Coding 5

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CUNY College of Staten Island *

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Mechanical Engineering

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Jan 9, 2024

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#67 A billing and coding specialist is preparing a claim for a procedure that typically takes about 2 hours due to complication, it took 4.5 hours to complete the procedure. Which of the following modifiers should the specialist use? a. -54 b. -28 c. -52 d. -22 #68 A billing and coding specialist is preparing a claim for a colonoscopy. At the start of the procedure, the provider determined that the patient had not properly prepared for the procedure, so the procedure was immediately stopped. Which of the following modifiers should the specialist use? a. -23 b. -53 c. -22 d. -52 #72 A billing and coding specialist is preparing a claim that the includes code A9698. Which of the following actions should the specialist take to ensure the claim will be paid the first time it is submitted? a. Add supplemental documentation with the claim b. Append the appropriate physical status modifier to the code c. Submit all claims to A9698 once a month as required d. Remove the code A9698 and submit the claim #81 Which of the following modifiers should be used to indicate a professional service has been discontinued prior to completion? a. -73 b. -52 c. -74 d. -53 #87 A billing and coding specialist should use which of the following types of category codes to assign a diagnosis to a patient who is seeking health service but is not sick? a. D codes b. M codes c. S codes d. Z codes #91

Which of the following codes include a comprehensive history, an examination, and medical decision-making of high complexity? a. 00320 b. 74018 c. 88300 d. 99205 #92 A billing and coding specialist is reviewing a denied claim for an assistant surgeon. The denial states duplicate services. Which of the following actions should the specialist take? a. Resubmit the claim with modifier -22 b. Bill the patient for the services c. Resubmit the claim with modifier-80 d. Write off the amount #106 Which of the following CPT codes should a billing and coding specialist use to indicate a total prostate specific antigen (PSA) test? a. 84154 b. 84152 c. 84153 d. 86304 #107 A billing and coding specialist is preparing a claim for a patient who had a heart procedure and a lung procedure performed during the same operative session by two different specialists. Which of the following modifiers should the specialist use? a. -62 b. -81 c. -66 d. -80 #125 A billing and coding specialist is a preparing a claim for a patient who had an Evaluation and Management (E/M) visit for abdominal pain that resulted in the decision to remove the appendix immediately. Which of the following modifier should use for this claim? a. -57 b. -24 c. -25 d. -51

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