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CPC Practice Exam D Question 1

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103 Questions

For the destruction of three benign lesions, which CPT® code should be reported?

17110

What does the parenthetical note under CPT® code 27096 indicate?

It includes fluoroscopic or CT guidance.

What is the correct CPT® code for a percutaneous vertebroplasty procedure on a lumbar vertebra?

22511

What type of guidance is used in the vertebroplasty procedure to restore the vertebral body?

Radiological guidance

What anatomical location was involved in the discectomy performed using endplate curets and rongeurs?

Cervical spine

Which procedure involved the use of Caspar posts, endplate curets, and Kerrison rongeurs?

Discectomy at C5-C6

Which of the following codes should be used to report the laceration on the chin that required a layered closure?

12052

Which combination of CPT codes should be used to report the lacerations on the forehead, right cheek, and left cheek?

13132, 13133 x 3

What CPT code should be used for a circumcision performed with a clamp and without a dorsal penile or ring block?

54150

What CPT code(s) should be used to report the laceration on the chest?

13101, 13102

Which of the following is the correct combination of CPT codes to report the repairs for the 17-year-old girl involved in the motor vehicle accident?

13132, 13133 x 3, 13101, 13102, 12052

What CPT and ICD-10-CM codes should be reported for a 25-year-old female patient with a molar pregnancy?

59870, O01.9

Which CPT code(s) should be reported for a 55-year-old man who underwent prostate biopsies with ultrasonic guidance?

55700, 76942-26

How many benign lesions were destroyed on the patient's face?

3

Which CPT code(s) should be used to report the destruction of the five actinic keratoses on the patient's left arm?

17260 x 5, 17110 x 3

What is the appropriate CPT code for the removal of an ovarian cyst and a necrotic left ovary and fallopian tube in a 30-year-old disabled Medicare patient?

58925, 58720-59

Which CPT code should be reported for an injection performed to anesthetize a nerve located between two ribs to block chest wall pain?

64475

What CPT code should be used for a circumcision performed without the use of a clamp, device or dorsal slit?

54161

What CPT® code should be reported for a patient who had a proctosigmoidoscopy and had two internal hemorrhoids removed by rubber band ligation?

46945

In the scenario where a patient had a flexible sigmoidoscopy to remove three benign polyps using hot biopsy forceps, which CPT® code should be reported?

45346

For a patient who had thoracentesis to obtain pleural fluid for examination without imaging guidance or biopsy, what is the appropriate CPT® code?

32400

Which CPT® code applies to a patient undergoing an arteriovenous fistula creation through an upper arm basilic vein transposition?

36819

If a patient received an interbody Kineflex-C device at C5-C6 with decortication of endplates, what CPT® code is appropriate for this procedure?

22856

For a neonatal male who underwent an elective circumcision with a ring block for local anesthesia, what should be the CPT® code for this procedure?

54160

Which CPT® code is reported for a single intercostal nerve block injection?

64420

For the repair of ectropion on both lower eyelids, with different procedures performed, which CPT® codes and modifiers should be reported?

67916-E4, 67914-E2

For a blood patch performed by epidural injection to repair a CSF leak from a previous lumbar puncture, the correct CPT® code is:

62273

A patient presents with a peripheral retinal break, and the ophthalmologist performs laser photocoagulation to seal the retina. The appropriate CPT® code is:

67145

A patient presents to the emergency department with low back pain and nausea. After diagnostic tests reveal kidney stones, which diagnosis codes should be reported?

N20.0, M54.5, R11.2

For the emergency department visit with a final diagnosis of kidney stones, which E/M code is most appropriate?

99283

What is the appropriate E/M category to report for a patient who is seeking a second opinion for his sleep apnea without a referral?

New Patient Office Visit (99202-99205)

Which symptoms are associated with kidney stones based on the provided information?

Back pain and nausea

In the context of anesthesia coding, which modifier is used by the anesthesiologist to identify medical direction?

QK

For a liver transplant pre-op visit lasting 60 minutes, which E/M codes should be reported along with a prolonged services code?

99215, 99417

What is the appropriate anesthesia code for an open pleura biopsy without one lung ventilation?

