Fundamentals of Healthcare Coding Test Bank
Course Introduction
Fundamentals of Healthcare Coding introduces students to the core principles and practices of medical coding in healthcare settings. The course covers the basics of coding systems such as ICD-10-CM, CPT, and HCPCS, as well as the guidelines, conventions, and ethical standards essential to accurate code assignment. Students will learn how to analyze clinical documentation, apply codes to medical diagnoses and procedures, and understand the importance of coding for billing, insurance claims, and healthcare analytics. Emphasis is also placed on compliance with legal and regulatory requirements, as well as the development of skills necessary for effective communication with healthcare professionals.
Recommended Textbook
Step by Step Medical Coding 2016 1st Edition by Carol J. Buck
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27 Chapters
1233 Verified Questions
1233 Flashcards
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Page 2
Chapter 1: Reimbursement, Hipaa, and Compliance
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) RBRVS ________________________________________
Answer: Resource Based Relative Value Scale
Q2) The physician fee schedule is updated each April 15 and is composed of:
A)the relative value units for each service
B)a geographic adjustment factor to adjust for regional variations in the cost of operating a health care facility
C)a national conversion factor
D)all of the above
E) none of the above
Answer: D
Q3) The Federal Register is the official publication for all "Presidential Documents," "Rules and Regulations," "Proposed Rules," and "Notices."
A)True
B)False
Answer: True
Q4) List the three components of the relative value unit. Answer: (in any order) work, overhead, malpractice
Q5) OIG ________________________________________
Answer: Office of the Inspector General
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Chapter 2: An Overview of ICD-10-CM
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Sample Questions
Q1) There are 21 chapters in the ICD-10-CM.
A)True
B)False
Answer: True
Q2) Notable improvements in the content and format of the ICD-10-CM include expansion of signs and symptoms codes.
A)True
B)False
Answer: False
Q3) ICD-10-CM codes have a maximum of five characters.
A)True
B)False
Answer: False
Q4) Which organization has been responsible for the development of ICD-10-CM?
A)NCHS
B)AHIMA
C)AMA
D)AHA
Answer: A
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Chapter 3: ICD-10-CM Outpatient Coding and Reporting
Guidelines
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Sample Questions
Q1) A patient is admitted to an observation unit for a medical condition that has worsened and is then admitted as an inpatient to the same hospital for the same medical condition. The primary diagnosis would be the medical condition that led to the admission.
A)True
B)False Answer: True
Q2) Encounter for blood type testing prior to surgery.
ICD-10-CM Code: ___________________
Answer: Z01.83
Q3) Long-term (current) use of systemic steroids.
ICD-10-CM Code: ___________________
Answer: Z79.52
Q4) Long-term (current) use of aspirin.
ICD-10-CM Code: ___________________
Answer: Z79.82
Q5) Exposure to German measles.
ICD-10-CM Code: ___________________
Answer: Z20.4
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Chapter 4: Using ICD-10-CM
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Sample Questions
Q1) The correct reporting for COPD with chronic bronchitis and emphysema:
A)J44.0, J42
B)J44.0, J43
C)J44.9
D)none of the above
Q2) The correct reporting for hypertensive left heart failure:
A)I11.0
B)I11.0, I50.1
C)I11.0, I50.9
D)none of the above
Q3) Rubella meningoencephalitis.
ICD-10-CM Code:____________________
Q4) Assign codes as directed in the Index, only after verifying the code in the Tabular. A)True
B)False
Q5) Aphasia and cognitive defects, as a result of nontraumatic intracranial hemorrhage.
ICD-10-CM Codes:____________________, ____________________
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6
Chapter 5: Introduction to CPT
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Sample Questions
Q1) Which of the following is NOT a reason for the CPT coding system?
A)increased reimbursement
B)comparative analysis
C)data for research
D)improved communication
Q2) There are two types of codes, but only ____________________ codes have the full description.
Q3) According to the CPT Surgery Guidelines, what is the code for the following unlisted procedures: Unlisted procedure, arthroscopy?
Code: ____________________
Q4) The ____________________ section Guidelines contain the definition of the chief complaint.
Q5) The words that follow a code number in the CPT manual are called:
A)procedure/service descriptor
B)listing order
C)format descriptor
D)identified descriptor
Q6) Pathology code for a pathology examination for BRCA2 full sequence gene analysis.
