PART 1

TIME: 2hrs 45 mins

Integumentary System (10000 Series)

1. Dr. Armstrong, a plastic surgeon, completed a bilateral rhytidectomy of the

neck and a suction assisted lipectomy of the right upper arm. What code(s)
should be reported for Dr. Armstrong’s services?

a. 15828-50, 15879-RT-59
b. 15826-59, 15879-RT-59
c. 15828-50, 15878-RT-59
d. 15826-RT, 15828-50, 15878-RT-59

2. What code describes a cutaneous flap, transposed into a nearby but not
immediately adjacent defect, with a pedicle that incorporates an axial vessel
into its design?

a. 15757 c. 15750
b. 15758 d. 15740

3. Edith had a dermal lesion on her left foot. Dr. Roger completed a biopsy
and then removed the lesion by shaving during the same session. The lesion
diameter was documented as 3.6 cm. The defect was covered by a sterile
dressing. Edith was instructed to follow up in three days with Dr. Roger. What
code(s) should Dr. Roger use to report these services?

a. 11308-LT c. 11303-LT
b. 11308-LT, 11004-59 d. 11424-LT, 11004-59
4. Dr. Long completed an excision of a malignant lesion from the scalp of a
45-year-old patient. The patient was prepped and draped in the usual sterile
fashion and Lidocaine locally injected. Dr. Long documented the size of the
lesion as 2.0 cm. The lesion was excised and marked at the 12 o’clock cephalad
portion with a silk suture. The total excised diameter of lesion and margins was
4.0 cm. The defect created by the excision was 5.4 cm and closed with layer 3-0
Prolene sutures. How should Dr. Long report her services?

a. 11624, 12032-51, 96372, J2001 c. 11422, 12032-51, 96372, J2001

b. 11624, 12032-51 d. 11626, 12032-51

5. A 61- year-old patient had a benign 1-cm lesion excised from his right arm, a
benign 2.5-cm lesion excised from his trunk, and a benign 2.1-cm lesion excided
from his neck. The final excised diameters were documented at 1.9 cm right
arm, 3.1 cm trunk, and 2.0 cm neck. The defect created on the arm by the
excision was 2.8 cm, defect trunk 3.8 cm, and neck 2.8 cm. All defects were
closed by simple suture technique. How should you report these services?

a. 11422, 11404-59, 11402-RT-59 c. 11401, 11403-51, 11423-51

b. 11422, 12004-51, 11404-59, d. 11602-RT, 11604-59, 11622-59
11402-59

6. A 55-year-old patient has seven toenails debrided. How should you report
this service?

a. 11000, 11721-59
b. 11000, 11001-51
c. 11720, 11721-51
d. 11721
7. A patient has a pressure ulcer on his left ischial tuberosity. After examination
a decision is made to complete debridement. The documented area debrided is
32 sq cm, including muscle and subcutaneous tissue. How should you report
this service?

a. 97597-LT, 97598-LT-51
b. 11044-LT, 11047-LT-51
c. 11043-LT, 11046-LT
d. 11043-LT, 11046-LT, 97597-LT-59, 97598-LT-51

8. Which of the following statements best describes reporting Mohs

micrographic surgery procedure codes?

a. Mohs micrographic surgery codes are reported by anatomic site.

b. Biopsy of suspected skin cancer performed on the same days as Mohs
surgery should always be reported separately.
c. Mohs requires a single physician to act in two integrated but separate and
distinct capacities: surgeon and consultant to a histologist.
d. Biopsy with prior pathology confirmation should be reported with
modifier-57.

