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AAPC CPC PRACTICE EXAMS WITH VERIFICATION
QUESTIONS AND CORRECT ANSWERS
___________________ is an example of a disease interaction. A. Hypertension and osteoporosis B. PVD and CHF C. Diabetes with macular degeneration D. Diabetes and respirator dependence
- ANSWERS-C. Diabetes with macular degeneration 5 year-old female has a history of post void dribbling. She was found to have extensive labial adhesions, which have been unresponsive to topical medical management. She is brought to the operating suite in a supine position. Under general anesthesia the labia majora is retracted and the granulating chronic adhesions were incised midline both anteriorly and posteriorly. The adherent granulation tissue was excised on either side. What code should be used for this procedure? A. 58660 B. 58740 C. 57061 D. 5644 1
- ANSWERS-D. 56441 55 year-old patient was admitted with massive gastric dilation. The endoscope was inserted with a catheter placement. The endoscope is passed through the cricopharyngeal muscle area without difficulty. Esophagus is normal, some chronic reflux changes at the esophagogastric junction noted. Stomach significant distention with what appears to be multiple encapsulated tablets in the stomach at least 20 to 30 of these are noted. Some of these are partially dissolved. Endoscope could not be engaged due to high grade narrowing in the pyloric channel, the duodenum was not examined. It seems to be a high grade outlet obstruction with a superimposed volvulus. A repeat examination is not planned at this time. What code should be used for this procedure? A. 43246- 52 B. 43241- 52 C. 43235 D. 43191
- ANSWERS-B. 43241- 52 56 - year-old female is having a bilateral mammogram with computer aid detection conducted as a screening because the patient has a family history of breast cancer. She does not presently have signs or symptoms of breast disease. What radiological services are reported? A. 77065 x 2 B. 77065, 77066 C. 77067
D. 77066
- ANSWERS-C. 77067
67 - year-old female fractured a port-a-cath surgically placed a year ago. Under sonographic guidance a needle was passed into the right common femoral vein. The loop snare was positioned in the right atrium where a portion of the fractured catheter was situated. The catheter crossed the atrioventricular valve with the remaining aspect of the catheter in the ventricle. A pigtail catheter was then utilized to loop the catheter and pull the catheter tip into the inferior vena cava. The catheter was then snared and pulled through the right groin removed in its entirety. What CPT® and ICD- 10 - CM codes are reported? A. 37200, T81.509D B. 37197, T82.514A C. 37193, T80.219A D. 37217, T88.8XXA
- ANSWERS-B. 37197, T82.514A A 10-month-old child is taken to the operating room for removal of a laryngeal mass. What is (are) the appropriate anesthesia code(s) to report? A. 00320 B. 00326 C. 00320, 99100 D. 00326, 99100
- ANSWERS-B. 00326 A 10-year-old patient had a recent placement of a cochlear implant. She and her family see an audiologist to check the pressure and determine the strength of the magnet. The transmitter, microphone and cable are connected to the external speech processor and maximum loudness levels are determined under programming computer control. Which CPT® code should be used? A. 92601 B. 92603 C. 92604 D. 92562
- ANSWERS-B. 92603 A 10-year-old-male sustained a Colles' fracture in which the pediatrician performs an application of short arm fiberglass cast. Select the HCPCS Level II code that is reported. A. Q B. A C. A D. Q
- ANSWERS-A. Q A 15 year-old female is to have a tonsillectomy performed for chronic tonsillitis and hypertrophied tonsils. A McIver mouth gag was put in place and the tongue was depressed. The nasopharynx was digitalized. No significant adenoid tissue was felt. The tonsils were then removed bilaterally by dissection. The uvula was a huge size because of edema, a part of this was removed and the raw surface oversewn with 3-0 chromic catgut. Which CPT® code(s) is (are) reported? A. 42821