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Chapter 6: Introduction to Level II National Codes HCPSC
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Sample Questions
Q1) What is the HCPCS Level II code for Injection, gadoterate meglumine, 0.1 ml?
Q2) Subset HCPCS modifier indicating denial expected as not reasonable or necessary.
A)GV
B)GZ
C)GS
D)GW
Q3) intramuscular
A)IT
B)IV
C)IM
D)SC
E)IHN
Q4) What types of codes are not recognized by Medicare and other federal payers but may be useful for claims to some private payers?
A)L codes
B)S codes
C)J codes
D)G codes
Q5) J codes do not include drug _____________.
Q6) Medicare and other federal payers do not recognize ___ codes.
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Chapter 7: Modifiers
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Sample Questions
Q1) Modifier -51, Multiple Procedure, is used on what type of services?
A)E/M
B)surgery
C)anesthesia
D)all of the above
Q2) Modifier -52, reduced services, is used to indicate:
A)a service was discontinued
B)changes to the description of the code
C)a service was reduced without changing the definition of the code
D)the procedure was terminated at the request of the patient
Q3) Modifier ______ is used to indicate that services of an outside laboratory were used.
Q4) Modifiers may affect:
A)health care premiums
B)type of treatment provided
C)the way payment is made by a third-party payer
D)code selection
Q5) What modifier would you use if you were coding only for the professional component of a diagnostic procedure? ____________________
Page 9
Q6) ____________________ lists some HCPCS modifiers in the CPT book.
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Chapter 8: Evaluation and Management EM Services
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Sample Questions
Q1) The definition of low birth weight can be found in the notes for subheading
Q2) modifying factors
A)worst Ive ever had
B)continuous
C)chest
D)some relief with rest
E)on exertion
F)tightness
G)since last night
H)some shortness of breath
Q3) quality
A)worst Ive ever had
B)continuous
C)chest
D)some relief with rest
E)on exertion
F)tightness
G)since last night
H)some shortness of breath
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Chapter 9: Anesthesia
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Sample Questions
Q1) Assign a CPT anesthesia code for Strayer procedure.
CPT Code: ____________________
Q2) Qualifying anesthesia circumstances are adjunct codes and are used when the administration of the anesthesia is more difficult.
A)True
B)False
Q3) Anesthesia for diagnostic arthroscopic procedure of the knee joint.
CPT Code: ____________________
Q4) When time is calculated for anesthesia services, the time begins when:
A)the patient arrives in the operating room
B)the anesthesiologist begins preparing the patient for anesthesia
C)the anesthesiologist begins to administer the anesthesia
D)the surgeon makes the first incision
Q5) Anesthesia code for a biopsy of the clavicle.
CPT Code: _____________
Q6) Assign a CPT anesthesia code and applicable modifiers for anesthesia services for an 81-year-old patient with mild systemic disease who receives anesthesia for revision of total hip arthroplasty.
CPT Code: ____________________
Page 11
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Chapter 10: Surgery Guidelines and General Surgery
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Sample Questions
Q1) Which of the following represents the contents of a surgical package?
A)preoperative and postoperative services
B)preoperative and intraoperative services
C)intraoperative and postoperative services
D)preoperative, intraoperative, and postoperative services
Q2) Unlisted codes are assigned to identify procedures for which there is no more specific code.
A)True
B)False
Q3) Special Report
A)Evaluating the patient in the postanesthesia recovery area
B) Special Services and Reports are presented in the Medicine Section
C)List drugs, trays, supplies, and materials provided
D)Complexity of service
Q4) 22532-22819
A)Spine: Arthrodesis
B)Excision-Benign Lesions
C)Endovascular Repair of Abdominal Aortic Aneurysm
D)Transcatheter Procedures
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Chapter 11: Extension 1: Chapter-Specific Guidelines:
ICD-10-CM Chapters 1-10
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Sample Questions
Q1) Atherosclerotic coronary artery disease with history of stent placement via angioplasty in the native right coronary artery.
ICD-10-CM Codes: ____________________, _____________________
Q2) Acute lower respiratory infection (Streptococcus, group A) in a patient with COPD.
ICD-10-CM Codes: ____________________, ____________________,
Q3) Intractable epileptic seizures related to alcohol.
