Insurance and Medical Coding Test Prep - Question List

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1. Theodore is an elderly 90-year-old man, who has been unable to leave his bed for the last six months. During his last check-up, the physician noticed a pressure ulcer on the back of his calf muscle. The ulcer was already at an elevated stage, with partial thickness skin loss involving the epidermis of the back of the calf. His physician recommended that Theodore be moved to an upright position to relieve the pressure on his calf muscle and prevent infection. If the pressure ulcer persists, Theodore’s physician may recommend using a healing chamber as a way to treat the wound before it gets any worse. What is the appropriate way to code Theodore’s pressure ulcer?
  1. 707.09
  2. 707.06, 707.20
  3. 707.09, 707.22
  4. 707.21, 707.22
2. A 76-year-old woman visited her dermatologist’s office in response to a large suspicious nevus on her back. The dermatologist excised the nevus and sent it to the pathology lab for examination. The patient experienced pain excision site, due to its large size and was prescribed pain medication. What two part of Medicare insurance will the patient need to pay for the dermatologist’s office visit and the prescription charges?
  1. Medicare Parts A and B
  2. Medicare Parts B and C
  3. Medicare Parts B and D
  4. Medicare Parts D and E
3. A physician performed the following trigger point injections:
Two injections into the flexor carpi muscle
One injection into the extensor carpi muscle
Three injections into the triceps brachii
One injection into the biceps brachii
What is the correct code for these injections?
  1. 20553 (X7)
  2. 20553
  3. 20552 (X2), 20553 (X5)
  4. 20552, 77021
4. What is the difference between meningitis and encephalitis?
  1. Meningitis is the inflammation of the spinal cord, and encephalitis is the inflammation of the lining of the brain
  2. Meningitis is the inflammation of the lining of the brain and encephalitis is the inflammation of the brain
  3. Meningitis is the inflammation of the lining of the brain and encephalitis is the swelling of the spinal cord
  4. Meningitis is a respiratory infection and encephalitis is the inflammation of the nervous system
5. A physician performed craniotomy on a patient with a severe head trauma and intracerebral hematoma. Due to the patient’s condition the procedure was extremely difficult, requiring a significant amount of extra time and effort. What is the correct code for this procedure?
  1. 61315
  2. 61313
  3. 61313 -22
  4. 61315 -23

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