Question 1

Lab test: rubella antibody

Accepted Answer

86762 (path: rubella-antibody)

Question 2

Diagnostic Colonoscopy

Accepted Answer

45378 (path: Endoscopy-Colon-Exploration)

Question 3

Incision and drainage of suppurative hidradenitis of arm

Accepted Answer

10060 (path: Hidradenitis-suppurative-incision & drainage-simple or single)

Question 4

reference codes 49491-49525for inguinal hernia repair; what is the correct code for an initial inguinal herniorrhaphy for incarcerated hernia (patient is 47 years old)?

Accepted Answer

49507 (path: hernia repair-inguinal-initial 5 years or older-incarcerated or strangulated)

Question 5

reference codes 11200-11201 for removal of skin tags; what is the correct code for removal of 16 skin tags? (2 codes)

Accepted Answer

11200, 11201 (path: removal-skin tags)

Question 6

reference 11920-11222 for tattooing; what is the correct code(s) for tattooing of 40sq cm of skin? (2 codes)

Accepted Answer

11921, 11922 (path: tattoo-skin) if you read not after looking in tabular it says use 11922 in conjunction with 11921)

Question 7

simple anterior nasal packing for epistaxis

Accepted Answer

30901 (path: Epistaxis 30901-30906)

Question 8

gait training, 15 minutes

Accepted Answer

97116 (path: gait training)

Question 9

assign the correct CPT surgical code to the following; do NOT append modifiers for this exercise cystourethroscopy with biopsy

Accepted Answer

52204 (path cystourethroscopy-biopsy)

Question 10

blepharoplasty of the upper eyelid

Accepted Answer

15822 (path blepharoplasty, upper eyelid) (no modifier as upper eyelid is in the description)

Question 11

insertion of temporary prostatic urethral stent

Accepted Answer

53855 (path: prostate-urethra-stent insertion, temporary)

Question 12

reference codes 31360-31368 for laryngectomy; what is the correct code assignment for a laryngectomy with subtotal supraglottic and radical neck dissection?

Accepted Answer

31368 (path: laryngectomy-subtotal, supraglottic, with radical neck dissection)

Question 13

what is the correct code assignment for destruction of 2 groups of internal hemorrhoids with use of infrared coagulation

Accepted Answer

46930 (path: hemorrhoids-destruction)

Question 14

closed treatment of two rib fractures (2 codes)

Accepted Answer

21800, 21800 (path: rib-fracture-closed treatment) remember, two ribs...two codes

Question 15

the patient reports that her breasts are too large and as a result she experiences severe back and shoulder pain. The physician performs a reduction mammoplasty

Accepted Answer

19318-50 (path: mammoplasty-reduction) Note: to report bilateral procedure, report modifier 50 w/ procedure code

Question 16

Arthroscopic medial meniscectomy and chondroplasty of lateral compartment, left knee. (2 codes)

Accepted Answer

29881-LT, 29887-59-LT (path: arthroscopy-knee-with chondroplasty) left (then: just have to know drilling for intact osteochondritis w/ fixation is done also) 59 distinct proc. serv)

Question 17

bilateral maxillary sinusotomies

Accepted Answer

31020-50 (path: sinus-maxillary-incision) Note: to report bilateral, use 31020 w/ modifier 50

Question 18

arthrocentesis, ring finger of left hand

Accepted Answer

20600-F3 (path: arthrocententesis-small joint) F3 modifier for left hand, fourth digit)

Question 19

closed reduction of fractured phalange, 5th digit right foot

Accepted Answer

28515-T9 (path: fracture-phalange-closed treatment, other than great toe, with manipulation each) T9 for right foot fifth digit

Question 20

a moribund 35-year-old patient undergoes an incisional hernia repair (lower abdomen); assign the anesthesiology code only.

