Month End Sale - Limited Time 65% Discount Offer - Ends in 0d 00h 00m 00s - Coupon code: 65percent

Welcome To DumpsPedia

CPC Sample Questions Answers

Questions 4

The outermost protective layer of skin is called the:

Options:

A.

Epidermis

B.

Hypodermis

C.

Subcutaneous tissue

D.

Dermis

Buy Now
Questions 5

A 5-year-old who has an allergy history experienced a possible reaction to peanuts. A quantitative, high-sensitive fluorescent enzyme immunoassay was used to measure specific IgE for recombinant peanut components. Results showed there was no reaction indicating the child has a peanut allergy.

What lab test is reported?

Options:

A.

86003

B.

86001

C.

86008

D.

86005

Buy Now
Questions 6

A 32-year-old is in the outpatient clinic for an esophagoscopy due to increased difficulty swallowing with his eosinophilic esophagitis. The flexible scope is inserted in the mouth and into the

esophagus. Examination of the esophagus noted narrowing in the distal esophagus. Following an injection of Kenalog, a transendoscopic balloon dilation was performed in the area of

stenosis. Inflation was repeated eventually reaching 18 mm in diameter. What CPT® coding is reported for this procedure?

Options:

A.

43220, 43201

B.

43220, 43204

C.

43220, 43200-59

D.

43214, 43201

Buy Now
Questions 7

A 4-week-old premature infant receives a 100 mg IM injection of RSV monoclonal antibody.

What CPT® codes are reported?

Options:

A.

90378 ×2, 90471

B.

90380 ×2, 96369

C.

90380 ×2, 90460

D.

90378 ×2, 96372

Buy Now
Questions 8

Which circumstance supports medical necessity for a payment by the insurance company?

Options:

A.

Speech therapy for a lisp.

B.

Tummy tuck after a pregnancy.

C.

Second rhinoplasty for a smaller nose.

D.

Removing excess skin in losing weight from a gastric bypass.

Buy Now
Questions 9

What is the ICD-10-CM code for a medial meniscus tear of the left knee due to a recent football injury?

Options:

A.

M23.204

B.

M23.202

C.

S83.242A

D.

S83.232A

Buy Now
Questions 10

Refer to the supplemental information when answering this question:

View MR 138093

What E/M coding is reported?

Options:

A.

99285-25, 99291-25, 92950, 31500, 82803

B.

99291-25, 92950, 31500, 82803

C.

99285

D.

99291-25, 99292-25, 92950, 31500

Buy Now
Questions 11

A comatose patient is seen in the ER. The patient has a history of depression. Drug testing confirm she overdosed on tricyclic antidepressant drugs doxepin, amoxapine, and clomipramine.

What CPT® code is reported?

Options:

A.

80366

B.

80335

C.

80332

D.

80338

Buy Now
Questions 12

A CRNA independently administers MAC anesthesia for ICD replacement.

What CPT® and ICD-10-CM codes are reported?

Options:

A.

00520-QY, I48.91

B.

00520-QZ-QS, I49.01

C.

00534-QZ-QS, I49.01

D.

00534-QY, I48.91

Buy Now
Questions 13

A patient had surgery a year ago to repair two extensor tendons in his wrist. He is in surgery for a secondary repair for the same two tendons with free graft. What CPT® coding is reported?

Options:

A.

25270

B.

25274 x 2

C.

25270 x 2

D.

25272

Buy Now
Questions 14

56-year-old female is postmenopausal with abnormal vaginal bleeding. Ob-gyn provider performs a hysteroscopy to examine the uterine cavity.

What CPT® code is reported?

Options:

A.

58558

B.

58579

C.

58555

D.

58578

Buy Now
Questions 15

A 65-year-old gentleman presents for refill of medications and follow-up for his chronic conditions. The patient indicates good medicine compliance. No new symptoms or complaints.

Appropriate history and exam are obtained. Labs that were ordered from previous visit were reviewed and discussed with patient. The following are the diagnoses and treatment:

Hypokalemia - stable. Refill Potassium 20 MEQ

Hypertension - blood pressure remaining stable. Patient states home readings have been in line with goals. Refill prescription Lisinopril.

Esophageal Reflux - Patient denies any new symptoms. Stable condition. Continue taking over the counter Prevacid oral capsules, 1 every day.

Patient is instructed to follow up in 3 months. Labs will be obtained prior to visit.

What CPT® code is reported?

Options:

A.

99212

B.

99396

C.

99397

D.

99214

Buy Now
Questions 16

A patient complains of tarry, black stool, and epigastric tightness. An esophagogastroduodenoscopy is recommended to evaluate the source of the bleeding. The endoscope is inserted orally. The esophagus appears normal on scope insertion. No evidence of bleeding in the stomach. The scope is then passed into the duodenum, where a polyp is found and removed with hot biopsy forceps. No evidence of bleeding post procedure.

What CPT® code is reported?

Options:

A.

43251

B.

43250

C.

43255

D.

43270

Buy Now
Questions 17

A patient arrives with stridor and in respiratory distress. The provider performs a micro laryngoscopy using a Parson's laryngoscope and magnifying telescope. A bronchoscopy was also

performed using a 2.5 Stortz bronchoscope. The findings include subglottic web and stenosis with laryngeal edema suggestive of reflux. There was also significant collapse of the trachea at

the carina and into the main bronchi bilaterally.

What CPT® coding is reported?

Options:

A.

31622, 31526-51

B.

31629, 31526-51

C.

31622, 69990

D.

31622, 31526-51, 69990

Buy Now
Questions 18

A patient underwent a cystourethroscopy with a pyeloscopy using lithotripsy to break up the ureteral calculus. An indwelling stent was also inserted during the same operative session on the same side. This service was performed in the outpatient hospital surgery center.

What CPT® coding reported?

Options:

A.

52352, 52332-51

B.

52325, 52332-51

C.

52353, 52332-51

D.

52356

Buy Now
Questions 19

Which is an anesthesia physical status modifier?

Options:

A.

AA

B.

P1

C.

2P

D.

