Test 13. 14.

15

Q:1-A patient was suffering from severe hallux valgus of the right foot. The physician excised
extraneous bone from the lateral end of the proximal phalanx and the medial eminence of the
metatarsal bone. The physician inserted the implant in the lateral end of the proximal phalanx. What
is the correct CPT code for this procedure?

Mark one answer:

A. 28290
B. 28292
C. 28293
D. 28296

Q:2-A 15-year-old boy was pushed during a basketball game and landed face down, hitting the
bottom bleacher with his nose. There was immediate swelling and bruising and the nose was
displaced to the left. In the ER, the left nasal passage was not patent and the septum was deviated.
The patient was taken to the operating room and closed treatment of the nasal fracture with
stabilization was performed. Which code is correct for this procedure?

Mark one answer:

A. 21310
B. 21315
C. 21320
D. 21325

Q:3-A 67-year-old male has an intramuscular tumor of his right scalp over the parietal bone that is
approximately 3 cm in diameter. It is getting larger and is causing him pain. He elects to have it
removed and will have this excised in the OR as an outpatient procedure. Which procedure code is
correct?

Mark one answer:

A. 21011
B. 21012
C. 21013s
D. 21014

Q:4-A 76-year-old woman has noticed a growth along the left side of her neck that is increasing in
size. Initially it looked like a mosquito bite, but has increased over the last three months to a dime
size, approximately 1.8 cm. Her PCP believes it is a lipoma and sends her to surgery for assessment.
It was removed in the office using local anesthesia. Which code is correct?

Mark one answer:

 A. 21550
B. 21555
C. 21552
D. 21556

Q:5-A 25-year-old obese male has had right-sided flank pain for about two months and noticed a
lump during work one day. He initially thought it was a muscle spasm and ignored it, but it has
increased in size and has gotten more painful. He went through a CT scan, which showed an
intramuscular mass consistent to the physical exam that is approximately 6 cm in diameter. Due to
the size and presentation, it was decided to excise the tumor. What is the correct code to use for
this procedure?

Mark one answer:

A. 21931
B. 21932
C. 21933
D. 21935

Q:6-A 35-year-old patient has a lipoma on her upper back over her scapula, which causes increased
discomfort when her bra strap rubs against it. She has already met with her surgeon and this
procedure will be performed in his office because it is only 2.75 cm in diameter and only involves the
subcutaneous layer. What CPT code would you use for this procedure?

Mark one answer:

A. 21920
B. 21930
C. 21931
D. 21932t

Q:7-There is a large mass noted on a 56-year-old man’s right flank. Due to the size and
asymptomatic characteristics, a CT scan was performed and biopsy was recommended. This is a
deeply rooted tumor and the patient will be sedated during this procedure. What code should you
use for a deep tissue biopsy?

Mark one answer:

A. 21920
B. 21925
C. 21935
D. 21936

Q:8-A 54-year-old female with degenerative disc disease at L4-L5 undergoes surgical repair with
anterior approach for discectomy and fusion to try to prevent further discomfort. What CPT code
would you use for this procedure?
Mark one answer:

A. 22554
B. 22556
C. 22558
D. 22585

Q:9-A 56-year-old man undergoes percutaneous vertebroplasty with vertebral augmentation to L2-
L3 with unilateral injection. What is the correct CPT code for this procedure?

Mark one answer:

A. 22510
B. 22511
C. 22513
D. 22526

Q:10-A 37-year-old woman notices a lump in her left lower abdominal wall. A large, 6 cm tumor was
found on CT scan along the musculature of the abdominal wall. This was removed and found to be a
desmoid tumor. What is the code for this procedure?

Mark one answer:

A. 22900
B. 22901
C. 22902
D. 22903

Q:1-A 27-year-old woman began complaining about right lower-quadrant pain, was noted to have
rebound discomfort, and positive pain over McBurney’s point. A CT scan was ordered due to
suspicion of appendicitis. The CT ruled out appendicitis but noted a 2.5 cm subcutaneous soft tissue
mass in the right upper pelvis. She undergoes surgery to have this excised. What is the correct code
for this procedure?

Mark one answer:

A. 22900
B. 22901
C. 22902
D. 22903

Q:2-A 52-year-old man presents to the ER with severe abdominal pain. He has had abdominal pain
for about six months, which has been coming and going. The pain increased one week ago, and
today the patient was unable to bend without becoming short of breath due to the pain. A CT scan
was performed and patient was noted to have a large, 7.5 cm soft tissue tumor attached to his
abdominal wall. The patient underwent surgery to have it removed and it was found to be a
sarcoma. During surgery, the patient also had a large margin removed from around the tumor site.
What is the correct code for this procedure?

Mark one answer:

A. 22902
B. 22903
C. 22904
D. 22905

Q:3-A 78-year-old woman fell going up her steps and landed on her outstretched right hand. She
fractured her proximal humerus. Unfortunately, this was a displaced fracture requiring open
reduction and fixation. What is the correct code for this procedure?

Mark one answer:

A. 23600
B. 23605
C. 23615
D. 23616

Q:4-A 48-year-old woman fell off her horse, tearing her rotator cuff. This required open surgery to
repair the right rotator cuff. What is the CPT code for this procedure?

