CPC-Paper-2 35 questions Time: 70 minutes

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6:21PM
Name: 7:25PM
Start time............. End Time........... M.DIVYA

1. Choose the correct option from the following.

1. Which of the following is not a facial or skull bone? Insert text here
a. Zygoma
b. Scaphoid
c. Maxilla
d. Sphenoid

2. Which of the following is an example of a "long" bone?

a. Humerus
b. Patella
c. Cranium
d. Rib

3. A 52 year old patient had a right breast construction with free flap. The surgeon used a
microsurgical technique requiring an operating microscope. How can we report this procedure?
a. 19364-RT, 69990
b. 19357
c. 19361, 69990
d. 19364-RT

4. A 75-year-old patient with a history of malignant neoplasm of the lower gastrointestinal tract
presents for his follow-up colorectal cancer screening. He was instructed to complete the 24-hour prep
and be ready to undergo the screening colonoscopy. Which HCPCS Level II code describes this
colonoscopy procedure?
a. G0104
b. G0105
c. G0120
d. G0121

5. What is the crackling sound heard when bone or irregular cartilagesurfaces rub together?
a. Bruit
b. Bradycardia
c. Crepitation
d. Croup

6. A __________________is a concise statement describing the symptom, problem, condition,

diagnosis, or other factor that is the reason for the encounter, usually stated in the patient’s words.
a. Special report
b. Key component
c. Family history d. Chief complaint
7. The cisterna chyli is located in which body system?
a. Nervous system
b. Lymphatic system
c. Musculoskeletal system
d. Central Nervous system

8. Mr. Smith had comprehensive audiometry threshold evaluation and speech recognition testing to
the left ear, assign proper CPT code?
a. 92557-52
b. 92553, 92556
c. 92557
d. 92700-59

9. Mrs. Sarah, a 45-year-old, asymptomatic female comes in for her annual bilateral screening
mammography. Physician ordered a computer- aided detection along with the mammography. The
procedure was performed in a hospital. How would you report the professional services for this study?
a. 77057-26, 77052-26
b. 77052-26, 77057-26
c. 77056-26, 77052-26
d. 77057-26, 77052-59

10. The left breast was prepped and draped in a sterile fashion. An incision from the 3 around to the 9
o’clock position on the areolar border on its inferior aspect was made in the skin and extended to the
subcutaneous tissue. The breast mass was excised by sharp dissection. The mass was found to be
approximately 1.5 - 2 cm in maximum dimension. Hemostasis was made adequate using
electrocautery and the Argon beam coagulator. After this was accomplished, the skin margins were
reapproximated with running inverted 3-0 Vicryl subcuticular suture. Select the procedure and
diagnosis codes.
a. 19120, N63
b. 19301, N63
c. 19125, N62
d. 19101, N61

11. Patient complains ofchronic/acute arm and shoulder pain following bilateral carpal tunnel surgery.
Patient is followed by pain management for over a year. Physician finally diagnoses patient with
reflex dystrophy syndrome (RSD). Physician performs six trigger point injections into four muscle
groups. Code the procedure(s).
a. 20552
b. 20553X6
c. 20551X6
d. 20553
12. While playing rugby game a 12-year-old boy sustains a blowout fracture. What is the anatomical
location of a blowout fracture?
a. Clavicle
b. Orbit
c. Tibia/fibula
d. Pelvis

13. Mr. Ahmed is present in the clinic today for pain relieving treatment of his malignancy, he has a
metastatic cancer to right lung, choose appropriate ICD-10-CM Code(s)?
a. C78.00,C80.1
b. C78.01, C79.9
c. C80.1, C78.01
d. C78.01, C80.1

14. Which of the following statements regarding advanced beneficiary notices (ABN) is TRUE?
a. ABN must specify only the CPT code that Medicare is expected to deny.
b. An ABN must be obtained from a patient even in a medical emergency when the services to be
provided are not covered.
c. An ABN must be completed before delivery of items or services are provided.
d. Generic ABN which states that a Medicare denial of payment is possible, or the internist is unaware
whether Medicare will deny payment or not is acceptable

15. Which of the following services are covered by Medicare part B?

a. Inpatient Services
b. Services performed by Physicians in office set up
c. Routine Dental care
d. All of the above

16. Which of the following is correct statement regarding Critical care services?
a. Critical care services can be provided at any site, if patient is critically ill.
b. Physician can provide services to another patient during the same time providing critical care
services to a critically ill patient.
c. Critical care services provided for more than 15 minutes but less than 30 minutes should be billed
with 99291-52
d. None of the above

17. A patient has Insulin pump of 100 units. The pump is filled. Which of the following code(s) report
the supply?
a. J1817
b. J1815 X 20
c. J1817 X 2
d. J1835
18. Ms. Lilly, who has food allergy, 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. 95120
b. 95125
c. 95130
d. 95131