A 20-day-old infant was seen in the ER by the neonatologist admitting the baby to NICU for cyanosis and rapid breathing. The neonatologist performed intubation, ventilation management and a complete echocardiogram in the NICU and provided a report for the echocardiography which did indicate congenital heart disease. Select the correct codes for the physician service. A. 99468-25, 93303- 26 B. 99471-25, 31500, 94002, 93303- 26 C. 99460-25, 31500, 94002, 93303- 26 D. 99291- 2 5, 93303- 26
- ANSWERS-A. 99468-25, 93303- 26 A 22-year-old is 14 weeks pregnant and wants to terminate the pregnancy. She has consented for a D&E. She was brought to the operating room where MAC anesthesia was given. She was then placed in the dorsal lithotomy position and a weighted speculum was placed into her posterior vaginal vault. Cervix was identified and dilated. A 6.5-cm suction catheter hooked up to a suction evacuator was placed and products of conception were evacuated. A medium size curette was then used to curette her endometrium. There was noted to be a small amount of remaining products of conception in her left cornua. Once again the suction evacuator was placed and the remaining products of conception were evacuated. At this point she had a good endometrial curetting with no further products of conception noted. Which CPT® code should be used? A. 59840 B. 59841 C. 59812 D. 59851
- ANSWERS-B. 59841 A 23-year-old who is pregnant at 39 - weeks and 3 days is presenting for a low transverse cesarean section. An abdominal incision is made and was extended superiorly and inferiorly with good visualization of the bladder. The bladder blade was then inserted and the lower uterine segment incised in a transverse fashion with the scalpel. The bladder blade was removed and the infant's head delivered atraumatically. The nose and mouth were suctioned with the bulb suction trap and the cord doubly clamped and cut. The placenta was then removed manually. What CPT® and ICD- 10 - CM codes are reported for this procedure? A. 59610, O34.211, Z37.0, Z3A. B. 59510, O64.1XX0, Z37.0, Z3A. C. 59514, O82, Z37.0, Z3A. D. 59515, O82, Z37.0, Z3A.
- ANSWERS-C. 59514, O82, Z37.0, Z3A. A 24-year-old patient had an abscess by her vulva which burst. She has developed a soft tissue infection caused by gas gangrene. The area was debrided of necrotic infected tissue. All of the pus was removed and irrigation was performed with a liter of saline until clear and clean. The infected area was completely drained and the wound was packed gently with sterile saline moistened gauze and pads were placed on top of this. The correct CPT® code is: A. 56405 B. 10061 C. 11004 D. 11042
- ANSWERS-C. 11004
A 25-year-old female in the OR for ectopic pregnancy. Once the trocars were place a pneumoperitoneum was created and the laparoscope introduced. The left fallopian tube was dilated and was bleeding. The left ovary was normal. The uterus was of normal size, shape and contour. The right ovary and tube were normal. Due to the patient's body habitus the adnexa could not be visualized to start the surgery. At this point the laparoscopic approach was terminated. The pneumoperitoneum was deflated, and trocar sites were sutured closed. The trocars and laparoscopic instruments had been removed. Open surgery was performed incising a previous transverse scar from a cesarean section. The gestation site was bleeding and all products of conception and clots were removed. The left tube was grasped, clamped and removed in its entirety and passed off to pathology. What code(s) is (are) reported for this procedure? A. 59150, 59120 B.
- ANSWERS-D. 59120 A 25-year-old female patient with ESRD received a dual renal transplant without nephrectomy. What is the correct code for this transplant? A. 50360 - 50 B. 50360 C. 50365 D. 50365 - 50
- ANSWERS-A - 50360 - 50 A 27-year-old male presents for evaluation of left elbow pain. It started two weeks ago after picking up a heavy box. There is no snapping or popping. Pain is aching, located on the left lateral elbow. It's worse with gripping. He has never experienced this pain before, and there are no alleviating/aggravating factors. He has been putting heat on the area with short term relief. Proper diagnosis is: A. M77. B. M77. C. M77. D. M77.
