HCPCs Review Questions For CPC Exam 2014
FROM PROFESSOR AND 2014 CPC PRACTICE EXAM BOOK
Questions and Answers
- 1.
HCPCS CODING:Level II HCPCS codes for drugs are administered :
- A.
Intravenously
- B.
Intramuscularly
- C.
Subcutaneously
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
The correct answer is "all of the above" because Level II HCPCS codes for drugs can be used for drugs that are administered intravenously, intramuscularly, or subcutaneously. This means that the codes can be used to bill for drugs that are given through any of these routes of administration.Rate this question:
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- 2.
A male 62-year-old presents for a digital rectal exam and total prostate-specific antigen test (PSA), which code would be used?
- A.
G0102
- B.
G0103
- C.
G0102, G0107
- D.
G0102, G0103
Correct Answer
D. G0102, G0103Explanation
The correct answer is G0102, G0103. G0102 is the CPT code for a digital rectal exam and G0103 is the CPT code for a total prostate-specific antigen test. These two codes would be used together to accurately represent the services performed during the patient's visit.Rate this question:
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- 3.
A Medicare patient, 82-year-old female has an energy x-ray absorptiometry (SEXA) bone density study of two sites of the wrists.
- A.
76071
- B.
76075
- C.
G0130
- D.
76070
Correct Answer
C. G0130Explanation
The correct answer is G0130. G0130 is the correct code for a bone density study of two sites of the wrists using energy x-ray absorptiometry (SEXA) for a Medicare patient. The other codes listed (76071, 76075, and 76070) are not appropriate for this specific study or patient type.Rate this question:
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- 4.
A 63-year-old male, Medicare recipient receives 30 minutes of individual diabetes outpatiself-management training :
- A.
G0109
- B.
G0176
- C.
99213
- D.
G0108
Correct Answer
D. G0108Explanation
G0108 is the correct answer because it is the Healthcare Common Procedure Coding System (HCPCS) code for individual diabetes self-management training (DSMT) services, which is what the patient received. This code is specifically used for Medicare patients and covers 30 minutes of individual DSMT. G0176 is the HCPCS code for a different type of DSMT service, group DSMT, so it is not the correct answer. 99213 is a Current Procedural Terminology (CPT) code for an office visit, which is not applicable to this scenario. G0109 is the HCPCS code for a different type of DSMT service, follow-up DSMT, so it is also not the correct answer.Rate this question:
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- 5.
A Medicare recipient presents for an influenza and pneumococcal vaccination.
- A.
G0008
- B.
G0009
- C.
G0008, G0009
- D.
G0010, G0008
Correct Answer
C. G0008, G0009Explanation
The correct answer is G0008, G0009. This answer is correct because G0008 represents the administration of the influenza vaccine, while G0009 represents the administration of the pneumococcal vaccine. Since the Medicare recipient is receiving both vaccinations, both codes G0008 and G0009 would be appropriate to use.Rate this question:
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- 6.
General guidelines for HCPCS Level II Coding includes :
- A.
Code directly from the index
- B.
Search for main terms and any applicable sub-terms
- C.
Note the reference codes as given in the index
- D.
All of the above
Correct Answer
B. Search for main terms and any applicable sub-termsExplanation
The correct answer is "Search for main terms and any applicable sub-terms." This is because when coding using HCPCS Level II, it is important to search for the main terms and any applicable sub-terms in order to accurately assign the appropriate code. This ensures that the code chosen accurately reflects the specific procedure, supply, or service being provided. Code directly from the index and noting the reference codes are also important steps in the coding process, but the most crucial step is searching for the main terms and sub-terms.Rate this question:
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- 7.
A patient received a 12 sq. cm. dermal tissue substitute of human origin, without other bioengineered elements, without metabolically active elements. This treatment was completed due to a burn on the abdomen. How would you report the supply?
- A.
C1762
- B.
J7342
- C.
C1763
- D.
J7344
Correct Answer
A. C1762 -
- 8.
During an emergency room visit, Sally was diagnosed with pneumonia. She was admitted to the hospital observation unit and treated with 500 mg of Zithromax through an IV route. How would you report the supply of this drug?
- A.
J 0456
- B.
Q0144
- C.
J1190 X 2
- D.
