New equipment
B) Live kidney donor surgery and related services
C) Diagnostic mammogram converted from screening mammogram on the same day, same patient
D) Service not related to the hospice patient's terminal condition

Answer 3

Service not related to the hospice patient's terminal condition

Question 4

A patient is picked up at home and is en route to the hospital. The first responders communicate with the patient's physician, who requests the patient be brought to the office. What is the correct ambulance services modifier?

A) RH
B) PH
C) RX
D) PX

Question 5

A patient is picked up at a physician's office and taken to the hospital. What would be the appropriate ambulance services modifier?

A) DH
B) XH
C) RH
D) PH

Question 6

Category II codes which are located in CPT (HCPCS Level I) end with which alpha character?

A) F
B) A
C) T
D) S

Question 7

In the HCPCS Level II manual, patient's age is also known as a(n):

A) detail
B) indicator
C) enhancement
D) modifier

Question 8

Which of the following is not included in the table of drugs?

A) route of administration
B) generic name
C) manufacturer information
D) amount (dose)

Question 9

What general heading of codes is found in range S0000-S9999?

A) Procedures/Professional Services (Temporary)
B) Temporary National Codes (Non-Medicare)
C) Dental Procedures
D) Pathology and Laboratory Services

Question 10

In the HCPCS Level II manual, patient's age is also known as a(n):

A) enhancement
B) detail
C) modifier
D) indicator

Question 11

Which ambulance services modifier means "Intermediate stop at a physician's office on the way to the hospital"?

A) P
B) X
C) N
D) I

Question 12

In the instance where a diagnostic mammogram is converted from screening mammogram on the same day, for the same patient, the coder should append modifier:

A) GW
B) NU
C) GA
D) GH

Question 13

Select the correct definition for parenteral therapy:

A) therapy in which the patient receives the nutritional material subcutaneously, intravenously, or intramuscularly
B) therapy administered within the intestine
C) therapy administered through a gastric feeding tube or gastrotomy
D) the method or path used for the entrance of a drug or other substance into the body

Question 14

Transportation Services, Including Ambulance, are found in which code range of HCPCS?

A) A0000-A0999
B) B4034-B9999
C) C1713-C9899
D) G0008-G9686

Question 15

Modifier NU indicates:

A) Diagnostic mammogram converted from screening mammogram on the same day, same patient
B) Live kidney donor surgery and related services
C) New equipment
D) ESRD patient for whom less than 6 dialysis sessions have been provided in a month

Question 16

Select the true statement regarding modifiers in ambulance services coding:

A) modifiers must be used to identify length of transport and mode of transportation
B) modifiers must be used to identify origin and destination
C) modifiers may be used only when necessary to report changes to code nomenclature
D) modifiers are three digits for ambulance services

Question 17

In what code range can one find the Enteral and Parenteral Therapy codes?

A) H0001-H2037
B) B4000-B9999
C) E0100-E8002
D) P2028-P9615

Question 18

In what code range can one find the Enteral and Parenteral Therapy codes?

A) P2028-P9615
B) B4000-B9999
C) E0100-E8002
D) H0001-H2037

Question 19

Where are Temporary (Miscellaneous Services) codes located?

A) M0075-M0301
B) Q0000-Q9999
C) E0100-E8002
D) H0001-H2037

Question 20

How many characters do HCPCS Level II codes have?

A) six
B) five
C) three
D) four

Question 21

Where are Temporary (Miscellaneous Services) codes located?

A) Q0000-Q9999
B) M0075-M0301
C) H0001-H2037
D) E0100-E8002

Question 22

What is equipment that can withstand extended use and is often prescribed for patients' home use?

A) orthotic devices
B) medical supplies
C) durable medical equipment
D) safety equipment

Question 23

What is the correct acronym for Laser-assisted uvulopalato plasty?

A) LAP
B) LUVP
C) LAUP
D) LAUVUP

Question 24

All of the following are subheadings of category II except:

A) Patient Management
B) Patient History
C) Patient Safety
D) Combination Codes

Question 25

A coder finds two codes to report a service provided; one code is in the Level I manual and one is in the Level II manual. The code descriptions are identical. What should the coder do?

A) set aside the patient's chart until further clarity can be provided
B) use the Level II code unless otherwise indicated by the payer
C) use the Level I code unless otherwise indicated by the payer
D) use both codes to ensure proper reimbursement

Question 26

Where are Procedures/Professional Services (Temporary) found in the HCPCS Level II manual?

A) C1713-C9899
B) G0000-G9999
C) B4034-B9999
D) A0000-A0999

Question 27

To communicate that a physician is providing a service in an unlisted health professional shortage area (HPSA), the coder should append modifier:

A) AQ
B) BO
C) GW
D) SH

Question 28

All of the following are subheadings of category II except:

A) Patient Management
B) Patient History
C) Patient Safety
D) Combination Codes

Question 29

Which organization maintains HCPCS Level II codes?

A) World Health Organization
B) American Medical Association
C) Center for Medicare and Medicaid Services
D) Centers for Disease Control

Question 30

What general heading of codes is found in range S0000-S9999?

