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Code Specialist Module - CS National Certification Exam
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Code Specialist Module - CS National Certification Exam
EXPLANATION: Chapter 21 (Z00-Z99) contains codes for circumstances other than diseases or injuries.
D) Unrelated E/M service ANSWER: A EXPLANATION: Modifier - 25 is used when a significant, separately identifiable E/M service is performed on the same day as a procedure.
EXPLANATION: History, examination, and medical decision making are the three key components for E/M level selection.
EXPLANATION: Modifier - 59 or more specific X{EPSU} modifiers can override NCCI edits when services are distinct.
B) Chapter 14 C) Chapter 16 D) Chapter 17 ANSWER: A EXPLANATION: Chapter 15 (O00-O9A) contains pregnancy codes.
D) Revenue Audit Contractor ANSWER: A EXPLANATION: RACs audit Medicare claims for overpayments and underpayments.
EXPLANATION: CMS-484 is the Certificate of Medical Necessity for DME.