Medicine

1. Colin had a comprehensive audiometry threshold evaluation and speech

recognition testing to the left ear. What code(s) capture this procedure?
a. 92557-52
b. 92553, 92556
c. 92557
d. 92700-59

2. An adult patient had the following immunizations with administration:

 Yellow fever vaccine, subcutaneous injection
 Hepatitis B (adult dose) vaccine, intramuscular injection
 Typhoid , vaccine, live,oral
 How would you report these services?

a. 90460, 90461 x 2, 90717-51, 90746-51, 90727-51

b. 90471,+ 90472 ,+90474 ,90717, 90746, 90690
c. 90473, 90474 x 2, 90746, 90727, 90717
d. 90471, 90472 x 2, 90727-51, 90746-51, 90717-51

3. Sally suffered from dehydration after running a marathon. She was taken into
her primary care doctor’s office. Dr. Small checked Sally and ordered hydration
therapy with normal saline. The hydration lasted 45 minutes. How would you
report this service?
a. 96365, 96361
b. 96369
c. 96360
d. 96360, 96361

4. A patient had a bronchoscopy with destruction for relief of stenosis by laser

therapy. During this procedure photodynamic therapy by endoscopic application of
light was used to ablate abnormal tissue via activation of photosensitive drugs. The
photodynamic therapy lasted 60 minutes. How would you report this procedure?
a. 31645, 96567
b. 96567 x 2
c. 31643, 96570-51, 96571-51
d. 31641, 96570, 96571 x 2

5. Dr. George asked the local pharmacist to review Ann’s new medications with
her when she picked them up. Ann is a new patient who just moved into the area
and required several new medications. Ann is hard of hearing and had a difficult
time understanding Dr. George when he called her. The pharmacist spent 35
minutes with Ann and documented a review of her history, recommendations for
improving health outcomes, and treatment compliance. The pharmacist faxed this
note back to Dr. George’s office. How would the pharmacist report his services?
a. 99605, 99607x2
b. 99605, 99607
c. 99607 x 3
d. 99213

6. What code would report an internet assessment and management service

provided by a qualified non-physician healthcare professional to an established
patient not originating from a related assessment and management service provided
within the previous seven days for 5-10 mins of time?
a. 96150
b. 99444
c. 98970
d. 96151

7. A 13 year old patient suffering from ESRD received a full month of

services,including growth and development assessment,parent counseling, and
monitoring of adequate nutrition with 2-3 face to face with physician. .These
services were completed in an out patient facility.How would the physician report
these services?

a.90958
b.90961
c.90965
d.90969

8. Jane has a family history of skin melanoma. Her primary care doctor asked for a
consult with Dr. John. During Jane’s first visit with her new dermatologist, Dr.
John, he documented a comprehensive history, comprehensive examination, and
medical decision-making of moderate complexity. Dr. John also performed a
whole body integumentary photography for monitoring of Jane’s skin. Dr. John
sent a report back to her PCP and told Jane she should return in one year or before
then if anything should change on her skin. What code(s) would you use to report
Dr. John’s services?
a. 99244-25, 96904
b. 99213
c. 96904
d. 99204, 96904

9. What services can you report in addition to the general ophthalmological

services or evaluation and management services?
a. Intermediate ophthalmological services
b. Special ophthalmological services
c. Only new patient general ophthalmological services
d. Only established patient general ophthalmoligical services

10. A patient wit adrenocortical carcinoma represents for chemotherapy

administration at the infusion center.Th infusion was started with 1000cc of normal
saline.Doxorubicin Hcl at 50mg was added and then cisplatin 40 mg was added
and infused 2 hours.At the end of 2 hours , the IV was disconnected and the patient
was discharged.What codes are reported?

a.96413, 96415, J9000, J9060, z51.11, c74.00

b.96413, 96415, Q2050 x 5, J9060 x 4, Z51.12, c79.70, c80.1
c.96413, 96415, 96360-51, 96361, Q2050 x 5 , J9060 x 4,J7050 x 2,Z15.11,c74.00
d.96415, 96360-59, J9000, J9060, z51.0, c79.70,c80.1

11. 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 one is the influenza (live) 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. 90712, 90656, 90716, 90460,+ 90461 x 1
C. 90713, 90660, 90716, 90471, +90472, +90474
D. 90713, 90658, 90716, 90471, +90472, 90473
12. A patient with chronic renal failure is in the hospital being evaluated by his
endocrinologist 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

13. An established patient had a comprehensive exam in which she has been
diagnosed with ocular surface disease in both eyes. The ophthalmologist measures
the cornea for placement of the soft contact lens for treatment of this syndrome.
What codes are reported by the ophthalmologist?
A. 92014-25, 92071-50 B. 99214-25, 92325-50
C. 92014-25, 92325-50 D. 92014-25, 92310

14. 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(s)
should be reported?