QS

Buy Now
Questions 20

Patient had polyps removed on a previous colonoscopy. The patient returns three months later for a follow-up examination for another colonoscopy. No new polyps are seen.

What diagnosis coding is reported for the second colonoscopy?

Options:

A.

Z09, Z86.010

B.

K63.5

C.

Z86.010, K63.5

D.

Z09, K63.5

Buy Now
Questions 21

Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1

Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.

Operation performed: Excision of right thigh benign congenital>1

nevus, excision size with margins 4.5 cm and closure size 5 cm.

Anesthesia: General.0

Intraoperative antibiotics: Ancef.0

Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general

anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.

Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.

This was passed to pathology for review. The wound required □ limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.

The patient was then cleaned and turned over to anesthesia for S extubation.

She was extubated successfully in the operating room and taken S to the recovery room in stable condition. There were no complications.

What CPT® coding is reported?

Options:

A.

52353-RT, 52332-RT

B.

52356-RT

C.

52320-RT, 52332-RT

D.

52356-RT, 52332-RT

Buy Now
Questions 22

A 74-year-old arrived at the ED experiencing bright red rectal bleeding when using the toilet. She does not have any abdominal pain, no nausea or vomiting. She has been undergoing dialysis for

years due to end-stage renal failure and has a diagnosis of myelodysplastic syndrome with a platelet count of just 3,000. Her hemoglobin level, which was 10 at her dialysis session the

previous day, dropped to 7. Abdominal films are negative. An urgent esophagogastroduodenoscopy (EGD) was performed, and no active bleeding was found in the esophagus or the stomach.

However, the scope was passed into the upper duodenum which did reveal some oozing, and was controlled with cautery. Next, the patient was then positioned on her left side for a

colonoscopy that extended from the colon to the ileum and into the lower duodenum, but no definitive sources of bleeding were found. Again, no outright bleeding sources were identified. A

CRNA performed the anesthesia and documented PS III.

What CPT® codes are reported for the CRNA?

Options:

A.

00731-QK-P3, 99140

B.

00731-QX-P3, 99100, 99140

C.

00813-QZ-P3, 99100, 99140

D.

00813-AA-P3, 99140

Buy Now
Questions 23

The patient has a ruptured aneurysm in the popliteal artery. The provider makes an incision below the knee and dissects down and around the popliteal artery. After clamping the distal and

proximal ends of the artery, the provider cuts out the defect, sutures the remaining ends of the artery together, and places a patch graft to fill the gap. What is the correct CPT® code for the

aneurysm repair?

Options:

A.

35081

B.

35151

C.

35152

D.

35045

Buy Now
Questions 24

A cardiologist uses the hospital's equipment for a cardiac stress test as he doesn't own equipment for the test. He supervises the test and provides the interpretation and report of the test.

What CPT® codes are reported?

Options:

A.

93016, 93018

B.

93015, 93018

C.

93015, 93016

D.

93016, 93017, 93018

Buy Now
Questions 25

A patient with malignant lymphoma is administered the antineoplastic drug Rituximab 800 mg and then 100 mg of Benadryl.

Which HCPCS Level II codes are reported for both drugs administered intravenously?

Options:

A.

J9312 x 80, J1200 x 2

B.

J9312, J1200

C.

J9312, Q0163

D.

J9312 x 80, 00163 x 2

Buy Now
Questions 26

An abdominal X-ray includes decubitus, supine, and erect views.

What CPT® code is reported?

Options:

A.

74021-26

B.

74018-26

C.

74022-26

D.

74019-26

Buy Now
Questions 27

A 52-year-old male patient with known AIDS saw his orthopedic physician today for severe pain in the right knee. The physician documents that his knee pain is due to a flare up of posttraumatic osteoarthritis and he gives him a cortisone injection in the right knee joint. The osteoarthritis is not related to AIDS.

What ICD-10-CM codes are reported for this encounter?

Options:

A.

B20, M17.31

B.

Z21, M08.861

C.

M17.11, B20

D.

M17.31, B20

Buy Now
Questions 28

Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1

Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.

Operation performed: Excision of right thigh benign congenital>1

nevus, excision size with margins 4.5 cm and closure size 5 cm.

Anesthesia: General.0

Intraoperative antibiotics: Ancef.0

Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general

anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.

Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.

This was passed to pathology for review. The wound required □ limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.

The patient was then cleaned and turned over to anesthesia for S extubation.

She was extubated successfully in the operating room and taken S to the recovery room in stable condition. There were no complications.

What E/M coding is reported?

Options:

A.

99222

B.

99236

C.

99291

D.

99285

Buy Now
Questions 29

A patient with coronary artery disease due to lipid-rich plaque undergoes coronary artery bypass grafting. The surgeon performs a left internal mammary artery graft to the left anterior descending artery. Then performs saphenous vein grafts to the obtuse marginal artery, ramus intermedius, and posterior descending artery. An endoscopic saphenous vein harvest is performed.

What CPT® coding is reported for the surgical procedure?

Options:

A.

33536,33512

B.

33533, 33512, 33508

C.

33536,33519

D.

33533,33519,33508

Buy Now
Questions 30

A 45-year-old male, with no prior history of heart disease, has been diagnosed having atherosclerotic heart disease with unstable angina. He is in the cardiologist's office for a cardiac MRI test

to determine the morphology and function of his heart under stress. First images obtained are without contrast and then contrast is administered for the next set of images. Then the physician

injects medicine to increase the heart rate and checks the coronary arteries for narrowing or blockage. Physician interprets the test and the results and images are in the medical record.

What radiology CPT® and ICD-10-CM codes are reported?

Options:

A.

75563-26, 125.118

B.

75559-26, 125.118

C.

75563, 125.110

D.

75557, 75559, 125.110

Buy Now
Questions 31

Regarding the CPT® Surgery Guidelines for a surgical code designated as a "Separate Procedure", which statement is FALSE?

Options:

A.

When a procedure is designated as a separate procedure and carried out independently or considered to be unrelated from the total primary service, it may be reported.

B.

The codes designated as "separate procedure" should not be reported in addition to the code for the total procedure or service of which it is an integral component.

C.

