Sure, I can help you with some practice CPC objective Q&A for medical coders. Here are a few sample questions and their answers:
Q: What is the difference between CPT and HCPCS codes?
A: CPT codes are used to report medical procedures and services provided by healthcare professionals, while HCPCS codes are used to report medical services, supplies, and equipment provided to Medicare beneficiaries.
Q: What is the correct way to code a bilateral procedure?
A: Bilateral procedures are reported using a single code with the modifier -50 (bilateral procedure) appended to it. Alternatively, some codes may have specific bilateral codes that should be used instead of appending the modifier -50.
Q: What is the purpose of ICD-10 codes?
A: ICD-10 codes are used to report and classify medical diagnoses and diseases. They are used for statistical tracking, research, reimbursement, and to support clinical decision making.
Q: What is unbundling in medical coding?
A: Unbundling is the practice of reporting multiple codes for components of a single service, when a single code exists that includes all of the components. This practice is considered fraudulent and can result in denial of payment, fines, and legal action.
Q: What is the difference between modifier -25 and modifier -57?
A: Modifier -25 is used to indicate that a significant, separately identifiable evaluation and management (E/M) service was performed during the same encounter as another service or procedure. Modifier -57 is used to indicate that a decision for surgery was made during an E/M service that resulted in the performance of the surgery on the same day or the next day.