J2020 X 2
Correct Answer
A. J 0456Explanation
J 0456 is the correct answer because it is the Healthcare Common Procedure Coding System (HCPCS) code for the supply of Zithromax. This code specifically refers to the IV route of administration, which is how Sally received the medication. The other options (Q0144, J1190 X 2, J2020 X 2) do not accurately represent the supply of Zithromax through an IV route.Rate this question:
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- 9.
Report an initial Medicare Annual Wellness Exam (AWV) with a Established E & M visit , EPF Hx and Exam and LOW MDM (the CC was GERD and HTN)
- A.
99213, G0438
- B.
G0438 only
- C.
99213, G0438-33
- D.
This is a sick visit so only report 99213.
Correct Answer
C. 99213, G0438-33Explanation
The correct answer is 99213, G0438-33. In this scenario, the patient had a Medicare Annual Wellness Exam (AWV) along with an Established E & M visit, EPF Hx and Exam, and LOW MDM. The chief complaint (CC) was GERD and HTN. The code 99213 represents the level of service for the Established E & M visit, which is appropriate for a sick visit. The code G0438 represents the Medicare Annual Wellness Exam. Adding the modifier -33 to G0438 indicates that the service was preventive in nature. Therefore, the correct answer is to report both codes 99213 and G0438-33.Rate this question:
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- 10.
Which code describes an addition to the lower extremity, knee disarticulation, and leather socket?
- A.
L5624
- B.
L5640
- C.
L5105
- D.
L5850
Correct Answer
B. L5640Explanation
The code L5640 describes an addition to the lower extremity, knee disarticulation, and leather socket.Rate this question:
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- 11.
A nursing home's x-ray machine was not working. A portable x-ray machine and personnel was transported to the nursing home to test nine patients. How would you report the transportation of equipment?
- A.
76499
- B.
S9999
- C.
R0070 X 9
- D.
R0075
Correct Answer
D. R0075Explanation
The correct answer, R0075, indicates that the transportation of equipment to the nursing home was reported using this code. This code specifically refers to the transportation of portable x-ray equipment.Rate this question:
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- 12.
What modifier would most likely be used for a blepharoplasty to the upper right eyelid?
- A.
E1
- B.
51
- C.
E3
- D.
RT
Correct Answer
C. E3 -
- 13.
An electric movable toilet chair is ordered for a patient who is mostly bed bound. What is the code for this DME?
- A.
E0244
- B.
E0172
- C.
E0170
- D.
E0171
Correct Answer
C. E0170Explanation
The code E0170 is the correct answer for this question. This code represents an electric wheelchair, which is suitable for a patient who is mostly bed bound. This type of wheelchair is designed to provide mobility and support for individuals who have limited mobility or are unable to walk. It is a suitable choice for a patient who needs assistance with toileting and is unable to use a regular toilet.Rate this question:
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- 14.
A patient is transferred via ambulance from the ESRD clinic at the University Medical Center to the nursing home. Which modifier should be appended to the Ambulance service that describes the pick-up origin and the destination for this trip?
- A.
DN
- B.
JN
- C.
HN
- D.
GN
Correct Answer
D. GNExplanation
The correct modifier that should be appended to the Ambulance service to describe the pick-up origin and the destination for this trip is GN.Rate this question:
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- 15.
If a procedure is performed on an 80 year old Medicare patient, a code from which code category is preferred for reporting?
- A.
CPT Code
- B.
E Code
- C.
G Code
- D.
T Code
Correct Answer
C. G CodeExplanation
For reporting a procedure performed on an 80-year-old Medicare patient, a code from the G Code category is preferred. G Codes are used specifically for reporting services and procedures provided to Medicare patients. These codes help in tracking and analyzing Medicare patient care and outcomes. Therefore, when reporting a procedure for an 80-year-old Medicare patient, it is appropriate to use a G Code.Rate this question:
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- 16.
A nine-year old patient is seen in her physician's office with a laceration on her forearm. As this cut is not too deep, the physician decides to repair the wound with tissue adhesive. How would this be coded?
- A.
A4452
- B.
G0168
- C.
Q4106
- D.
A6250
Correct Answer
B. G0168Explanation
The correct answer is G0168. G0168 is the correct code for the repair of a laceration with tissue adhesive. This code is used when a physician uses tissue adhesive to close a wound that is not too deep. The other options (A4452, Q4106, A6250) are not applicable to this scenario.Rate this question:
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- 17.
A patient who was in a skiing accident and broke both his left and right femur is going home from the hospital today. A wheelchair with swing-away and detachable, elevated leg rests, and full length arms is ordered for the patient.The physician is required to conduct a face-to-face examination of the patient and document a written order for the need of the mobile power device. What is the correct code for the physician's service?