A) Pathology and Laboratory Services
B) Temporary National Codes (Non-Medicare)
C) Procedures/Professional Services (Temporary)
D) Dental Procedures

Question 31

A coder finds two codes to report a service provided; one code is in the Level I manual and one is in the Level II manual. The code descriptions are identical. What should the coder do?

A) use both codes to ensure proper reimbursement
B) set aside the patient's chart until further clarity can be provided
C) use the Level I code unless otherwise indicated by the payer
D) use the Level II code unless otherwise indicated by the payer

Question 32

What does the acronym SGD stand for?

A) segregated gastric disease
B) systemic gastralgia disorder
C) speech-generating device
D) supragalactorrhoea distress

Question 33

What general heading is located in codes H0001-H9999?

A) Medical Services
B) Medical and Surgical Supplies
C) Alcohol and Drug Abuse Treatment Services
D) Orthotic Procedure and Services

Question 34

A guideline informs coders that Medicare requires documentation from the prescribing physician showing that certain conditions have been met in order for a patient to receive Medicare-covered:

A) ostomy supplies
B) dressings
C) diabetic shoes, fillings, and modifications
D) dialysis supplies

Question 35

Which organization maintains HCPCS Level II codes?

A) Centers for Disease Control
B) Center for Medicare and Medicaid Services
C) American Medical Association
D) World Health Organization

Question 36

A "Free-standing ESRD facility" is communicated using which ambulance services modifier?

A) J
B) N
C) P
D) R

Question 37

Supplemental tracking codes used for performance measurement are:

A) category I codes
B) category III codes
C) category IV codes
D) category II codes

Question 38

Codes J0120-J8999 contain what general heading?

A) Vision Services
B) Drugs Administered Other than by Oral Method
C) Temporary National Codes (Non-Medicare)
D) Transportation Services, Including Ambulance

Question 39

The "Site of transfer (e.g. airport or helicopter pad) between modes of ambulance transport" is coded using which ambulance services modifier?

A) S
B) N
C) P
D) I

Question 40

Codes for syringes, infusion sets, and breast pump supplies are found in general heading:

A) Medical and Surgical Supplies
B) Procedures/Professional Services (Temporary)
C) Durable Medical Equipment
D) Administrative, Miscellaneous, and Investigational

Question 41

The following are examples of durable medical equipment, which would be coded with a code from range E0100-E8002, except for which of the following?

A) Wheelchairs
B) Dialysis supplies
C) Crutches
D) Canes

Question 42

A guideline informs coders that Medicare requires documentation from the prescribing physician showing that certain conditions have been met in order for a patient to receive Medicare-covered:

A) ostomy supplies
B) diabetic shoes, fillings, and modifications
C) dressings
D) dialysis supplies

Question 43

Under which general heading can a coder find codes for nonprescription drugs, noncovered items and services, and radiopharmaceuticals?

A) Drugs Administered Other than by Oral Method
B) Medical Services
C) Medical and Surgical Supplies
D) National T Codes

Question 44

Under which general heading can a coder find codes for nonprescription drugs, noncovered items and services, and radiopharmaceuticals?

A) Medical Services
B) Drugs Administered Other than by Oral Method
C) National T Codes
D) Medical and Surgical Supplies

Question 45

Ambulance services that include establishment of an IV, drawing of blood, use of a cardiac monitor, intubation, tracheotomy, use of CPAP, and nasogastric tube placement are considered:

A) non-emergency services
B) origin site services
C) advanced life support
D) basic life support

Question 46

Transportation Services, Including Ambulance codes are further divided by all of the following except:

A) ambulance waiting time
B) age of the patient
C) number of miles of the trip
D) ground or air ambulance services

Question 47

Two patients present to the OR for a live kidney donor procedure. The patients are sisters and are a match for kidney donation. What HCPCS Level II modifier will be appended to their services?

A) GA
B) Q3
C) AD
D) GW

Question 48

In ambulance services coding, modifier "D" indicates which location?

A) Hospital
B) Residence
C) Diagnostic or therapeutic site other than "P" or "H" when either is used as the origin code
D) Scene of accident or acute event

Question 49

Modifier "G" in ambulance services coding indicates:

A) Free-standing ESRD facility
B) Hospital-based ESRD facility
C) Residence
D) Skilled nursing facility (SNF)

Question 50

What are HCPCS Level II codes also referred to as?

A) facility codes
B) supplier codes
C) materials codes
D) national codes

Question 51

Where are PTK codes located in HCPCS Level II?

A) E codes
B) L codes
C) S codes
D) B codes

Question 52

When both a Level I and Level II code are provided to describe the same service, but the code descriptions are not identical, what should the coder do?

A) assign the Level II code
B) assign the Level I code
C) assign the Level II code if it is more specific
D) set the patient's chart aside until further clarity is provided

Question 53

What is the correct format of category III codes?

A) begins with one numeric digit followed by four alphabetic letters
B) begins with four numeric digits followed by one alphabetic character
C) begins with two alphabetic letters followed by three numeric digits
D) begins with one alphabetic letter followed by four numeric digits

Question 54

What does the acronym SGD stand for?

