Ch30 Hcpcs Level Ii Verified Test Bank

Let’s Code It!, 1e (Safian)

Chapter 30 HCPCS Level II

1) The nurse gave Mr. Jones 150 mg of cyclophosphamide, IV. Report this with code(s):

A) J9060.

B) J9070, J9070.

C) J9060, J9060.

D) J9070.

2) Mr. Smith was admitted for management of chronic lower back pain, and 0.2 mg of fentanyl nitrate was administered by IV. What codes are used to report the fentanyl administration?

A) J2997, J2997

B) J3000, J3000

C) J3010, J3010

D) J3030, J3030

3) Social services ordered a rented nonpowered advanced pressure-reducing mattress for Mr. Taylor to be delivered to his home to help reduce his potential for pressure ulcers. What code would be reported for the mattress?

A) E0371–RR

B) E0372–RR

C) E0373–RR

D) E0430–RR

4) What HCPCS Level II symbol is used to indicate that this is the first year the code has been included in the code set?

A) ●

B) ▲

C) √

D) □

5) What HCPCS Level II symbol is used to indicate that the code was deleted but has now been reinstated?

A) ●

B) ▲

C) ○

D) □

6) What symbol is used to indicate a code for females only?

A) ♀

B) ♂

C) ▲

D) ●

7) Dr. Heinz had his patient transfused while in the OR with 2 units of antihemophilic factor, purified, nonrecombinant. What codes are used to report the transfusion?

A) J7189, J7189

B) J7190, J7190

C) J7191, J7191

D) J7193, J7193

8) Jonathan is a quadriplegic, and his wheelchair had to be repaired. A temporary wheelchair was given by his primary care provider. What is the code for the temporary wheelchair?

A) K0108

B) K0070

C) K0056

D) K0462

9) What code is used to report a CTLSO (Milwaukee), inclusive of furnishing initial orthosis, including model.

A) L1000

B) L1001

C) L1005

D) L1010

10) What HCPCS Level II modifier is used to indicate the technical component of a radiological procedure?

A) TD

B) TC

C) TE

D) TA

11) A BLS ambulance was used to transport a patient. The ambulance service was a volunteer ambulance provider. What HCPCS Level II modifier is attached to the HCPCS code?

A) TF

B) TK

C) TP

D) TQ

12) Which modifier is used to indicate that a colorectal screening was converted to a diagnostic test?

A) PS

B) PT

C) PD

D) PM

13) Which modifier is used to indicate an investigational clinical service provided in clinical research?

A) Q0

B) Q1

C) Q2

D) Q4

14) Mr. Rodgers suffered with fecal incontinence and was given an incontinence diaper while in the hospital for 3 days, using 3 diapers per day. What code is reported for the use of the incontinence diaper for the hospital stay?

A) A4520x9

B) A4520x3

C) A4554x9

D) A4554x3

15) What HCPCS Level II code is used to report a tracheostomy shower protector?

A) A7520

B) A7522

C) A7524

D) A7523

16) Sampson received an inflatable penile prosthesis to treat his erectile dysfunction. What code is used to report the device?

A) C1785

B) C1788

C) C1789

D) C1813

17) Mrs. Stevenson was taken to the operating suite to treat an incisional hernia with a mesh. What is the HCPCS code to report the mesh?

A) C1781

B) C1815

C) C1817

D) C1875

18) What HCPCS Level II code is used to report a TEE without contrast, followed by with contrast; including probe placement, image acquisition, interpretation, and report?

A) C8924

B) C8925

C) C8926

D) C8927

19) Jessica has a history of breast cancer in her left breast. She had an MRI done of her left breast with contrast. Which code is used to report the MRI?

A) C8903

B) C8904

C) C8905

D) C8906

20) Terry suffered a broken denture tooth from a fall, and the dentist replaced it. What is the code for this procedure?

A) D5421

B) D5422

C) D5510

D) D5520

21) Dr. Leonard performed a sialodochoplasty on a patient. Which code is used to report this?

A) D7963

B) D7980

C) D7982

D) D7983

22) Mildred was given a home blood glucose monitor by per PCP to monitor her newly diagnosed diabetes. What code is used to report the glucose monitor?

A) E0607

B) E0605

C) E0616

D) E0621

23) Kelli suffers from obstructive sleep apnea and was given a CPAP machine to use each night. What is the code to report the CPAP machine?