- A.
E1084
- B.
E1050
- C.
G0372
- D.
S0260
Correct Answer
C. G0372Explanation
The correct code for the physician's service is G0372. This code represents a face-to-face examination and written order for the need of a mobile power device. In this case, the physician is ordering a wheelchair with specific features for a patient who broke both his left and right femur in a skiing accident.Rate this question:
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- 18.
What is thye correct HCPCS Level II code for Depo-Provera (medroxyprogesterone acetate) injection of 100 mg?
- A.
J1050
- B.
J1050 X 100
- C.
J1020 X 5
- D.
J1030 X 3
Correct Answer
B. J1050 X 100Explanation
The correct HCPCS Level II code for Depo-Provera (medroxyprogesterone acetate) injection of 100 mg is J1050 X 100. This code represents the specific medication and dosage being administered, which is Depo-Provera at a dosage of 100 mg. The "X 100" indicates that the injection is being administered 100 times, likely for multiple patients or over a period of time.Rate this question:
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- 19.
What is the correct code for 500 mg of lyophilized immune globulin?
- A.
J1599
- B.
J1459
- C.
J1566
- D.
J1568
Correct Answer
C. J1566Explanation
The correct code for 500 mg of lyophilized immune globulin is J1566.Rate this question:
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- 20.
The physician writes an order for 45 mm/Hg thigh high compression stockings. Which HCPCS Level II code is correct for this item?
- A.
A6541
- B.
A6534
- C.
A6535
- D.
A6537
Correct Answer
C. A6535Explanation
The correct answer is A6535. This HCPCS Level II code represents thigh high compression stockings with a compression level of 30-40 mm/Hg. The physician's order specifies a compression level of 45 mm/Hg, which is not available in the given options. Therefore, none of the provided codes are a perfect match for the physician's order.Rate this question:
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- 21.
What is the HCPCS Level II code for a pump with an alarm which delivers soy-based 100 calories/unit Pediatrics enteral nutrition?
- A.
B4158
- B.
B4159
- C.
B9000
- D.
B9002
Correct Answer
D. B9002Explanation
The HCPCS Level II code B9002 is the correct answer for a pump with an alarm which delivers soy-based 100 calories/unit Pediatrics enteral nutrition. This code specifically represents a pump that is used for enteral nutrition, which is the delivery of nutrients directly into the gastrointestinal tract. The alarm feature indicates that the pump has an alert system to notify the user of any issues or malfunctions. The code B9002 is the most appropriate choice for this specific scenario.Rate this question:
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- 22.
What is the correct coding for a skin substitute graft to cover 10 sq cm of a badly burned leg on a 15-year-old patient, using Alloskin?
- A.
Q4116
- B.
Q4115
- C.
Q4116 X 10
- D.
Q4115 X 10
Correct Answer
D. Q4115 X 10Explanation
The correct coding for a skin substitute graft to cover 10 sq cm of a badly burned leg on a 15-year-old patient, using Alloskin, is Q4115 X 10. This means that 10 units of Q4115, which represents the application of Alloskin, should be used to cover the 10 sq cm area.Rate this question:
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- 23.
A patient presents for a blepharoplasty of the upper eyelid. Which Level II modifier would be appended to the procedure code?
- A.
E3
- B.
E1
- C.
E4
- D.
E2
Correct Answer
B. E1Explanation
The correct answer is E1. The E1 modifier is used to indicate that the procedure was performed on an eyelid that has previously undergone surgery. In this case, the patient is presenting for a blepharoplasty of the upper eyelid, indicating that they have previously had surgery on that eyelid. Therefore, the E1 modifier would be appended to the procedure code to indicate this.Rate this question:
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- 24.
A 19-Year old patient loses his eye in a tragic bass fishing accident. He presents today for implantation of a prosthetic eye. What is the correct HCPCS Level II code for the new eye?
- A.
V2629
- B.
L8610
- C.
V2623
- D.
This supply would be included in the procedure code and not reported separately.
Correct Answer
A. V2629Explanation
The correct HCPCS Level II code for the new eye is V2629. This code is used for prosthetic eyes and is appropriate for the patient who lost his eye in the fishing accident. The other options, L8610 and V2623, are not applicable in this case. The statement "This supply would be included in the procedure code and not reported separately" indicates that the cost of the prosthetic eye is already included in the overall procedure code for the implantation, so it should not be reported separately.Rate this question:
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- 25.
