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Category - CCA Medical Coding Practice Test Questions

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Which of the following is always the payer of last resort?

Medicare
Medicaid
Worker’s Compensation Insurance
Commercial Insurance

Explanation

Answer: B - Medicaid is always the payer of last resort. This means that if a patient has more than one type of insurance coverage, and one of the insurances is Medicaid, then the biller must bill the other insurance first and Medicaid second. Medicaid will never pay first, if the patient has more than one type of insurance coverage.

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When a CPT code has the words “separate procedure” in parenthesis after the code description, you:
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When you see the symbol # in front of a CPT code, what does it mean?
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PROCEDURAL NOTEPATIENT: Trohoske, JanineAGE: 62DATE: 01/13/2017PREOPERATIVE DIAGNOSIS: Degenerative Disc Disease POSTOPERATIVE DIAGNOSIS: Degenerative Disc Disease PROCEDURE: Arthrodesis of L4-L2 utilizing autogenous bone graftAn 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?
9 votes

A 20-month-old with end-stage renal disease was receiving dialysis twice a week, awaiting a kidney transplant. During the last month of life, the patient received dialysis once per day. Dialysis was administered between June 1 and June 14. The patient’s parents received daily face-to-face counseling regarding the patient’s care and ESRD status. What is the correct code for the patient’s dialysis care?
9 votes

Dr. Brown, a dermatologist, opened and drained multiple complicated acne pustules and comedones on a 19-year-old patient with severe acne. For one of the more complicated acne pustules, Dr. Brown incised, drained, and marsupialized the acne cyst by suturing the right and left sides, leaving the cyst open for drainage. What is the correct code for the procedure?

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