A) E0607

B) E0605

C) E0601

D) E0621

24) Twelve-year-old Silas had a folding, adjustable wheelchair with seating ordered by his physician for his cerebral palsy. What is the code to report for the wheelchair?

A) E1235

B) E1236

C) E1237

D) E1238

25) Mr. Faulkner had his annual physical, and it was documented that he is a current non-tobacco user. What code is used to report the current non-tobacco user?

A) G9275

B) G9276

C) G9278

D) G9266

26) Mrs. George had a bilateral mastectomy performed 2 months ago and is now ready for a breast prosthesis bra with integrated breast prosthesis form. What code is used to report this type of bra?

A) L8000

B) L8001

C) L8002

D) L8020

27) HCPCS Level II codes are used:

A) when no CPT code is accurate.

B) to report supplies.

C) when the insurance carrier permits.

D) All of these

28) A HCPCS Level II code may be used to report the provision of:

A) a humidifier.

B) an eye patch.

C) a preoperative IV.

D) All of these

29) An example of an orthotic is a(n):

A) scoliosis back brace.

B) cast for a fractured limb.

C) traction device.

D) artificial hand.

30) HCPCS Level II codes may be used for reporting services in a:

A) hospital.

B) nursing home.

C) patient's own home.

D) All of these

31) Medications are listed in HCPCS Level II using:

A) generic names.

B) brand names.

C) chemical names.

D) All of these

32) Ambulance ALS services are used for transportation of a nonemergency transport, Level I. What code is reported?

A) A0422

B) A0424

C) A0425

D) A0426

33) A parenteral feeding tube may be attached to the patient:

A) via esophagus.

B) subcutaneously.

C) via small intestine.

D) via stomach.

34) The provision of nutritional solutions is coded from the:

A) HCPCS Level II book.

B) CPT Category I.

C) CPT Category III.

D) ICD-10-CM.

35) Most regular dental services are coded from:

A) A codes.

B) Category II codes.

C) D codes.

D) F codes.

36) The administration of chemotherapy is coded from the CPT Medicine section, while the drug actually delivered is coded from:

A) D codes.

B) J codes.

C) M codes.

D) R codes.

37) A patient was given 15 mg of alemtuzumab. Report this with code(s):

A) J9010

B) J0202x15

C) J0202–52.

D) J0202.

38) The provision of a urinal was reported with E0325. What do you know about the patient?

A) The patient is age 50 or over.

B) The patient is male.

C) The patient is female.

D) The patient is under the age of 10.

39) A pair of orthopedic high-top, depth inlay shoes was provided for Mrs. Reynolds. Report this with code(s):

A) L3217.

B) L3222.

C) L3217, L3217.

D) L3222, L3222.

40) One hundred feet of disposable corrugated tubing was supplied to Frank Smith for use with his nebulizer. Report this with code:

A) A7010–52.

B) A7010

C) A7010x4

D) A7010x3.

41) A contraceptive supply was provided to a patient and reported with code A4261. This tells you that the patient is:

A) female.

B) male.

C) bed-ridden.

D) incontinent.

42) One surgical boot was supplied to Jason Litman and reported with code L3208. This tells you that the patient is:

A) female.

B) male.

C) an infant.

D) over age 50.

43) A full leather sole was added to Mr. Murphy's orthopedic shoe. Report this with code:

A) L3500.

B) L3510.

C) L3530.

D) L3540.

44) 500 ml of enteral formula was provided to Davin, a 5-year-old boy. Report this with code(s):

A) B4102.

B) B4103.

C) B4104.

D) B4103, B4103.

45) Dr. Demming gave Will Calloni an occlusive eye patch after he performed a procedure. Report this with code:

A) A6410.

B) A6411.

C) A6412.

D) A6441.

46) Roger received replacement tips for his three-prong cane. Report this with code(s):

A) A4637.

B) A4637, A4637.

C) A4637, A4637, A4637.

D) A4367.

47) A BLS ambulance had to wait 2 hours and 15 minutes for the patient to arrive at the airport for ground transportation to the hospital. What is/are the appropriate code(s)?

A) A0420

B) A0420x2

C) A0420x3

D) A0420x4

48) An example of a modifier that identifies the qualifications of the provider is:

A) LS.

B) TD.

C) AA.

D) CB.

49) Which modifier is used to report that a nurse midwife provided the service?