A.99211, 92520 B.92700 C. 92520-52 D. 99211, 92700-52

15. A new patient is having a cardiovascular stress test done in his cardiologist’s
office. Before the test is started the physician documents a comprehensive history
and exam and moderate complexity medical decision making. The physician will
be supervising and interpreting the stress on the patient’s heart during the test.
What procedure code should be documented for this encounter?
A. 93015-26, 99204-25
B. 93016, 93018, 99204-25
C. 93015, 99204-25
D. 93018-26, 99204-25
16. 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 should be reported
for this encounter?
A. 96360
B. 96360, 96361
C. 96365, 96366
D. 96422

17. A patient with dual lead implantable cardioverter -defibrillator has his
physician initiate remote monitoring of the ICD and of cardiovascular monitor
functionality (within the ICD),to help diagnosis the patient with what he suspects is
let sided heart failure. over the course of 90 days the physician remotely analyzes
recorded data from the device, including left arterial pressure, ventricular pressure
and the patient’s blood pressure.He also remotely analyzes data from the
defibrillator , including the heart hythms and pace.After analyzes and review the
physician completes reports on both.During this time period there was also one in
–person interrogation of the ICM device and one in-person encounter for
programming and adjusting the ICD device to ensure test functions and to optimize
programming.
A. 93297x3,93295,93290,93283
B. 93297,93295,93290,93283
C. 93297,93295,93283
D. 93297x3,93295,93283

18. Patient with hemiparesis on the dominant side due to having a CVA lives at
home alone and has a therapist at his home site to evaluate meal preparation. The
therapist observes the patient’s functional level of performing kitchen management
activities within safe limits. The therapist then teaches meal preparation using one
handed techniques along with adaptive equipment to handle different kitchen
appliances. The total time spent on this visit was 45 minutes. Report the CPT® and
ICD-9-CM codes for this encounter.
A. 97530 x 3, 436, 342.91
B. 97535 x 3, 342.91, 438.21
C. 97530 x 3, 438.21, 436
D. 97535 x 3, 438.21
19.10-year-old patient had a recent placement of a chochlear 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. 92562
D. 92626

20. 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

21. A patient presents to her oncologist’s office for schedule chemotherapy. The
patient is severely dehydrated. The physician decides to schedule the
chemotherapy for another day and orders hydration therapy to be performed today
instead of the chemotherapy. The therapy is ordered and administered for one hour
and 10 minutes. Select the code(s).
A. 96413-53, 96360 B. 96360
C. 96360, 96361 D. 96413, 96361

22. Left heart catheterization retrograde from the femoral artery with injection
procedures for selective coronary angiography and selective left ventriculography,
including imaging supervision and interpretation with report, are performed. The
cardiologist performed all of the services at the hospital. The CPT® codes are:
A. 93458 C. 93452, 93454
C. 93452, 93563 D. 93458, 93565

23. The correct code for OMT performed on the cervical, thoracic and sacral
regions would be:
A. 97110 B. 98941
C. 98926 D. 97124
24. Marry, who has food allergies , came to her physician for her weekly allergen
immune therapy that consists of two injections prepared and provided by
physician. Report the correct code
A. 95125 B. 95117
C. 95131 D. 95146

25. A pediatrician is managing the care of a patient who is at home on a ventilator

under the care of a home health agency. The patient has cystic fibrosis and is
suffering from recurrent pneumonia. The MD did the initial plan of care for the
home health agency and now is following this monitor vent management oversight
on day 20. The provider has a total 45 minutes for this month how should he code?
A. 94002 B. 94003
C. 94005 D. 94004

26. Left heart catheterization retrograde from the femoral artery with injection
procedures for selective coronary angiography and selective left ventriculography ,
including imaging supervision and interpretation with report. The cardiologist
performed all of the services at the hospital. what is the correct CPT code?
A. 93458
B.93452,93454
C.93452,93563
D. 9358,93565

27. Mary, who has food allergies, came to her physician for her weekly allergen
immune therapy that consists of two injections prepared and provided by the
physician. The correct code is:
A. 95125 B. 95117
C. 95131 D. 95146

28. Photodynamic therapy involving application of light externally to destroy

premalignant lesions on the lower lip was provided to a 63-year-old patient. Code
the encounter.
A. 96570 B. 96999
C. 96567 D. 96913
29. The patient presents to see the nurse for his scheduled vitamin B12 injection.
The physician ordered the injection at the patient’s last visit. The physician is in
the office seeing other patients. The nurse administers the 1000 mcg of vitamin
B12 intramuscularly. She schedules the patient for his next appointment.
A. 99211-25, 96372, J3420 B. 99211-25, J3420
C. 96372, J3420 D. 96401, J3420

30. 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. 92562 D. 92626

31. Mae’s physician asked her to wear a glucose monitoring device to obtain more
accurate information about her blood sugars. She had sensors placed and was then
hooked up to a calibrated wearable device. Once this was complete, the technician
provided Mae with training for the noninvasive ambulatory continuous glucose
monitoring device. After wearing the device for 72 hours, Mae’s physician’s office
removed the device, printed recordings, and downloaded analyses reports to its
computer system. Which code captures this service?
a. 99090
b. 99091
c. 95250
d. 95251