- ANSWERS-D. M77. A 27-year-old was frying chicken when an explosion of the oil had occurred and she sustained second-degree burns on her face (5%), third degree burns on both hands (5%). There was a total of 10 percent of the body surface that was burned. Select which ICD- 10 - CM codes are reported. A. T20.20XA, T23.301A, T23.302A, T31.10, X10.2XXA, Y93.G B. T23.301A, T23.302A, T20.20XA, T31.11, X10.2XXA, Y93.G C. T23.301A, T23.302A, T20.20XA, T31.10, X10.2XXA, Y93.G D. T23.601A, T23.602A, T20.60XA, T31.10, X10.2XXA, Y93.G 3
- ANSWERS-C. T23.301A, T23.302A, T20.20XA, T31.10, X10.2XXA, Y93.G A 30-year-old female is having 15 sq cm debridement performed on an infected ulcer with eschar on the right foot. Using sharp dissection, the ulcer was debrided all the way to down to the bone of the foot. The bone had to be minimally trimmed because of a sharp point at the end of the metatarsal. After debriding the area, there was minimal bleeding because of very poor
A. 58660, 58353- 51
B. 5866
- ANSWERS-B. 58661, 58563- 51
A 4-year-old is getting over his cold and will be getting three immunizations in the pediatrician's office by the nurse. The first vaccination administered is the Polio vaccine intramuscularly. The next vaccination is the live influenza (LAIV3) administered in the nose. The last vaccination is the Varicella (live) by subcutaneous route. What CPT® codes are reported for the administration and vaccines? A. 90713, 90658, 90716, 90460, 90461 x 2 B. 90713, 90660, 90716, 90460, 90461 x 1 C. 90713, 90660, 90716, 90471, 90472, 90474 D. 90713, 90658, 90716, 90471, 90472, 90473
- ANSWERS-C. 90713, 90660, 90716, 90471, 90472, 90474 A 42-year-old male has a frozen left shoulder. An arthroscope was inserted in the posterior portal in the glenohumeral joint. The articular cartilage was normal except for some minimal grade III-IV changes, about 5% of the humerus just adjacent to the rotator cuff insertion of the supraspinatus. The biceps was inflamed, not torn at all. The superior labrum was not torn at all, the labrum was completely intact. The rotator cuff was completely intact. An anterior portal was established high in the rotator interval. The rotator interval was very thick and contracted. Adhesions were destroyed with electrocautery and the Bovie. The superior glenohumeral ligament, the middle glenohumeral ligament and the tendinous portion of the subscapularis were released. The arthroscope was placed anteriorly, adhesions were destroyed and the shaver was used to debride some of the posterior capsule and the posterior capsule was released
- ANSWERS-D. 29825-LT A 42-year-old with renal pelvis cancer receives general anesthesia for a laparoscopic radical nephrectomy. The patient has controlled type 2 diabetes otherwise no other co-morbidities. What is the correct CPT® and ICD- 10 - CM code for the anesthesia services? A. 00860-P1, C64.9, E11. B. 00840-P3, C65.9, E11. C. 00862-P2, C65.9, E11. D. 00868-P2, C79.02, E11.
- ANSWERS-C. 00862-P2, C65.9, E11. A 44-year-old had a history of adenocarcinoma of the cervix on a conization in March 20XX who has been followed with twice-yearly endocervical curettages and Pap smears that were all negative for two years, per the recommendation of a GYN oncologist. Her Pap smear results from the last visit noted atypical glandular cells. In light of this, she underwent a colposcopy and the biopsy of the normal-appearing cervix on colposcopy was benign. The endocervical curettage was benign endocervical glands, and the endometrial sampling was benign endometrium. In light of the fact that she had had previous atypical glandular cells that led to diagnosis of adenocarcinoma and the concerns that this may have recurred, she had been recommended for a cone biopsy and fractional dilatation and curettage, which she is undergoing today. What ICD- 10 - CM code(s) should be reported? A. R87.619, C53. B. C C. R87.619, Z85.