ICD-10-CM Code: ____________________
Q4) Malignant hypertension with stage 4 chronic kidney disease.
ICD-10-CM Codes: ____________________, ____________________
Q5) Encounter for treatment of pancytopenia due to primary angiosarcoma of the liver.
ICD-10-CM Codes: _____________________, _____________________
Q6) Entropion is the outward turning of the margin of the eyelid. A)True B)False
Q7) Infectious colitis.
ICD-10-CM Code: _____________________
Page 13
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Chapter 13: Musculoskeletal System
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Sample Questions
Q1) A needle biopsy is a way of obtaining a piece of tissue out of the body, using a tiny incision, so the tissue can be examined under a microscope by a pathologist. Because this biopsy is performed through the skin, it is called a percutaneous biopsy.
A)True
B)False
Q2) Codes for arthrodesis include the bone graft and instrumentation, and these cannot be coded separately.
A)True
B)False
Q3) The codes for wound exploration can be reported for exploration of any type of wound.
A)True
B)False
Q4) A bunionectomy is a hallux ____ correction.
A)malleus
B)varus
C)rigidus
D)valgus
Q5) ____________________ is the use of a needle and a syringe to withdraw fluid.
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Chapter 14: Integumentary System
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Sample Questions
Q1) incision
A) to remedy, replace, or heal
B) suffix for molding or surgically forming
C) free flow or withdrawal of fluids from a wound or cavity
D) cutting or taking away
E) to unite parts by stitching them together
F) inspection of body organs or cavities by the use of a lighted scope that may be placed through an existing opening or through a small incision
G) scraping of a cavity using a spoon-shaped instrument
H) forcing a fluid into a vessel or cavity
I) suffix for suturing
J) suffix for puncture of a cavity
K) suffix for removal of part or all of an organ of the body
L) removal of a small piece of living tissue for diagnostic examination
M) surgically cutting into
N) binding or tying off, as in constricting blood flow of a vessel or binding fallopian tubes for sterilization
O) suffix for incision into
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15
Chapter 14: Respiratory System
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Sample Questions
Q1) The physician removes fluid from the chest cavity by puncturing through the space between the ribs. Using an aspirating needle attached to a syringe, the physician carefully passes the needle over the top of a rib, punctures through the chest tissues, and enters the pleural cavity. With the end of the needle in the chest cavity, the physician withdraws the fluid from the chest cavity by pulling back on the plunger of the syringe.
CPT Code: ____________________
Q2) A diagnostic endoscopic procedure is reported only when:
A)no surgical procedure is performed during the same operative session
B)a surgical procedure is performed during the same operative session
C)multiple surgical procedures are performed during the same operative session
D)no other code in that section applies
Q3) Reshaping of the nasal septum to correct airway obstruction.
CPT Code: ____________________
Q4) All "sinus" codes are reported as bilateral procedures only.
A)True
B)False
Q5) Flexible bronchoscopy with use of laser therapy to relieve stenosis.
CPT Code: ____________________
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Chapter 15: Extension 2: Chapter-Specific Guidelines:
ICD-10-CM Chapters 11-14
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Sample Questions
Q1) Ventral incisional hernia, without obstruction or gangrene.
ICD-10-CM Code:____________________
Q2) Degenerative tear of the posterior horn of the lateral meniscus of right knee, due to old injury.
ICD-10-CM Code:____________________
Q3) Patient who habitually chews tobacco is diagnosed with leukoplakia of the tongue, nicotine induced.
ICD-10-CM Codes: ___________________, __________________
Q4) Contact dermatitis due to nickel allergy.
ICD-10-CM Code: _____________________
Q5) Pneumococcal arthritis of the left knee due to Streptococcus pneumoniae.
ICD-10-CM Codes:____________________, ______________________
Q6) Postgastrectomy dumping syndrome.
ICD-10-CM Code:_____________________
Q7) For certain conditions, the bone may be affected at the upper or lower end such as with avascular necrosis of the femur in the knee joint. When the site is at the joint, report the condition of the joint, not the bone.
Page 17
A)True
B)False
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Chapter 16: Cardiovascular System
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Sample Questions
Q1) Ambulatory blood pressure monitoring of 24 hours, using magnetic tape, including the recording, analysis, interpretation, and report.
