CPB EXAM B Updated 2024/2025 Actual Questions and answers with complete solutions
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CPB
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CPB
If add-on procedure code 11101 is performed twice during an office visit, how is it indicated on the CMS-
1500 claim form?
a) code 11101 is reported with a modifier 50
b) code 11101 is reported twice
c) code 11101 is reported once with the number 2 in box 24G
d) code 11101 is reported twice wi...
CPB E XAM B If add -on procedure code 11101 is performed twice during an office visit, how is it indicated on the CMS -
1500 claim form? a) code 11101 is reported with a modifier 50 b) code 11101 is reported twice c) code 11101 is reported once with the number 2 in box 24G d) code 11101 is reported twice with the number 2 in box 24G - Answer -Code 11101 is reported once with the number 2 in box 24G 60-year -old woman is seeking help to quit smoking. She makes an appointment to see Dr. Lung for an initial visit. The patient has a constant cough due to smoking and some shortness of breath. No night sweats, weight loss, night fever, CP , headache, or dizz iness. She has tried patches and nicotine gum, which has not helped. Patient has been smoking for 40 years and smokes 2 packs per day. She has a family history of emphysema. A limited three system exam was performed. Dr. Lung discussed in detail the pros and cons of medications used to quit smoking. Counseling and education was done face to face fo r 20 minutes on smoking cessation of the 30 minute visit. Prescriptions for Chantrix and Tetracylcine were given. The patient to follow up in 1 month. A chest X-ray and cardiac work up was ordered. Select the appropriate CPT® code(s) for this visit: a) 99203, 99354 b) 99214, 99354 c) 99214 d) 99407 - Answer -99407 10-year -old girl is scheduled for her yearly physical exam with her pediatrician .At the time of her visit, the patient complains of watery eyes, scratchy throat, and stuffy nose for the past two days. The physician first performs a complete physical. Then he also evaluates and treats the patient for a URI supported with separate documentation of an expanded problem focused exam and low medical decision making. What CPT® code(s) is/are reported for this visit? a) 99393, 99213 -25 b) 99393 c) 99213 d) 99393 -25, 99213 - Answer -99393, 99213 -25 25 year -old is 32 weeks pregnant. She was admitted to the labor and delivery unit because she was having severe pre -eclampsia and needed to have an emergency cesarean section. Reduced payment was sent to the obstetrician by the payer with a remittance advi ce stating that preauthorization for the cesarean section was not obtained. What does the biller do? a) verify in the payer contract / policies that prior authorization is required for this procedure. if preauthorization was not obtained, bill the patient the rest of what is due to the obstetrician b) appeal the claim, explaining the reason for the emergency cesarean section c) write off the claim because it was denied d) verify in the payer contract / policies that prior authorization is required for this procedure. if preauthorization was not obtained, bill the patient for the entire amount. - Answer -Appeal the claim, explaining the reason for the emergency cesarean se ction A 14 -year -old male patient fell while skateboarding. He went to the emergency department at the local hospital. The diagnosis was a fracture of the upper right arm. The ICD -10-CM codes reported were S42.301A, V00.131A, and Y93.51.Is this correct? - Answer -Yes; the ICD -10-CM codes reported are correct A CRNA is performing a case personally without medical direction from an anesthesiologist. Which modifier is appropriately reported for the CRNA services? a) QX b) QZ c) QK d) QS - Answer -QZ A hospital chargemaster does not include __________. a) CPT codes B) revenue codes c) HCPCS Level II codes d) diagnosis codes ( IDC -10) - Answer -Diagnosis codes (ICD -10-CM) A Medicare patient has been diagnosed with K50.90 and K92.0 and the small bowel is known to be involved. The patient's condition is being managed by a GI physician and has been scheduled to undergo capsule endoscopy. Will this be a covered service based on the above LCD guidelines? - Answer -No, the patient's prior diagnoses and management of the condition prevents the capsule endoscopy from being a covered service. A signed ABN is necessary A provider sees a patient who has TRICARE Standard. The provider is not contracted with TRICARE but is certified by the regional TRICARE Managed Care Support Contractor (MCSC). The provider charges $200 for the office visit. TRICARE allows $160 and pays $1 40. How much can the provider bill the patient for? a) $0.00 b) $20.00 c) $60.00 d) $160.00 - Answer -$60.00 According to CPT® Radiology Guidelines if a patient is given oral contrast for a CT scan of the abdomen which code is reported? a) 74150 computed tomography, abdomen; without contrast material b) 74160 computed tomography, abdomen; with contrast material(s) c) 74170 computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections
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