CCA Medical Coding Professional Free Exam Prep - Question List

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16. In the RBRVS calculation, the GPCI takes into account:
  1. The geographic location of a practice or provider
  2. The type of provider specialty
  3. The malpractice risk of a procedure
  4. The overhead cost of the practice
17. PROCEDURAL NOTE
PATIENT: Trohoske, Janine
AGE: 62
DATE: 01/13/2017
PREOPERATIVE DIAGNOSIS: Degenerative Disc Disease
POSTOPERATIVE DIAGNOSIS: Degenerative Disc Disease
PROCEDURE: Arthrodesis of L4-L2 utilizing autogenous bone graft

An anesthetized patient was placed in the prone position on the operating table and draped in the usual manner. An incision was made along the spinal column, from the area of the L1 to L5, and skin and subcutaneous tissues were pinned back to allow access to the L4-L2 vertebral spaces. A separate fascial incision was made to obtain morselized bone graft segments for arthrodesis procedure. Posterior arthrodesis was then performed along the L4-L2 vertebrae. No additional fixation or instrumentation was placed. Incision was then closed, stapled together, and dressed with a sterile dressing. What is the appropriate code for this procedure?
  1. 22612, 20937
  2. 22612, 22614
  3. 22612, 22614 (X2), 20937
  4. 22612, 22614 (X2), 20936
18. The physician performed a right and left heart catheterization with a left ventriculography on 58-year-old male patient. During catheterization, the patient participated in a physiologic exercise study in the form of a bicycle ergometry. How should you code for this service?
  1. 93531, 93464
  2. 93451, 93452, 93464
  3. 93453, 93464
  4. 93453
19. What is the purpose of an internal audit?
  1. It allows an outside agency to see your records to make sure that the patients were billed correctly
  2. It allows the coders and billers in your office to make sure your claims were billed correctly
  3. It allows Medicare to go through your charges to make sure that they are reasonable
  4. It allows patients to make sure they were not overcharged for their office visit co pays
20. The patient presents to the laboratory for suspected heavy metal poisoning. The actual amounts of metals detected were not indicated. What laboratory code(s) are appropriate?
  1. 83018
  2. 83015
  3. 82175, 83825, 83885
  4. 80050

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