A service that is commonly carried out as an integral component of a total service or procedure is identified by the inclusion of the term "separate procedure."

D.

To identify a service designated as a "separate procedure" that is reported with an unrelated primary service, append modifier 79 to the code.

Buy Now
Questions 32

Refer to the supplemental information when answering this question:

View MR 354859

What CPT® and ICD-10-CM coding is reported?

Options:

A.

28820-T2, 170.262, L97.528

B.

28820-T2, L97.528, 170.262

C.

28810-T2, L97.528, 170.262

D.

28810-T2, 170.262, L97.528

Buy Now
Questions 33

View MR 005398

MR 005398

Operative Report

Preoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture.

Postoperative Diagnosis: Nonfunctioning right kidney with ureteral stricture.

Procedure: Right nephrectomy with partial ureterectomy.

Findings and Procedure: Under satisfactory general anesthesia, the patient was placed in the right flank position. Right flank and abdomen were prepared and draped out of the sterile field. Skin incision was made between the 11th and 12th ribs laterally. The incision was carried down through the underlying subcutaneous tissues, muscles, and fascia. The right retroperitoneal space was entered. Using blunt and sharp dissection, the right kidney was freed circumferentially. The right artery, vein, and ureter were identified. The ureter was dissected downward where it is completely obstructed in its distal extent. The ureter was clipped and divided distally. The right renal artery was then isolated and divided between 0 silk suture ligatures. The right renal vein was also ligated with suture ligatures and 0 silk ties. The right kidney and ureter were then submitted for pathologic evaluation. The operative field was inspected, and there was no residual bleeding noted, and then it was carefully irrigated with sterile water. Wound closure was then undertaken using 0 Vicryl for the fascial layers, 0 Vicryl for the muscular layers, 2-0 chromic for subcutaneous tissue, and clips for the skin. A Penrose drain was brought out through the dependent aspect of the incision. The patient lost minimal blood and tolerated the procedure well.

What CPT® coding is reported for this case?

Options:

A.

50234

B.

50220

C.

50230

D.

50240

Buy Now
Questions 34

A patient undergoes a laparoscopic appendectomy for chronic appendicitis.

What CPT® and diagnosis codes are reported?

Options:

A.

44950, K35.80

B.

44950, K35.80, R11.2, R10.31

C.

44970, K36

D.

44970, K36, R11.2, R10.31

Buy Now
Questions 35

A complete 7-view X-ray of the lumbosacral spine, including bending views, is performed.

What CPT® code is reported?

Options:

A.

72084

B.

72080

C.

72020

D.

72114

Buy Now
Questions 36

A Medicare patient is scheduled for a screening colonoscopy.

What code is reported for Medicare?

Options:

A.

G0106

B.

G0121

C.

45378

D.

G0105

Buy Now
Questions 37

View MR 099407

MR 099407

Emergency Department Visit

Chief Complaint: VOMITING.

This started just prior to arrival and is still present. He has had nausea and vomiting. No diarrhea, black stools, bloody stools or abdominal pain. Pt is diabetic and has been having elevated blood sugars (320 mg/dL).

REVIEW OF SYSTEMS: Unobtainable due to patient's altered mental status.

PAST HISTORY: Poorly controlled diabetes mellitus, with history of poor compliance.

Medications: See Nurses Notes.

Allergies: PCN.

SOCIAL HISTORY: Nonsmoker. No alcohol use or drug use.

ADDITIONAL NOTES: The nursing notes have been reviewed.

PHYSICAL EXAM

Appearance: Lethargic. Patient in mild distress.

Vital Signs: Have been reviewed-tachycardic.

Eyes: Pupils equal, round and reactive to light.

ENT: Dry mucous membranes present.

Neck: Normal inspection. Neck supple.

CVS: Tachycardia. Heart sounds normal. Pulses normal.

E D. Course: Insulin IV drip per protocol, at 10 units/hr.

Zofran 8 mg 01:33 Jul 13 2008 IVP.

Phenergan 25 mg IVP. 07:52. Discussed case with physician. Dr. X. Reviewed test results. Agreed upon treatment plan. Physician will see patient in hospital.

Total critical care time: 45 min.

Disposition: Admitted to Intensive Care Unit. Condition: stable.

Admit decision based on need for monitoring and IV hydration and medications.

CLINICAL IMPRESSION: Vomiting, diabetic ketoacidosis, probable diabetes insipidus.

What E/M code is reported for this encounter?

Options:

A.

99291

B.

99291, 99292

C.

99222

D.

99285

Buy Now
Questions 38

Which one of the following is correct to report an intermediate repair code (12031–12037)?

Options:

A.

A scalp laceration that involves extensive undermining and is closed in a single layer with staples.

B.

A right leg laceration that involves extensive cleaning with removal of debris and is closed in a single layer with sutures.

C.

A traumatic laceration involving the upper left arm that requires deep layered closure with debridement of wound edges.

D.

A chest laceration that involves the epidermis skin layer and is repaired with adhesive strips and medical glue.

Buy Now
Questions 39

A patient has suspicious lesions on his feet. Biopsies confirm squamous cell carcinoma. The patient elects to destroy a 0.6 cm lesion on the right dorsal foot and a 2.0 cm lesion on the left dorsal foot using cryosurgery.

What CPT® coding is reported?

Options:

A.

17262, 17261

B.

17110

C.

17272, 17271

D.

17000, 17003

Buy Now
Questions 40

View MR 004397

MR 004397

Operative Report

Preoperative Diagnosis: Calculi of the gallbladder

Postoperative Diagnosis: Calculi of the gallbladder, chronic cholecystitis

Procedure: Cholecystectomy

Indications: The patient is a 50-year-old woman who has a history of RUQ pain, which ultrasound revealed to be multiple gallstones. She presents for removal of her gallbladder.

Procedure: The patient was brought to the OR and prepped and draped in a normal sterile fashion. After adequate general endotracheal anesthesia was obtained, a trocar was placed and C02 was insufflated into the abdomen until an adequate pneumoperitoneum was achieved. A laparoscope was placed at the umbilicus and the gallbladder and liver bed were visualized. The gallbladder was enlarged and thickened, and there was evidence of chronic inflammatory changes. Two additional ports were placed and graspers were used to free the gallbladder from the liver bed with a combination of sharp dissection and electrocautery. Cystic artery and duct are clipped. Dye is injected in the gallbladder. Cholangiography revealed no intraluminal defect or obstruction. Gallbladder is dissected from the liver bed. The scope and trocars are removed.

