CPC questions 2024 (Set 6)

Anatomy questions:
1. Which one of the following is the surgical repair of anatomic and functional disorders in the eye?

A.Blepharoplasty

B Vitrectomy

C.Ophthalmoplasty

D .Cheiloplasty

2 Which one of the following is creating a surgical incision into a patient's abdomen?

A.Laparotomy

B.Gastrostomy

C.Laparoscopy

D.Gastrotomy

3. Urticaria is commonly called.

A.Hair loss

B.Bruises

C.Scarring

D.Hives

4. What does the suffix -rrhaphy mean?

A.Surgical repair by suture

B.Surgical binding by fusion

C.Instrument for recording data

D.Instrument used for Z plasty

1. The adrenal glands are found in which system?

A.Nervous

B.Integumentary

C.Endocrine

D.Lymphatic

1. Federal healthcare plans include which payer?

A.Humana

B.Meritain Health

C.Medicaid

D.Aetna

Coding guidelines questions

1. According to the Repair (Closure) CPT& guidelines, what type of repair is reported when the repair
involves a layered closure of one or more of the deeper layers of subcutaneous tissue and debridement
of wound edges?

A.Intermediate repair

B.Complex repair

C.Simple repair plus a code for irrigation

D.Simple repair

2. The CPT code book provides full descriptions or medical procedures, although some description a
semicolon () to distinguish among closely related procedures

What is the full description of CPTS code 44361

A.Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum
diagnosis collection of specimen(s) by brushing or washing when performed (separate procedure), with
biopsy, sin

B.Small intestinal endoscopy, enteroscopy beyand second portion of duodenum, not including ileum,
diagnosis or multiple

C.With biopey, single or mult ple

D.Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum,
with biopsy single or multiple

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

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

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

C.Place of service codes are three-digit alpha numeric codes.

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

4. A surgeon performs a percutaneous balloon angioplasty and atherectomy in the femoral/popliteal

artery. According to the endovascular revascularization CPTS guidelines, what is reported?

A.37225

B.37224.37225

C.37227

D.37224

5..In the ICD-10-CM code book, which of the following is NOT true about the abbreviation NOS?

A.It is the abbreviation for "not otherwise specified"

B.It signifies that the record lacks information for assigning a more specific code

C.It is the equivalent of unspecified

D.it signifies that even though the medical record is specific, the condition is not elsewhere classifiable

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

A.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.

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

D.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

7. When a provider's documentation refers to use, abuse, and dependence of the same substance (eg.
alcohol), which statement is correct?

A.If use, abuse, and dependence are documented, report all three codes separately.

B.If both abuse and dependence are documented, assign only the code for abuse.

C. If both use and dependence are documented, assign only the code for dependence.

D.If both use and abuse are documented, assign abuse as the first code and use as the additional code.

ICD question
1..A few days after a bad coughing spell, the patient

developed dyspnea that is occurring episodically throughout the day and night. The physician suspects
he has viral pneumonia and orders a chest X-ray.

What is the ICD-10-CM coding is reported?

A.R06.00

B.J12.9

C.J18.9

D.J12.9, R06.00

2 An elderly patient comes into the emergency department (ED) with shortness of breath. An ECG is
performed. The final diagnosis at discharge is impending myocardial infarction.

According to ICD-10-CM guidelines, how is this reported?

A.R06.02

B.I20.0. R06.02

C.I21.3, R06.02

D.I20.0

4. A patient is diagnosed with benign hypertension and congestive heart failure. The provider indicates
that both conditions are unrelated to each other.
According to ICD-10-CM guidelines on hypertension, how should this encounter be coded?

A.I10,I50.9

B.I11.9

C I13.0,I50.9

D.I11.0 ,I50.9

5. A 44-year-old female patient with chest pains had a CT of her chest that identified a mass in her left
lower lung. The patient currently has ovarian cancer with metastases to the liver. The radiologist
suspects the cancer has spread to her lungs. The physician performed an outpatient bronchoscopic
biopsy and the pathology report documents the mass as a tumor of uncertain behavior.

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

A R91.8. C56.9, C78.7

B.C78.02, C22.9, C79.82

C..C56.9. C78.7, C78.02

D.D38.1, C56.9, C78.7

Integumentary chapter questions :

1. A 25-year-old continues to have flare-ups of acne despite the use of topical medications. The
dermatologist uses cryotherapy to treat the acne.

What CPTS code is reported?

A .10040

B.15780

C.17360

D.17340

3. A surgeon performed Mohs micrographic surgery on a lesion on the right foot. This required one
stage with six tissue blocks.

What CPT& codes are reported for the Mohs surgery?

A.17311,17312,17315

B.17313,17315

C.17313,17314, 17315

D.17311,17315

4. A plastic surgeon performed a rotation flap tissue transfer for a patient with an 8 cm defect across his
upper left cheek. Scar tissue has formed from a previous MOHS surgery for a basal cell lesion creating
tension.

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

A.14060.L90.5

B.15731.C44.319

C.14040.C44.319

D.15574,L90.5

5. A patient presents to the ER after sustaining injuries in a bicycle accident. The orthopedic surgeon
performs an ORIF and debridement of subcutaneous tissue of an open, displaced, left bimalleolar
fracture of the ankle.

