1. Differentiate between the official coding guidelines for using V codes in an inpatient and outpatient setting. 2. You’ve started your first day at Venture Outpatient Surgery Center. Explain how you would code an operative report. 3. Discuss coding for obstetrics, including items covered by the global fee for antepartum and postpartum periods of normal pregnancy.
Part B: Answer each of the following items in two to five sentences. Each answer is worth four points.
1. Explain the importance of a fee schedule and the factors it’s based on. 2. Why would a coder want to take special precaution when coding the diagnosis of human immunodeficiency virus or acquired immunodeficiency syndrome? 3. If a patient suffers multiple burns, describe the correct coding sequence. 4. What is the result of an erroneous coding of a neoplasm? 5. Explain how evaluation and management (E/M) codes are grouped.
Part C: Select the one best answer to each question. Each item is worth two points.
1. Which of the following modifiers is used to indicate partial reduction or elimination of a pathology procedure? A. -22 B. -32 C. -42 D. -52
2. When a physician provides a “complete” radiological procedure, two codes are submitted. One code is a radiological code, the other is a code from the _______ section. A. oncology B. HCPCS Level II modifier C. surgery D. supervision
3. CPT Category II codes consist of _______ digits followed by one alpha character. A. two B. three C. four D. five
2
Final Examination Booklet
4. Which of the following forms is used to request payment from an insurer? A. ICD-9 3400 B. CPT 2002 C. RFP D. CMS-1500
5. The technical component of a diagnostic radiology procedure is indicated by the HCPCS Level II modifier A. -td. B. -tc. C. -dc. D. -dx.
6. In a _______ fee schedule, the individual physician determines the price for each service. A. CMS B. UCR C. POS D. PPO
7. Which of the following codes is used to report a barium