Mark one answer:

A. 23410
B. 23412
C. 23415
D. 23420

Q:5-A 12-year-old boy arrives to his pediatrician’s office complaining of right arm pain around the
elbow. Two days prior, he fell during football practice. An x-ray was obtained and it was noted that
he had a displaced fracture of the capitellum at the radial head. This was a closed fracture requiring
manipulation. Which CPT code is correct?

Mark one answer:

A. 24600
B. 24620
C. 24640
D. 24655

Q:6-An 85-year-old woman fell directly on her elbow resulting in a complex fracture. It was
recommended to have a total elbow arthroplasty performed to give her range of motion and use of
this joint. Which code is correct?
Mark one answer:

A. 2460
B. 24361
C. 24362
D. 24363

Q:7-A 54-year-old woman has noticed a pea sized lesion on the top of her left wrist. Her PCP
diagnosed it as a ganglion cyst, approximately 1 cm in diameter. He referred her to surgery for
removal, as it was becoming painful. What is the correct code for surgical removal of this cyst?

Mark one answer:

A. 25111
B. 25112
C. 25115
D. 25130

Q:8-A 25-year-old construction worker has been diagnosed with trigger finger of his right 2nd digit.
He has received three steroid injections over the last year, but it continues to flare. He is referred to
surgery for further evaluation. The surgeon recommends a tendon sheath incision and this is
scheduled as an outpatient. What is the correct CPT code for this procedure?

Mark one answer:

A. 26055
B. 26060
C. 26160
D. 26170

Q:9-A 3-year-old girl was born with two polydactylous digits on her right hand. One digit was soft
tissue only and was able to be tied off at birth. The second digit included bone and skin and was
unable to be treated at birth. Because she is now three years old, this extra digit will be removed,
leaving her with five digits total. What is the correct code for this procedure?

Mark one answer:

A. 26560
B. 26561
C. 26587
D. 26590

Q:10-A 27-year-old male was cutting wood, using a circular saw, when he accidentally cut off the end
of his 3rd digit. On x-ray it showed that he cut the distal phalange and partially cut the middle
phalange of the 3rd digit. Due to bone splinters and need for debridement, the 3rd digit middle
phalange was amputated back to the proximal phalange, leaving a wide border of healthy bone and
tissue. What is the correct CPT code for this procedure?

Mark one answer:

A. 26910
B. 26951
C. 26952
D. 26989

Q:1-When a person suffocates or drowns, carbon dioxide in the blood causes the blood to take on a
bluish tinge. This bluish discoloration of the skin is referred to as?

Mark one answer:

A. Cyanosis
B. Xanthosis
C. Hemotosis
D. Hypodermis

Q:2-The inner ear could also be referred to as the _____?

Mark one answer:

A. Cochlea
B. Staples
C. Otitis
D. Labyrinth

Q:3-Nancy underwent a surgical hysteroscopy with unilateral fallopian tube cannulation with
permanent implants. How would you code this service?

Mark one answer:

A. 58671-50
B. 58565-52
C. 58565
D. 58600

Q:4-Injection of intravascular contrast material is part of the "with contrast" for CT, computed
tomographic angiography, magnetic resonance imaging, and magnetic resonance angiography
procedures.

Mark one answer:

A. True
B. False
Q:5-Jason suffered an acute MI to the anterolateral wall after taking an overdose of Valium in an
attempted suicide. He was rushed to the hospital for treatment. Jason had no history of heart
problems prior to this event. How would you code the diagnoses for this service?

Mark one answer:

A. T42.4X2A, I21.29, T42.4X1A

B. I25.89, T50.901A, T38.3X1A
C. T43.202A, T42.4X2A , I22.1
D. T42.4X2A , I21.09, T43.202A

Q:6-The diagnosis of edema includes which of the following?

Mark one answer:

A. Ascites and hydrops fetalis

B. Nutritional edema and fluid retention
C. Newborn NOS and ascites
D. None of the above

Q:7-Jane went to see her physician after working in her garden. Jane told her physician that her
lower back and left leg started to hurt and seemed to be getting worse. She reported pulling weeds
and working in a stooped position over the course of several weeks. Dr. Peterson reports a diagnosis
of an old strain to the lumbosacral region of the spine and neuritis of the sciatic nerve. How would
you code this service?

Mark one answer:

A. M43.8X9, M54.5
B. M53.2X7, M54.32
C. S33.8XXA, M54.32 , M51.27
D. S33.8XXA, M51.27, M54.5

Q:8-A patient was fitted and had adjustments on a left elbow wrist hand orthosis with two non-
torsion joints, elastic bands, turnbuckles, soft interface, with straps and custom fabrication. An
additional upper extremity joint wrist concentric adjustable torsion style mechanism was placed at
the same time. How would you code the device?

Mark one answer:

A. L3764-LT, L3891-LT
B. L3766-LT, L3891-LT
C. E1800, L3891
D. L3764, E1800, L3891-LT
Q:9-According to the HCPCS Level II manual, you can administer Methotrexate 5 mg. by which of the
following routes?

Mark one answer:

A. IV, IM, oral

B. Oral, IT, IM, IV
C. IT, IM, IV, IA
D. Oral

Q:10-A patient with a burn on his back had three collagen dressing pads of 8 sq. in. placed over a
single area. How would you code this supply?

Mark one answer:

A. A6021 X 3
B. A6024 X 3
C. A6154-52
D. A6206-A3