Focus Healthcare Solutions

Pathology Assessment
Mark :40
Time : 1hr 30 M

1. Dr. Dharma performed the following lab tests: Calcium ionized, Carbon dioxide, Chloride, Creatinine, Glucose,
Potassium, Sodium, Urea, Nitrogen (BUN). How should you report Dr. Dharma’s lab work?

A. 80048 B. 80048-52
C. 82310, 82374, 82435, 82565, 82947, 84132, 84295, 84520 D. 80047

2. Dr. Leelatharan performed an intra-operative consultation on a bile duct tumor requiring frozen section and cytological
evaluation to a bladder tumor. How would you report his professional services?

A. 88329 B. 88331-26, 88334-26

C. 88331, 88332 x 2 D. 88331-26, 88333-26

3. Marvin had a breath alcohol test completed at the hospital after the police arrested him for racing his four-wheeler past
a McDonald’s drive through window. Marvin’s breath alcohol test was mathematically calculated. How would you report
the calculation on this test?

A. 82075 B. 82075 x 2 C. 82075, 80320 D. 80320

4. Dr. Monday provided a comprehensive clinical pathology consultation at the request of Dr. Adams. This request was
regarding a patient with various infections, drug allergies, skin rash, and Down’s syndrome. The patient is in the hospital
intensive care unit being treated with intravenous antibiotics. Dr. Monday did not see the patient but he reviewed the
patient’s history, complex medical records, and provided a written report back to Dr. Adams regarding his findings and
recommendations for further treatment. How would Dr. Monday report his services?

A. 80502 B. 99244 C. 99244-25, 80502 D. 99255-25, 80500

5. Rashid a 26-year old patient had a semi-quantitative urinalysis for infectious agent detection. How should you report
this test?

A. 81050 B. 81005 C. 83518 D. 81005, 83518

6. Code 3011F describes which diagnostic or screening process?

A. Lipid panel results including total cholesterol, HDL-C, triglycerides, calculated LDL-C
B. Lipid panel results including total cholesterol
C. Lipid panel results including cholesterol, triglycerides, lipoprotein
D. Lipid panel results including cholesterol, triglycerides, carbon dioxide, glucose, potassium

7. Gajendran a 58-year-old male patient with abdominal pain and episodes of bright red blood in his stool reports to his
physician’s office for a check-up. His physician performs a digital rectal exam and tests for occult blood. Dr. Marimuthu
documents this blood occult test was done for purposes other than colorectal cancer screening. How would you report the
occult blood test?

A. 82270 B. 82274 C. 82271 D. 82272

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8. Kathy had intermittent abdominal pain, occasional diarrhea, stool frequency, and bloating. Her symptoms have
worsened over the past two months. Her physician orders a fecal Calprotectin test to check for Crohn’s disease. How
should you report the lab test?

A. 82270 B. 82272, 83993 C. 83993 D. 82271, 82272

9. Patient is coming in for a pathological examination for ischemia in the left leg. The first specimen is 1.5 cm of a single
portion of arterial plaque taken from the left common femoral artery. The second specimen is 8.5 x 2.7 cm across x 1.5 cm
in thickness of a cutaneous ulceration with fibropurulent material on the left leg. What surgical pathology codes should be
reported for the pathologist?

A. 88302, 88304 B. 88304-26, 88305-26

C. 88305-26, 88307-26 D. 88307, 88309

10. During a craniectomy the surgeon performed a frozen section of a large piece of tumor and sent it to pathology. The
pathologist received a rubbery pinkish tan tissue measuring in aggregate 3 x 0.8 x 0.8 cm. The entire specimen is
submitted in one block and a microscope was used to examine the tissue. The frozen section and the pathology report are
sent back to the surgeon indicating that the tumor was a medulloblastoma. What CPT® code(s) will the pathologist
report?

A. 88304 B. 88331-26 C. 80502 D. 88331-26, 88304-26

11. Physician orders a comprehensive metabolic panel but also wants blood work on calcium ions and also orders a basic
metabolic panel. Select the code(s) on how this is reported.

A. 80053, 80047 B. 80053

C. 80047, 82040, 82247, 82310, 84075, 84155, 84460, 84450 D. 80053, 82330

12. 18-year-old female with a history of depression comes into the ER in a coma. The ER physician orders a drug screen
on antidepressants, phenothiazines, and benzodiazepines. The lab performs a screening for each single drug class using an
immunoassay in a random access analyzer. Presence of antidepressants is found and a drug confirmation is performed and
identified as Amoxapine. What correct CPT® codes are reported?

