Practice Quiz

Ophthalmic Coding Specialist Study Questions - Question List

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41. Appendix 1 in the HCPCS Level II manual contains:
  1. An alphabetized list of HCPCS modifiers
  2. A table of drugs
  3. A list of changes, additions, and deletions
  4. A short list of CPT codes to use with HCPCS codes
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42. In order for a physician to appropriately code for a consultation service, three things must be documented. What are those three things?
  1. The referral or request from the PCP, the rendering of the opinion by the specialist or consultant, and the written report or findings sent from the specialist to the PCP
  2. The rendering of the specialty service to the patient, the referral of the patient from the specialist to an additional specialist, and the written report of the findings provided to the specialist
  3. The specialist request of a second opinion regarding the patient, the PCP’s advice regarding which second specialist the patient should see, and the second specialist’s report or findings
  4. The referral from the PCP to the specialist, an additional referral from the specialist to another specialist, and the written report or findings sent from the specialist to the PCP
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43. When listing both CPT and HCPCS modifiers on a claim, you:
  1. List the HCPCS modifier first
  2. Do not list the HCPCS modifier at all
  3. Only list the CPT modifier
  4. List the CPT modifier first
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44. 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
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45. HIPAA was created to:
  1. Protect patient privacy
  2. Enact ways to uncover fraud and abuse
  3. Create standards of electronic transactions
  4. All of the above
  5. Only options A and B
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