D. Z12.4, Z85.
- ANSWERS-C. R87.619, Z85.
A 45-year-old male is going to donate his kidney to his son. Operating ports where placed in standard position and the scope was inserted. Dissection of the renal artery and vein was performed isolating the kidney. The kidney was suspended only by the renal artery and vein as well as the ureter. A stapler was used to divide the vein just above the aorta and three clips across the ureter, extracting the kidney. This was placed on ice and sent to the recipient room. The correct CPT® code is: A. 50543 B. 50547 C. 50300 D. 50320
- ANSWERS-B. 50547 A 45-year-old male is in outpatient surgery to excise a basal cell carcinoma of the right nose and have reconstruction with an advancement flap. The 1.2 cm lesion with an excised diameter of 1. cm was excised with a 15 - blade scalpel down to the level of the subcutaneous tissue, totaling a primary defect of 1.8 cm. Electrocautery was used for hemostasis. An adjacent tissue transfer of 3 sq cm was taken from the nasolabial fold and was advanced into the primary defect. Which CPT® code(s) is (are) reported? A. 14060 B. 11642, 14060 C. 11642, 15115 D. 15574
- ANSWERS-A. 14060 A 46-year-old female had a previous biopsy that indicated positive malignant margins anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade scalpel was used for full excision of an 8 cm lesion. Layered closure was performed after the removal. The specimen was sent for permanent histopathologic examination. What are the CPT® code(s) for this procedure? A. 11626 B. 11626, 12004 - 51 C. 11626, 12044- 51 D. 11626, 13132-51, 13133
- ANSWERS-C. 11626, 12044- 51 A 47-year-old male patient with advanced cancer of the lower left mandible presented to the hospital for surgical removal of the lower left jawbone with secondary insertion of mandibular prosthesis. In order to perform surgery, the patient had to be intubated through a tracheostomy. After anesthesia, the surgeon performed the tracheostomy by incising the cricothyroid membrane horizontally along the trachea and inserting the intubation device. The surgeon completed the primary surgical procedure on the patient's mandible. What is the correct code for the intubation? A. 31605 B. 31600 C. No code would be used for the intubation D. 31603
- ANSWERS-C. No code would be used for the intubation
A 52-year-old female has a mass growing on her right flank for several years. It has finally gotten significantly larger and is beginning to bother her. She is brought to the Operating Room for definitive excision. An incision was made directly overlying the mass. The mass was down into the subcutaneous tissue and the surgeon encountered a well encapsulated lipoma approximately 4 centimeters. This was excised primarily bluntly with a few attachments divided with electrocautery. What CPT® and ICD- 10 - CM codes are reported? A. 21932, D17. B. 21935, D17. C. 21931, D17. D. 21925, D17.
