Procedural and diagnostic coding

1. If providers submit a claim for a simple procedure when in reality, a more complicated procedure was documented in the record, what may occur?

• underpayment

• overpayment

• recovery audit

• denial of claim

How many codes are required for giving a patient a vaccine

• depends on who gives the vaccine

• 1

• 2

• 3

The most frequently used CPT codes are the

• anesthesiology codes

• evaluation and management codes

• surgery codes

• radiology codes

How many characters are present in the ICD-10 codes?

• 7-10

• 3-7

• 4-8

• 1-3

Which of the following actions is governed by criminal laws?

• discounting

• telling a family member a patient's diagnosis

• giving an incorrect medication

• purposefully overcharging on a medicare claim

Changing a code to one you know the insurance company will pay for is called

• supporting documentation

• coding for packaging

• coding for coverage

• double billing

1. The form commonly used by health care providers to indicate diagnosis and treatment associated with services during an office visit is known as

• explanation of benefits

• claims form

• CMS-1500

• superbill

E&M codes are typically in which of the following ranges?

• 99201-99499

• 70010-79999

• 80048-89359

• 90287-99199

The code for intravenous administration of chemotherapy is found in which of the following sections of the CPT manual?

• surgery

• medicine

• evaluation and management

• anesthesia

The CPT coding system is based on a main number with how many digits

• 3

• 6

• 7

• 5