Deck 8: Hcpcs Level II Coding

Question 1

HCPCS level II C codes identify items that may qualify for __________ under the hospital outpatient prospective payment system.

A) medical review coverage
B) professional health care services
C) transitional pass-through payments
D) unlisted procedures and services

Answer 1

transitional pass-through payments

Question 2

For certain items or services reported on a claim submitted to the DME MAC, the DMEPOS dealer must receive a signed certificate of medical necessity from the __________ before submitting a claim to Medicare.

A) administrative contractor
B) patient or guarantor
C) third-party payer
D) treating physician

Answer 2

treating physician

Question 3

DMEPOS claims are submitted to DME __________.

A) carriers
B) fiscal intermediaries
C) DMEPOS dealers
D) Medicare administrative contractors

Answer 3

Medicare administrative contractors

Question 4

Which code represents Ohio Willow stump sock, below knee?

A) L8465
B) L8470
C) L8480
D) L8499

Question 5

Which code represents an Easy Care folding walker?

A) E0105
B) E0143
C) E0144
D) E0148

Question 6

Which code represents heel wedge, SACH?

A) L3320
B) L3332
C) L3340
D) L3350

Question 7

Which code represents IV pole?

A) E0776
B) E0778
C) E0783
D) E0856

Question 8

Medicare defines __________ as equipment that can withstand repeated use in the patient's home and not in the absence of illness or injury.

A) durable medical equipment
B) durable medical equipment and supplies
C) durable medical equipment, prosthetics, and orthotics
D) durable medical equipment, prosthetics, orthotics, and supplies

Question 9

Which supply patients with durable medical equipment?

A) carriers
B) fiscal intermediaries
C) DMEPOS dealers
D) Medicare administrative contractors

Question 10

When claims are to be submitted to one of the four regional DME MACs, DMEPOS dealers that have coding questions should check with the __________, which is responsible for providing suppliers and manufacturers with assistance in determining HCPCS codes to be used.

A) Centers for Medicare and Medicaid Services
B) Department of Health and Human Services
C) Medicare Administrative Contractor
D) Medicare Pricing, Data Analysis and Coding Contractor

Question 11

HCPCS level II __________ codes are reported when a DMEPOS dealer submits a claim for a product or service for which there is no existing HCPCS level II code.

A) miscellaneous
B) permanent
C) temporary
D) unlisted

Question 12

The CMS HCPCS Workgroup maintains __________, permanent national codes, miscellaneous codes, temporary codes, and modifiers.

A) HCPCS level I codes
B) HCPCS level II codes
C) HCPCS level III codes
D) HCPCS level IV codes

Question 13

Which includes artificial limbs, braces, medications, surgical dressings, and wheelchairs?

A) durable medical equipment
B) durable medical equipment and supplies
C) durable medical equipment, prosthetics, and orthotics
D) durable medical equipment, prosthetics, orthotics, and supplies

Question 14

Which code represents ambulance service, outside state per mile, transport (Medicaid only)?

A) A0021
B) A0080
C) A0090
D) A0120

Question 15

Which code represents replacement tubing for breast pump?

A) A4280
B) A4281
C) A4823
D) A4286

Question 16

Which code represents calorically dense enteral nutrition?

A) B4152
B) B5153
C) B4155
D) B4157

Question 17

Which code represents baseball splint, finger?

A) A4570
B) A4580
C) A4590
D) Q4050

Question 18

HCPCS level II temporary codes are maintained by the __________ and other members of the HCPCS National Panel, independent of permanent national codes.

A) CMS
B) DHS
C) PDAC
D) MAC

Question 19

Which code represents pillow for decubitis care?

A) E0190
B) E0193
C) E0196
D) E0198

Question 20

HCPCS level II modifiers are attached to any CPT and/or HCPCS level II codes to __________ performed by providers.

A) clarify services and procedures
B) guarantee payment for services
C) justify the procedure
D) validate codes submitted on claims

Question 21

Which code represents cast supplies, long arm splint, pediatric (0-10 years), plaster?

A) Q4017
B) Q4019
C) Q4021
D) Q4023

Question 22

Which code represents cervical, multipost collar, occipital/mandibular supports, adjustable?

A) L0140
B) L0174
C) L0180
D) L0200

Question 23

Which code represents injection, paclitaxel, 1 mg?

A) J9267
B) J9266
C) J9268
D) J9270

Question 24

Which code represents splint, prefabricated, ankle?

A) S8450
B) S8451
C) S8452
D) S8460

Question 25

Which code represents 15 minutes of sign language or oral interpretative services?