- ANSWERS-C. 21931, D17. A 52-year-old patient is admitted to the hospital for chronic cholecystitis for which a laparoscopic cholecystectomy will be performed. A transverse infraumbilical incision was made sharply dissecting to the subcutaneous tissue down to the fascia using access under direct vision with a Vesi-Port and a scope was placed into the abdomen. Three other ports were inserted under direct vision. The fundus of the gallbladder was grasped through the lateral port, where multiple adhesions to the gallbladder were taken down sharply and bluntly: The gallbladder appeared chronically inflamed. Dissection was carried out to the right of this identifying a small cystic duct and artery, was clipped twice proximally, once distally and transected. The gallbladder was then taken down from the bed using electrocautery, delivering it into an endo-bag and removing it from the abdominal cavity with the umbilical port. What CPT® and ICD- 10 - C
- ANSWERS-B. 47562, K81. A 53 - year-old male is in the dermatologist's office for removal of 2 lesions located on his lower lip and nose. Lesions were identified and marked. The lower lip lesion of 4 mm in size was shaved to the level of the superficial dermis. Utilizing a 3-mm punch, a biopsy was taken of the left supratip nasal area. What are the CPT® codes for these procedures? A. 40490, 11104- 59 B. 11310, 11104- 59 C. 17000, 17003 D. 11440, 11105- 59
- ANSWERS-B. 11310, 11104- 59 A 53-year-old woman with ascites consented to a procedure to withdraw fluid from the abdominal cavity. Ultrasonic guidance was used for guiding the needle placement for the aspiration. What CPT® codes should be used? A. 49083 B. 49180, 76942- 26 C. 49082, 7 7002 - 26 D. 49180, 76998- 26
- ANSWERS-A. 49083 A 55-year-old female has a symptomatic rectocele. She had been admitted and taken to the main OR. An incision is made in the vagina into the perineal body (central tendon of the perineum). Dissection was carried underneath posterior vaginal epithelium all the way over to the rectocele. Fascial tissue was brought together with sutures creating a bridge and the rectocele had been reduced with good support between the vagina and rectum. What procedure code should be reported?
A. 45560
B. 57284
C. 57250
D. 57240
- ANSWERS-C. 57250
A 55-year-old-patient had a fracture of his left knee cap six months ago. The fracture has healed but he still has staggering gait in which he will be going to physical therapy. What ICD- 10 - CM codes are reported? A. S82.002A, R26. B. R26.0, S82.002A C. S82.092S, R26. D. R26.0, S82.002S
- ANSWERS-D. R26.0, S82.002S A 6-month-old patient is administered general anesthesia to repair a cleft palate. What anesthesia code(s) is (are) reported for this procedure? A. 00170, 99100 B. 00172 C. 00172, 99100 D. 00176
- ANSWERS-C. 00172, 99100 A 61-year-old gentleman with a history of a fall while intoxicated suffered a blow to the forehead and imaging revealed a posteriorly displaced odontoid fracture. The patient was taken into the Operating Room, and placed supine on the operating room table. Under mild sedation, the patient was placed in Gardner-Wells tongs and gentle axial traction under fluoroscopy was performed to gently try to reduce the fracture. It did reduce partially without any change in the neurologic examination. More manipulation would be necessary and it was decided to intubate and use fiberoptic technique. The anterior neck was prepped and draped and an incision was made in a skin crease overlying the C4-C5 area. Using hand-held retractors, the ventral aspect of the spine was identified and the C2-C3 disk space was identified using lateral fluoroscopy. Using some pressure upon the ventral aspect of the C2 body, we were able to achieve a s
- ANSWERS-D. 22318 A 63-year-old patient with bilateral ureteral obstruction presents to an outpatient facility for placement of a right and left ureteral stent along with an interpretation of a retrograde pyelogram. What codes should be reported? A. 52332, 74425 B. 52332-50, 74420- 26 C. 52005, 74420 D. 52005-50, 74425- 26
- ANSWERS-B. 52332-50, 74420- 26 A 64-year-old female who has multiple sclerosis fell from her walker and landed on a glass table. She lacerated her forehead, cheek and chin and the total length of these lacerations was 6 cm. Her right arm and left leg had deep cuts measuring 5 cm on each extremity. Her right hand and right foot had a total of 3 cm lacerations. The ED physician repaired the lacerations as follows: The forehead, cheek, and chin had debridement and cleaning of glass debris with the
was carried down to the area of the hernia where a small defect was clearly visualized. There was some omentum, which was adhered to the hernia and this was delivered back into the peritoneal cavity. The mesh was tacked on to cover the defect. What procedure code(s) is (are) reported? A. 49560, 49568 B. 49652 C. 49653 D. 49652, 49568
- ANSWERS-B. 49652 A 76-year-old female had a ground level fall when she tripped over her dog earlier this evening in her apartment. The Emergency Department took X-rays of the left wrist in oblique and lateral views which revealed a displaced distal radius fracture, type I open left wrist. What radiological service and ICD- 10 - CM codes are reported? A. 73100-26, S52.502B, W18.31XA, Y92. B. 73110-26, S52.602A, W18.31XA, Y92. C. 73115-26, S52.502A, W18.31XA, Y92. D. 73100-26, S52.602B, W18.31XA, Y92.
