CPC MOCK 10

1. Sam had six actinic keratoses destroyed. How would you report this service ?
1 point

a. 17004
b. 17000,17003
c. 17000, 17003 x 5
d. 17110, 17111 x 5

2. History: A 41 – year old male with an open wound to the left upper leg presents for
debridement of the skin graft site, followed by a split-thickness skin graft.Procedure: After
informed consent was obtained, the patient was taken to the operating room, where he was
prepped and draped in a fashion. The VAC machine was disconnected. The wound was
malodorous. Tissue was debrided the total size is now 150 sq cm prepped and ready. Skin was
harvested at 15/1000 th of an inch, at the patient’s request, from the trunk. An epinephrine-
soaked gauze, 1/10,000 dilution, as well as Maracaine 0.5% with1:200,000 dilution of
epinephrine, was applied to the wound. Injection around the donar site was carried out with the
same Marcaine solution. Marcaine 0.5% with 1:200,000 dilution of epinephrine was infiltrated
around the left upper leg. Next , the skin graft was meshed at a 1.5:1 ratio. The skin graft, 150
sqcm, was applied to the left upper leg and a 4-0 chronic surface was used. Next the VAC
sponge was placed over the skin graft. The skin graft area was secured with stiomahesive
dressing around the edge. The patients donor site was dressed with xeroform gauze and a Telfa,
Kerlix gauze, ABD, and tape. The patient tolerated the procedure well and left the operating
room in good condition. Needle and sponge counts were correct. How would you report the
professional services for this case ?
1 point

a. 15004, 15005-51, 15273-51, 15274-59

b. 15002,15100,15101-51
c. 15004, 15005, 15273, 15274
d. 15100, 15101, 15002-51, 15003

3. A. patient had a left breast reconstruction with free flap. The surgeon used a microsurgical
technique, requestingAn operating microscope during the procedure. How would you report this
procedure ?
1 point

a. 19364 –LT, 69990

b. 19357
c. 19361, 69990
d. 19364 – LT

4. A patient underwent an incision and drainage of a seroma without imaging and guidance. How
would your reportthese professional services ?
1 point
a. 10140, 76942 – 25
b. 10140
c. 10080
d. 10060, 76942 – 26

5. Dr. Shars took skin open biopsies and lesions from Laura’s back. How would you report ? Dr
Shars services ?
1 point

a. 11106, 11107-51
b. 11056, 11106, 11107-51
c. 11106, 11107 x 2
d. Biopsy codes are not reported unless the lesions are removed separately.

6. Dr. Dan excised a benign lesion from Sara’s left arm and another benign lesion from her right
leg. The exciseddiameter lesion on the arm was 2 cm and the excised diameter lesion on the leg
was 6.2 cm. How would you reportthis service ?
1 point

a. 11406, 11402-59
b. 11406
c. 11602, 11606-59’
d. 11406,11402

7. Dr. Dan completed a 2.4 cm simple defect closure to the excision on the arm and a 10.4 cm
intermediated wounddefect closure to the leg. How would the closures be reported ?
1 point

a. 12034, 12002-59
b. 12034’12002, 12045
c. 12034, 12001-59
d. All closures are bundled with excision procedures

8. According to CPT guidance for repair (closure), which modifier is reported when more than
one classification ofwounds is repaired ?
1 point

a. 54
b. 25
c. 51
d. 59

9. Dr Craig completed a malignant lesion removal and a adjacent tissue transfer on the trunk of a
patient. The lesiondefect was 1 sq cm and the transfer defect was 2 sqcm
1 point

a. 14000
b. 11601,14000-51
c. 11601, 14000-59
d. 116-01, 12001-51

Musculoskeletal System (10 Questioins)

10. A patient amputated her thump in an automobile accident. A surgeon performed a
replacement of the thump,including carpometacarpal joint to the MP jopint. How would you
report this procedure ?
1 point

a. 20824
b. 20827
c. 20822
d. 20808, 20824-59

11. A patient underwent a right surgical arthroscopic medial meniscal transplant, which required
a remnant of the meniscus to be removed. How would you report this procedure ?
1 point

a. 29866, 29868-59
b. 29868-RT
c. 29868
d. 29870 – RT

12. A patient had four artificial cervical discs removed by total disc arthroplasty in an anterior
approach. What is
1 point

a. 22527 x 3
b. 0095T x 3
c. 22534 x 3
d. 22585 x 3

13. When coding for spinal procedures, how is segmental instrumentation defined?
1 point

a. Fixation at each end of the construct and no additional interposed bony attachment
b. Fixation at each end of the construct and may span four vertebral segments with attachment to
the intervening segments
c. Fixation at each end of the construct and at least one a additional interposed bony attachment.
d. Fixation at each end of the construct and may span a several vertebral segments without
attachment to the Intervening segments.

