Test 19. 20. 21.

22

Q:1-Which types of joints are considered synovial?

Mark one answer:

A. Suture joint, medial joint, and articulation joint.

B. Ball-and-socket joint, hinge joint, and saddle joint.
C. Pivot joint, talus joint, and cranial joint.
D. Ball-and socket joint, nasal joint, and elevation joint.

Q:2-The "Federal Register" (http://www.gpo.gov/fdsys/), the official publication for all

"Presidential Documents", "Rules and Regulations", "Proposed Rules", and "Notices". It is
important for you to review on an annual basis because ...

Mark one answer:

A. It contains important HIPAA related information.

B. It is where Department of Health and Human Services changes are published each year.
C. It is where changes to Medicare reimbursement are published.
D. It is the only place federal mortality rates are listed.

Q:3-What is an RVU?

Mark one answer:

A. Retail Value Unit

B. Relative Value Unit
C. Reimbursement Value Unit
D. Requested Value Unit

Q:4-What three components are used to calculate the RVU�s.

Mark one answer:

A. Time, Money, Convenience

B. Work, Overhead, Malpractice
C. Malpractice, Location, Overhead
D. Hours, Effort, Speed

Q:5-A patient presents to have corns removed from his foot. The physician performs paring to
successfully remove four lesions. How should the physician report these services?

Mark one answer:

A. 11056
B. 11057
 C. 11056 x 4
D. 11100

Q:6-How would a physician report a bilateral diagnostic nasal endoscopy followed by endoscopic
debridement of the nasal cavity during the same operative session?

Mark one answer:

A. 31240, 31237
B. 31254
C. 31237-50
D. 31237

Q:7-CPT code updates are published when?

Mark one answer:

A. Every other year in January

B. Every year in July
C. Twice per year in early Fall and early Spring
D. Once per year in early Fall

Q:8-What does NCCI stand for as recognized by the CPT?

Mark one answer:

A. National Corrections Campaign Initiative

B. No Coding Classes Included
C. National Correct Coding Initiative
D. National Coding Correct Individual

Q:9-What does CPT mean?

Mark one answer:

A. Current Political Terms

B. Coding Procedure Terminology
C. Coding Place Time
D. Current Procedural Terminology

Q:10-Physicians, hospitals, and other suppliers that furnish care or supplies are referred to as
what?
Mark one answer:

A. Contractors
B. Third party payers
C. Middlemen
D. Providers

Q:1-Which of the following statements is false?

Mark one answer:

A. Fraud consists of payment for items that are billed by mistake but should not be paid for
by Medicare.
B. The OIG Work Plan outlines priorities for investigating potential problem areas with claims
submissions
C. HIPAA requires that an individual be notified if there is an unauthorized disclosure of his
PHI.
D. An ABN is used to explain to the patient why Medicare may deny a particular service or
procedure.

Q:2-A 73-year-old Medicare patient with a history of intestinal polyps is experiencing occasional
rectal bleeding. She presents to the hospital for a diagnostic colonoscopy. She is given Versed and
Fentanyl intravenously for conscious sedation. She is placed in a lateral recumbent position.
Perianal area is inspected: no evidence of anal fissure, hemorrhoids, and no palpable masses are
found. The colonoscopy proceeds from anus to cecum without difficulty. The lumen of the colon is
visualized. There are 6 mm and 5mm polyps in the lining of the transverse colon which are snared.
There is a 7 mm polyp in the descending colon which is removed in its entirety with hot biopsy
forceps. There is a single internal group of 1st degree internal hemorrhoids in the upper anal
canal. These are apparently the cause of the rectal bleeding and are excised. The colonoscope was
withdrawn. The patient tolerated the procedure well. What are the appropriate CPT codes?

Mark one answer:

A. 46255, 45385-51, 45384-51-XS

B. 46255-52, 45378-51, 45385-51, 45384-51-XS
C. 46255-52, 45385-51, 45384-51-XS
D. 46255, 45379-51 X 2

Q:3-A patient with advanced adrenocortical carcinoma presents for chemotherapy administration
at the infusion center. The infusion was started with 1000 cc of normal saline. Doxorubicin HCl at
50mg was added and then cisplatin, 40 mg, was added and infused 2 hours. At the end of the 2
hours, the IV was disconnected and the patient was discharged. What codes are reported?