9. Amy, a 45-year-old patient, was scheduled for a biopsy and placement of

a percutaneous localized clip in the right breast under ultrasonic guidance. The
biopsy revealed a primary neoplasm of the lower-outer quadrant. How should
you report Dr. Tapper’s professional services?

a.19081

b. 19083
c.19083, 19285

d.19083, 10035

10. Which of the following lies upon the subcutaneous tissue layer?

a. Epidermis c. Stratum germinativum

b. Dermis d. Stratum corneum

Musculoskeletal System (20000 Series)

11. Jack fell from a ladder, six months ago, and broke his left radius. The
fracture is not healing as expected and the implant needs to be replaced. Today,
Jack underwent a secondary procedure. Dr. Gene completed an open treatment
with internal fixation of the radial neck, including replacement of the prosthetic
radial head. How should you report Dr. Gene’s services?

a. 24666-LT c. 25607-LT
b. 24366-LT d. 24587-LT

12. A patient had a mini-open repair of her right rotator cuff. How should you
report this procedure?

a. 29827-RT c. 23412-RT
b. 23410-RT d. 23410-RT, 29827-RT-59
13. What code(s) should you report for Dr. West in the following case?

Preoperative diagnosis: Right knee medial meniscal tear

Postoperative diagnosis: Current, right knee medial meniscal tear with mild
grade three chondral change in the medial femoral condyle

Procedure: Right knee arthroscopy with medial meniscectomy

Summary of procedures: A 52-year-old male patient signed consent forms and

was taken to the surgical suite. After adequate anesthesia was obtained, a
tourniquet was applied to the right thigh. Examination of the right knee under
anesthesia showed full range of motion. No instability to provocative testing.
The left lower extremity was placed in a well leg holder. The right lower
extremity was then prepped and draped in usual sterile fashion.

Anteromedial and anterolateral portals were established after distention of soft

tissues with 20 cc of 0.5% Marcaine® with epinephrine. The arthroscope was
inserted with a blunt trocar and the joint distended with lactated Ringer’s.
Examination of the medial compartment showed a tear in the posterior root of
the medial meniscus right at the intersection which was unstable to probing.
This area was debrided with punch, motorized shaver, and electrocautery unit
until stable. There was a mild grade-three change on the medial lateral
compartment that showed normal articular cartilage and a stable lateral
meniscus to probing. The anterior compartment showed normal articular
cartilage and no loose bodies. The joint was copiously irrigated with lactated
Ringer’s and the instruments were removed. The wounds were closed with 4-0
nylon suture in an interrupted fashion. The joint was injected with additional 10
cc of 0.5%

Marcaine with epinephrine and 2 mg of estradiol. Sterile dressings were

applied. The patient was awakened and brought to recovery room in stable
condition. The tourniquet was applied but not inflated and blood loss was
minimal. The patient tolerated the procedure well.

a. 29880-RT ,29980-LT c. 29881-RT

b. 29881-RT ,29881-LT d. 29880-RT

14. A patient, under general anesthesia, underwent a primary repair to the

left ankle for a disrupted ligament. During the same procedure the patient
required a percutaneous tenotomy to lengthen the Achilles tendon. bHow
should you report the surgeon’s services?

a. 27695-LT, 27606-59-LT
b. 27698-LT, 27685-59-LT, 01472-47
c. 27695-LT, 27685-59-LT, 01472-47
d. 27698-LT, 27605-59-LT

15. Dr. Hewes completed an anterior arthrodesis fusion, with a structural

allograft, and minimal discectomy at L1-2, L3-4, and L4-5. Anterior
instrumentation was required and inserted for stabilization of the entire lumbar
region. How should Dr. Hewes report this procedure?

a. 22612, 22614 x 2, 20931, 22846

b. 22558, 22585 x 2, 20931, 22846
c. 22558, 22585 x 2, 20931-51, 22846-62

d. 63075, 22558, 22614 x 2, 20931-51, 22846-62

16. A patient is stabbed in the right arm. The stab wound is enlarged, cleaned,
and foreign materials removed and inspected, and coagulation of minor blood
vessels is completed. What code(s) should you report for this service?

a. 20103, 24200 c. 24200, 24000-59

b. 20103 d. 24000, 20103-59

17. Reese suffered a dislocation to his right fourth carpometacarpal. Dr. Lewis
completed a closed manipulation under anesthesia and repaired Reese’s injury.
What code should Dr. Lewis report for her services?