What CPT codes are reported?

A.27810-LT. 11011-LT

B.27814-LT. 11010-LT

C 27810-LT, 11012-LT

D .27814-LT. 11042-LT

6. A physician excises a 3.5 cm malignant lesion including margins from the back. Then a destruction of a
2.0 cm benign lesion on the right cheek of the face with cryosurgery.

What CPT and ICD-10-CM is reported?

A.11604,11442, C76.8 C76.0

B.11604.11642.C76.8 C76.0

C.11404,11442, C44.509, D23.39

D.11604,17110, C44.509, D23.39

Musculoskeleton chapter questions :

1. A patient had surgery a year ago to repair one extensor

tendon in his wrist. He is in surgery for a secondary repair for the same tendon with free graft.

What: CPT® coding is reported?

A.25270 x 2

B.25274

C.25272

D.25274x2

2. A 42-year-old with medial epicondyatis is scheduled to receive an Injection at the provider's office.
The area of maximal tenderness is palpated, and a needle is Introduced under ultrasound guidance
Injecting the cortisone. Permanent recording and reporting are in the record.

What CPT® coding is reported for the surgical procedure?

A.20605-LT, 76942

B.20606-LT, 76942

C.20606-LT

D.20605-LT

4. A patient with scoliosis has posterior arthrodesis performed on three cervical vertebral segments.
What CPT& coding is reported?

A.22600,22614 x 2

B.22600

C.22630.22632x2

D.22608

3. A 35-year-old is coming in for trigger point injections for right-sided thoracic spine pain. Three points
are injected with Depo-Medrol 40 mg/mL on the thomboid major muscle under fluoroscopic guidance.
Which CPT® coding is reported for the injections?

A.20552x3.77002
B.20553

C.20552,77002

D.20553 x 3,77002

5. Ten-year-old boy has a painful felon abscess of the deep tissues of the palmar surface of his right
thumb. The provider makes an Incision on one side of the nail and then across the fingertip parallel to
the end of the nail. He identifies the area of abscess and drains it. A drainage tube is inserted,

What CPT& and ICD-10-CM is reported?

A.26010-F5, L02.511

B.10061-F5, L03.011

C.26011-F5, L03.011

D.10140-F5, L02.511

Cardio respirator chapter questions

1. A 64-year-old with congestive heart failure (CHF) has pericardial effusion. The provider inserts a
needle under ultrasound guidance, aspirating the fluid from the pericardial sac.

What CPT coding is reported?

A.33017.76942

B.33017

C.33016

D.33016.76942

2.. A 6-year-old requiring ECMO requires open insertion of a peripheral cannula.

What is the correct procedure code?

A.33953

B.33952

C.33954

D.33951

3. 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?

A.31629.31526-51

B.31622,69990

C.31622,31526-51,69990

D.31622,31526-51

4. A 63-year-old patient requires extracorporeal membrane oxygenation (ECMO) for acute respiratory
syndrome. The cannula insertion is through an open approach via surgical incision in the chest.

What CPT codes are reported?

A.33956

B.33954.32300

C.33956,32100

D.33954

Digestive chapter questions

1. A 14-month-old male who was born with a unilateral complete cleft lip and alveolar cleft palate. The
patient had previous repair of the cleft of the lip a few months earlier. He now presents for
reconstruction of the palate with closing the fissure in the soft tissue of the alveolar ridge with bone
graft.

What CPT coding is reported?

A.42205

B.42210

C.42210.20900

D.42200,20900

2. A 40-year-old female has an infected peritoneal abscess.

The surgeon incises the abdomen and drains the abscess.

What CPTS code is reported?

A.49020

B.49083

C.49040

D.49082

3. A 60-year-old man presents for an examination of the entire rectum and sigmoid colon. The physician
inserts a flexible scope into the patient's rectum and two polyps are found. The polyps are removed
using ablation. The scope is then advanced to the sigmoid colon and examined; no polyps are seen. The
flexible scope is withdrawn.

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

A.45346, K62.1

B.45320, K62.1

C.45346 x 2, K63.5

D.45320 x 2, K63.5

4. A 63-year-old male presents to the operating room for open surgery on a recurrent incarcerated,
incisional hernia repair with insertion of a prosthetic mesh. The size of the hernia is 12 cm.

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

A.49618,15778, K43.2

B.49596. K43.2

C.49618,K43.0

D.49596.15778, K43.0

5. A patient is seen at the doctor's office for nausea, vomiting, and sharp right lower abdominal pain. CT
scan of the abdomen is ordered. Labs come back indicating an Increased WBC count with review of the
abdominal CT scan. The physician determines the patient has a ruptured appendicitis. The physician
schedules an appendectomy and takes the patient to the operating room. The appendix Is severed from
the intestines and removed via scope inserted through an umbilical incision. What CPT® and diagnosis
codes are reported?

A.44950, K35.890
B.44970, K35.32

6. A patient undergoes esophagus dilation in which the provider expands the narrowed area with a
series of dilators over a guidewire.