Mark one answer:

A. 96413, 96415, J9000 x 5, J9060 x 4, Z51.11, C74.00

B. 96413, 96415, Q2050 x 5, J9060 x 4, Z51.12, C79.7Ø, C8Ø.1
C. 96413, 96415, 96360-51, 96361, Q2050 x 5, J9060 x 4, J7050 x 2, Z51.11, C74.00
 D. 96415, 96360-59, J9000, J9060, Z51.Ø, C79.7Ø, C8Ø.1

Q:4-Radiation treatment delivery is provided by a radiation treatment facility for a patient with
anaplastic large cell lymphoma for two intrathoracic lymph nodes at 2 MeV in one treatment area
using a single port, with one simple block. What is the appropriate CPT code for this procedure?

Mark one answer:

A. 77401
B. 77402
C. 77407
D. 77412

Q:5-A leukemia patient is given an IV of DaunoXome, 10 mg. How would the chemotherapy drug
be coded?

Mark one answer:

A. J9150
B. J9130
C. J9151
D. J9171

Q:6-A 6 month old baby with pneumonia due to streptococcus group B received circadian
respiratory pattern recoding for 12 hour continuous recording. An EEG and EKG were also done.
What CPT code(s) and ICD-10-CM codes are reported?

Mark one answer:

A. 94772, B95.1, J17

B. 94774, J18.9
C. 94774, B95.1, J17
D. 94772, J15.3

Q:7-An 8 month old boy with symptoms of hydromyelia undergoes MRI of the lumbar spinal canal
with and without contrast. What CPT and ICD-10-CM code(s) are reported?

Mark one answer:

A. 72148, 72149, QØ6.4

B. 72197, QØ6.4
C. 72158, QØ6.4
D. 72159, QØ6.4

Q:8-Dr. Rodgers received a new patient who was 37 weeks pregnant. The woman recently moved
from her previous home in Virginia back to NYC. This was her second pregnancy the first child was
delivered 3 years ago by C-sect. She opted to try VBAC with this pregnancy. However, the placenta
separated prematurely with delivery, and Dr. Rodgers performed an emergency C-sect. A healthy
baby girl was delivered. Another obstetrician provided her antepartum care in her former town,
and Dr. Rodgers provided post-operative care. What are the CPT and ICD-10-CM codes reported
for this service?

Mark one answer:

A. 59614, O34.29, Z37.0

B. 59620, 59622, O45.93, O34.219, Z37.0
C. 59622, O45.93, O34.219, Z37.0
D. 59515, O34.219, Z37.0

Q:9-A 10-yr old girl arrives at the Emergency Dept. with a laceration to the tongue. The cut is 1 cm
in length and is on the anterior 1/3 of the tongue. The emergency doctor repairs the laceration.
What are the CPT and ICD-10-CM codes?

Mark one answer:

A. 41251, K14.8
B. 41250, S01.512A
C. 41510, K14.6
D. 41599, S01.522A

Q:10-A 43-year old woman complains of painful varicose veins in the calf that have not responded
to compression stockings. Her leg was scanned using duplex ultrasound to excess damage, and to
identify affected veins. There are 4 veins with inflammation in the left calf, with one of the veins
also ulcerated. All 4 veins are treated using endovenous ablation therapy with radiofrequency to
remove abnormal tissue growth. The veins are then injected with sclerosing solutions. What are
the appropriate CPT and ICD-10-CM codes?

Mark one answer:

A. 36475, 36476, 36471-51, I83.202, L97.929

B. 36476, 36470-51 X2, I83.209
C. 36475, 36476, 36471-51, I83.222, L97.229
D. 36468, 36475, I83.222, L97.229

Q:1-A 23 year old female suffered a fracture of the middle finger in a bike accident three months
ago. She still experiences considerable pain in the area. She is diagnosed with a non-union
fracture. The surgeon repairs the finger using a bone graft with internal fixation. What are the CPT
and ICD-10-CM codes?

Mark one answer:

A. 26546, S62.609K
B. 26615, S62.609K
C. 26735, S62.608K
 D. 26546, S62.608K

Q:2-A 23 year old woman collided with a rose bush hedge while cross country skiing and lacerated
her neck, cheek and right eyebrow area. The cuts on the face were 6, 4, and 3 cm long. The 2 cuts
on the neck were 5 and 6 cm long. All required a layered closure. What ICD-10-CM and CPT codes
are needed?