a. 26605
b. 26641
c. 26670
d. 26675

18. Which is the correct CPT definition of external fixation?

a. The usage of skeletal pins plus an attaching mechanism/device used for

temporary or definitive treatment of acute or chronic bony deformity.
b. The usage of skin application for force by an attaching mechanism/device
used for permanent or definitive treatment of acute bone deformity.
c. The usage of skeletal pins plus an attaching mechanism/device used for
permanent or definitive treatment of chronic bony deformity.
d. The usage of skin and skeletal pins plus an application of
mechanism/device used for temporary treatment of acute or chronic bony
deformity.
19. A 62-year-old female patient is referred to Dr. Stegman for increased right
groin pain. The patient describes the pain as worse when sitting and rising from
a seated position. The pain is temporarily relieved with intra articular
corticosteroid injections. Monday, Dr. Stegman’s physical examination
documents loss of hip internal rotation, suspected cam lesion, and referral for x-
ray with arthrography followed by CT with contrast. Both the x-ray and CT scan
verify a cam lesion. Today, one week after the initial consult, Dr. Stegman
completed a surgical right hip arthroscopy, including a femoroplasty to repair
the cam lesion. How should Dr. Stegman report today’s services?

a. 29860-RT, 73525-26, 73701-26 c. 29914-RT

b. 29914-RT, 73525, 73701 d. 27130-RT

20. Christina is a 52-year-old patient who underwent a subcutaneous excision

of an 8-cm spongy tumor on her upper abdominal wall. How should you report
this procedure?

a. 22902 c. 22900
b. 22903 d. 22905

21. A 20-year-old smoker has a single 8.2-mm lung nodule reported on CT of the
chest. The peripheral nodule is not amendable to biopsy by routine
bronschoscopy. The patient agreed to undergo a diagnostic bronchoscopy with
computer-assisted navigation under moderate sedation. Dr. Smith completed
the procedure and provided moderate sedation with a trained observer. The
intra-service time was documented as 45 minutes. How should Dr. Smith report
her codes for this procedure?

a. 31622, 31627 b. 31622, 31627-51

c. 31622, 31627-51, 76376, d. 31622, 31627, 99152 99153x2
99152, 99153x2

22. A patient with a benign neoplasm of the bronchus and lung underwent a
bronchoplasty with a cartilage autograft repair. The thoracotomy site was
closed with layered closure and a chest tube left in place for drainage. How
should you report this procedure and diagnosis?

a. 31770 c. 31825
b. 31775, 20910-51 d. 31775, 31825-51

23. A patient underwent thorancetesis aspiration of the pleural cavity with

ultrasound guidance. How should you report this procedure?

a. 32554, 76942-26 c. 32555, 76942-26

b. 32555 d. 32557

24. A 22-year-old patient who suffers from severe persistent asthma

underwent a flexible bronschoscopy with bronchial thermoplasty in the right
middle lobes. Dr. Aster’s nurse who is a trained independent observer,
monitored the patient during the 45-minute intra-service time. Dr. Aster
completed the procedure and administered moderate conscious sedation. How
should Dr. Aster report this procedure?

a. 31661, 99152, 99153x2 d. 31645, 31661-51, 99152,

b. 31661 99153x2-51
c. 31622, 31661-51, 99152,
99153x2-51
25. Jenny underwent a right upper lobectomy and a therapeutic wedge
resection of the right middle lobe. How should you report this procedure?

a. 32480, 32505, 32506-51 c. 32480, 32505-59

b. 32484, 32506 d. 32440, 32480-59

26. Darlene underwent (SRS/SRBT) thoracic target delineation for sterotactic

body radiation therapy. Her course of treatment required four session

a. 31626, 32701 x 4 c. 32701 x 4

b. 32701, 77435 d. 32701

27. Harry, a neonate weighing 3 kg, underwent an aortic valvuloplasty with

cardiopulmonary bypass using transventricular dilation. During the same
operative session a transmyocardial laser revascularization by thoracotomy was
completed. How should you report this procedure?

a. 33140-63, 33141
b. 33412-63, 33141
c. 33440, 33141
d. 33140, 33412-63, 33141-51