A) SB

B) GF

C) AI

D) AM

50) Which modifier is appended to the anesthesia code when an anesthesiologist administers monitored anesthesia care for a patient?

A) QS

B) AA

C) 47

D) 23

51) What modifier would be used to report a patient with ESRD who had less than six days of dialysis in one month?

A) G1

B) G2

C) G3

D) G6

52) What modifier is needed if medication has been infused through a DME rather than injected?

A) KO

B) KD

C) SS

D) SH

53) It is flu season, and the state health department has delivered serum for distribution to high-risk patients. Which modifier would be used?

A) FB

B) GZ

C) J3

D) SL

54) If a dressing change is required for one patient with three wounds, which modifier will be assigned?

A) GR

B) GO

C) A3

D) AQ

55) Dr. Jasper was asked to provide a second opinion regarding Mr. Finnegan's surgery. Which modifier would be used?

A) SM

B) 62

C) SN

D) 26

56) Harold decided to rent his wheelchair. What is the correct modifier?

A) RR

B) AW

C) GA

D) GZ

57) Wilma's diagnostic mammogram was converted from the screening mammogram she came in for today because something was identified on the film. Which modifier will be used?

A) P2

B) GG

C) GH

D) GB

58) A carpal tunnel release was performed in an ASC. Which modifier should be used?

A) SC

B) SU

C) AF

D) SG

59) Paula is donating her kidney to her brother. The code for her surgical procedure may be appended with which modifier?

A) Q3

B) G5

C) G6

D) V7

60) Dr. Files gave flu shots to all the staff members of the Golden Nursing Home. The correct modifier is:

A) SK.

B) ST.

C) SY.

D) TC.

61) Dr. Jeppapi is a clinical psychologist. The correct modifier is:

A) AE.

B) AF.

C) AG.

D) AH.

62) Debi Seeson is a certified diabetic educator. The code for her classes should be appended with modifier:

A) SA.

B) SW.

C) SD.

D) TE.

63) JoAnn Warren, RN, visited John Drew to change the dressings on his five wounds. Use modifier:

A) A1.

B) A3.

C) A5.

D) A9.

64) Dr. Zeimer, an anesthesiologist, administered general anesthesia during surgery. Use modifier:

A) AD.

B) QS.

C) AM.

D) AA.

65) Harry is a type 2 diabetic, NIDM, and his physician wants him to check his glucose regularly, so he orders a glucose monitor for Harry. The correct modifier is:

A) GL.

B) GZ.

C) QN.

D) KS.

66) A claim was denied because one code was entered incorrectly. The procedure code was corrected and should be appended with modifier:

A) GA.

B) CA.

C) CC.

D) GB.

67) Dr. Tamarah removed a cyst from Erin's left index finger. The correct modifier is:

A) F6.

B) F1.

C) F2.

D) F7.

68) Dr. Kini removed a fat pad from Blaise's upper eyelid, right side. The correct modifier is:

A) RT.

B) LT.

C) E3.

D) E1.

69) Most of the codes in the medical supply section of HCPCS Level II are used to report supplies provided to patients for use:

A) in the hospital.

B) in the nursing home.

C) in the home.

D) in assisted-living facilities.

70) Durable medical equipment (DME) may be rented, leased, or sold to the patient and:

A) is used in a health care facility.

B) is not medically necessary.

C) is reimbursed by the insurance carrier.

D) is based on a local coding determination.

71) DME must not be:

A) thrown away after just one use.

B) able to withstand repeated use.

C) used in the patient's home.

D) used for medical purposes.

72) The Table of Drugs in HCPCS Level II lists all of the following except:

A) nonprescription drugs.

B) oral drugs.

C) injectable drugs.

D) IV drugs.

73) Most medications in the HCPCS Level II book are coded by:

A) quantity administered to the patient.

B) the type of drug given.

C) whether it is a new or established drug.

D) method of administration.

74) The HCPCS Level II book often lists:

A) aspirin as acetylsalicylic acid.

B) routine self-administration of J codes.

C) both generic and brand names for drugs.

D) generic over-the-counter drugs.

75) Transportation services may be provided by all of the following except a(n):

A) helicopter.

B) ambulance.

C) van.

D) private car.

76) Which modifier(s) would be assigned if a patient was transported home via hospital ambulance?