00540-QZ

According to ICD-10-CM guidelines, when should signs and symptoms associated routinely with a disease process be assigned as additional codes?

Never

What CPT code is appropriate for anesthesia provided during a carpal tunnel nerve release?

01810-AA, 64417-59

When should the anesthesia time for a procedure be calculated from?

When the patient is prepped for surgery

For a patient with gestational diabetes sent for a biophysical profile (BPP), who would perform the non-stress test?

The obstetrician in the office

Which CPT code is used for performing selective catheterization of the right renal artery and renal angiography?

36251-RT

When is modifier AA used in anesthesia coding?

To indicate the anesthesia was performed by an anesthesiologist

What is the CPT® coding for the radiation treatment management in the given scenario?

77427

What is the correct CPT® code for the surgical specimen removed from the proximal jejunum during a resection for adenocarcinoma?

88309

Which of the following CPT® codes should be reported for the removal of an ovarian cyst and a necrotic left ovary and fallopian tube in a 30-year-old disabled Medicare patient?

58940

What CPT® code should be reported for a patient who had a proctosigmoidoscopy and had two internal hemorrhoids removed by rubber band ligation?

45345

What CPT® code should be reported for a circumcision performed with a clamp and without a dorsal penile or ring block?

54160

What CPT® code should be used for a single intercostal nerve block injection?

64420

Which CPT® code is reported for the lipid panel test performed on the patient?

80061, 82947

What is the correct CPT® code for the therapeutic drug test to measure the level of lithium in the patient's blood?

80178

What CPT® code(s) should be reported for the one hour and 10 minutes of hydration therapy performed on the dehydrated patient?

96360

What is the correct CPT® code for the left heart catheterization retrograde from the femoral artery with selective coronary angiography and left ventriculography performed in the hospital?

93452-26

Which CPT® code should the physician report for the osteopathic manipulative treatment (OMT) performed on the patient's cervical and thoracic regions?

98940

What CPT® code is reported for the 12-hour continuous EEG recording without video monitoring to determine the focus of the patient's cerebral seizures?

95717

What is the definition of orchitis?

Inflammation of testis

Which of the following is a common symptom associated with kidney stones?

Both nausea and low back pain

What is the purpose of modifier AA when used in anesthesia coding?

To identify the anesthesiologist's personal performance of the anesthesia service

What CPT code is used for performing selective catheterization of the right renal artery and renal angiography?

75726

What CPT code should be reported for the procedure of implanting a dual chamber transvenous implantable pacing cardioverter-defibrillator (ICD) system with leads?

33249

What is the purpose of the subclavian venogram performed during the ICD implantation procedure?

To provide a roadmap for lead placement

What was the purpose of inducing ventricular fibrillation during the ICD implantation procedure?

To test the defibrillator function

What was the purpose of irrigating the subcutaneous pocket with a Bacitracin solution during the ICD implantation?

To reduce the risk of infection

Why was the ventricular lead maneuvered to the right ventricular outflow tract and then the RV apex?

To achieve optimal pacing and sensing thresholds

What was the purpose of anchoring the atrial and ventricular leads to the pre-pectoralis fascia with sutures?

To prevent lead migration

What was the reason for creating a subcutaneous pocket for the ICD generator?

To provide a secure location for the generator

What was the purpose of closing the deep fascial layer with Vicryl sutures during the ICD implantation?

To strengthen the pocket closure

What was the purpose of measuring the high voltage impedance at the end of the ICD implantation procedure?

To evaluate the overall system integrity

What was the reason for applying a dry dressing over the wound after the ICD implantation procedure?

To protect the incision from contamination

Which ICD-10-CM codes should be assigned for a patient who developed congestive heart failure as an adverse effect of Trastuzumab therapy for breast cancer?

I50.9, T45.1X5A, C50.919

What ICD-10-CM code should be assigned for a patient with a history of symptomatic HIV who has been treated for an HIV-related illness?

B20

For a newborn male infant delivered by cesarean section due to fetal heart rate decelerations during labor, with evidence of intrauterine growth retardation and Apgar scores of 3 and 5, which ICD-10-CM codes should be assigned?