19. Operation: Dual chamber pacemaker cardioverter-defibrillator implantation with leads.

indication: A 67-year-old, white gentleman has significant underlying ischemic cardiomyopathy with
EF of 25 percent, prior infarcts, remote history of syncope, and at a high risk for malignant ventricular
arrhythmias. He has had a recent T wave alternans test which was clearly abnormal. He has had
episodes of resting bradycardia, also noted. He meets Madit II criteria for insertion of an implantable
cardioverter-defibrillator (ICD). Procedure: After informed consent had been obtained, the patient was
brought to the outpatient hospital lab in the fasting state. The left anterior chest was prepped and
draped in a sterile fashion. Intravenous sedation and local anesthetic were given. After local
anesthetic, a 5 cm incision was made at the left deltopectoral groove. With blunt dissection and
cautery, this was carried down through the prepectoralis fascia. The cephalic vein was identified and
ligated distally. Through the venotomy, a subclavian venogram was performed to provide a roadmap.
The atrial and ventricular leads were then advanced into the vessel to the level of the right atrium
under fluoroscopic guidance. The ventricular lead was maneuvered to the right ventricular outflow
tract, and then through the RV apex where it was actively fixed. Good sensing and pacing thresholds
were demonstrated. The lead was anchored to the pre-pectoralis fascia with interrupted 2-0 Tycron
sutures. 10 volt pacing did not result in diaphragmatic capture. The atrial lead was maneuvered to the
anterolateral right atrial wall where it was actively fixed. Good sensing and pacing thresholds were
demonstrated. The lead was anchored to the pre-pectoralis fascia with interrupted 2-0 Tycron sutures.
10 volt pacing did not result in diaphragmatic capture. A subcuteneous pocket was created with good
hemostasis achieved. The pocket was subsequently irrigated with solution of Bacitracin. The
generator was connected to the lead, and then placed in the pocket with no tension on the lead. The
deep fascial layer was closed with interrupted 2-0 Vicryl suture. The subcutaneous closure was made
with running 3-0 Vicryl suture. Subcuticular closure was made with running 4-0 Vicryl suture. Steri-
strips were applied. Ventricular fibrillation was induced with a T wave shock. This was successfully
sensed and terminated with a 15 joule shock to sinus rhythm. High voltage impedence was 39 ohms.
Dry dressing was placed over the wound. The patient returned to the floor in stable condition without
apparent complications. Which of the following codes accurately describes the basic procedure
summarized in this report?
a. 33249
b. 33249, 76000-26
c. 33241, 33243, 33249
d. 33208

20. The patient is being treated for Acute on Chronic Pansinusitis.

a. J32.4
b. J01.40
c. J01.40, J32.4
d. J32.4, J01.40

21. Provide the ICD-10-CM code for Gangrenous Cholecystitis and Cholelithiasis with Obstruction.
a. K80.01
b. K81.0
c. K80.11
d. K80.13

22. A female patient is present for Screening Mammogram. Her mother & sister both have history of
breast cancer, select correct code.
a. Z12.31, Z80.3
b. Z12.31
c. Z80.3
d. Z80.3, Z12.31

23. What does SLAP stands for?

a. Supra Labral Anterior Pressure
b. Superior Lesion Anterior and Posterior
c. Superior Labrum Anterior and Posterior
d. Supra Labrum Anterior Posterior

24. EOB Stands for?

a. Estimation of Benefits
b. Explanation of Benefits
c. Estimation of Beneficiary
d. Explanation of Beneficiary

25. UB-04 form used for?

a. Physician Billing
b. Hospital Billing
c. Both a & b
d. None of the above

26. What is (are) Eligibility criteria for Medicare?

a. Persons age 65 years and above
b. Persons age under 65 with certain disabilities
c. ESRD conditions
d. All of the above

27. On 12th April 2016 Dr. Mohammed attempted to treat a humeral shaft with manipulation. The
procedure appeared to be successful. However later on 12th April 2016 evening the patient developed
additional problems relating to the fracture treated. Dr. Peter re-manipulated the fracture and
procedure was successful. What modifier should be appended to the service performed by Dr. Peter?
a. 76 b. 77
c. 62 d. 25
28. On a previous admission, the patient was diagnosed with poorly differentiated papillary serous
cystadenocarcinoma of the right ovary. She was admitted for, and received, her fifth chemotherapy
treatment (into central vein) with Taxol and Cisplatin.
a. Z51.11, C56.1
b. C56.1, Z51.11
c. Z51.11
d. C56.1, Z51.12, Z51.0

29. Correct ICD-10-CM code for Lobar Pneumonia with Influenza

a. J18.1, J11.08
b. J11.08, J18.1
c. J11.00
d. J18.8

30. Which of the following is a not valid ICD-10-CM Code?

a. L03.212
b. M18.30
c. T14.91XA
d. Y22.XXXD

31. A 72 year old admitted with swelling and pain at amputation stump area. He underwent right
above the knee amputation one month ago due to diabetic peripheral vascular disease. He is diagnosed
with infection of amputation stump with the culture growing group B streptococcus.
a. T87.43, B95.1, L02.415, E11.51
b. A40.1, T87.43, E11.51
c. T87.43, A40.1, L02.415, E11.51
d. E11.51, B95.1, L02.415, T87.43

32. The patient’s admitting diagnoses were abdominal pain and ventral wall hernia. The woman
presented for hernia repair. At the time of surgery, she was noted to have numerous mid-abdominal
adhesions of the peritoneum, mostly in the area of a previous midline scar. Sharp lysis of the
extensive adhesions was undertaken, and then the hernia was repaired. Postoperatively, the patient did
very well. Diagnoses (1) Ventral wall hernia, (2) abdominal adhesions.
a. K43.9
b. K66.0
c. K43.9, K66.0
d. None of the above

33. General anesthesia administered to a 9 month old undergoing a tracheostomy procedure, what
code(s) do you append for anesthetist?
a. 00320, 99100
b. 00320
c. 00326, 99100
d. 00326
34. A pathologist performs a comprehensive consultation and report after reviewing a patient’s
records, specimen and official findings from other sources, what is the correct CPT Code?
a. 88325
b. 99244
c. 80502
d. 88329

35. Pediatric Critical Care patient transport codes include vascular access procedures, blood gases,
and review of information data stored in computer.
a. True
b. False