Insurance and Medical Coding Test Prep - Question List

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11. Why are ICD-9 codes necessary to include on a claim?
  1. They report the procedures performed on the patient
  2. They are the services that are charged for on the claim
  3. They indicate the medical necessity of the service
  4. They indicate the code linkage on the claim
12. A physician excised the head of the humeral bone and replaced it with the appropriate implant. What is the correct code for this procedure?
  1. 23195
  2. 23470
  3. 23195, 23470
  4. 23472
13. A physician performed a complex repair of the scalp measuring 7.2 cm and an intermediate repair of the arm measuring 3.4 cm. The repairs are different complexities, so they would be reported with separate repair codes, but you would need to add a modifier to indicate that they are two separate procedures performed on the same date of service. Which modifier would you use?
  1. -59
  2. -51
  3. -25
  4. -24
14. Sheila took her 5-year-old daughter to the pediatrician’s office for an annual well-child exam. She has a commercial Blue-Cross Blue-Shield insurance plan, through her work, which covers her daughter. Sheila also has Medicaid coverage on her daughter, due to her low-income status. Which one of her insurances is billed for the well-child exam?
  1. You bill Blue-Cross Blue-Shield first and Medicaid second
  2. You bill Medicaid only
  3. You bill Blue-Cross Blue-Shield only
  4. You bill Medicaid first and Blue-Cross Blue-Shield second
15. Devonne recently experienced a death in her family and has been severely depressed. She went to her psychiatrist and he prescribed a new anti-depressant drug. After Devonne started taking the anti-depressant, she experienced nausea, vomiting, and dizziness. She called her physician, who advised her to stop taking the anti-depressant and come into the clinic so that he could examine her and prescribe a new anti-depressant. What are the appropriate ICD-9 diagnosis codes for Devonne’s reaction to the anti-depressant?
  1. 969.00, 787.01, 780.4, E939.0
  2. 969.01, 787.01, E854.0
  3. 969.00, 780.4, 787.01
  4. 969.09, 787.01, 780.4, E950.3

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