A patient who just moved to town is seen for his first comprehensive ophthalmologic exam. The physician provides PMMA bifocal lenses for the patient. He is instructed to follow up in 10 days to determine if the lenses are working well for his eyes. What is the correct coding for this scenario?
- A.
92014, V2500-RT, V2500-LT
- B.
92004, V2522-RT, V2522-LT
- C.
92014, V2512-RT, V2512-LT
- D.
92004, V2502-RT, V2502-LT
Correct Answer
D. 92004, V2502-RT, V2502-LTExplanation
The correct coding for this scenario is 92004, V2502-RT, V2502-LT. The patient is receiving a comprehensive ophthalmologic exam (92004), and the physician is providing PMMA bifocal lenses (V2502) for the patient. The RT and LT modifiers indicate that the lenses are for the right and left eyes respectively. The patient is instructed to follow up in 10 days to determine if the lenses are working well for his eyes.Rate this question:
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- 26.
A patient is coming in to see her oncologist due to the severe nausea and vomiting from her anti-cancer treatment. The oncologist orders one injection of 10 mg of Compazine, and another injection of 10 mg after three hours. How is this treatment reported?
- A.
J0780
- B.
S0183 X 2
- C.
Q0164 X 2
- D.
J0780 X 2
Correct Answer
D. J0780 X 2Explanation
The correct answer is J0780 X 2. This is the correct code for reporting the treatment. The patient is receiving two injections of Compazine, each containing 10 mg, with a three-hour interval between them. The code J0780 represents the injection of Compazine, and the "X 2" indicates that the injection is repeated twice.Rate this question:
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- 27.
A six-year-old patient is seen in the physician's office for a penicillin shot to treat strep throat. The patient is given 500,000 units of penicillin G procaine. How is this service reported?
- A.
96372, J2510
- B.
90460, J2510
- C.
90471, J0561
- D.
96372, J0558
Correct Answer
A. 96372, J2510Explanation
The correct answer is 96372, J2510. This code combination is used to report the administration of an injection, in this case, a penicillin shot. Code 96372 represents the therapeutic, prophylactic, or diagnostic injection administration, while code J2510 represents the specific medication administered, which is penicillin G procaine. Therefore, this combination accurately reflects the service provided in this scenario.Rate this question:
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- 28.
A 55-year-old woman, G5, P5, is seen in the gynecologist's office for a pessary fitting. The physician inserts the pessary ring, asking the patient as to the comfort, and determines that this is a good treatment for the patient uterine prolapse. A #7 rubber pessary ring is given to the patient for use, once she has shown that she can insert and remove it on her own. What is the correct coding for this service?
- A.
57160, A4562
- B.
58300, A4561
- C.
11975, A4562
- D.
57160, A4561
Correct Answer
D. 57160, A4561Explanation
The correct coding for this service is 57160, A4561. The code 57160 represents the fitting and insertion of a pessary ring, which is what the physician did in this case. The code A4561 represents the pessary itself, which was given to the patient for use once she can insert and remove it on her own.Rate this question:
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- 29.
A 55-year-old Medicare patient is seen today for a colonoscopy screening. He is considered high-risk due to a strong family history of colon cancer. How would this be coded?
- A.
G0105
- B.
G0120
- C.
G0104
- D.
45378
Correct Answer
A. G0105Explanation
This would be coded as G0105. G0105 is the CPT code for a colorectal cancer screening; colonoscopy on an individual at high risk. Given that the patient is 55 years old and has a strong family history of colon cancer, he falls into the high-risk category, making G0105 the appropriate code for this scenario.Rate this question:
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- 30.
A 12 year-old boy with frequent episodes of asthma is prescribed 1 mg of Albuterol inhalant. The Albuterol ordered is noncompounded but concentrated. What is the correct HCPCS Level II code for this medication?
- A.
J7909
- B.
J7611
- C.
J7613
- D.
J7620
Correct Answer
B. J7611Explanation
The correct HCPCS Level II code for the noncompounded and concentrated Albuterol inhalant prescribed to the 12-year-old boy with frequent episodes of asthma is J7611.Rate this question:
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- 31.
Which of the following Testosterone drug codes is not delivered intramuscularly?
- A.
J3140
- B.
J3120
- C.
S0189
- D.