- ANSWERS-A. 73100-26, S52.502B, W18.31XA, Y92. A 76 - year-old female had a recent mammographic and ultrasound abnormality in the 6 o'clock position of the left breast. She underwent core biopsies which showed the presence of a papilloma. The plan now is for needle localization with excisional biopsy to rule out occult malignancy. After undergoing preoperative needle localization with hookwire needle injection with methylene blue, the patient was brought to the operating room and was placed on the operating room table in the supine position where she underwent laryngeal mask airway (LMA) anesthesia. The left breast was prepped and draped in a sterile fashion. A radial incision was then made in the 6 o'clock position of the left breast corresponding to the tip of the needle localizing wire. Using blunt and sharp dissection, we performed a generous excisional biopsy around the needle localizing wire including all of the methylene blue-stained tissues. The specimen wa
- ANSWERS-D. 19125, D24. A 76-year-old has dermatochalasis on bilateral upper eyelids. A blepharoplasty will be performed on the eyelids. A lower incision line was marked at approximately 5 mm above the lid margin along the crease. Then using a pinch test with forceps the amount of skin to be resected was determined and marked. An elliptical incision was performed on the left eyelid and the skin was excised. In a similar fashion the same procedure was performed on the right eye. The wounds were closed with sutures. The correct CPT® code(s) is/are? A. 15822, 15823- 51 B. 15823- 50 C. 15822- 50 D. 1582 0 - LT, 15820-RT
- ANSWERS-C. 15822- 50 A 79-year-old male with symptomatic bradycardia and syncope is taken to the Operating Suite where an insertion of a DDD pacemaker will be performed. After the anesthesiologist provided moderate sedation, the cardiologist performed a left subclavian venipuncture was carried out. A guide wire was passed through the needle, and the needle was withdrawn. A second subclavian
venipuncture was performed, a second guide wire was passed and the second needle was withdrawn. An oblique incision in the deltopectoral area incorporating the wire exit sites. A subcutaneous pocket was created with the cautery on the pectoralis fascia. An introducer dilator was passed over the first wire and the wire and dilator were withdrawn. A ventricular lead was passed through the introducer, and the introducer was broken away in the routine fashion. A second introducer dilator was passed over the second guide wire and the wire and dilator were
- ANSWERS-A. 33208 A 9-year-old female presents to this office today with continued bed wetting. She is here with her mom, who states the child has never been able to go through the night without wetting the bed. She has used alarms, cutting off fluids at 6 p.m., and using bathroom before bed. Denies dysuria or frequency. Mom states the urine is often dark. Which is the ICD- 10 - CM code to report this condition? A. N39. B. N39. C. N39. D. N39.
