Ophthalmic Coding Specialist Study Questions - Question List

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11. When you append the HCPCS modifier -TC to a service, what are you indicating?
  1. That the provider performed the professional component of the service
  2. That the provider performed the technical component of the service
  3. That the provider performed the entire service
  4. That the service was performed by an anesthesiologist
12. What is the purpose of a compliance plan?
  1. It makes sure you are properly credentialed
  2. It allows your office to defend itself in case of an audit
  3. It helps your employees claim worker’s compensation
  4. It helps your office follow the correct coding and billing protocols
13. Mr. Longoria, a patient with an established cataract, was displeased with his current ophthalmologist so today he was seen by a new physician. The ophthalmologist performed an ophthalmoscopy and tonometry on Mr. Longoria, as well as an external examination of both eyes and a review of the patient’s interval history. What is the correct code for Mr. Longoria’s ophthalmology service today?
  1. 92002
  2. 92004
  3. 92012
  4. 92014
14. Which of the following steps is NOT needed before an unlisted services procedure code can be included on a claim?
  1. Review the CPT manual to make sure a more appropriate code does not exist
  2. Review Category II codes to make sure an appropriate code does not exist
  3. Review Category III codes to make sure an appropriate code does not exist
  4. Check to see if a modifier is appropriate to include with your code
15. Fill in the blanks: HCPCS modifiers can be used for _________________________ but CPT modifiers cannot be used for ________________________.
  1. CPT codes, CPT codes
  2. CPT codes, HCPS codes
  3. HCPCS Codes, procedure codes
  4. HCPCS Codes, CPT Codes

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