What is the correct CPT code?

A.43450

B.43226

C.43248

D.43453

Urinary chapter questions

1. 56-year-old female is postmenopausal with abnormal vaginal bleeding. Ob-gyn provider performs a
hysteroscopy and biopsies the lining of the uterus. What CPT code is reported?

A.58578

B .58555

C.58558

D.58579

3. A 22-year-old female came into the clinic for an initial intrauterine device (IUD) insertion.

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

A.57160,Z30.430

B.58300.Z30.433

C.58301,Z30.431

D..58300.Z30.430

4..A patient that delivered her second child vaginally has a history of having a previous cesarean delivery
for the first child

What CPT code is reported for the delivery of the second child with antepartum care and postpartum
care with the same provider?

A.59614

B.59410
C.59400

D.59610

5. A 42-year-old male is diagnosed with a left renal mass. A laparoscope is inserted and advanced to the
operative site. The left kidney is removed, along with the entire left ureter.

What CPT & code is reported for this procedure?

A.50548

B.50546

C.50543

D.50220

Nervous system questions

2..A patient has a perforation in the right ear. The otolaryngologist performed a tympanoplasty
removing a portion of the mastoid, along with reconstruction of the external auditory canal and
tympanic membrane repair without reconstruction of the ossicular chain.

What CPTS code is reported for this surgery?

A.69646

B.69645

C.69641

D.69643

4. A 47-year-old male recently injured as a passenger in a car accident sustained multiple fractures. The
patient

now has physical restraints due to pulling out foley catheter, IV catheters and attempted to pull out NG
tube. Emergency department physician is asked to come see patient and injects 0.5 lidocaine into
lumbar region of the spine. An indwelling catheter is placed into the lumbar region for continuous
infusion with fluoroscopy for pain management

What CPT® is reported for the Emergency department physician?

A.62327.77003

B.62326,77003

C..62327
2..A patient with jaundice was seen by the physician to obtain liver biopsies. A needle biopsy was taken
using CT guidance for needle placement. The physician obtained two core blopsies, which were then
sent to pathology. What CPT codes are reported?

A.47000.77002

B.47000.47001.77012

C.47000,77012

D.47001,76942

Radiology chapter questions:

3. A patient is having X-ray Imaging of his abdomen following a traumatic episode. A decubitus, supine,
and erect views are performed on the abdomen.

What CPT is reported?

A .74019-26

B.74022-26

C .74021-26

D.74018-26

6..A patient in a radiology facility has an X-ray examination of her entire spine after falling down the
stairs and experiencing peripheral paresthesia. A radiologist takes a total of 8 views of the lumbar spine,
thoracic spine, the cervical spine (including atlas and axis) and base of the skull.

What is the CPT code is reported?

A.72084

B.72020

C.72114

D.72081x8

Lab and path chapter

1. The provider orders a bilirubin test for a patient who has symptoms of abnormal liver function. Lab
analyst performs a test to measure the amount of direct bilirubin In a patient's specimen.

What CPT code is reported for the test?

A 82248

B.82239

C .82247

D.82252

5. A patient presents to the office with dysuria and lower abdominal pain. The physician suspects she
has a UTI. A non-automated urinalysis is done in the office and is negative. UTI is ruled out for the final
diagnosis. What CPT and ICD-10-CM codes are reported?

A 81000, N39.0

B .81002. N39.0

C.81002. R30.0 R10 30

D. 81000. R30, R10.30

2.. 911 is called by the physician for an ambulance with emergency basic life support to pick up a patient
from his office that is having a hypertensive crisis. The patient was taken to the hospital. What HCPCS
Level II coding is reported for the ambulance's service?

A .AD429-OM-PH

B.AD429-QM-HP

C.A0428-OM-HP

D.AD42B-QM-PH

3. What is the correct HCPCS Level II code for a standard wheelchair, fixed full length arms, and swing
away detachable footrests?

A.K0002

B.E1130

C.K0001

D. K0010
Anesthesia chapter questions
2. A 57-year-old woman with a physical status of 3 received general endotracheal anesthesia for a
panniculectomy service. The anesthesiologist personally performed the entire anesthesia service.

What CPT® coding is reported for the anesthesia?

A.00800-P3, 99140-P3

B.00800-AA-P3

C.00802-AA-P3

D.00802,99143-AA-P3

4 . A patient who has deep vein thrombosis in the left forearm receives monitored anesthesia,
personally performed by the anesthesiologist for a thrombectomy. The anesthesiologist documents P4.

What anesthesla coding is reported?

A .01840-AA-G8-P4

B.01850-AA-G8-P4

C .01840-AA-QS-P4

D.01850-AA-QS-P4

2.. 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?

A.99221

B .99232

C. 99231

D .99233

(Note -this question answer is not available in the answer key ..so check the proper..)

3. A patient visits her allergist for a series of allergy tests Involving venoms, three weeks after fully
recovering from an adverse reaction to a spider bite. The allergist performs a total of 22 tests that
include 8 scratch tests, 8 puncture tests, and 6 intradermal tests.
What CPT® coding is reported?

A.95017x22

B.95018

C 95018 x 22

D.95017