32. Photodynamic therapy involving application of light externally to destroy

premalignant lesions on the lower lip was provided to a 63 year old patient.
encounter the correct code.
a. 96570
b. 96999
c. 96567
d. 96913

33. A 19-year-old patient received immunizations at her health clinic. The

immunizations were administered by a medical assistant at the same clinic. The
patient was seen two weeks ago but was unable to complete the immunizations due
to a stomach virus. Today, she is symptom free and receives an intramuscular
H1N1 influenza pandemic formulation, preservative-free vaccine and an
intramuscular hepatitis A immunization. Which codes capture these services?
a. 99211-25, 90633, 90667, 90473-51, 90474-51
b. 99213-25, 90632-51, 90666-51, 90471-51, 90472-51
c. 90460, 90470, 90632-51, 90632-51
d. 90632, 90663, 90471, 90472

34. What codes are not reported in conjunction with the following code descriptor?
Comprehensive electrophysiologic evaluations including insertion and
repositioning of multiple electrode catheters with indication or attempted induction
of arrhythmia; with right atrial pacing and recording, right ventricular pacing and
recording, and His bundle recording
a. 93600, 93602, 93610, 93612, 93618, 93619
b. No codes are restricted from conjunction reporting with 93620
c. 93600-51, 93602-51, 93610-51, 93612-51, 93618-51, 93619
d. Both a & c

35. An 11-year-old female had one face-to-face visit with her physician and
received three daily dialysis services during a one-month period prior to her kidney
transplant. How should these services be reported?
a. 90945
b. 90968 x 3
c. 90964 x 3
d. 90956

36. Which codes should be reported for the following case?

Preoperative diagnosis: Coronary arteriosclerosis of native arteries, chronic
occlusion of coronary arteries
Postoperative diagnosis: Same
Anesthesia: Conscious sedation by procedure physician with presence of trained
observer
Procedure: The 64-year-old patient was prepped, draped, and positioned in the
usual fashion. After adequate sedation was administered, an access site into the
right femoral artery was achieved. The catheter devices were advanced into
position. Extensive review of the current anatomy was completed along with
review of the previous catheterization. The procedure continued as planned with
placement of two drug-eluting stents in the left circumflex, PTCA to the right
coronary artery, and atherectomy for occlusion in the left anterior descending
artery. Adequate flow was reviewed and confirmed via angiograms upon
completion of the procedures. The guiding catheter was withdrawn after flow
confirmation. Total intraservice time was noted at 1 hour 30 minutes. The sheath
was secured to the groin with a suture and the patient was moved to recovery in
good condition. Standing orders were given for sheath removal when the heparin
effects are noted as normal through blood tests. Normal pressure is to be applied at
the groin as needed with placement of a sandbag or ice bag.
a. 414.01, 414.2, 92980-LC, 92984-RC, 92996-LD
b. 414.2, 424.0, 92980, 92984, 92996
c. 414.2, 424.0, 92980, 92982-51, 92995-51
d. 424.0, 414.2, 92980-LC, 92984-RC, 92996-LD, 99144, 99145 x 2

37. A patient suffering from nystagmus completed a basic vestibular function

evaluation with testing and recording in five different positions with gaze fixation;
optokinetic, bidirectional, foveal, and peripheral stimulation; and oscillation. An
additional vertical electrode and vertical axis rotational testing was employed
during testing. How should this procedure be reported?
a. 92545, 92541-59, 92542-59, 92540-59
b. 92540, 92545, 92542, 92546, 92547
c. 92540, 92546, 92547
d. 92545, 92547-51

38. A patient underwent a left heart catheterization by transseptal puncture through

an intact septum with image supervision and interpretation and intraprocedural
injection for left ventriculography. During the procedure, pharmacologic agents
were administered and measured. An arm ergometry was employed for exercise
study to assess hemodynamics before and after the procedure. How should this
procedure be reported?
a. 93458, 93462, 93463, 93464 x 2
b. 93452, 93566, 93462, 93463, 93464 x 2
c. 93452, 93566, 93462, 93463, 93464 x 2
d. 93452, 93462, 93463, 93464

39. A patient completed a diagnostic computerized ophthalmic scan of the retina

on both eyes. The physician’s interpretation and report included changes to the
retina in the right eye from a previous study. The left retina looked stable with no
changes noted. The patient is scheduled for a follow-up study in three weeks to
assess any new changes and treatment as needed. How should the physician report
her services?
a. 92132-50, 92134-26
b. 92132
c. 92134
d. 92134-50

40. Cameron received 60 minutes of insight-oriented psychotherapy in an

outpatient facility. During this same visit, Cameron complained of an upset
stomach due to his new medications. The medications were reviewed and new
medications were prescribed, a flare-up of his seasonal allergies was documented,
and a persistent cough is noted. The documentation included the psychotherapy
notes with an additional 35 minutes dedicated to a problem-focused history,
problem-focused examination, and low-complexity decision-making. How would
the physician services be reported?
a. 90837
b. 99213-25, 90838
c. 90838
d. 99213-25, 90837