Accepted Answer

00832-P5 (path anesthesia-abdomen-hernia repair, ventral and incisional hernias) P5 modifier for a moribund patient not expected to survive without the procedure

Question 21

incision and drainage of carbuncle on left hip

Accepted Answer

10060-LT (path: insision and drainage-carbuncle-skin, simple or single) LT modifier for left hip

Question 22

Physician performs a suture repair of entropion of left lower eyelid

Accepted Answer

67921-E2 (path: repair-eye-eyelid-entropion-suture) E2 modifier for lower left eyelid

Question 23

Physician performs bilateral vasectomy

Accepted Answer

55250 (path: vas deferens-excision, vasectomy, unilateral or bilateral) if one or the other do we need to specify??50 or specifiy 52 if only one is done?

Question 24

anesthesia for repair of cleft palate, otherwise healthy child

Accepted Answer

00172-P1 (path: anesthesia-cleft palate) p1 modifier for a normal healthy patient

Question 25

Append CPT/HCPC modifiers to the codes: Extracapuslar catarct extraction with insertion of Lens OS - 66984

Accepted Answer

66984-LT

Question 26

Anesthesia for permanent transvenous pacemaker insertion, mild system disease

Accepted Answer

00530-P2 (path: anesthesia-pacemaker insertion) p2 modifier for a patient with mild systemic disease

Question 27

Physician office record. Physician monitors the management of a patient who is taking long term warfarin therapy; during this initial 90 day period, the physician monitors the dosage with appropriate testing. What is the correct E/M code for the service?

Accepted Answer

99363 (path: Case Management Services-Anticoagulant Management)

Question 28

Office Visit. Date of service 11.24.10 Last date of treatment 07.12.09The patient is seen for a routine blood pressure check; nurse documents BP: 135/90. Nurse asks about diet and exercise program; patient offers no complaints. What is the correct E/M code for this service?

Accepted Answer

99211 (path: E/M-established patient-that may not require the presence of a physician)

Question 29

office visit Date of service: 9.28.10 last date of treatment: 8.03.06 The patient is seen for a chief complaint of shortness of breath and fatigue; the physician performs a detailed history, comprehensive exam and medical decision making is of moderate complexity. What is the correct E/M code for this service?

Accepted Answer

99203 (path: E/M-new patient because is has been more than 3 years since last date of treatment-requires 3 key components) 99204 is only 2 of the 3 so go back to 99203)

Question 30

Consultation Cardiologist asked to render an opinion for a new patient who was admitted to the hospital; the physician performs a comprehensive history and physical exam and the medical decision making was of moderate complexity. what is the correct E/M code for this service?

Accepted Answer

99254 (path: E/M-Consultation-inpatient (because it says admitted) Comprehensive history & exam, MDM moderate (all 3 required because patient is new)

Question 31

Assign E/M Codes to the following: Office visit Date of service 01.03.10 last date of treatment 02.17.07 The patient is seen for a cough and sore throat; the physician performs a problem focused history, expanded problem focused exam and medical decision making is straightforward. What is the correct E/M code for the service?

Accepted Answer

99212 (path: E/M- barely under three year due to month?

Question 32

Skilled Nursing home disit. Date of service 01.09.10 last date of treatment 12.22.09 Physician performs a detailed interval history, comprehensive exam and medical decision making is of moderate complexity; in addition the physician reviewed the medical record and the recent lab results. What is the correct E/M code for this service?

Accepted Answer

99309

Question 33

Closed manipulation of right radial shaft fracture (1)

Accepted Answer

25505-RT

Question 34

Puncture aspiration of a cyst of the left breast (1)

Accepted Answer

19000-LT

Question 35

An asymmetric nevi, total excision size of 2.0-cm x 3.0-cm was removed from the patient\'s back; pathology report identified the specimen as intradermal nevi. What is the correct CPT code assignment for this procedure?

Accepted Answer

11403

Question 36

What is the correct CPT code assignment for electrosurgical removal of 3 nevi of the arm (size approximately 2.0-cm, 1.5-cm, 0.5-cm)? (3 codes)

Accepted Answer

17000, 17003, 17003

Question 37

The surgeon replaces the peripherally inserted central venous catheter (PICC) through same access. (1)

Accepted Answer

36584

Question 38

Arthrotomy into the left ring finger to remove a piece of metal (1)

Accepted Answer

26080-F3

Question 39

The surgeon performs an open thrombectomy of an AV fistula, without revision of the dialysis graft; what is the correct CPT code assignment for this procedure?

