HCPCS:

1) The patient presents to the office for an injection. Joint prepped using sterile
technique. Muscle group location: gluteus maximus. Sterilely injected with 40 mg of
Kenalog-10 , 2 cc Marcaine and 2 cc lidocaine 2%. Sterile bandage applied. Choose
the HCPCS Level II code for this treatment.
A. J3301 x 4 B. J3301 C. J3300 x 40 D. J3300

2) 10 year-old-male sustained a Colles fracture in which the pediatrician performs

an application of short arm fiberglass cast. Identify the HCPCS Level II code that
would be reported.
A. Q4012 B. A4580 C. A4570 D. Q4024

3) 35-year-old-female is having an IUD insertion. The IUD type: Mirena. The HCPCS
Level II code is:
A. S4989 B. J7302 C. A4264 D. J7300

4) What is the correct code for the supply of a Ganciclovir 4.5 mg, long acting
implant?
A) L8606 B) J7310 C) A4650 D) E0783

5) What HCPCS Level II code describes Ensure HN therapy with an enteral infusion
pump with alarm?
A) B4150, B9002 B) B4152, B9000 C) B4150 D) None of the above

6) A 75-year-old patient with a history of malignant neoplasm of the lower

gastrointestinal tract presents for his follow-up colorectal cancer screening. He was
instructed to complete the 24-hour prep and be ready to undergo the screening
colonoscopy. Which HCPCS Level II code describes this colonoscopy procedure?
A) G0104 B) G0105 C) G0120 D) G0121

7) Code 3011F describes which diagnostic or screening process?

a. Lipid panel results including total cholesterol, HDL-C, triglycerides,
calculated LDL-C
b. Lipid panel results including total cholesterol
c. Lipid panel results including cholesterol, triglycerides, lipoprotein
d. Lipid panel results including cholesterol, triglycerides, carbon dioxide, glucose,
potassium

8) A patient received a 12 sq. cm. dermal tissue substitute of human origin,

dermagraft. This treatment was completed due to a burn on the abdomen. How
would you report the supply?
a. Q4107x12 b. Q4105 x12 c. Q4106x12 d. Q4111x12

9) During an emergency room visit, Sally was diagnosed with pneumonia.

She was admitted to the hospital observation unit and treated with 500 mg of
Zithromax through an IV route. How would you report the supply of this drug?
a. J0456 b. Q0144 c. J1190 x 2 d. J2020 x 2
10) Alice had to have a replacement for her soft interface in her protective helmet.
How would you report this supply?
a. A8004 b. A8000 c. A8001 d. A8002

11) Which code describes an addition to the lower extremity, knee disarticulation,
and leather socket?
a. L5624 b. L5640 c. L5105 d. L5850

12) A nursing homes x-ray machine was not working. A portable x-ray machine and
personnel was transported to the nursing home to test nine patients. How would
you report the transportation of equipment?
a. 76499 b. S9999 c. R0070 x 9 d. R0075

13) A patient is issued a wedge cushion with width of 20 for his wheelchair.
A. E0995 B. E0950
C. E0260 D. E2601

14) A patient with chronic lumbar pain previously purchased a TENS and now needs
replacement batteries.
A. E0720 B. A5082
C. A4595 D. A4630

15) Which HCPCS modifier indicates the great toe of the right foot?
A. T1 B. T3
C. T4 D. T5

16) A patient with chronic obstructive pulmonary disease is issued a medically

necessary nebulizer with a compressor and humidifier for extensive use with oxygen
delivery.
A. E0570, E0550 B. E0570, E0560
C. E0585, E0550 D. E0570, E0555

17) A patient presents for trimming of 10 dystrophic toenails.

A. G0127 10 B. G0127, G0127 9
C. G0127 D. G0127 5, G0127 5

18) What is the HCPCS Level II code for wound closure using tissue adhesive(s)
only?
A. A6250 B. G0168 C. A4452 D. A4450

19) A patient has an insulin pump of 100 units. The pump is filled. Which code
reports the supply?
A. J1817 B. J1815 x 20 C. J1817 x 2 D. J1835

20) A 78-year-old patient, with known arrhythmia, presented to an outpatient clinic

for the insertion of a cardiac event recorder. What is the proper HCPCS Level II code
for this device?
A. C1767 B. C1764 C. C1777 D. C1785
21) The physician performed manipulation of a closed fracture of the distal radius
on a 12-year-old male. He placed a short arm fiberglass cast. What is the HCPCS
Level II code for the supply?
A. Q4012 B. Q4011 C. Q4010 D. Q4009

22) Which modifier should be append to a CPT, for which the provider had a
patient sign an ABN form because there is a possibility the service may be denied
because the patients diagnosis might not meet medical necessity for the covered
service?
A. GJ B. GA C. GB D. GY

23) Which of the following is an example of fraud?

A. Reporting the code for ultrasound guidance when used to perform a liver
biopsy.
B. Reporting a biopsy and excision performed on the same skin lesion
during the same encounter.
C. Failing to append modifier 26 on an X-ray that is performed in the physicians
office.
D. Failure to append modifier 57 on the EM service performed the day prior to a
minor procedure.

24) Which of the following statements regarding advanced beneficiary notices (ABN)
is TRUE?
A. ABN must specify only the CPT code that Medicare is expected to deny.
B. Generic ABN which states that a Medicare denial of payment is possible or the
internist is unaware whether Medicare will deny payment or not is acceptable.
C. An ABN must be completed before delivery of items or services are
provided.
D. An ABN must be obtained from a patient even in a medical emergency when the
services to be provided are not covered.

25) Which of the following services are covered by Medicare Part B?

A. Inpatient chemotherapy B. Minor surgery performed in a
physicians office
C. Routine dental care D. Assisted living facility

26) What is the patients right when it involves making changes in the personal
medical record?
A. Patient must work through an attorney to revise any portion of the personal
medical information.
B. They should be able to obtain copies of the medical record and request
corrections of errors and mistakes.
C. It is a violation of federal health care law to revise a patient medical record.
D. Revision of the patient medical record depends solely on the facilitys compliance
program policy.