28. Martin, a 54-year-old patient, underwent an insertion of a permanent

pacemaker with tranvenous electrodes placed in the right atrial and ventricle.
The pacemaker device was evaluated and then placed in a subcutaneous pocket
just below the ribcage. Dr. Gary completed this procedure, for Martin, under
moderate conscious sedation and used fluoroscopic guidance to confirm lead
placement. How should Dr. Gary report his professional services?
a. 33208 c. 33217, 33213-51
b. 33208, 76000-26, 93279-51 d. 33211, 76000-26, 93279-51

29. Dr. Smith completed an initial diagnostic left heart catheterization

including left ventriculography and supravalvular aortography. At the conclusion
of this diagnostic study it was determined that the patient required a
(TAVR/TAVI) transcatheter aortic valve replacement with a prosthetic valve,
which was completed via a transaortic approach. How should Dr. Smith report
his services?

a. 33365-62, 93452-59, 93567 c. 33365-62

b. 33365, 93452-51, 93567-51 d. 0318T, 93452-59, 93567-51

30. A 37-year-old patient was placed under moderate sedation for a repair to
her peripheral insertion central venous access device with subcutaneous port.
During the same operative session as the repair, the catheter was repositioned
under fluoroscopic guidance. How should the operating physician report his
professional services?

a. 36576, 76000 d. 36561, 36576-59, 36597-59,

b. 36575, 36597, 76000-26 76000
c. 36576, 36597, 76000-26

Evaluation and Management (E/M)

31. Discharge note: Dr. Kara dictated and completed service Mr. Davis, 54-year-
old male patient, is doing well following laparoscopic appendectomy completed
at Calvin Hospital yesterday. He has been afebrile since the procedure,
tolerating surgical soft diet, and ambulating with minimal assistance. He states
he has “quality help” at home with his wife and son. Given his current improved
condition and eagerness to leave the hospital, he will be discharged today. The
nursing staff will provide discharge instructions and review these with the
patient and home health team (family). A follow-up office visit is set for 10 days.
I have instructed the patient to notify me immediately if he experiences a fever,
pain, or oozing from the operative site. How should Dr. Kara report today’s
service?

a. 99232-25, 99239 c. 99315

b. 99238 d. 99232-25, 99217

32. Postoperative follow-up note: Dr. Kara dictated and completed service
Mr. Davis, 54-year-old male patient, is seen today for routine postoperative
follow-up for an appendectomy performed 10 days ago at Gall Regional
Hospital. The surgical site is well healed; he has no complaints and remains
afebrile. His appetite is good, and he is eating whatever he desires. Mr. Davis
may return to work and
increase his activities as tolerated. He was instructed to call if any concerns or
problem arise. How should you report today’s visit?

a. 99024 b. 99213 c. 99212-79 d. 99213-58

33. Dr. Martin admitted Mrs. Worth to Community Hospital for a laparoscopic
cholecystectomy and cholangiograms. Dr. Martin admission was documented as
a comprehensive history, comprehensive examination, and moderate
decision-making. Later that same day (10 hours later), after tolerating the
procedures well, Mrs. Worth was discharged without complications. She was
instructed to call Dr. Martin if she experienced any problems. Mrs. Worth’s
sister accompanied her home and will be her primary caregiver for the next few
days. Mrs. Worth was instructed to call Dr. Martin’s office and schedule a
follow-up visit. How should Dr. Martin report her services for the admission?
a. 99222, 99238
b. 99225
c. 99235
d. 99219, 99217

34. Today, Naomi, a 56-year-old established patient, returns to her PCP with a
chief complaint related to her hypercholesterolemia and peptic ulcer disease.
Her PCP has been treating her for these conditions. The following note was
dictated by her PCP: Subjective: Naomi is a high-school teacher and returned
(this week) to work after the summer break. She has a history of hiatal hernia
and mild CAD. She states she has felt well except for a chronic cough. She uses
several pillows at night in order to breathe. She denies any swelling in the lower
extremities. Expanded problem focused physical exam: Well-developed female
who is in no acute distress. Blood pressure 140/90, both arms while sitting.
Weight 230 lbs. Pulse 80. Respirations 18. Denies any allergies.
Heart: Heart rate regular, carotid pulses normal, no murmur or gallops noted.
Chest: Clear to percussion and auscultation.
Abdomen: Reveals large ventral hernia. This is approximately 12 cm in diameter
and is easily reducible. Bowel sounds are present. There are not masses noted.
Extremities: Without edema and normal reflexes.
Assessment: Hypercholesterolemia, per cholesterol HDL and LDL. Peptic ulcer
disease treated with Zantac, and symptomatic ventral hernia.
Plan decision-making: Continue current mediations including Zantac 150 mg hs
for reflux. Naomi’s management options are limited to the current conditions
noted, limited amount of data was reviewed for this visit, and risks are low
under the current management plan. How should Naomi’s PCP report today’s
visit?