A) T1005
B) T1006
C) T1013
D) T1014

Question 26

Which code represents an IV tubing extension set?

A) S0630
B) S1001
C) S1015
D) S1030

Question 27

Which code represents cyclophosphamide, 100 mg?

A) J9070
B) J9080
C) J9091
D) J9092

Question 28

Which code represents diazepam?

A) J0137
B) J0500
C) J1436
D) J3360

Question 29

Which code represents scratch-resistant coating, per lens?

A) V2760
B) V2762
C) V2781
D) V4799

Question 30

Which code represents a OneTouch^® blood glucose meter?

A) A4253
B) E0607
C) E0616
D) E0618

Question 31

Which code represents telephone calls by a registered nurse to a disease management program member for monitoring purposes, per month?

A) S0274
B) S0315
C) S0320
D) S1342

Question 32

Which code represents male external catheter, with or without adhesive, disposable?

A) A4349
B) A4351
C) A4353
D) A4355

Question 33

Which code represents dysphagia screening?

A) V5336
B) V5362
C) V5363
D) V5364

Question 34

Which code represents hemipelvectomy, Canadian type, hip joint?

A) L5280
B) L5321
C) L5331
D) L5341

Question 35

Which code represents Dilaudid?

A) J0500
B) J1165
C) J1170
D) J1200

Question 36

Which code represents a traction stand, freestanding, cervical traction?

A) E0840
B) E0849
C) E0850
D) E0855

Question 37

Which code represents a replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt?

A) K0462
B) K0601
C) K0604
D) K0605

Question 38

Which code represents the halo procedure, cervical halo incorporated into jacket vest?

A) L0810
B) L0820
C) L0859
D) L0861

Question 39

Which code represents MRI without contrast followed with contrast, breast; unilateral?

A) C8902
B) C8905
C) C8907
D) C8911

Question 40

Which code represents injection, sermorelin acetate, 1 mcg?

A) Q0515
B) Q0326
C) Q2009
D) Q2017

Question 41

Which code represents a cervical semi-rigid adjustable plastic collar?

A) L0120
B) L0130
C) L0140
D) L0150

Question 42

Which code represents pinworm examination?

A) Q0113
B) Q0114
C) Q0139
D) Q0163

Question 43

Which code represents the fitting, orientation, and check of a hearing aid?

A) V5008
B) V5010
C) V5011
D) V5014

Question 44

Which code represents contact lens, gas permeable, bifocal?

A) V2510
B) V2511
C) V2512
D) V2513

Question 45

Which code represents replace pretibial shell?

A) L4110
B) L4130
C) L4205
D) L4210

Question 46

Which code represents blood, split unit?

A) P9010
B) P9011
C) P9012
D) P9016

Question 47

Which code represents the shock absorber for a power wheelchair?

A) E1016
B) E1014
C) E1017
D) E1018

Question 48

Which code represents 20-mg injection of Humira?

A) J0130
B) J0135
C) J0150
D) J0152

Question 49

Which code represents adjustable chair, for ESRD patients?

A) E1570
B) E1590
C) E1615
D) E1699

Question 50

Which code represents foot, abduction rotation bar, without shoes?

A) L3140
B) L3150
C) L3160
D) L3170

Question 51

Which code represents a replacement battery for external infusion pump owned by patient, lithium, 3.6 volt?

A) K0603
B) K0604
C) K0605
D) K0607

Question 52

Which code represents comprehensive contact lens evaluation?

A) S0514
B) S0590
C) S0592
D) S0595

Question 53

Which code represents influenza vaccine, any route of administration?

A) G0008
B) G0919
C) G8482
D) Q2034

Question 54

Which code represents replacement of transmitter cable for use with cochlear implant device?

A) L8617
B) L8618
C) L8622
D) L8623

Question 55

Which code represents intrauterine copper contraceptive?

A) J7300
B) J7303
C) J7304
D) J7306

Question 56

Which code represents prosthetic sheath, upper limb?

A) L8410
B) L8415
C) L8435
D) L8465

Question 57

Which code represents injection Clolar, 1 mg?

A) J9020
B) J9025
C) J9027
D) J9031

Question 58

Which code represents an extra heavy-duty wheelchair?

A) K0001
B) K0002
C) K0004
D) K0007

Question 59

Which code represents diagnostic mammography, producing direct 2D digital image, bilateral, all views (female)?

A) G0202
B) G0204
C) G0206
D) G0235

Question 60

Which code represents clubfoot wedge?

A) L3400
B) L3340
C) L3350
D) L3380