Mark one answer:

A. 12055, 12044, S11.91XA, Y93.24

B. 12055, 12044, S11.91XA, S01.419A, S01.111A, Y93.24
C. 12055, 12044, S11.91XA, S01.419A, S01.81XA, Y93.24
D. 12055, 12044, S11.90XA, S01.412A, S01.80XA, Y93.24

Q:3-A 15 month old is brought to his physician's office for a DTaP injection. His mother receives
physician counseling. What CPT code(s) are reported?

Mark one answer:

A. 90715, 90461 X 3
B. 90715, 90460, 90461 x 2
C. 90700, 90460, 90461 x 2
D. 90700, 90460

Q:4-A patient has a knee arthrotomy on the left knee. A synovial cyst and cartilage shavings are
removed in the process. Both specimens are examined by the pathologist. What CPT code(s) are
reported?

Mark one answer:

A. 88305, 88304
B. 88304 x 2
C. 88304-LT
D. 88305 x 2

Q:5-To find out the percentage of the volume of whole blood that is made up of red blood cells,
the physician would the following test(s):

Mark one answer:

A. 85041
B. 85014
C. 85018
D. all of the above

Q:6-A physician orders electrolyte tests for chloride, potassium, and sodium, and a glutathione
test. What CPT code(s) are reported?

Mark one answer:

 A. 80051-52, 82979
B. 80051, 82978
C. 82435, 84132, 84295, 82978
D. 82374, 84132, 84295, 82979

Q:7-A patient with endomyocardial fibrosis undergoes cardiac blood pool imaging (planar) using
the first pass technique. Four studies are performed, two at rest and two on a treadmill. Included
is a wall motion study plus ejection fraction.

Mark one answer:

A. 78472 X 4
B. 78494
C. 78454
D. 78483

Q:8-A 34-year old woman has a thyroid neoplasm of unspecified nature on the right lobe, and
some suspicious looking nodules on the upper left node. Her physician has counseled her and she
has consented to have the right side of the thyroid removed and a partial lobectomy on the left
including removal of the isthmus. What is the CPT code(s) for this procedure?

Mark one answer:

A. 60212
B. 60220
C. 60225
D. 60252

Q:9-A 43-year old woman has been diagnosed with an intracranial abscess which is to be removed.
Dr. Goodwin, a surgeon, uses an orbitocranial zygomatic approach to the cavernous sinus which
included the osteotomy of zygoma, craniotomy, and extradural elevation of temporal lobe and
then performed the excision of the extradural abscessed lesion in the cavernous sinus. Repair is by
myocutaneous flap with microvascular anastomosis under operating microscope. What are the
CPT codes for this procedure?

Mark one answer:

A. 61584. 61600-51, 15758-51

B. 61584. 61600-51, 15756-51, 69990
C. 61608, 61592-51, 15758-51, 69990
D. 61607, 61592, 15756-51

Q:10-A 4-year old boy is diagnosed with left eye monocular exotropia with A pattern. The boy has
been unsuccessfully treated with alternative methods for 18 months. After being informed of the
risks and benefits of surgery the parents have consented to surgical treatment. The patient
undergoes resection of the left lateral rectus and the left inferior rectus muscles. Both muscles
were reattached to the sclera by adjustable sutures. What are the CPT and ICD-10-CM codes?

Mark one answer:

A. 67311-LT, 67314-LT, 67335-LT, H5Ø.122

B. 67311-50, H5Ø.1Ø
C. 67312-LT, 67335-51, H5Ø.122
D. 67312-LT, 67314-LT, H5Ø.122

Q:1-A patient with varicosity of the scrotal veins undergoes a closed procedure for ligation of
spermatic veins. What is the correct CPT code for this procedure?

Mark one answer:

A. 55559
B. 55550
C. 55535
D. 55530

Q:2-A 34 year old patient with a primary malignant neoplasm of the urachus presents for surgery.
Dr. Clark prepared the abdominal area with povidone-iodine. Under general anesthesia, a
cystotomy is done. An incision was made just 2 cm above the pubic symphysis. The skin is exposed
and dissection of the local tissues is done to locate the bladder. The bladder was then checked by
inserting a syringe and draining out the urine. The neoplastic tumor was located, and fulguration is
used to burn the malignant tissue, but could not totally be destroyed. To complete the procedure,
radioactive material was inserted. Dr. Clark inserted a drainage tube in the bladder, so the urine
could drain before suturing the bladder wall and the abdominal area. What is the proper CPT
code(s) for this procedure?