a. 99205 b. 99215 c. 99203 d. 99213

35. What code range should you use if the same physician provides critical
care services to a neonatal or pediatric patient in both the outpatient and
inpatient settings on the same day?

a. 99460–99463 c. 99468–99476
b. 99291–99292 d. 99281–99285

36. Baby-boy Busch was evaluated in the birthing center the morning of his
birth. The documentation noted a comprehensive examination and a
maternal/fetal/and newborn history, and decision-making for discharge was
straightforward. Documentation revealed a normal newborn and decision was
made to discharge later that same day. How should you report this service?

a. 99463 c. 99221-25, 99238

b. 99460-25, 99463 d. 99234

37. Dr. South documented a comprehensive history, comprehensive

examination, and high complexity decisionmaking for this first visit with Burton,
a 19-year-old patient. Burton has a complicated history of diabetes mellitus,
which continues to be out of control, further complicated with current alcohol
and drug abuse. Additionally, Burton brought tests results that he received
three days ago from his visit to a free clinic. These test results were positive for
a sexually transmitted disease. Dr. South spent two hours face-to-face talking
with Burton. How should Dr. South report her services for today?

a. 99354-25, 99355 c. 99205, 99354

b. 99245, 99356 d. 99215, 99354-51, 99355-51

38. Danielle, a 39-year-old established patient, was seen for her annual
female examination. Documentation was completed related to a
comprehensive female exam, including discussion of current birth control pills
and a prescription for refill for the following year. During this visit, Danielle
showed Dr. Bill a growth on her right arm. Dr. Bill completed a separate workup,
including documentation of a problem-focused examination and
straightforward medical decision-making. Dr. Bill completed a biopsy of the
lesion and noted a suspected benign lesion. Dr. Bill told Danielle that she would
get a call with results from the biopsy the next day. Additionally, Dr. Bill
instructed Danielle to watch the growth on her arm and to schedule a follow-up
visit for reevaluation if any changes should occur. How should Dr. Bill report
today’s services?

a. 99395, 11100-57 c. 99214, 99395-25, 11100-25

b. 99213-25, 99385, 11100-57 d. 99395, 99212-25, 11100

39. Dr. Clinton completed two hours of critical care services for a 33-year-old
patient. During this time Dr. Clinton completed temporary transcutaneous
pacing, measured cardiac output, and completed gastric intubation for the
patient. How should Dr. Clinton report her services for this patient?
a. 99291, 99292 x 2 c. 99221, 99292
b. 99291, 99292 x 2, 92953, d. 99291 x 2
93561, 43752

40. Diana was seen in the emergency room with a complaint of severe
stomach pain, nausea and vomiting, and a headache. Dr. Michelle completed a
detailed history, detailed exam, and documented moderate decisionmaking.
Diana was discharged after three hours with a diagnosis of food poisoning. She
was instructed to return if her symptoms returned. How should Dr. Michelle
report this service?

a. 99284, 99283 c. 99221-25, 99284

b. 99284 d. 99284, 99354, 99357 x 2

Coding Guidelines

41. How many elements must be met or exceeded in Table 1 to qualify for a
given type of decision-making to assign an evaluation and management (E/M)
code?

a. Two b. Three c. Four d. Five

42. In which position should you sequence a manifestation code in brackets

[ ]?
a. Primary code d. Secondary code to an underlying
b. Primary code in newborn cases condition
c. Sequencing determined by the
patient’s condition