What CPT® coding is reported for this case?

Options:

A.

47562, 74300-26

B.

47563, 74300-26

C.

47605, 74300-26

D.

47600, 74300-26

Buy Now
Questions 41

An ED provider evaluates a patient with NSTEMI, consults cardiology, and the patient is admitted for PCI.

What E/M service and ICD-10-CM coding is reported by the ED provider?

Options:

A.

99284, I21.4, R07.9

B.

99254, I21.4, R07.9

C.

99285, I21.4

D.

99255, I21.4

Buy Now
Questions 42

A patient who was training for a marathon collapsed due to heat exhaustion on a very hot day. The patient is driven by his wife to a non-facility urgent care center for him to be treated. On

examination, the physician diagnoses heat exhaustion and dehydration. The physician began IV therapy of normal saline that consists of pre-packaged fluid and electrolytes. The hydration lasts

for 1 and 30 minutes.

What CPT® coding is reported?

Options:

A.

96360

B.

96365

C.

96365, 96366

D.

96360, 96361

Buy Now
Questions 43

A 7-year-old boy was brought 10 the ED by his mother after he had been playing with small beads and one got lodged in his right external ear canal. After examination, the physician decided to remove the foreign body from the external auditory canal using alligator forceps without anesthesia.

What CPT® code is reported?

Options:

A.

69110

B.

69105

C.

69200

D.

69205

Buy Now
Questions 44

From a left femoral access, the catheter is placed within the proper hepatic artery, dye is injected, and imaging is obtained. A stenosis within this artery is identified. A percutaneous

transluminal angioplasty is performed on the proper hepatic (visceral) artery in the outpatient radiology department.

What CPT® coding is reported?

Options:

A.

36253, 75736-26-59, 37248-51

B.

36247, 75726-26-59, 37246-51

C.

36247, 75736-26-59, 37248-51

D.

36253, 75726-26-59, 37246-51

Buy Now
Questions 45

In rhinoplasty:

Options:

A.

The nose is reconstructed

B.

The brow is reconstructed

C.

The lips are reconstructed

D.

The chin is reconstructed

Buy Now
Questions 46

A patient arrived at the emergency department experiencing pain in both legs. The ED physician ordered a comprehensive duplex scan of the arteries in both lower extremities to rule out arteriosclerosis.

What CPT® and ICD-10-CM codes are reported?

Options:

A.

93926 x 2,170.303. M79.604, M79.605

B.

93926 x 2. M79.604, M79.605

C.

93925, M79.604. M79.605

D.

93925x2.170.303

Buy Now
Questions 47

A 62-year-old with ventricular fibrillation comes to the outpatient surgery department for the replacement of a pacing cardioverter-defibrillator. The procedure is performed under MAC

anesthesia. The Certified Registered Nurse Anesthetist (CRNA), is working independently without medical direction.

What CPT® and ICD-10-CM codes are reported for the CRNA?

Options:

A.

00534-QZ-QS, 149.01

B.

00520-QZ-QS, 149.01

C.

00520-QY, 148.91

D.

00534-QY, 148.91

Buy Now
Questions 48

Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1

Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.

Operation performed: Excision of right thigh benign congenital>1

nevus, excision size with margins 4.5 cm and closure size 5 cm.

Anesthesia: General.0

Intraoperative antibiotics: Ancef.0

Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general

anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.

Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.

This was passed to pathology for review. The wound required □ limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.

The patient was then cleaned and turned over to anesthesia for S extubation.

She was extubated successfully in the operating room and taken S to the recovery room in stable condition. There were no complications.

What CPT® and ICD-10-CM codes are reported?

Options:

A.

27380, S76.911A

B.

27385, S76.911A

C.

27380, S76.311A

D.

27385, S76.311A

Buy Now
Questions 49

This 27-year-old male has morbid obesity with a BMI of 45 due to a high calorie diet. He has decided to have an open Roux-en-Y gastric bypass. The patient is brought to the operating room and placed in supine position. A midline abdominal incision is made. The stomach is mobilized, and the proximal stomach is divided and stapled creating a small proximal pouch in continuity with the esophagus. A short limb of the proximal bowel of 155 cm is divided. It is brought up and anastomosed to the gastric pouch. The other end of the divided bowel is connected back into the distal small bowel to the short limb's gastric anastomosis to restore intestinal continuity. The abdominal incision is closed.

What are the procedure and diagnosis codes for this encounter?

Options:

A.

43847, E66.01, Z68.42

B.

43644, E66.01, Z68.43

C.

43847, E66.9, Z68.42

D.

43645, E66.8, Z68.42

Buy Now
Questions 50

A patient with abnormal growth had a suppression study that included five glucose tests and five human growth hormone tests.

What CPT@ coding is reported?

Options:

A.

80430, 82947 x 2, 83003

B.

82947 x 5, 83003 x 5

C.

80430, 82947 x 5, 83003 x 5

D.

80430, 82947, 83003

Buy Now
Questions 51

A patient has chronic cholesteatoma in the right middle ear. The otolaryngologist performed a tympanoplasty with a radical mastoidectomy, removing the middle ear cholesteatoma. Grafting technique was used to repair the eardrum without ossicular chain reconstruction.

What CPT® code is reported for this surgery?

Options:

A.

69645

B.

69641

C.

69642

D.

69643

Buy Now
Questions 52

Which place of service code is submitted on the claim for a service that is performed in a skilled nursing facility?

Options:

A.

32

B.

20

C.

22

D.

31

Buy Now
Questions 53

A Medicare patient that is on dialysis for ESRD is seen by the nurse for a Hep B vaccination. This patient is given a dialysis patient dosage as part of a three-dose schedule. The nurse administers the Hep B vaccine in the right deltoid. The physician reviews the chart and signs off on the nurse's note.

