Final Examination Booklet

Medical Coding 1

Medical Coding 1 Final Examination

Examinat io n Examination

Whichever method you use in submitting your exam answers to the school, you must use the number above. For the quickest test results, go to You must type all of the answers to the examination questions. Include your name, address, and student number on the top of the first page of your exam answers. Use the exam number 38170700. Be certain to indicate the proper question number before each of your answers. To submit your answers online, go to and attach your answers as a Word document. If you don’t have access to the Internet, you can mail your exam answers to Penn Foster Student Service Center 925 Oak Street Scranton, PA 18515


Part A: Answer each of the following questions in one or two paragraphs. Each answer is worth 20 points.

1. Differentiate between the official coding guidelines for using V codes in an inpatient and outpatient setting. 2. You’ve started your first day at Venture Outpatient Surgery Center. Explain how you would code an operative report. 3. Discuss coding for obstetrics, including items covered by the global fee for antepartum and postpartum periods of normal pregnancy.
Part B: Answer each of the following items in two to five sentences. Each answer is worth four points.

1. Explain the importance of a fee schedule and the factors it’s based on. 2. Why would a coder want to take special precaution when coding the diagnosis of human immunodeficiency virus or acquired immunodeficiency syndrome? 3. If a patient suffers multiple burns, describe the correct coding sequence. 4. What is the result of an erroneous coding of a neoplasm? 5. Explain how evaluation and management (E/M) codes are grouped.
Part C: Select the one best answer to each question. Each item is worth two points.

1. Which of the following modifiers is used to indicate partial reduction or elimination of a pathology procedure? A. -22 B. -32 C. -42 D. -52

2. When a physician provides a “complete” radiological procedure, two codes are submitted. One code is a radiological code, the other is a code from the _______ section. A. oncology B. HCPCS Level II modifier C. surgery D. supervision

3. CPT Category II codes consist of _______ digits followed by one alpha character. A. two B. three C. four D. five


Final Examination Booklet

4. Which of the following forms is used to request payment from an insurer? A. ICD-9 3400 B. CPT 2002 C. RFP D. CMS-1500

5. The technical component of a diagnostic radiology procedure is indicated by the HCPCS Level II modifier A. -td. B. -tc. C. -dc. D. -dx.

6. In a _______ fee schedule, the individual physician determines the price for each service. A. CMS B. UCR C. POS D. PPO

7. Which of the following codes is used to report a barium enema with KUB? A. 74750C B. 74740D C. 7473O D. 74270

8. Which type of audit may be conducted within a practice setting to expose billing problems? A. External B. Internal C. OIG D. FBI

9. CLIA ’88 defines _______ levels of testing based on complexity. A. six B. five C. four D. three

10. Which of the following CPT code ranges describes evocative/suppression testing procedures? A. 80400–80440 B. 80500–80502 C. 81000–81099 D. 82000–82999

Final Examination Booklet


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