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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q55-Q60):

NEW QUESTION # 55
CPT code 11102 is a column 2 code that has an NCCI edit of 1 when paired with CPT code 11402. How would this be interpreted?

A. The two codes can be billed together with an appropriate modifier.
B. If being billed together, only report one unit of each.
C. The two codes are inclusive of each other and can never be billed together.
D. The two codes are exclusive of each other and can never be billed together.

Answer: A

Explanation:
NCCI stands for National Correct Coding Initiative and was created by CMS to prevent unbundling and prevent incorrect payments. Column one represents a correct code when listed next to column two. There are three edits listed with the combination of the two columns: 0, 1, and
9. Edit 0 means that the two codes should never, under any circumstance, be reported together. Edit
1 means that the procedures may be coded together with the use of a modifier. Edit 9 means that the edit does nota I .

NEW QUESTION # 56
In the Current Procedural Terminology book, how is the icon "Excludes" meant to be interpreted?

A. An additional code should be reported to fully describe a condition.
B. It may identify services that are not bundled and may lead the user to a more appropriatecode.
C. It may include services that are bundled and cannot be separately billed.
D. Acausal relationship should be presumed between the tvo conditions.

Answer: B

Explanation:
The "Excludes" note identifies services that are not bundled into a procedure and may be reported in addition to the primary code. It may also lead the user to another code that would be more appropriate for the procedure being reported. Answer B describes "with." Answer C describes the icon "Includes." Answer D describes the "code also" note attached to a diagnosis.

NEW QUESTION # 57
When seen next to a diagnosis code, the term "Excludes 20 indicates that the condition excluded is not part of the condition represented by the code and that the patient may have both conditions simultaneously.

A. b False
B. True

Answer: B

Explanation:
The statement is true. The term "Excludes 2" shows that two seemingly related conditions can be billed in the same encounter. See Section I of the Coding Guidelines in the ICD-IO-CM 2020 edition for reference.

NEW QUESTION # 58
Which antibody test results indicate a current, acute infection?

A. IgM positive, IgG negative
B. IgG positive, IgM positive
C. IgG positive, IgM positive
D. IgG negative, IgM negative

Answer: A

Explanation:
Understanding immunology and antibody results are imperative to proper code selection and to be able to support any necessary repeat testing. Antibody isotypes IgM assist in attacking infectious pathogens and are indicative of an acute infection. Antibody isotypes IgG are formed as an infection subsides and help the body fight against future attacks from the same bacteria. When the results show IgG positive, it indicates immunity. When a patient has an infection, the results will show IgM positive, but as the IgG antibodies haven't fully formed yet to provide the body with immunity, that result will come back negative.

NEW QUESTION # 59
If the dermatologist removes 17 skin tags from a patient's lumbar using local anesthesia and a sharp blade, which CPT code(s) should be reported?

A. 0
B. 11200, 11201-51, 00300
C. 11200, 11201
D. 11200, 11201, 00300

Answer: C

Explanation:
The CPT code 11201 is an add-on code and would not receive a modifier. Local anesthesia is included in the primary procedure code and would not be reported separately with CPT 00300.

NEW QUESTION # 60
......

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AAPC-CPC First-grade Free Braindumps - 100% Pass Quiz Medical Tests AAPC-CPC

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q55-Q60):

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