CPT Code: ____________________
Q2) A patient presents to the physician's office to have blood drawn for various lab tests. The venous blood is drawn by the medical assistant and sent to the lab with an order from the physician. Code only the drawing of the blood.
CPT Code: ____________________
Q3) Which item is NOT considered to be bundled in with a vascular injection?
A)local anesthesia
B)contrast media
C)introduction of needle or catheter
D)preinjection and postinjection care related to procedure
Q4) Cardiopulmonary resuscitation.
CPT Code: ____________________
Q5) What does the abbreviation EP mean as it relates to cardiovascular services?
A)electropathophysiology
B)electric pathology
C)electrophysiology
D)elective procedure
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Chapter 17: Hemic, Lymphatic, Mediastinum, and Diaphragm
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Sample Questions
Q1) The mediastinum category code range is ____________________.
Q2) Resection of a mediastinal tumor.
CPT Code: ____________________
Q3) Lymphadenitis
A) Overlapping
B) Grafting tissue from one source to another
C) Inflammation of lymph nodes
D) Cutting into the mediastinum
Q4) This bone marrow is taken from a close relative, so there is a genetic similarity.
A)allogeneic
B)transgenic
C)autologenic
D)biogenic
Q5) This type of lymphadenectomy is the removal of the lymph nodes, glands, and surrounding tissues.
A)modified
B)radical
C)limited
D)partial
Page 19
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Chapter 18: Digestive System
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Sample Questions
Q1) Plastic repair of the cleft lip/nasal deformity primary bilateral, one of two stages.
CPT Code: ____________________
Q2) The gallbladder is removed under laparoscopic guidance.
CPT Code: ____________________
Q3) A physician is placing a nasogastric tube using fluoroscopic guidance.
CPT Code: ____________________
Q4) The first step in choosing the correct digestive endoscopic procedure code is to identify the ____ of the procedure.
A)extent
B)complexity
C)urgency
D)position
Q5) What two words are important factors in coding hernia repair?
A)incarcerated/strangulated
B)open/closed
C)hemorrhage/nonhemorrhage
D)definitive/exploratory
Q6) Transection of the esophagus with repair for esophageal varices.
CPT Code: ____________________
Page 20
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Chapter 19: Urinary and Male Genital Systems
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Sample Questions
Q1) Complex cystometrogram with calibrated electronic equipment.
CPT Code: ____________________
Q2) An instillation procedure of the bladder is performed for treatment of:
A)obstruction
B)BPH
C)bladder cancer
D)pain
Q3) The patient requires the lysis of post-circumcision penile adhesions.
CPT Code: ____________________
Q4) Removal of a kidney
A) Prostatectomy
B) Retroperitoneal
C) Nephrectomy
D) Manometric study
E) Bladder aspiration
F) Calculus
Q5) A common abbreviation for a transurethral electrosurgery of the prostate is TURP.
A)True
B)False
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Chapter 20: Reproductive, Intersex Surgery,
Female Genital System, and Maternity Care and Delivery
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Sample Questions
Q1) Diagnostic amniocentesis includes radiologic supervision and interpretation. A)True
B)False
Q2) Biopsy of the vaginal mucosa code is:
A)56605
B)58900
C)57100
D)57110
Q3) Catheterization and introduction of contrast for a hysterosalpingography.
CPT Code: ____________________
Q4) Lysis of adhesions is performed on either the fallopian tubes or the:
A)vagina
B)uterus
C)ovaries
D)vulva
Q5) Reporting code 59300 is acceptable when reporting 59400. A)True
B)False
CPT Code: ____________________ Page 22
Q6) Partial removal of the vaginal wall, vaginectomy.
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Chapter 21: Extension 3: Chapter-Specific Guidelines :
ICD-10-CM Chapters 15-21
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Sample Questions
Q1) Abnormal echocardiogram.
ICD-10-CM Code: ____________________
Q2) Transitory neonatal hypoglycemia.
ICD-10-CM Code: ____________________
Q3) Congenital dislocatable hip.
ICD-10-CM Code: ____________________
Q4) Codes from Chapter 16, the perinatal codes, should be used on the mother's record to identify fetal conditions.
A)True
B)False
Q5) Metabolic acidemia in newborn, noted at birth.
ICD-10-CM Code: _____________________
Q6) Fever, unknown origin.
ICD-10-CM Code: ____________________
Q7) The perinatal period extends from before birth through 28 days after birth.