A. 80307, 80335 B. 80306, 80338

C. 80305 x 3, 80306 D. 80307 x 3, 80346, 80338

13. A patient uses Topiramate to control his seizures. He comes in every two months to have a therapeutic drug testing
performed to assess serum plasma levels of this medication. What lab code is reported for this testing?

A. 80305 B. 80306 C. 80201 D. 80201, 80305

14. Patient that is a borderline diabetic has been sent to the laboratory to have an oral glucose tolerance test. Patient drank
the glucose and five blood specimens were taken every 30 to 60 minutes up to three hours to determine how quickly the
glucose is cleared from the blood. What code(s) should be reported for this test?

A. 82947 x 5 B. 82946 C. 82951, 82952, 82952-91 D. 82951, 82952 x 2

15. A patient with severe asthma exacerbation has been admitted. The admitting physician orders a blood gas for oxygen
saturation only. The admitting physician performs the arterial puncture drawing blood for a blood gas reading on oxygen
saturation only. The physician draws it again in an hour to measure how much oxygen the blood is carrying. Select the
codes for reporting this service.

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A. 36600, 82805, 82805-51 B. 36600, 82810, 82810-91
C. 36620, 82803, 82803-51 D. 36415, 82810, 82810-91

16. Cells were taken from amniotic fluid for analysis of the chromosomes for possible Down’s syndrome. The geneticist
performs the analysis with two G-banded karyotypes analyzing 30 cells. Select the lab codes for reporting this service.

A. 88248 B. 88267, 88280, 88285

C. 88273, 88280, 88291 D. 88262, 88285

17. Sperm is being prepared through a washing method to get it ready for the insemination of five oocytes for fertilization
by directly injecting the sperm into each oocyte. Choose the CPT® codes to report this service.

A. 89257, 89280 B. 89260, 89280

C. 89261, 89280 D. 89260, 89268

18. A pathologist performs a comprehensive consultation and report after reviewing a patient’s records and specimens
from another facility. The correct CPT® code to report this service is:

A. 88325 B. 99244 C. 80502 D. 88329

19. A surgical specimen was removed from the proximal jejunum during a resection for adenocarcinoma and was
submitted to surgical pathology for gross and microscopic examination. The correct code for this service:

A. 88300 B. 88309 C. 88304 D. 88305

20. Dr. Bashir performs the following tests on her automated equipment: HDL, total serum cholesterol, triglycerides and a
quantitative glucose. The correct codes for these procedures are:

A. 83718, 82465, 84478, 82947 B. 83721, 82465, 82951

C. 80061, 82947 D. 80061, 82950

21. A patient with Bipolar disorder is being treated with Lithium. The physician orders a therapeutic drug test to measure
the level of lithium. What is the correct code?

A. 80178 B. 80342 C. 80305 D. 80375

22. A patient presents to the ED with crushing chest pain radiating down the left arm and up under the chin. There are
elevated S-T segments on EKG. The cardiologist sees and admits the patient to CCU. He orders three serial CPK enzymes
levels with instructions that the tests are also to be done with isoenzymes if the initial tests are elevated for that date of
service. The CPK enzyme levels were elevated, the lab codes would be:

A. 82550, 82552, 82550-76 x 2, 82552-76 x 2 B. 82550, 82552, 82552-91 x 2 C.

82550, 82550-91 x 2, 82552, 82552-91 x 2 D. 82552, 82552-91 x 2

23. Which of the following panels does NOT include chloride?

A. 80061 B. 80050 C. 80053 D. 80047

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24. Sugumar presents with burning urination and frequency. The physician performs a UA dipstick, which shows elevated
WBC. He orders a urine culture with identification for each isolate to determine which antibiotic to give to the patient for
the infection. What are the appropriate lab codes?

A. 81000, 81007 B. 81002, 87088 C. 81001, 87086 D. 87086, 87088

25. Which of the following coding combinations is an example of unbundling?

A. 80048, 80061 B. 80076, 80305

C. 80061, 83718, 84478 D. 82310, 82355, 82374

26. Patient is undergoing in vitro fertilization to get pregnant. Following the retrieval of follicular fluid from the patient,
the physician uses a microscope to examine the fluid to identify the oocytes. What is the code for the laboratory service?