What procedure and diagnosis codes are reported for the scheduled vaccine injection for this Medicare patient?

Options:

A.

90471, 90746, Z23, N18.6, Z99.2

B.

G0010, 90740, Z23, N18.6, Z99.2

C.

90471, 90746, Z23, B19.10, N18.6, Z99.2

D.

99211-25, G0010, 90740, B19.10, N18.6, Z99.2

Buy Now
Questions 54

A 5-year-old is brought to the QuickCare in the ED to repair two lacerations: a 3 cm laceration on her right arm and 2 cm laceration on her nose. Her arm is repaired with a simple one-layer closure with sutures. Her nose is repaired with a simple repair using tissue adhesive, 2-cyanoacrylate.

How are the repairs reported?

Options:

A.

12013

B.

12032, 12041-59

C.

12002

D.

12002, 12011-59

Buy Now
Questions 55

A patient presents to the urgent care facility with multiple burns acquired while burning debris in his backyard. After examination the physician determines the patient has third-degree burns of the left and right posterior thighs (10%). He also has second-degree burns of the anterior portion of the right side of his chest wall (8%) and upper back (6%). TBSA is 24% with third-degree burns totaling 10%.

What ICD-10-CM codes are reported, according to 1CD-10-CM coding guidelines?

Options:

A.

T21.21XA, T21.23XA, T24.311A, T24.312A, T31.21

B.

T24.311A, T24.312A, T21.21XA, T21.23XA, T31.31

C.

T24.711A, T24.712A, T21.61XA, T31.63XA, T32.21

D.

T24.311A, T24.312A, T21.21XA, T21.23XA, T31.21

Buy Now
Questions 56

A couple presents to the freestanding fertility clinic to start in vitro fertilization. Under radiologic guidance, an aspiration needle is inserted (by aid of a superimposed guiding-line) puncturing the ovary and preovulatory follicle and withdrawing fluid from the follicle containing the egg.

What is the correct CPT® code for this procedure?

Options:

A.

58976

B.

58974

C.

58999

D.

58970

Buy Now
Questions 57

A surgeon performs midface LeFort I reconstruction on a patient’s facial bones to correct a congenital deformity. The reconstruction is performed in two pieces in moving the upper jawbone forward and repositioning the teeth of the maxilla of the mid face.

What CPT® code is reported?

Options:

A.

21146

B.

21141

C.

21142

D.

21145

Buy Now
Questions 58

Patient is admitted in observation care on 12/2/20XX in the morning for acute asthma exacerbation. The ED physician requires the patient to stay overnight. Next day, 12/3/20XX the patient is

discharged from observation care in the afternoon. Patient's total stay in observation was 16 hours.

What E/M categories and code ranges are appropriate to report?

Options:

A.

Hospital Inpatient or Observation Care Services (Including Admission and Discharge Services) (99234-99236) and Hospital Inpatient or Observation Discharge services (99238-99239)

B.

Initial Hospital Inpatient or Observation Care (99221-99223) and Subsequent Hospital Inpatient or Observation Care (99231-99233)

C.

Hospital Inpatient or Observation Care Services (Including Admission and Discharge Services) (99234-99236) and Subsequent Inpatient or Observation Care (99231-99233)

D.

Initial Hospital Inpatient or Observation Care (99221-99223) and Hospital Inpatient or Observation Discharge services (99238-99239)

Buy Now
Questions 59

A patient suffering from idiopathic dystonia is seen today and receives the following Botulinum injections: three muscle injections in both upper extremities and seven injections in six paraspinal muscles.

How are these injections reported according to the CPT® guidelines?

Options:

A.

64644, 64647 x 7

B.

64642-50, 64643-50, 64647

C.

64642, 64643, 64647

D.

64642 x 3, 64642 x 3, 64647 x 7

Buy Now
Questions 60

Refer to the supplemental information when answering this question:

View MR 874276

What E/M code is reported?

Options:

A.

99282

B.

99285

C.

99284

D.

99283

Buy Now
Questions 61

Dr. Meredith sees Mr. Hollis (new patient) for the first time In the Community Rest Home. She documents a visit with medical decision making of moderate complexity. She spends 20 minutes of additional time discussing physical therapy and going over medications. Dr. Meredith spends a total of 90 minutes on that patient that day.

What CPT® coding does Dr. Meredith report?

Options:

A.

99344,99417

B.

99344

C.

99345,99417

D.

99345

Buy Now
Questions 62

A patient is sent to the hospital by his family care provider for admission due to a high fever and neck pain The patient is admitted to the hospital to rule out bacterial meningitis. The hospitalist admits the patient and orders a CBC. CMR Blood culture, CT of the head and chest, and a lumbar puncture (spinal tap). After review of the results, he determines the patient has bacterial meningitis and starts the patient on IV antibiotics.

What CPT® and ICD-10-CM codes are reported for the admission?

Options:

A.

99222, R50.81.M54.2

B.

99284, G00.9

C.

99222, G00.9

D.

99264, R50.81.M54.2

Buy Now
Questions 63

The gastroenterologist performs a simple excision of three external hemorrhoids and one internal hemorrhoid, each lying along the left lateral column. The operative report indicates that the internal hemorrhoid is not prolapsed and is outside of the anal canal.

What CPT® and ICD-10CM codes are reported?

Options:

A.

46320, 46945, K64.0, K64.9

B.

46250, K64.0, K64.9

C.

46255, K64.0, K64.4

D.

46250, 46945, K64.0, K64.4

Buy Now
Questions 64

An MRI guided cisternal puncture with diagnostic contrast injection is performed at the C2 level for cervical discography, with imaging supervision and interpretation.

What CPT® coding is reported?

Options:

A.

62290,72295,77012

B.

62290,77295,77021

C.

62291,72285,77012

D.

62291,72285,77021

Buy Now
Questions 65

Repeat three-view imaging of both hips and pelvis is performed on the same day due to a new fall, interpreted by the same radiologist.

What CPT® coding is reported?

Options:

A.

73523-76, 73523-51

B.

73522-76, 73522-51

C.

73522, 73522-76

D.

