Question 2
Starting Jan. 1, 2021, CTBS provided by therapists (LCSW, clinical psychologists, PT, OT, SLP, and other NPPs who bill Medicare directly for their services) will be billed using which codes?
A. G2061–G2063
B. 98970–98972
C. G2250 and G2251
D. G2010 and G2012
Question 3
Which of the following HCPCS Level II codes would you use to report prolonged services for a 99215 office visit to a Medicare payer?
A. G2111
B. G2212
C. G2213
D. G2250
Question 4
Which of the following HCPCS Level II codes would you use to report initiation of medication/treatment for opioid use disorder in an ED setting?
A. G2111
B. G2212
C. G2213
D. G2250
Question 7
Which of the following is a requirement to bill for chronic care management?
A. Face-to-face team care
B. Work performed by a physician
C. 20 minutes of patient care in a calendar month
D. Moderate- or high-level decision making
Question 8
Which CPT® code would you use when billing for a patient who has three ongoing chronic conditions and who received 20 minutes of care from a nurse practitioner in the month of January?
A. 99490
B. 99487
C. 99491
D. 99421
Question 9
A patient is discharged with a final diagnosis of atherosclerotic heart disease (i.e., CAD) and hypertension. Which code(s) should be reported?
A. Category I11 code
B. Category I11 code and a code for the CAD to specify the affected artery and presence of angina
C. Category I11 code, code for CAD, and code for hypertension
D. Code for CAD and code for hypertension
Question 10
A 60-year-old male with HTN, mild heart failure, and stage II CKD recently had an acute exacerbation of his heart failure. He was briefly hospitalized and had an echocardiogram performed, which showed combined systolic and diastolic failure. At discharge, which diagnosis code(s) should be reported?
A. I10.0, I50.41, N18
B. I13.0
C. I13.0, I50.43, N18.2
D. I12.9, I50.9
Question 11
A patient presents for follow-up to discuss management of her high blood pressure. She states that both her HTN and SLE are well controlled with her current medications and denies any recent flare-ups. The patient reports that she is still smoking cigarettes. The provider documents HTN due to SLE is stable and advises her to continue her current medication regimen. The doctor discusses the importance of quitting smoking as it can negatively affect her health and worsen the HTN and lupus. Which codes should be reported?
A. I10, M32.10, Z72.0
B. I10, M32.10, F17.21
C. I15.8, M32.10, F17.21
D. I15.8, M32.10, Z72.0
Question 12
Encounter notes indicate that the surgeon provided hip arthroscopy with debridement of articular cartilage and resection of the labrum. The provider also performed femoroplasty. Which of the following CPT® codes is most appropriate for this surgery?
A. 29862
B. 29863
C. 29914
D. 29915
Question 13
Encounter notes indicate that the surgeon provided hip arthroscopy with debridement of articular cartilage and resection of the labrum. The provider also performed acetabuloplasty. Which of the following CPT® codes is most appropriate for this surgery?
A. 29862
B. 29863
C. 29914
D. 29915
Question 16
Why is ICD-10-CM code I12.9 Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease or unspecified chronic kidney disease an excellent example of why codes are not diagnoses?
A. The code description includes the condition “hypertension” and “chronic kidney disease.”
B. The code description includes several chronic kidney disease stages.
C. The code is invalid.
D. The code requires a primary code.
Question 17
Which of the following terms makes documentation unclear when ICD-10-CM code descriptors are used instead of written diagnoses?
A. Other
B. Unspecified
C. In disease classified elsewhere
D. All of the above
Question 18
In 2020, use of a Holter monitor worn for more than 48 hours was coded with Category III code 0295T. Thanks to technology advancements, this temporary code has been replaced with a Category I code. Starting Jan. 1, 2021, which CPT® code should be used when billing for this cardiac monitoring device?
A. 93244
B. 93245
C. 93241
D. 93242
Question 19
Which CPT® code should you report when your cardiologist performs a complete cardiac stress test service?
A. 93015
B. 93016
C. 93017
D. 93018
Question 20
If your cardiologist performs a complete service of a stress echocardiogram combined with a complete cardiovascular stress test (continuous electrocardiographic monitoring, physician supervision, interpretation, and report) in a non-facility setting, which CPT® code should you report?
A. 93316
B. 93317
C. 93350
D. 93351