S0187
Correct Answer
C. S0189Explanation
The correct answer is S0189 because it is the only drug code listed that is not delivered intramuscularly. The other three drug codes, J3140, J3120, and S0187, are all delivered intramuscularly.Rate this question:
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- 32.
Patient is in 5 days post-op period from an open heart surgery and is getting ready to go home from the hospital today. His physician, who is stuck behind a nine-car pile-up on I-20, cannot get to the hospital. He calls into the hospital and speaks with his patient about how he is feeling, and goes over his care and medication in depth. 25 minutes later the conversation is over, and the patient is ready for discharge. How would you code the physician's services from his care over the phone?
- A.
99238
- B.
G0407
- C.
99233
- D.
G0408
Correct Answer
B. G0407Explanation
The correct answer is G0407, which is the correct code for a telephone evaluation and management service provided by a physician to a patient in the post-operative period. In this scenario, the physician is unable to physically be present at the hospital due to a traffic jam, but still provides care and goes over the patient's condition and medication in detail over the phone. This code accurately represents the physician's services in this situation.Rate this question:
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- 33.
A patient has a home health aide come to his home to clean and dress a burn on his lower leg. The aide uses a special absorptive, sterile dressing to cover a 20 sq. cm. area. She also covers a 15 sq.cm. area with a self-adhesive sterile gauze pad.
- A.
A6204, A6403
- B.
A6252, A6403
- C.
A6252, A6219
- D.
A6204, A6219
Correct Answer
C. A6252, A6219Explanation
The correct answer is A6252, A6219. A6252 is the correct code for the special absorptive, sterile dressing used to cover the 20 sq. cm. area. A6219 is the correct code for the self-adhesive sterile gauze pad used to cover the 15 sq. cm. area.Rate this question:
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- 34.
A 12-year-old arrives in his pediatrician's office after colliding with another player during a soccer game. He is complaining of pain in his right wrist. The physician orders an x-ray and diagnoses him with a hairline fracture of the distal radius. He has a short arm fiberglass cast applied and discharges him with follow up instructions.
- A.
Q4009
- B.
Q4012
- C.
Q4022
- D.
Q4010
Correct Answer
D. Q4010Explanation
The correct answer, Q4010, is likely the CPT code for "Application of short arm fiberglass cast (forearm to hand)" which is appropriate for the scenario described in the question. The physician ordered an x-ray and diagnosed the patient with a hairline fracture of the distal radius. The application of a short arm fiberglass cast is a common treatment for this type of fracture. The answer choice Q4010 aligns with the procedure performed and is the most suitable option.Rate this question:
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- 35.
A patient with Hodgkin's disease takes Neosar as part of his chemotherapy regiment. He receives 100 mg once a week through intravenous infusion.
- A.
J9100
- B.
J7502
- C.
J9070
- D.
J8999
Correct Answer
C. J9070Explanation
J9070 is the correct answer because it is the Healthcare Common Procedure Coding System (HCPCS) code for Neosar, also known as Cyclophosphamide, which is a chemotherapy drug commonly used in the treatment of Hodgkin's disease. The patient receives 100 mg of Neosar once a week through intravenous infusion, and J9070 accurately represents this medication and dosage.Rate this question:
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- 36.
A patient with diabetes is fitted for custom molded shoes. What is the code range for such a fitting?
- A.
L3201-L3649
- B.
A5500-A5513
- C.
K0001-K0899
- D.
E0100-E8002
Correct Answer
B. A5500-A5513Explanation
The code range A5500-A5513 is the correct answer for a patient with diabetes who is fitted for custom molded shoes. These codes specifically pertain to the fitting and supply of therapeutic shoes for individuals with diabetes. The range includes various codes for different types of shoes, such as depth-inlay shoes, custom molded shoes, and custom molded shoe inserts. These codes are used for billing and reimbursement purposes when providing this specialized service to diabetic patients.Rate this question:
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- 37.
A 300 lb. paraplegic needs a special sized wheelchair with fixed arm rests and elevating leg rests.
- A.
E1195
- B.
E1222
- C.
E1160
- D.
E1087
Correct Answer
B. E1222Explanation
E1222 is the correct answer because it is the HCPCS code for a special sized wheelchair with fixed arm rests and elevating leg rests. This code specifically identifies the type of wheelchair that the paraplegic needs, taking into account their weight and specific requirements. The other codes listed do not match the description of the wheelchair needed.Rate this question:
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