Z38.01, P00.0, P03.811, P05.9

If a patient with HIV is treated for an HIV-related illness, which ICD-10-CM code should be assigned?

B20

For a newborn delivered by cesarean section due to fetal heart rate decelerations, with intrauterine growth retardation and low Apgar scores, which ICD-10-CM code should be assigned for the fetal heart rate decelerations?

P03.811

Which ICD-10-CM code should be assigned for a patient with congestive heart failure as an adverse effect of Trastuzumab therapy for breast cancer?

All of the above

According to the guidelines, when should the code Z38.01 be reported for a newborn?

At the time of birth

For a patient with symptomatic HIV who is not currently receiving treatment for an HIV-related illness, which ICD-10-CM code should be assigned?

B20

Which ICD-10-CM code should be assigned for a patient with a history of symptomatic HIV but no current HIV-related illness or treatment?

Z20.6

For a newborn with intrauterine growth retardation, which ICD-10-CM code should be assigned?

P05.9

Which place of service code is reported for a service rendered in the Emergency Department?

23

What HCPCS Level II code(s) would be reported for a 67-year-old patient receiving diabetes self-management training with the office's dietitian?

G0109 x 2

In the context of Z codes, which category can ONLY be reported as a first listed diagnosis code?

Z58

Which of the following actions would constitute an example of fraud?

Performing a biopsy and excision on the same skin lesion during the same encounter

What is the full CPT® code description for code 61535?

Craniotomy with elevation of bone flap; for subdural implantation of an electrode array...

Which HCPCS Level II code(s) should not be reported for the dietetic training session described?

A9275, A4211

What is the correct description for CPT® code 61535?

...subdural implantation of an electrode array...

Which one of the following best represents a fraudulent claim?

...performing a biopsy and excision on the same skin lesion...

Which Z code category must be reported as a first listed diagnosis code only?

...Z58...

'Reporting a lab panel with an additional lab test that is not included' is an example of what practice?

...unbundling...

What is the medical term for the condition where the patient has several small cysts found near the fallopian tubes during a laparoscopic procedure?

Paratubal cysts

Which patient might be documented as having meconium staining?

Newborn with pneumonia

Which of the following anatomical sites have septums?

Nose, heart

What is the medical term for the spinal deformity where the anterior curvature of the lumbar spine is excessive?

Lordosis

What are the appropriate diagnosis codes for a 35-year-old female patient with acute and chronic bronchitis due to smoking?

J41.0, J20.9, Z72.0

What is the medical term for the inflammation or infection of the testicles?

Orchitis

Where in the ICD-10-CM coding system would you find the code for paratubal cysts?

Alphabetic Index under 'Cyst/paratubal'

What is the medical term for the wall that divides the two nostrils?

Septum

Which anatomical site is affected by the spinal deformity known as lordosis?

Spine

Which of the following best describes the medical term 'meconium staining'?

Discoloration of the amniotic fluid or newborn due to fetal stool

Which CPT code is reported for the initial insertion of a transvenous implantable pacing cardioverter-defibrillator system (ICD) with leads inserted in the atrium and ventricle?

33249

For the endoscopic retrograde cholangiopancreatogram (ERCP) with stent placement and antral biopsy, which CPT codes are reported?

43274, 43261-51

What is the indication for the endoscopic retrograde cholangiopancreatogram (ERCP) procedure performed on the 50-year-old male patient?

All of the above

What is the description of the procedure performed on the patient?

The patient was taken to the fluoroscopy suite, an Olympus side-viewing therapeutic scope was inserted through the mouth to the second portion of the duodenum, the common bile duct was cannulated, a cholangiogram was obtained, and a 12 cm stent was deployed for biliary drainage.

What is the patient's medical history that is relevant to the ERCP procedure?

Both A and B

What is the outcome of the ERCP procedure performed on the patient?

The patient tolerated the procedure well, and there were no immediate complications.

Test your CPC exam readiness with this practice question. Determine the correct CPT codes for a scenario involving multiple lacerations on a patient after a motor vehicle accident.

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