73523, 73523-77

Buy Now
Questions 66

An otolaryngologist removes a 3 cm deep facial tumor within muscle.

What CPT® code is reported?

Options:

A.

21015

B.

21016

C.

21012

D.

21014

Buy Now
Questions 67

View MR 006399

MR 006399

Operative Report

Preoperative Diagnosis: Chronic otitis media in the right ear

Postoperative Diagnosis: Chronic otitis media in the right ear

Procedure: Eustachian tube inflation

Anesthesia: General

Blood Loss: Minimal

Findings: Serous mucoid fluid

Complications: None

Indications: The patient is a 2-year-old who presented to the office with chronic otitis media refractory to medical management. The treatment will be eustachian tube inflation to remove the fluid. Risks, benefits, and alternatives were reviewed with the family, which include general anesthetic, bleeding, infection, tympanic membrane perforation, routine tubes, and need for additional surgery. The family understood these risks and signed the appropriate consent form.

Procedure in Detail: After the patient was properly identified, he was brought into the operating room and placed supine. The patient was prepped and draped in the usual fashion. General anesthesia was administered via inhalation mask, and after adequate sedation was achieved, a medium-sized speculum was placed in the right ear and cerumen was removed atraumatically using instrument with operative microscope. The tube is dilated, an incision is made to the tympanum and thick mucoid fluid was suctioned. The patient was awakened after having tolerated the procedure well and taken to the recovery room in stable condition.

What CPT® coding is reported for this case?

Options:

A.

69420-RT

B.

69436-RT

C.

69433-RT

D.

69421-RT

Buy Now
Questions 68

A patient with lateral epicondylitis of the left elbow is taken to the operating room for manipulation under general anesthesia. The physician performs stretching and rotation to restore motion.

What CPT® coding is reported for the physician?

Options:

A.

24300

B.

24605, 01710

C.

24300, 01710

D.

24605

Buy Now
Questions 69

Which is a TRUE statement for Place of Service (POS) codes for professional claims?

Options:

A.

Reporting an incorrect POS in where a physician's service was provided may result in a denial of a claim.

B.

Place of service codes are three-digit alphanumeric codes.

C.

Place of service codes only denote if a patient is admitted to the intensive care unit in a hospital.

D.

Place of service codes are found in the Tabular List of the ICD-10-CM code book.

Buy Now
Questions 70

A patient had surgery a year ago to repair two flexor tendons in his forearm. He is in surgery for a secondary repair for the same two tendons.

Which CPT® coding is reported?

Options:

A.

25263

B.

25272 x 2

C.

25272

D.

25263 x 2

Buy Now
Questions 71

A patient with three thyroid nodules is seen for an FNA biopsy. Using ultrasonic guidance, the provider inserts a 25-gauge needle into each nodule. Nodular tissue is aspirated and sent to pathology.

What CPT® coding reported?

Options:

A.

10005, 10006 x 2, 76942

B.

10006 x 3

C.

10005, 10006 x 2

D.

10021, 10004 x 2, 76942

Buy Now
Questions 72

A male patient passes out while jogging in the park. Upon examination at the hospital, he is found to have a wide complex tachycardia and undergoes an electrophysiologic study and radiofrequency ablation. For this procedure he is placed under general anesthesia.

What is the anesthesia coding for this otherwise healthy 35-year-old?

Options:

A.

00532-P2

B.

01922-P2

C.

01026-P1

D.

00537-P1

Buy Now
Questions 73

A patient has five biopsies performed on the duodenum.

What CPT® coding is reported?

Options:

A.

44010 ×5

B.

44020 ×5

C.

44010

D.

44020

Buy Now
Questions 74

The documentation states:

He was then sterilely prepped and draped along the flank and abdomen in the usual sterile fashion. I first made a skin incision off the tip of the twelfth rib, extending medially along the banger’s lines of the skin. This was approximately 3.5 cm in length. Once this incision was carried sharply, electrocautery was used to gain access through the external oblique, internal oblique, and transverse abdominis musculature and fascia.

What surgical approach was used for this procedure?

Options:

A.

Percutaneous

B.

Laparoscopic

C.

Cannot determine based on the documentation

D.

Open

Buy Now
Questions 75

A 42-year-old male is diagnosed with a left renal mass. Patient is placed under general anesthesia and in prone position. A periumbilical incision is made, and a trocar inserted. A laparoscope is

inserted and advanced to the operative site. The left kidney is partially removed.

What CPT @ code is reported for this procedure?

Options:

A.

50548

B.

50220

C.

50543

D.

50546

Buy Now
Questions 76

Mr. Woolridge has had a suspicious lesion on his left shoulder for approximately eight weeks that is not healing. On the dermatologist's exam of left shoulder blade, there is excoriation and scabbing and the lesion not healing. Patient agrees and wishes to proceed with a punch biopsy of the lesion. A punch biopsy is taken of the lesion and sent to pathology. A simple repair is performed at the biopsy site.

What CPT® and ICD-10-CM codes are reported?

Options:

A.

11102, 12001-51, D49.2

B.

11102, L98.9

C.

11104, D49.2

D.

11104,12001-51, L98.9

Buy Now
Questions 77

Which place of service code is submitted on the claim for a service that is performed in an outpatient surgical floor?

Options:

A.

11

B.

21

C.

22

D.

24

Buy Now
Questions 78

Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1

Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.

Operation performed: Excision of right thigh benign congenital>1

nevus, excision size with margins 4.5 cm and closure size 5 cm.

Anesthesia: General.0

Intraoperative antibiotics: Ancef.0

Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general

anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.

Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.

This was passed to pathology for review. The wound required □ limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.

The patient was then cleaned and turned over to anesthesia for S extubation.

She was extubated successfully in the operating room and taken S to the recovery room in stable condition. There were no complications.

Which CPT® and ICD-10-CM codes are reported for this procedure?

Options:

A.

65420-LT, H11.002

B.

65426-LT, H11.002

C.

65400-LT, H11.062

D.

65426-LT, H11.062

Buy Now
Questions 79

A patient undergoes right thyroid lobectomy for malignancy and removal of a suspicious parathyroid gland.