43. Which of the following is not included in the surgical package according to
CPT guidelines?

a. Local infiltration, metacarpal/metatarsal/digital block, or topical

anesthesia
b. Typical postoperative follow-up care
c. Evaluation and management services 72 hours prior to surgery
d. Immediate postoperative care, including dictating operative notes, talking
with the family and other physicians

44. What type of injection is part of the “with contrast” for CT, CTA, MRI, and
MRA procedures?

a. Intramuscular c. Intra-articular
b. Intravascular d. Subcutaneous

45. Which of these CPT guideline(s) include the definition for separate
procedures?

a. Medicine c. Pathology and Laboratory

b. Radiology d. A and B
ICD-10-CM

46.Sepsis due to puncture wound of the lower back and pelvis without a foreign
body, initial encounter. ______

A. R65.10, S31.030A, A41.9 C. S31.030A, R65.20

B. S31.030A, A41.9 D. S31.030A, R65.21

47.Metastatic lung cancer, right lower lobe, spread from the liver with
treatment directed to the lung.

A. C22.0, C78.01 C. C78.01, C22.8

B. C34.31, C78.7 D. C78.02, C22.9

48.A patient with Type 1 diabetes with diabetic retinopathy is seen for an eye
checkup. After a thorough examination, the ophthalmologist determines the
patient has retinal edema. ______

A. E10.311, H35.81 C. E10.321

B. E11.311 D. E10.311

49. Sonny has been a one pack per day cigarette smoker for over 29 years. His
physician prescribes him smoking cessation medication. ______

A. F17.213
B. F17.290 C. F17.210
D. F17.200

50.A patient presents to the nephrology clinic suffering from malignant

hypertensive heart and Stage V chronic kidney disease, without heart failure,
due to hypertension. ______

A. A. I13.11, I10 C. C. I13.11, N18.5

B. B. I13.11 D. D. N18.5, I10

51.Patient is diagnosed with acute infective myocarditis due to streptococcus

pneumoniae.

A. I51.4, A49.1 C. I40.0

B. I40.0, A49.1 D. I40.0, B95.3

52. A patient is treated for three pressure ulcers: bilateral buttock ulcers, stage
3 on the right and stage 2 on the left; and a stage 4 on the sacral area.

A. L89.44, L89.303, L89.312 C. L89.154, L89.313, L89.322

B. L89.154, L89.300, L89.014 D. L89.153, L89.313, L89.322

53. A 7-year-old is brought in to be seen for a red rash on his entire back,
followed by diffuse epidermal exfoliation. Blood tests confirm Staphylococcal
scalded skin syndrome (SSSS).

A. L00, R21, L49.0 C. R21, L49.1

B. L00, L49.1 D. L49.1, L00
54. Full term, uncomplicated delivery of a single live birth.

A. O80, Z37.0, Z3A.00 C. Z37.2, Z3A.00

B. Z37.1, Z3A.00 D. Z37.3, Z3A.00

55.Exposure to TB.

A. A15.9 B. Z20.1 C. Z20.2 D. Z20.6

Medical Terminology

56. The phrase “with contrast” is used in codes for procedures performed using
contrast or imaging enhancement. “With contrast” represents contrast material
administered via which route(s)?

a. Intravascularly c. Intrathecally
b. Intra-articularly d. All of the above

57. What body part is commonly treated with a (balloon type) sengstaken
tamponade procedure?

a. Interverterbral disc c. Tricuspid valve

b. Esophagus d. Coracoid process
58. Which of the following body parts does the splenic flexure connect?

a. Transverse and ascending colon c. Descending colon and rectum

b. Transverse and descending d. Ascending colon and cecum
colon

59. What is caused by sympathetic stimulation to the heart?

a. Decreased heart rate c. Increased heart rate

b. Decreased preload volume d. Increased preload volume

60. What is a patient receiving if treated with Konsyl?

a. A spinal manipulation d. A computer-aided algorithm

b. A fracture treatment analysis
c. A drug

61. Which of the following terms best describes the atlas and/or axis bone?

a. Vertebra c. Tarsal
b. Carpal d. Maxilla

62. What congenital or acquired condition describes the nasal septum straying
from the midline of the nasal cavity?
a. Singular septum c. Polyposis septum
b. Deviated septum d. Stratified septum