A)True
B)False
Q8) Localized swelling of the neck.
ICD-10-CM Code: ____________________ Page 24
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Chapter 22: Endocrine and Nervous Systems
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Sample Questions
Q1) When reporting a craniectomy/craniotomy procedure, it is common that additional ____ is required.
A)grafting
B)catheterization
C)intubation
D)excision
Q2) Destruction of infraorbital nerve with neurolytic agent. CPT Code: ____________________
Q3) There are ____ glands in the endocrine system of the body.
A)4
B)5
C)8
D)9
Q4) In the Surgery of Skull Base, the ____ procedure is the method used to obtain exposure of the lesion.
A)radical
B)definitive
C)approach
D)intubation
Q5) Name the four glands represented in the Endocrine subsection.
Page 26
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Chapter 23: Eye, Ocular Adnexa, Auditory, and Operating Microscope
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Q1) The transparent part of the eye is the ____________________.
Q2) Removal of a superficial foreign body in the external left eye. CPT Code: ____________________
Q3) Sclera lesion excision, left eye. CPT Code: ____________________
Q4) Cataract and lens replacement uses ____ different approaches.
A)3
B)2
C)4
D)1
Q5) Strabismus surgery:
A)corrects the condition in which the refractive surfaces of the eye are unequal
B)removes the opaque covering on or in the lens
C)is a repair of the cornea
D)corrects the muscle misalignment
Q6) The destruction codes in the Posterior Segment subsection include one or more sessions.
A)True
B)False
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Chapter 24: Radiology Section
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Sample Questions
Q1) According to CPT Guidelines, Radiation Oncology codes include normal follow-up care during the course of treatment and ________ following its completion.
A)includes 1-month global period
B)includes 3-month global period
C)is based on third-party payer
D)includes no global period
Q2) X-ray of the vein or veins following injection of a radiopaque substance
A)venography
B)lymphangiography
C)magnetic resonance
D)myelogram
E)cholangiography
F)computed tomography
G)angiography
H)pelvimetry
I)ultrasound
J)tomography
Q3) Transvaginal ultrasound of a pregnant uterus using real-time image documentation.
CPT Code: ____________________
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Chapter 25: Pathology/Laboratory Section
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Sample Questions
Q1) When a pathologist provides a consultation involving the examination and evaluation of a patient, the service is reported with 80500 or 80502.
A)True
B)False
Q2) A drug screening for methamphetamine, single class method.
CPT Code: ____________________
Q3) Code a hepatitis A, IgM antibody; hepatitis B core antibody, IgM; hepatitis C antibody, all ordered at the same time.
CPT Codes: ____________________, ____________________,
Q4) When reporting organ or disease-oriented panels, if all but one of the tests within the panel is substantiated by the physician's documentation, it is acceptable to assign the code with modifier -52 to the code used to report the service.
A)True
B)False
Q5) Breath test for alcohol.
CPT Code: ____________________
Q6) A blood creatinine.
CPT Code: ____________________
29
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Chapter 26: The Medicine Section
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Q1) Ventricular angiography cardiac catheterization imaging services, interpretation, and report.
CPT Code: ____________________
Q2) IV
A)subcutaneous
B)intrathecal
C)inhalant
D)other routes
E)various routes
F)intramuscular
G)intravenous
Q3) When doing osteopathic manipulative treatment, which of these body regions is not included in the regions listed within the CPT manual?
A)thoracic
B)lumbar
C)sacral
D)caudal
Q4) Audiologic function screening test for pure tone, air only.
CPT Code: ____________________
Q5) The administration code for an influenza vaccine is ____________________.
Page 30
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Chapter 27: Inpatient Coding
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Sample Questions
Q1) The root operation that is defined as restoring, to the extent possible, a body part to its natural anatomic structure is:
A)map
B)replacement
C)restriction
D)repair
Q2) It is unacceptable to assign codes in the inpatient setting to diagnoses that are documented as being "probable," "suspected," or "likely."
A)True
B)False
Q3) The root operation that is defined as taking or letting out of fluids and/or gases in a part of a body is:
A)division
B)dilation
C)creation
D)drainage
Q4) Patient is admitted for a lobectomy for cancer of the lung. The patient was noted to be wheezing so the surgery was canceled because of an exacerbation of the patient's COPD.
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