A) segregated gastric disease
B) supragalactorrhoea distress
C) systemic gastralgia disorder
D) speech-generating device

Question 55

Where are nasogastric codes located in HCPCS Level II?

A) B codes
B) E codes
C) S codes
D) L codes

Question 56

Which of the following medical and surgical supplies subheadings is not included in the A4000-A9999 code range?

A) Vascular catheters
B) Incontinence appliances and care supplies
C) Enteral and parental therapy
D) Miscellaneous supplies such as syringes, infusion sets, blood glucose monitoring kit batteries, etc.

Question 57

What general heading is found in codes E0100-E8002?

A) Pathology and Laboratory Services
B) Diagnostic Radiology Services
C) Dental Procedures
D) Durable Medical Equipment

Question 58

To communicate that a physician is providing a service in an unlisted health professional shortage area (HPSA), the coder should append modifier:

A) BO
B) SH
C) AQ
D) GW

Question 59

The abbreviation AKA stands for _________ in the HCPCS Level II manual:

A) above-the-knee amputation
B) also known as
C) alcoholic ketoacidosis
D) Antikeratin antibodies

Question 60

The origin and destination "Hospital" is designated by which ambulance services modifier?

A) H
B) J
C) N
D) I

Question 61

Where can one find an LVEF?

A) D codes
B) A codes
C) G codes
D) L codes

Question 62

The route of administration through the muscular system is:

A) IA
B) IT
C) IM
D) IV

Question 63

Where are Procedures/Professional Services (Temporary) found in the HCPCS Level II manual?

A) A0000-A0999
B) C1713-C9899
C) B4034-B9999
D) G0000-G9999

Question 64

What does ambulance services modifier "S" signify?

A) Intermediate stop at a physician's office on the way to the hospital
B) Residence
C) Scene of accident or acute event
D) Hospital

Question 65

When both a Level I and Level II code are provided to describe the same service, but the code descriptions are not identical, what should the coder do?

A) assign the Level II code
B) assign the Level II code if it is more specific
C) assign the Level I code
D) set the patient's chart aside until further clarity is provided

Question 66

In which code range are Orthotic Procedures and Devices found?

A) R0070-R0076
B) H0001-H2037
C) L0112-L4631
D) P2028-P9615

Question 67

The origin and destination "Hospital" is designated by which ambulance services modifier?

A) J
B) I
C) H
D) N

Question 68

What general heading of codes is found in the A4000-A9999 code range?

A) Medical Services
B) Diagnostic Radiology Services
C) Dental Procedures
D) Medical and Surgical Supplies

Question 69

Procedures and devices used to support, align, or correct and thereby improve the function of body parts such as muscles, ligaments, or bones are called:

A) prosthetic procedures and devices
B) orthotic procedures and devices
C) casts and strapping
D) durable medical equipment

Question 70

Codes for syringes, infusion sets, and breast pump supplies are found in general heading:

A) Medical and Surgical Supplies
B) Administrative, Miscellaneous, and Investigational
C) Durable Medical Equipment
D) Procedures/Professional Services (Temporary)

Question 71

Codes J0120-J8999 contain what general heading?

A) Transportation Services, Including Ambulance
B) Drugs Administered Other than by Oral Method
C) Vision Services
D) Temporary National Codes (Non-Medicare)

Question 72

Transportation Services, Including Ambulance, are found in which code range of HCPCS?

A) C1713-C9899
B) B4034-B9999
C) G0008-G9686
D) A0000-A0999

Question 73

What does HCPCS Level II modifier AD signify?

A) ESRD patient for whom less than 6 dialysis sessions have been provided in a month
B) Physician providing a service in an unlisted health professional shortage area (HPSA)
C) Orally administered nutrition, not by feeding tube
D) Medical supervision by a physician; more than four concurrent anesthesia procedures

Question 74

Which of the following is not included in the table of drugs?

A) generic name
B) amount (dose)
C) manufacturer information
D) route of administration

Question 75

The following are examples of durable medical equipment, which would be coded with a code from range E0100-E8002, except for which of the following?

A) Canes
B) Dialysis supplies
C) Crutches
D) Wheelchairs

Question 76

Procedures and devices used to support, align, or correct and thereby improve the function of body parts such as muscles, ligaments, or bones are called:

A) orthotic procedures and devices
B) prosthetic procedures and devices
C) casts and strapping
D) durable medical equipment

Question 77

Where are PTK codes located in HCPCS Level II?

A) E codes
B) S codes
C) B codes
D) L codes

Question 78

Ambulance services modifier "N" represents:

A) Residence
B) Free-standing ESRD facility
C) Hospital-based ESRD facility
D) Skilled nursing facility (SNF)

Question 79

What is the correct format of category III codes?

A) begins with two alphabetic letters followed by three numeric digits
B) begins with one alphabetic letter followed by four numeric digits
C) begins with one numeric digit followed by four alphabetic letters
D) begins with four numeric digits followed by one alphabetic character

Question 80

A patient is picked up at a physician's office and taken to the hospital. What would be the appropriate ambulance services modifier?

A) XH
B) PH
C) DH
D) RH