Chapter 26 Assignment HCPCS Codes (1)

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Chapter 26 Assignment Introduction to HCPCS Codes Take a moment to look back at HCPCS coding and solidify your skills. Try to answer the questions from memory first, then refer to the discussion in this chapter and the Glossary at the end of this book if you need a little extra help. Completion Instructions: Write the term that completes each statement based on the information you learned in this chapter. Choose from the list below. Some choices may be used more than once and some choices may not be used at all. AMA CMS contrast medium CPT dental diagnosis DME enteral nutrition therapy facility guidelines HCPCS Index Medicare orthotics therapy

1. B codes represent supplies and products for _____________. 2. D codes represent _____________ supplies and products. 3. Each payer has unique coding, billing, and reimbursement _____________ for supplies. 4. L codes represent _____________ supplies and services. 5. _____________ has specific regulations for reimbursing screening exams, including the patient’s age and the frequency of exams. 6. _____________ is billed by the radiologist, in addition to the CPT code for the procedure. 7. When the patient has insurance other than Medicare or Medicaid, report the _____________ code unless the insurance requires the _____________ code. 8. E codes represent supplies and products known as _____________. 9. _____________ codes identify the supplies used to administer drugs. 10. _____________ codes identify the services to administer drugs. Multiple Choice

Instructions: Circle the letter of the best answer to each question based on the information you learned in this chapter. 1. How would you code the following scenario? A Medicare patient is seen for a screening colonoscopy using flexible sigmoidoscopy. A. G0105 B. G0104 C. G0121 D. G0122 2. What term does DME stand for? A. Diagnostic medical evaluation B. Durable medicine equipment C. Diagnostic modern equipment D. Durable medical equipment 3. What modifier is used to notify Medicare that the units of service exceed those in the medically unlikely edits (MUEs)? A. GA B. GD C. GL D. GZ

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4. How would you code the following scenario? A physician performed a positron emission tomography (PET) perfusion scan with a tracer for a patient at rest. 60 millicuries of the radiopharmaceutical Rubidium Rb-82 was used in the study. A. 78491, A9606 x 60 B. A9597-60 C. 78491, A9555 x 60 D. 78491, A9555 x 1 5. What abbreviation identifies that a drug is administered directly into the patient’s vein? A. IV B. IT C. IA D. IM 6. How would you code the following scenario? A patient was transported by ambulance from home to the hospital emergency department after she collapsed on the kitchen floor. Service provided: BLS, 12 miles. A. A0429-12 B. A0429, A0380-12 C. A0429-RH, A0380 x 12 D. A0429-H-ED, A0380 x 12 7. What is the format of HCPCS modifiers? A. Alphanumeric or two letters B. Two numbers

C. Two letters ranging from AA to ZZ D. One number and one letter 8. Where in the HCPCS code set are drugs listed in alphabetical order? A. Table of Drugs B. List of Modifiers C. Index D. Table of Brand Drugs 9. Who administers the drugs reported by J codes? A. The patient B. A healthcare professional C. A friend or family member D. All of the above 10. What term does the acronym HCPCS stand for? A. Hospital Care Procedural Coding System B. Hospital Common Procedural Coding System C. Healthcare Common Procedure Coding System D. Healthcare Common Periodic Coding System Instructions: Read the diagnostic or procedural statement, then use the appropriate Index and Tabular List to assign HCPCS codes. Write the code(s) on the line provided. 1. Injection of mitomycin, 5 mg. HCPCS Code(s)__________________ 2. Insulin infusion pump. HCPCS Code(s) ____________________

3. IV injection of paclitaxel 2 mg. HCPCS Code(s)___________________ 4. Foley catheter, two-way, silicone. HCPCS Code(s)___________________ 5. Nasogastric tube, without stylet. HCPCS Code(s) _________________________ 6. CPAP device. HCPCS Code(s) _________________ 7. Alcohol wipes, one box. HCPCS Code(s) ________________________ 8. Pair of crutches, adjustable, wood. HCPCS Code(s) ________________________ 9. Prostate screening, rectal exam. HCPCS Code(s) ________________________ 10. Gel mattress. HCPCS Code(s) _________________ 11. Helicopter transport, rotary wing, 5 miles. HCPCS Code(s) ________________________ 12. Pediatric gait trainer, upright support. HCPCS Code(s) _______________________ 13. Administration, influenza virus vaccine. HCPCS Code(s)_____________________ 14. Lightweight wheelchair, high strength, detachable arms desk, swing-away detachable elevating leg. HCPCS Code(s)________________________ 15. Clubfoot wedge. HCPCS Code(s) _____________________ 16. 100 units of Pitocin IV. HCPCS Code(s) __________________ 17. Hearing aid assessment. HCPCS Code(s)______________________ 18. Nasal cannula. HCPCS Code(s) ____________________

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19. 12-volt battery and battery charger. HCPCS Code(s) ___________________________ 20. Basic life support ambulance services, nonemergency, 7 miles, from scene of accident to hospital. HCPCS Code(s)_____________________ 21. Custom plastic artificial eye. HCPCS Code(s)______________________ 22. Contraceptive, cervical cap. HCPCS Code(s) __________________________ 23. Orthotic device, Legg-Perthes, Scottish Rite type. HCPCS Code(s) _______________________________ 24. Standard metal bed pan. HCPCS Code(s)________________________________ 25. Emergency ambulance transport with ALS-1 support from patient’s home to helicopter pad, 21 miles. HCPCS Code(s) ______________________________

Coding Challenge Instructions: Read the mini-medical-record of each patient’s encounter, then abstract, assign, and arrange ICD-10-CM diagnosis codes and HCPCS procedure codes using the appropriate Index and Tabular List. Write the code(s) on the line provided. Answer: _A04.4, J0295 X3___________________________

Answer: _G82.20______________________________________________________________ Answer: _______________________________________________________________

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