Accepted Answer

36831

Question 40

With the use of laser, the physician removed 2 benign lesions on the right side of the back.

Accepted Answer

17110

Question 41

The surgeon created a twist drill hole for evacuation of a subdural hematoma

Accepted Answer

61108

Question 42

Initial repair of incarcerated ventral hernia with insertion of mesh ( 2 codes)

Accepted Answer

49561, 49568

Question 43

What is the correct CPT code assignment for hysteroscopy with lysis of intrauterine adhesions?

Accepted Answer

58559

Question 44

A patient was taken to the endoscopy suite; the endoscope was passed into the esophagus and continued into the stomach and into the duodenal bulb. Based on this documentation, what CPT code would be selected to represent this procedure?

Accepted Answer

43235

Question 45

Cystoscopy, ureteroscopy with lithotripsy and insertion of indwelling ureteral stent (2 codes)

Accepted Answer

52332, 52353

Question 46

The physician documented the following surgical procedure for treatment of chronic otitis media: myringotomy with insertion of ventilating tubes in both ears; performed under general anesthesia. What is the correct CPT code assignment for the procedure?

Accepted Answer

69436-50

Question 47

Hysteroscopy with D&C and removal of fibroid (2 codes)

Accepted Answer

58558, 58561

Question 48

EGD with removal of a piece of a chicken bone

Accepted Answer

43247

Question 49

Shaving of 1.5-cm epidermal lesion, scalp

Accepted Answer

11307

Question 50

Repair of nail bed, third digit-left hand

Accepted Answer

11760-F2

Question 51

Patient had a laparoscopic incisional herniorrhaphy for a recurrent reducible hernia; the repair included insertion of mesh. What is the correct code assignment? (2 codes)

Accepted Answer

49656, 49568 ( Have a question on this one in to Mis Jean - don\'t think 49568 should be included per the note)

Question 52

The physician performs an exploratory laparotomy with bilateral salpingo-oophorectomy; what is the correct CPT code assignment for this procedure?

Accepted Answer

58720

Question 53

a patient undergoes a retrograde urethrocystogram; the same physician performs both the injection and the supervision and interpretation. What is the correct CPT code assignment for the physician? ( 2 codes)

Accepted Answer

51610, 74450

Question 54

a single view, frontal x-ray of the chest was taken and the radiologist provided only the supervision and interpretation for the procedure; what is the correct CPT code assignment for the radiologist\'s service?

Accepted Answer

71010-26

Question 55

the radiologist provides only the supervision and interpretation of a hysterosalpingography; what is the correct CPT code assignment for the radiologist?

Accepted Answer

74740

Question 56

a physician draws blood to test for levels of T3 on a non-medicare patient; the blood is sent to an outside laboratory for analysis. When billing for the physician\'s services, which of the following modifiers should be appended to CPT code 84480?

Accepted Answer

90

Question 57

what is the correct code assignment for bilateral EMG of cranial nerves?

Accepted Answer

95868

Question 58

physician orders part of a hepatic functions panel: serum albumin, total bilirubin, direct bilirubin and SGPT, SGOT. What is the correct CPT code assignment (5 codes)

Accepted Answer

820401, 82247, 82248, 84460, 84450

Question 59

the pathologist performed a gross and microscopic examination of a kidney biopsy; what is the correct CPT code assignment?

Accepted Answer

88305

Question 60

a patient with medicare insurance undergoes a modified radical mastectomy; what would be the correct CPT code assignment for the anesthesiologist\'s services?

Accepted Answer

00404

Question 61

what is the correct CPT code assignment for IM injection of leukine

Accepted Answer

96372

Question 62

69. A MRI of brain (without material) was performed to rule out the diagnosis of cerebral vascular accident

Accepted Answer

70551

Question 63

ultrasound of the gallbladder

Accepted Answer

76705

Question 64

chlamydia culture

Accepted Answer

87110

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