- ANSWERS-C. N39. A cancer patient is coming in to have a chemotherapy infusion. The physician notes the patient is dehydrated and will first administer a hydration infusion. The infusion time was 1 hour and 30 minutes. Select the code(s) that is (are) reported for this encounter? A. 96360 B. 96360, 96361 C. 96365, 96366 D. 96422
- ANSWERS-A. 96360 A cardiologist pediatrician sends a four week-old baby to an outpatient facility to have an echocardiogram. The baby has been having rapid breathing. He is sedated and a probe is placed on the chest wall and images are taken through the chest wall. A report is generated and sent to the pediatrician. The interpretation of the report by the pediatrician reveals the baby has an atrial septal defect. Choose the CPT® code the cardiologist pediatrician should report. A. 93303 B. 93315- 26 C. 93303- 26 D. 93315
- ANSWERS-C. 93303- 26 A catheter is placed in the left common femoral artery which was directed into the right the external iliac (antegrade). Dye was injected and a right lower extremity angiogram was performed which revealed patency of the common femoral and profunda femoris. The catheter was then manipulated into the superficial femoral artery (retrograde) in which a lower extremity angiogram was performed which revealed occlusion from the popliteal to the tibioperoneal artery. What are the procedure codes that describe this procedure? A. 36217, 75736- 26 B. 36247, 75716- 26 C. 36217, 75756- 26
A pathologist performs a comprehensive consultation and report after reviewing a patient's records and specimens from another facility. The correct CPT® code to report this service is: A. 88325 B. 99244 C. 88323 D. 88329
- ANSWERS-A. 88325 A patient admitted for left hip replacement has a medical history of COPD, with hospitalization six months ago due to acute exacerbation, diabetes with neuropathy, appendicitis s/p RT appendectomy 1997, and a history of prostate cancer s/p TURP, radiation and chemotherapy, no NED and no medications noted. Considering the importance of capturing comorbidities in the inpatient setting, which conditions should the providers document and address as active conditions for accurate code reporting during this admission? A. Appendicitis, COPD, and diabetic neuropathy B. COPD and diabetic neuropathy C. COPD with exacerbation and diabetic neuropathy D. COPD, diabetic neuropathy, and prostate cancer
- ANSWERS-B. COPD and diabetic neuropathy A patient came in to the ER with wheezing and a rapid heart rate. The ER physician documents a comprehensive history, comprehensive exam and medical decision of moderate complexity. The patient has been given three nebulizer treatments. The ER physician has decided to place him in observation care for the acute asthma exacerbation. The ER physician will continue examining the patient and will order additional treatments until the wheezing subsides. Select the appropriate code(s) for this visit. A. 99284, 99219 B. 99219 C. 99284 D. 99235
- ANSWERS-B. 99219 A patient has a panniculectomy, as well as a coring out and relocation of the umbilicus. Which is correct coding assignment for this surgery? A. 15830 B. 15830, 14301, 14302 C. 15830, 15847 D. 15830, 15877
- ANSWERS-C. 15830, 15847 A patient has a standard, rubberized gastrostomy tube placed during the procedure. How would just the tube be billed(HCPCS)? A. B B. B C. B
D. B
- ANSWERS-C. B
A patient is having knee replacement surgery. The surgeon requests that in addition to the general anesthesia for the procedure that the anesthesiologist also insert a continuous lumbar epidural infusion for postoperative pain management. The anesthesiologist performs postoperative management for two postoperative days. A. 01400-AA, 62326, 01996 x 2 B. 01402-AA, 62327, 01966 x 2 C. 01402-AA, 62326, 01996 x 2 D. 01404-AA, 62327
- ANSWERS-C. 01402-AA, 62326, 01996 x 2 A patient is having pyeloplasty performed to treat an uretero-pelvic junction obstruction. What is being performed? A. Surgical repair of the bladder B. Removal of the kidney C. Cutting into the ureter D. Surgical reconstruction of the renal pelvis
- ANSWERS-D. Surgical reconstruction of the renal pelvis A patient presents to the urgent care after accidently cutting two fingers with a bagel knife. The laceration on the index finger is 1 cm and the laceration on the middle finger is 2 cm. Simple repairs are performed on each laceration with 5-0 nylon. How should you code these repairs? A. 12001 x 2 B. 12001 C. 12002 D. 12042