14. What is the appropriate code for the application of body cast including one thigh?
1 point

a. 29035
b. 29450
c. 29044
d. 29000

15. A patient underwent a percutaneous repair of an Achilies tendon with graft. How would you
report this?
1 point
a. 27680, 20824-59
b. 27654
c. 27652,20824
d. 27652

16. While shopping at the mall, Renee dislocated her patella when she fell from the escalator.
The surgeondocumented an open dislocation and performed an open treatment with total
patellectomy to repair the patella.How would you code this treatment and diagnosis ?
1 point

a. 27840, 27562-51, 583.006A, Y92.513

b. 27566, 583.006A, W10.0XXA, Y92.59
c. 27562, 581.009A,W10.0XXA, Y92.59
d. 27566, 27560-51, 581.009A, W10.0XXA,Y92.59

17. A patient suffered a penetrating wound to his abdomen when he fell into a place glass
window. A surgeonperformed wound exploration with enlargement, debridement and removal pf
glass from the site. The surgeondecided a laparotomy procedure was not necessary at this time.
How would this procedure be reported ?
1 point

a. 20102
b. 49000, 97602-51,20102-59
c. 20100,49000-59
d. This procedure is bundled with the laparotomy

18. Dr.Robert’s patient suffering an open fracture to his left elbow was repaired surgically with
several pins. Twoweeks after the repair, Dr.Robert’s had to rereduce the fracture. Which
modifier would describe the re-reductionprocedure ?
1 point

a. -76
b. -78
c. -58
d. -52

19. Tom suffered a burst fracture to his lumbar spine when he fell from a ladder at work. Dr Bill
performed a partialcorpectomy to L2 by a transperitoneal approach, followed by antgerior
arthrodesis of LI-L3. He also positioned anterior instrumentation and placed a structural allograft
to LI-L3. How would Dr.Bill report this procedure ?
1 point

a. 22558,22858-51,22845-51, 20931-59
b. 63085,22533,22585-51,22808-59
c. 22612 x 2 , 22808, 22840-51,20931
d. 63090, 22558-51,22585,22845,20931

Respiratory /Cardiovascular Systems (10 Questions)

20. A patient had a dual temporary pacemaker inserted. Which code captures this service ?
1 point
a. 33210
b. 33211
c. 33212
d. 33213

21. Alice’s heart condition is worsening and she is scheduled for an upgraded system change
from a single to a dualchamber system. Today, Dr.Smith removed Alice,s single chamber
pacemaker, pulse generator and electrodes. Hethen inserted a dual chamber system with insertion
of new electrodes. Assign the correct codes(s) for today’sservice.
1 point

a. 33208,33217
b. 33233,33234-51, 33208-51
c. 33214
d. 33214,33208-51, 33233-51, 33234-51

22. If an electrode needed to be repositioned in the right ventricle, which code would describe
this service ?
1 point

a. 33218
b. 33226
c. 33215
d. This service is bundled with all pacemaker services

23. Three years after a double bypass. Tom’s heart condition deteriorated ands be had to have
another bypasssurgery. Today, he had a triple arterial and a double venous \graft surgery with
harvesting of a radial artery. Howwould today’s procedure be reported ?
1 point

a. 33511,35500,33518,33534
b. 33535,33518-51,33530-51,35600-51
c. 33511,33518,33530
d. 33535,33518,33530,35600

24. Dr.Nector performed a direct thrombectomy to the vein by abdominal and leg incision.How
would Dr.Nector report her professional services ?
1 point

a. 34401
b. 34451
c. 34421
d. 34420

25. A 62 year old patient had her non tunneled centrally CVAD without a port or pump replaced
with the same typeof systems. The removal and replacement was completed through the samw
access site. How would you reportthis procedure ?
1 point

a. 36580
b. 36589, 36580-51
c. 36581, 36589-59
d. 36578

26. What vascular order branch is the right internal carotid if the starting point of the
catheterization is the aorta ?
1 point

a. First order branch

b. Second order branch
c. Third order branch
d. Beyond the third order

27. A patient had a biopsy of the temporal artery. What is the appropriate code to identify this
service ?
1 point

a. 37650
b. 37609
c. 37700
d. 37565

28. How many times can codes 38207-38215 be reported per day ?
1 point

a. once per day

b. As many times as the procedure is completed within one service day
c. Twice per day
d. None of the above

29. How would you report a diagnostic bronchoscopy with fluoroscopic guidance and a cervical
approach medialastinotomy with biopsy ?
1 point

a. 39000, 31622-59
b. 39000,.31622-51, 71034
c. 31635,71034
d. 39000,31630-59,71034

Digestive System (10 Questions)

30. A 45 year old female patient with mild hypertension underwent a proctosigmoidoscopy with
ablation of threelesion under moderate sedation. Dr.Terry performed the procedure and the
sedation in her office suite. Theintraservice time for the procedure was 45 minutes. How would
you report these service ?
1 point

a. 45320
b. 45320,99152,99153 x2
c. 45309,45320 x 3,00810-P2
d. 45320 x 3
31. Juan, a 42 year old healthy male patient, had a laparoscopic cholecystectomy with
cholangiography. Select theappropriate CPT code(s) to report these services .
1 point

a. 47605
b. 47562,47605-51
c. 47563
d. 47560, 47563 -59

32. Jennifer underwent a hernioplasty to repair a strangulated, recurrent ventral hernia, which
requiredimplantation of mesh for successful closure. Additionally, the surgeon completed
debridement for neerotizing softtissue due to infection. How would the professional services be
reported in this procedure ?
1 point

a. 49566, 11005-51,49568-51
b. 49561,49568
c. 49566,11005-51,49568
d. 49565,11004-59,49568

