ch 6

Question 1

If a CPT® code and a HCPCS Level II code exist for the same service, which one does Medicare prefer to report?

Answer 1

HCPCS Level II code

Question 2

What chapter in the HCPCS Level II code book lists the code for Wheelchairs?

Answer 2

Durable Medical Equipment (E0100-E8002)

Question 3

What three components contribute to the calculation of Relative Value Units?

There are 3

Answer 3

Physician work, Practice expense, Malpractice insurance

Question 4

Where is the starting point for selective catheter placement for the vascular families in Appendix L in the CPT® codebook?

Answer 4

aorta

Question 5

Which statement is TRUE regarding the instruction for use of the CPT® codebook?

Answer 5

Select the name of the procedure or service that accurately identifies the service performed.

Question 6

What is the appropriate modifier to use when two surgeons perform separate distinct portions of the same procedure?

Answer 6

62

Question 7

What temporary HCPCS Level II codes are required for use by Outpatient Prospective Payment System (OPPS) Hospitals?

Answer 7

c codes

Question 8

What codes are voluntarily reported to payers and provide evidence-based performance-measure data?

Answer 8

CPT® Category II codes

Question 9

How many days does it take CMS to implement HCPCS Level II Temporary Codes that have been reported as added, changed or deleted?

Answer 9

90

Question 10

What type of CPT® code is “modifier 51 exempt” even though there is no modifier 51 exempt symbol next to it?

Answer 10

add on codes

Question 11

The Global Surgical Package applies to services performed in what setting?

Answer 11

Correct Answer:
Correctd. All of the above
Response Feedback:
Rationale: The services included in the global surgical package may be furnished in any setting, including hospitals, ASCs, and physicians’ offices. Visits to a patient in an intensive or critical care unit are also included if made by the surgeon.

Question 12

What agency maintains and distributes HCPCS Level II codes?

Answer 12

cms

Question 13

Which HCPCS level II codes are not reported for Medicare, but used by commercial health plan Blue Cross Blue Shield (BCBS) to report drugs, services, and supplies for which there are no national codes?

Answer 13

s codes

Question 14

HCPCS Level II includes code ranges that consist of what type of codes?

There are 3

Answer 14

Permanent national codes, miscellaneous codes and temporary national codes