- ANSWERS-C. 12002 A patient presents to the urgent care after accidently cutting two fingers with a bagel knife. The laceration on the index finger is 1 cm, and 2 cm on the middle finger. Simple repairs are performed on each laceration with 5-0 nylon. Which is proper coding? A. 12001 x 2 B. 12001 C. 12002 D. 12042
- ANSWERS-C. 12002 A patient presents with an abscess on his back that requires drainage. The procedure note indicates: I&D of abscess - complicated. Area injected with 1% lidocaine, anesthesia achieved. Area incised with #11 blade, frank pus expressed approx. 5 mL. Abscess probed to break loculations and wound irrigated and then packed with nugauze. Sterile dressing applied. How should you code? A. 10040 B. 10061 C. 10060 D. 10180
- ANSWERS-B. 10061
A. 12034
B. 12031, 12041
C. 12004, 12001
D. 12034, 12042
- ANSWERS-D. 12034, 12042
A patient uses Topiramate to control his seizures. He comes in every two months to have a therapeutic drug testing performed to assess serum plasma levels of this medication. What lab code(s) is (are) reported for this testing? A. 80305 B. 80375 C. 80201 D. 80306, 80375
- ANSWERS-C. 80201 A patient was admitted yesterday to the hospital for possible gallstones. The following day the physician who admitted the patient performed a detailed history, a detailed exam and a medical decision making of low complexity. The physician tells her the test results have come back positive for gallstones and is recommending having a cholecystectomy. What code is reported for this evaluation and management service for the following day? A. 99253 B. 99221 C. 99233 D. 99234
- ANSWERS-C. 99233 A patient who is a singer has been hoarse for a few months following an upper respiratory infection. She is in a voice laboratory to have a laryngeal function study performed by an otolaryngologist. She starts off with the acoustic testing first. Before she moves on to the aerodynamic testing she complains of throat pain and is rescheduled to come back to have the other test performed. What CPT® code is reported? A. 92520 B. 92700 C. 92520- 52 D. 92614- 52
- ANSWERS-C. 92520- 52 A patient with chronic renal failure is in the hospital being evaluated by his nephrologist after just placing a catheter into the peritoneal cavity for dialysis. The physician is evaluating the dwell time and running fluid out of the cavity to make sure the volume of dialysate and the concentration of electrolytes and glucose are correctly prescribed for this patient. What code should be reported for this service? A. 90935 B. 90937 C. 90947 D. 90945
- ANSWERS-D. 90945
A patient with severe asthma exacerbation has been admitted. The admitting physician orders a blood gas for oxygen saturation only. The admitting physician performs the arterial puncture drawing blood for a blood gas reading on oxygen saturation only. The physician draws it again in an hour to measure how much oxygen the blood is carrying. Select the codes for reporting this service. A. 82805, 82805- 51 B. 82810, 82810- 91 C. 82803, 82803- 51 D. 82805, 82805- 90
- ANSWERS-B. 82810, 82810- 91 A patients comes into the PCP's office complaining of pain while urinating. After a quick urine sample tested negative, and the patient has no other concerning symptoms, the physician gives the patient a cautionary antibiotic and state that, if he should develop a fever, to come back to the office. Which ICD-10 code would best fit this visit?. A. R B. R06. C. R10. D. R30.
- ANSWERS-D. R30. A peer-to-peer prior authorization entails: A. A discussion between the ordering provider and nurse practitioner B. A discussion between the ordering provider and payer's medical director or pharmacist C. A discussion between two providers in the same office D. A discussion between a pharmacist and pharmacy technician
- ANSWERS-B. A discussion between the ordering provider and payer's medical director or pharmacist A physician orders 90 minutes of HBOT. The documentation for the HBOT treatment indicates the patient was in the chamber at 100 percent oxygen for 90 minutes. Additional time of 10 minutes for descent, a 10 - minute air break, and 10 minutes for ascent was also documented. How many units of G0277 are billed by the hospital? A. 3 units B. 5 units C. 2 units D. 4 units
- ANSWERS-D. 4 units A physician performed craniotomy on a patient with a severe head trauma and intracerebral hematoma. Due to the patient's condition the procedure was extremely difficult, requiring a significant amount of extra time and effort. What is the correct code for this procedure? A. 61315 B. 61313 C. 61313 - 22 D. 61315 - 23
- ANSWERS-C. 61313 - 22
