Question 1
Which of the following is necessary to report an underdosing code?
A. The provider must document a change in the patient’s condition.
B. The provider must document that the patient is not taking the medication as prescribed.
C. The provider must update the medication list.
D. No additional documentation is necessary.
Question 2
When is it appropriate to report a Z code?
A. When documentation specifies that the problem or risk factor affects the patient’s condition and treatment
B. Any time you are aware a risk factor exists
C. Z codes are not used in the U.S.
D. When the provider documents the risk factor; tying the risk factor to the condition isn’t necessary.
Question 3
A surgeon removes a lump in the right breast and the lymph nodes between the pectoralis major and the pectoralis minor muscles in addition to some (not all) of the nodes in the axilla using an open approach. How is the procedure(s) coded?
A. 19300
B. 19302-52
C. 19302, 38500
D. 19303
Question 4
If a physician documents a diagnosis but the lab report suggests something else, what should you do?
A. Change the diagnosis
B. Disregard the lab report
C. Tell the physician to change the documentation
D. Query the provider
Question 5
Which ICD-10-CM code for drug and alcohol use does not describe remission?
A. F10.90
B. F10.91
C. F13.91
D. F15.91
Question 6
In the absence of a definitive diagnosis, what might you report before your provider can pin down a specific UTI?
A. R30.-, R32
B. N39.0
C. B96.2
D. B96.4
Question 7
Which code group is appropriate when selecting a UTI diagnosis for a patient who is currently pregnant?
A. N30.0-
B. N10
C. O23.-
D. O86.2-
Question 8
What is the minimum required number of days to be able to report CPT code(s) 99453 and/or 99454?
A. 11
B. 16
C. 26
D. 30
Question 9
Which modifier is appended to a split (or shared) claim for Medicare Part A?
A. FS
B. FT
C. 52
D. No modifier is necessary
Question 10
A physician sees a male patient for frequent nighttime urination. The physician documents nocturia and an enlarged prostate. What is the diagnosis coding in sequential order?
A. R35.1, N40.1
B. N40.1, R35.1
C. N40.1, N39.44
D. R35.1