A. 89250 B. 89254 C. 89255 D. 89258

27. A patient has an iliac crest bone marrow biopsy. The physician suspects the patient has myelofibrosis. The bone
marrow specimen is sent to pathology for gross and microscopic exam. What is the appropriate code for the pathologist’s
service?

A. 88304 B. 88305 C. 88309 D. 88307

28. A pathologist performs a comprehensive consultation and report after reviewing a patient’s records, specimens and
official findings from other sources. What is the correct code?

A. 88325 B. 99244, 88325 C. 80502 D. 88329

29. Which code(s) should be reported for the following case? Clinical
history: Mass in the body of stomach
Gross description: Cavity effusion – two Diff- Quick four smears prepared with simple filter and interpretation. Specimen
received: Stomach mass touch prep
Adequacy: Specimen satisfactory for cytological evaluation
Diagnosis: Primary malignant neoplasm – body of the stomach
Notes: Cytology completed on specimen. The malignant cells show subjective features suggestive of small-cell
carcinoma; however, cell size is more attuned with non-small-cell carcinoma.

A. 88106 B. 88104 C. 88106, 88333 D. 88108

30. Dr. Ross, a pathologist, completed both gross and microscopic surgical pathology after a lung wedge biopsy. Dr.
Miles, the surgeon, sent a single specimen to the laboratory after the completion of a limited biopsy by thoracotomy. How
would Dr. Ross report her services?

A. 88300-26, 88307-26 B. 32151, 88305-26 C. 88307-26 D. 32097, 88307-26

31. Robert was sent to a local laboratory for pre-employment drug screening. He provided a urine sample to the laboratory
technologist. The technologist completed a qualitative screening, including one procedure for multiple drug classes using
chromatography method with a multiplexed kit. The test was negative and results were sent back to the requesting employer.
How should you report this laboratory service?

A. 80307, 80305 B. 80305 C. 80306 D. 80307

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32. Jane underwent a combined rapid anterior pituitary evaluation panel with multiple exposures and suppressions and had
a hepatic function panel. How should these tests be reported?

A. 82024 x 4, 83002 x 4, 83001 x 4, 84146 x 4, 83003 x 4, 82533 x 4, 84443 x 4

B. 80418, 80076
C. 80418, 82024, 83002, 83001, 84146, 83003, 82533, 84443
D. 80076

33. Dr. Thomas received a request for consultation that included records and specimens. Dr. Thomas did not see the
patient, but documented the patient as inpatient status with a comprehensive family history of colon cancer. The patient
takes multiple medications and is at high risk of complications due to weight loss, chronic diarrhea, and a continued fever.
His confirmative opinion, based on the review of specimens and records, indicates positive small-cell cancer. Dr. Thomas
sent his written report back to the requesting physician. How should Dr. Thomas report his services?

A. 99254 B. 88325 C. 99254-25, 88325-26 D. 88323

34. Larry had a venipuncture during his annual physical examination. The blood sample was used for the following
antibody tests: West Nile IgM, Shigella, mumps, and total hepatitis B. How should you report these lab tests?

A. 36415 B. 86486
C. 86788, 86771, 86735, 86704 D. 36415-32, 86788, 86771, 86735, 86704

35. Today, an extended culture of five-day embryos was completed. The transfer tests will be completed when the culture
test results are confirmed. The culture testing results are scheduled for return within 48 hours. How should the culture
service be reported?

A. 89272 B. 89250 C. 89258 D. 89255, 89272

36. A patient had the following blood tests completed as part of her primary care physician’s described metabolic panel:
albumin, bilirubin total, calcium total, carbon dioxide, chloride, creatinine, glucose, phosphatase alkaline, potassium,
protein total, sodium, transferase (ALT SGPT), transferase aspartate (AST SGOT), urea nitrogen (BUN), bilirubin direct,
and a hepatitis A IgM. How should these services be reported?

A. 80053, 82248, 86709 B. 80053-22

C. 80076-52, 80074-52, 80053-52 D. 80047, 80053, 80076

37. Subbu a 56 year old patient had glucose tolerance testing completed on seven specimens. How should these
laboratory services be reported?

A. 82947, 82951, 82952-51 B. 82951, 82952 x 4

C. 82947, 82952 x 7 D. 82951 x 7

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