What CPT® codes are reported?

Options:

A.

60500, 60210-59

B.

60505, 60240-59

C.

60505, 60220-59

D.

60500, 60220-59

Buy Now
Questions 80

A patient who has colon adenocarcinoma undergoes an open partial colectomy. The surgeon removes the proximal colon and terminal ileum and reconnects the cut ends of the distal ileum and

remaining colon.

What procedure and diagnosis codes are reported?

Options:

A.

44140, C18.9

B.

44205, C18.9

C.

44204, C18.2

D.

44160, C18.2

Buy Now
Questions 81

Which punctuation is used in the ICD-10-CM Tabular List to denote synonyms, alternative wording, or explanatory phrases?

Options:

A.

Brackets

B.

Semicolon

C.

Parentheses

D.

Colons

Buy Now
Questions 82

During a laparoscopic hemicolectomy, the left kidney is accidentally perforated. A nephrologist performs open repair of the kidney laceration and places a JP drain.

What CPT® and ICD-10-CM coding is reported by the nephrologist?

Options:

A.

50500, 44206-80, N99.72

B.

50500, S37.062A

C.

50500, N99.72

D.

50500, 44206-80, S37.062A

Buy Now
Questions 83

Two weeks after removal of a 4 cm subcutaneous lipoma, the patient presents with extensive internal wound dehiscence requiring multi-layer closure in the OR.

What CPT® coding is reported by the surgeon?

Options:

A.

13160-78

B.

13160-58

C.

13101-78

D.

13101-58

Buy Now
Questions 84

A 44-year-old female patient came in for a planned laparoscopic total abdominal hysterectomy for endometriosis of the uterus. The surgeon attached the trocars, a scope is inserted examining

the uterus, abdominal wall, bilateral ovaries, and fallopian tubes. The surgeon decided to convert the laparoscopic procedure to an open total hysterectomy because of the extensive amount of

adhesions that need to be removed. A total hysterectomy was performed and due to removal of the extensive adhesions the surgery took longer than normal of 2 hours.

What CPT® and diagnosis codes are reported?

Options:

A.

58150-22, N80.00, N73.6

B.

58571-22, N80.00, N99.4

C.

58571-78, N80.9, N73.6

D.

58150-78, N80.9, N99.4

Buy Now
Questions 85

A patient undergoes an MRI of the lumbar spine without and with contrast for left-sided low back pain with sciatica.

What CPT® and ICD-10-CM codes are reported?

Options:

A.

72148, 72149, M54.42, M54.50

B.

72148, 72149, M54.42

C.

72158, M54.42, M54.50

D.

72158, M54.42

Buy Now
Questions 86

A 13-year-old established patient is seen for an annual preventive exam. Last visit was two years ago.

What CPT® code is reported?

Options:

A.

99393

B.

99383

C.

99382

D.

99394

Buy Now
Questions 87

A 45-year-old has a dislocated patella in the left knee after a car accident. She taken to the hospital by EMS for surgical treatment. In the surgery suite, the patient is placed under general anesthesia. After being prepped and draped, the surgeon makes an incision above the knee joint in front of the patella. Dissection is carried through soft tissue and reaching the patella in attempt to reduce the dislocation. When the patella is exposed, it is severely damaged due to cartilage breakdown. The tendon is dissected and using a saw the entire patella is freed and removed. The tendon sheath is closed with sutures.

What procedure code is reported for this surgery?

Options:

A.

27562-LT

B.

27552-LT

C.

27556-LT

D.

27566-LT

Buy Now
Questions 88

A surgeon performs a complete bilateral mastectomy with insertion of breast prosthesis at the same surgical session.

What CPT@ coding is reported?

Options:

A.

19303-50, 19342-50

B.

19305-50, 19340-50

C.

19325-50

D.

19303-50, 19340-50

Buy Now
Questions 89

A patient suffers a ruptured infrarenal abdominal aortic aneurysm requiring emergent endovascular repair. An aorto-aortic tube endograft is positioned in the aorta and a balloon dilation is performed at the proximal and distal seal zones of the endograft. The balloon angioplasty is performed for endoleak treatment.

What CPT® code does the vascular surgeon use to report the procedure?

Options:

A.

34702

B.

34701

C.

34707

D.

34708

Buy Now
Questions 90

A cystic lesion on the chest is excised with margins totaling 2.5 cm. Simple closure performed.

What CPT® coding is reported?

Options:

A.

11403

B.

12001, 11403-51

C.

11603

D.

12001, 11603-51

Buy Now
Questions 91

Refer to the supplemental information when answering this question:

View MR 623654

What CPTO coding is reported for this case?

Options:

A.

14001, 11606-51, 12034-51

B.

14001

C.

14001, 11606-51

D.

15271

Buy Now
Questions 92

View MR 099401

MR 099401

Established Patient Office Visit

Chief Complaint: Patient presents with bilateral thyroid nodules.

History of present illness: A 54-year-old patient is here for evaluation of bilateral thyroid nodules. Thyroid ultrasound was done last week which showed multiple thyroid masses likely due to multinodular goiter. Patient stated that she can “feel" the nodules on the left side of her thyroid. Patient denies difficulty swallowing and she denies unexplained weight loss or gain. Patient does have a family history of thyroid cancer in her maternal grandmother. She gives no other problems at this time other than a palpable right-sided thyroid mass.

Review of Systems:

Constitutional: Negative for chills, fever, and unexpected weight change.

HENT: Negative for hearing loss, trouble swallowing and voice change.

Gastrointestinal: Negative for abdominal distention, abdominal pain, anal bleeding, blood in stool, constipation, diarrhea, nausea, rectal pain, and vomiting

Endocrine: Negative for cold Intolerance and heat intolerance.