63. What suffix means destruction or breakdown?

a. -centesis b. -lysis c. -iasis d. –otripsy

Anatomy

64. A pregnant woman infected with rubella virus gives birth to a child with
multiple birth defects. Which of the following terms describe these types of
birth defects?

a. Congenital c. Contagious
b. Hereditary d. Robotic epigenetic

65. Cushing’s syndrome may be caused by prednisone therapy. This syndrome

is considered a disorder of what gland(s)?
a. Thymus c. Ovarian
b. Testes d. Adrenal

66. Which of the following describes the location of the femur?

a. Distal to the acetabulum and proximal to the patella
b. Proximal to the acetabulum and distal to the patella
c. Distal to the patella and proximal to the ischium
d. Proximal to the ischium and distal patella

67. Where is the parahippocampal gyrus located?

a. Spine c. Small intestine

b. Brain d. Superior vena cava

68. What is another name for the eardrum?

a. Stirrup c. Tympanic membrane

b. cochlea d. Oval window

69. Which of the following terms best reflect the function of an epiphyseal disc
or plate?

a. Longitudinal growth c. Formation of synovial fluid

b. Blood cell formation d. Apoptosis fragmentation

70. What does a patient diagnosed with post maturity typically experience?
b. Elevated biliary tract output
a. Abnormal auditory functions c. Facial nerve palsy
d. Prolonged gestation of infant

Medicine (90000 Series)

71. Which of the following must be included to report from code range 93040–
93042?

a. A specific order for an electrocardiogram or rhythm strip followed by a

separate, signed, written, and retrievable report
b. A verbal request for a consult including only a record review
c. A specific order for an electrocardiogram or rhythm strip followed by a
separate, signed, verbal, and nonretrievable report
d. A written request for a consult including only a record review

72. Cassidy, a 35-year-old patient, has a history of diabetes mellitus controlled

with insulin. She was diagnosed with background diabetic retinopathy three
years ago. Today, Cassidy was referred to Dr. Nelson for retinal images with
fundus photography of both eyes. Upon completion of the images, Dr. Nelson
reviewed the study
and sent a detailed report back to the referring physician outlining the
progression in Cassidy’s condition. How should Dr. Nelson report her services?

a. 99242-25, 92228, 92250-59 c. 99242-25, 92227, 92250-59

b. 92228 d. 92227
73. Mathew, a 31-year-old patient, was seen for occupational evaluation on
January 15th. At that time, Dr. Winters determined that Mathew may require
additional physical therapy and possible surgery for his injuries. Today, March
18th, Dr. Winters reevaluated Mathew’s ability to return to work as a heavy-
equipment operator, following a second endoscopic surgery to his right elbow
and extensive physical therapy. How should Dr. Winters report today’s service?

a. 99213-25, 97164 c. 97168

b. 99213 d. 97164

74. George, a 26-year-old patient, returned to Dr. Morris’s office for his
scheduled psychotherapy visit. In addition to the 45-minute psychotherapy
session, Dr. Morris documented George’s increased anxiety and depression,
completed an expanded problem-focused history, expanded problem-focused
examination, and documented low-complexity medical decision-making. Total
time spent face-to- face with the patient was documented as 65 minutes. How
should Dr. Morris report services for today’s visit?

a. 99213, 90836 c. 99214, 90838

b. 99213, 90834 d. 99214, 90836

75. Cheryl, a 25-year-old patient, was released from an outpatient

psychotherapy facility 10 days ago. Today, she threatened to commit suicide
and was rushed back to the outpatient treatment facility for crisis management.
Cheryl spent time alone with Dr. Morris and then her family was included in an
additional session. Dr. Morris spent two hours of face-to-face time with Cheryl
and her family, providing crisis psychotherapy. How should Dr. Morris report
services for today’s visit?

a. 90837, 99355 x 2 c. 90839, 90840 x 2

b. 90791, 90839, 90840 x 2 d. 99215, 90838 x 2