A) QN, HR

B) HR

C) QM, HR

D) QN, DE

77) What is the correct code for helicopter transport per statute mile?

A) A0435

B) A0999

C) A0434

D) A0436

78) Ambulance waiting time is billable:

A) in one-hour increments.

B) in 30-minute intervals after the vehicle has been waiting for 31 minutes or more.

C) for each additional hour after the first hour.

D) every 15 minutes after the first hour.

79) An example of a medical supply reported with HCPCS Level II codes is a:

A) bedpan used in the hospital.

B) syringe with needle, 2 cc.

C) pacemaker.

D) bath/shower chair.

80) An example of an ancillary supply to be used in conjunction with DME is (a):

A) cannula.

B) porfimer sodium, 75 mg.

C) hospital bed.

D) compression stocking.

81) Marion Penney, a diabetic for 10 years, was fitted for a custom molded pair of shoes. Report this with:

A) A5500.

B) A5500×2.

C) A5501.

D) A5501×2.

82) Nurse Aberne provided Ashlie Morris with a 16-square-inch collagen dressing pad and gave her an extra one for use over the weekend. Report this with code:

A) A6021.

B) A6022.

C) A6021×2.

D) A6022–52.

83) Beryl Bornmann received a compression, custom-fitted glove (to wrist) to use until the third-degree burns on her right hand healed. Report this with code:

A) A6504.

B) A6504×2.

C) A6506.

D) A6505.

84) After being released from the hospital, Ellen Stapes was given a tracheostomy shower protector to use at home. Report this with code:

A) A7524.

B) A7523.

C) A7525.

D) A7527.

85) A portable sitz bath with faucet attachment was delivered to Shirley's home after she got home from the hospital. Report this with code:

A) E0160.

B) E0161.

C) E0162.

D) E0160×2.

86) After discovering and treating a decubitus ulcer on Christopher's hip, Dr. Michaels orders a lambswool sheepskin pad for his wheelchair. Report this with code:

A) E0188.

B) E0186.

C) E0189.

D) E0198.

87) All of the following are methods of administering drugs except:

A) IN.

B) IV.

C) IA.

D) SC.

88) Dr. Oppeiner injected 150 units of hyaluronidase into Allen Gardner. Report this with code:

A) J3473×150.

B) J3472.

C) J3471×150.

D) J3470.

89) After James was found to be dehydrated, Dr. Rollen ordered 1,000 cc of normal saline solution to be infused. Report this with code:

A) J7030.

B) J7040.

C) J7050.

D) J7070.

90) To choose the correct code, what do you need to know about an order for the drug Anzemet?

A) The quantity administered

B) The route of administration

C) The patient's weight

D) The quantity administered and the route of administration

91) According to the Table of Drugs in HCPCS Level II, Diuril can only be administered:

A) IM.

B) IV.

C) SC.

D) ORAL.

92) Ben Jenkins is on dialysis due to ESRD and is given epoetin beta, 1 mcg, IV. Report this with code:

A) J0885.

B) J0888.

C) J0887.

D) J0890.

93) According to the Table of Drugs in HCPCS Level II, interferon gamma 1-B is available in the following dose only:

A) 1 mcg.

B) 11 mcg.

C) 1 vial.

D) 3 mu.

94) Dr. Francosi administered 5 units of pork insulin SC to Douglas Arnau. Report this with code:

A) J1815.

B) J1815×5.

C) J1817.

D) S5551.

95) The air ambulance helicopter transported Lester Winter from the scene of a traffic accident to the hospital. This is reported with code:

A) A0436.

B) A0431.

C) A0434.

D) A0998.

96) The emergency neonatal transport team raced a baby from the birthing center to the hospital. Report this with code:

A) A0424.

B) A0422.

C) A0225.

D) A0433.

97) The ambulance transported Hannah from the hospital to the skilled nursing home. The origin of service modifier is:

A) D.

B) H.

C) N.

D) P.

98) The Alphabetic Index lists the Level II code descriptions in alphabetic order from ________.

A) Z to A

B) A to Z

C) Numeric order

D) Alphanumeric order

99) HCPCS Level II codes are listed in ________, grouped by the type of service, the type of supply item, or the type of equipment they represent.

A) units

B) segments

C) sections

D) divisions

100) The code for Zometa is the same code as:

A) ziprasidone mesylate.

B) zoledronic acid.

C) zidovudine.

D) potassium chloride.