Physical Exam:

Vitals: BP: 140/72, Pulse: 96, Resp: 16, Temp: 97.6 °F (36.4 °C), Temporal SpO2: 97%

Weight: 89.8 kg (198 lbs ), Height: 165.1 cm (65”)

General Appearance: Alert, cooperative, in no acute distress

Head: Normocephalic, without obvious abnormality, atraumatic

Throat: No oral lesions, no thrush, oral mucosa moist

Neck: No adenopathy, supple, trachea midline, thyromegaly is present, no carotid bruit, no JVD

Lungs: Clear to auscultation, respirations regular, even, and unlabored

Heart: Regular rhythm and normal rate, normal S1 and S2, no murmur, no gallop, no rub, no click

Lymph nodes: No palpable adenopathy

ASSESSMENT/PLAN:

1) Multinodular goiter - the patient will have a percutaneous biopsy performed (minor procedure).

What E/M code is reported for this encounter?

Options:

A.

99212

B.

99214

C.

99213

D.

99215

Buy Now
Questions 93

A cardiologist attempted to perform a percutaneous transluminal coronary angioplasty of a totally occluded blood vessel. The surgeon stopped the procedure because of an anatomical problem creating risk for the patient and preventing performance of the catheterization.

What modifier is appended to the procedure code?

Options:

A.

52

B.

53

C.

54

D.

76

Buy Now
Questions 94

A patient is diagnosed with sepsis due to enterococcus. What ICD-10-CM code is reported?

Options:

A.

A41.52

B.

A41.9, R65.20

C.

A41.81

D.

A41.9

Buy Now
Questions 95

Which government office is responsible for overseeing and investigating cases of healthcare fraud and abuse?

Options:

A.

Centers for Medicare & Medicaid Services (CMS)

B.

Department of Health and Human Services (HHS)

C.

Office of Inspector General (OIG)

D.

American Medical Association (AMA)

Buy Now
Questions 96

An interventional radiologist performs an abdominal paracentesis using fluoroscopic guidance to remove excess fluid. The procedure is performed in the hospital. What CPT® coding is reported?

Options:

A.

49082

B.

49083,77001-26

C.

49083

D.

49083.77002-26

Buy Now
Questions 97

A catheter is placed from the femoral artery into the right common carotid, with imaging of the ipsilateral extracranial carotid and bilateral external carotids.

Which CPT® codes are reported?

Options:

A.

36222, 36227 ×2

B.

36223, 36227 ×2

C.

36224-50, 36227-51 ×2

D.

36225, 36227-51 ×2

Buy Now
Questions 98

A patient receives 200 mg IM Depo-Testosterone.

What HCPCS Level II coding is reported?

Options:

A.

J1071, 90471

B.

J1071 ×200, 96372

C.

J1071, 96372

D.

J1071 ×200, 90471

Buy Now
Questions 99

A 46-year-old female is admitted to the hospital by her urologist for a left ureteral calculus. The urologist visits her again on day two and performs a low for number and complexity of problems

addressed, minimal for amount and/or complexity of data to be reviewed and analyzed, and moderate for risk of complications.

What E/M service is reported for day two?

Options:

A.

99233

B.

99232

C.

99221

D.

99231

Buy Now
Questions 100

A provider orders liquid chromatography mass spectrometry (LC-MS) definitive drug test for a patient suspected of acetaminophen (analgesic) overdose. What CPT® code is reported for the test?

Options:

A.

60143

B.

B0329

C.

80299

D.

80324

Buy Now
Questions 101

A 40-year-old woman with progressive sensory neural hearing loss in the right ear since the age of 13 has not gained benefit from her hearing aid. She has normal hearing in the left ear. A cochlear implant is placed for the right ear. Anesthesia is provided by a CRNA with medical direction by an anesthesiologist who is concurrently directing 5 CRNAs. PS is 3.

What anesthesia CPT® and ICD-10-CM codes are reported by the Anesthesiologist?

Options:

A.

00300-QX-P3. H90.5

B.

00120-AA-P3, H90.41

C.

00120-AD-P3.H90.41

D.

00300-QY-P3, H90.5

Buy Now
Questions 102

An 8-day-old newborn (3 kg) undergoes circumcision using a scalpel (no clamp).

What CPT® coding is reported?

Options:

A.

54160-63

B.

54150

C.

54150-52

D.

54160

Buy Now
Questions 103

A patient who was experiencing severe abdominal pain underwent abdominal imaging and results showed several peritoneal tumors of various sizes.

The patient elected to have the tumors removed. An incision was made to access the intra-abdominal peritoneal cavity, where four tumors were identified, measured, and excised.

The largest was 2 cm, two were 1 cm each, and the smallest was 0.5 cm. Pathology report indicated the tumors were malignant.

What CPT® and ICD-10-CM coding is reported7

Options:

A.

49186. C76.2

B.

49187, C76.2

C.

49186. C48.2

D.

49189. K66.8

Buy Now
Questions 104

Patient has esotropia of the right eye and presents to operating suite for strabismus surgery. The physician resects the medial rectus horizontal and lateral rectus muscles of the eye and secures them with adjustable sutures. Extensive scar tissue is noted, due to a previous surgery involving an extraocular muscle. Extraocular muscle is isolated, and the muscle is freed from surrounding scar tissues.

What CPT® codes are reported for this surgery?

Options:

A.

67314, 67334

B.

67316, 67335

C.

67312, 67335

D.

67311, 67334

Buy Now
Questions 105

Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1

Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.

Operation performed: Excision of right thigh benign congenital>1

nevus, excision size with margins 4.5 cm and closure size 5 cm.

Anesthesia: General.0

Intraoperative antibiotics: Ancef.0

Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general

anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.

Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.

This was passed to pathology for review. The wound required □ limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.

The patient was then cleaned and turned over to anesthesia for S extubation.

She was extubated successfully in the operating room and taken S to the recovery room in stable condition. There were no complications.

What CPT® codes are reported?

Options:

A.

35875-RT, 75716-26

B.

35876-RT, 75710-26

C.

35875-RT, 75710-26

D.

37184-RT, 75716-26

Buy Now
Questions 106

What is the HCPCS Level II code for a standard wheelchair?

Options:

A.

K0010

B.

K0002

C.

K0001

D.

E1130

Buy Now
Exam Code: CPC
Exam Name: Certified Professional Coder (CPC) Exam
Last Update: Jan 31, 2026
Questions: 354
$57.75  $164.99
$43.75  $124.99
$36.75  $104.99
buy now CPC