Mark one answer:

A. 53220
B. 51020
C. 51030
D. 53852

Q:3-A 52 year old patient presents for an open repair of an initial ventral hernia which is
incarcerated. After administration of general anesthesia, an incision is made over the fascial
defect. The peritoneal cavity is entered and the sac is dissected free from the nearby tissues. The
intestinal loop is separated free from the hernia. The sac is then reduced. Prosthesis mesh is used
to close a defect, which is threaded between the muscles and sutured. The incision is then closed
with sutures for healing. The patient has tolerated the procedure well. What are the appropriate
CPT codes for this procedure?

Mark one answer:

A. 49655
 B. 49657
C. 49566, 49568
D. 49561, 49568

Q:4-A 43-year old male patient is diagnosed with eventration diaphragmatic paralysis due to late
effect of a thoracic spinal cord injury that compromised the left phrenic nerve. The patient is
placed on the operating table in supine position and prepped and draped sterilely. The surgeon
makes a thoracoabdominal incision to expose the diseased area. The area of the diseased
diaphragm is cut out and closed with a simple repair. The incision of 7.0 cm is closed in layers.
What are the appropriate CPT and ICD-10-CM codes?

Mark one answer:

A. 39561-LT, J98.6, S24.109S

B. 39545, 12032-51, J98.6, S34.109S
C. 39560, J98.6, S24.109S
D. 39560, 12032-51, J98.6, S34.109S

Q:5-A COPD patient is in the hospital for a foot injury, but needs clearing of the trachea, bronchi,
and bronchial tubes, in the morning, prior to foot surgery, which his pulmonologist provides using
the endoscope. Again, later the same day, it is necessary for the pulmonologist to repeat the
therapeutic aspiration of the trachea, bronchi, and bronchial tubes for the patient. Code the
appropriate CPT code(s) for the pulmonologist.

Mark one answer:

A. 1645, 31646-59
B. 31624 X 2
C. 31635
D. 31645 X2

Q:6-A 23 year old football player is diagnosed with lateral dislocation of the left tibia proximal end
and derangement of posterior horn of the lateral meniscus, left side, due to an old injury. This
initial visit, he undergoes surgical arthroscopy of the knee with lateral release. Additionally, a
medial meniscectomy is performed with shaving of the meniscus in the medial and articular
cartilage in the lateral compartment. What are the ICD-10-CM and CPT codes?

Mark one answer:

A. 29882, 29871, S83.125A

B. 29881, 29873-51, S83.145A, M23.252
C. 29880, 29873-51, S83.125A, M23.052
D. 29880, 29873-51, S83.145A, M23.052
Q:7-A 32-year-old presents with left-sided myofascial pain of the upper back trunk. Injections into
a total of 5 trigger points where made on the deltoid, rhomboid major, rhomboid minor, levator
scapular muscles. What CPT code(s) should be used for this procedure?

Mark one answer:

A. 20552, 20553-51
B. 20553
C. 20553 X 5
D. 20550 X 5

Q:8-A woman is having Mohs micrographic surgery for skin cancer tumor on her lip and nasal area.
The surgeon performs 3 stages before all margins are clear. The first stage has 5 tissue blocks and
the second stage has 6 tissue blocks, and the final stage has 2 tissue blocks. Repair of the defect
was by island pedicle flap. What are the proper CPT codes for this procedure?

Mark one answer:

A. 17311, 17312 X 2, 17315, 15740-51

B. 17311, 17312, 17315 X 2, 15740-51
C. 17311, 17312 X 2, 17315
D. 17311, 17312, 17315, 13152-51

Q:9-The patient is diagnosed with melanoma of the scalp and face. After discussion with the
physician about different treatment options the patient decides to have these lesions destroyed
using laser surgery. Consent is obtained and the patient's scalp and face prepped appropriately.
With the use of laser surgery the physician destroys the lesion on the scalp measuring 1.3 cm and
the lesion on the face measuring 0.5 cm. What CPT codes are reported?

Mark one answer:

A. 17270, 17282-51
B. 17272, 17280-51
C. 17272, 17280-51, 11622-51, 11640-51
D. 11622, 11640-51

Q:10-An 11-month-old baby with rheumatic mitral insufficiency undergoes a valvuloplasty with
cardiopulmonary bypass. Anesthesia is given in conjunction with a pump oxygenator. Code the
anesthesia for this procedure.

Mark one answer:

A. 00561, 99100
B. 00561
C. 00562, 99100
D. 00567