33. A 16 year old patient underwent an adenoidectomy. During the same surgical session, his
chronic nose bleeding on the left side was addressed. The surgeon found an abnormal
vasculature in this area and cauterized esing suctioncautery in the left nasal septurn to control
this problem. Next the interior turbinates were reduced using the Coblation device. How would
you report these procedures ?
1 point

a. 30140,42831-51
b. 42835,30999-51,30901-50
c. 42830, 30140, 30901
d. 42831, 30140-52, 30901-59-LT

34. Dr.Manual completed the following service for a 22 year-old male. Preoperative note: The
patient has a history of diabetes, smoke and does not exercise. However, the patient states that he
is excellent health. Prior to the surgery, the patient signed consent forms and indicates that he
understands the surgery and risks.Procedure: The patient was prepped that taken into the
operating room, where a diagnostic endoscopic retrograble cholangiopancreatography with
endoscopic retrograde and insertion of nasobilary drainage tube were completed within the same
operative session, we also performed a sphincterotomy. I completed the radiological
supervisionand interpretation with this procedure. How would Dr.Manual report her professional
service ?
1 point

a. 43260, 74330,43262-52,43274-59
b. 43274,74330
c. 43260,99151,74330-26
d. 43259,99151,74330,43260-51,43267-59
35. A patient suffered a fracture of the femur head. He had an open treatment of thefemoral head
with a replacement using a medicon alloy femoral head and methylmethacrylate cement. How
would you report this procedure?
1 point

a. 27236
b. 27235
c. 27238
d. 27275, 27236-59

36. If a diagnostic ecophagoscopy is completed on the samepatient,. For the same condition, in
the same session asa surgical escophagoscopy, how is it coded ?
1 point

a. A surgical endoscopy always includes a diagnostic endoscopy.

b. Code both procedures with a modifier – 59 on the surgical endoscopy.
c. Code both procedures with a modifier – 51 on the diagnostic endoscopy.
D. S surgical endoscopy always includes a diagnostic open excision.

37. Select the appropriate CPT code(s) to report a laparoscopic surgical repair of an incisional
reducible hernia withmesh.
1 point

a. 49655,99151
b. 49654
c. 49654,49568
d. 49560,49568

38. A 22 year – old patient pulled out his gastrostomy tube trying to fix it. An interventional
radiologist, Dr.Milkk,took him into an angiography suite, administered moderate sedation where
she probed the site with a cathester,and injected contrast medium to provide assessment and tube
placement. Dr.Milk documented that the entry sitewas open, and she replaced the tube in the
proper position. This [procedure was completed via the samepercutaneous access site. The
intraservice time for the procedure was 30 minutes. How would you report theprofessional
services for this case ?
1 point

a. 49450, 99152, 99153

b. 49450
c. 49440,99156
d. 49440

39. Usually, an incidental appendectomy during an intra-abdominal surgery is not coded

separately. However, if it isnecessary to report this as a separate procedure, which modifier best
describes this situation ? 44950
1 point

a. -52
b. -59
c. -51
d. -58

Urinary system, Male and Female Genitial Systems (11 Questions)

40. indication for procedure: The patient has a known history of bladder tumor. She presents
today for bladderbiopsy and fulguration as well as instillation of Mitomycin C. She understands
the tr4eatment and risks and agreesby signed consent to the procedure.Procedure: The patient
was taken to the operating room and induced under general anesthesia position . A 23French
cystourethroscope was advanced per orethra into the bladder. The bladder was carefully
inspected, with noevidence of abnormalities noted other than two previously noted lesions for
transitional cell carcinoma – one nearthe right ureteral orifice and one inferior to the left ureteral
orifice. These lesions were biopsied and cauterizedwithout difficulty. The lesions were noted at
approximately 7-8 mm in size. A 20 French Foley catheter was insertedper urethra into the
bladder without difficulty and noted to be draining clear urine. Next instillation of Mitomycin
Cwascompleted with a plan to keep in place for 45-50 minutes. The patient tolerated the
procedure well. There wereno complication. She was taken from the operating room to recovery
in satisfactory condition. How would youreport this procedure ?
1 point

a. 52000,53304-59
b. 51720,51715-51,52000-59
c. 52204,51720-51
d. 51720

41. Steven, a 52- year old male patient, underwent an extracorporewal shockwave lithotripsy and
cystourethroscopy with removal of a double j stent. How would you report this procedure ?
1 point

a.50590, 52310-51
b. 50590, 52310-59
c. 50590,52315-59
d. 52317,52310-51

42. What are the three distinct components of physician work for renal allotransplantion ?
1 point

a. Cadaver or living donor nephrectomy unilateral or bilateral backbench work, and recipient renal
allotranssplantation
b. Cadaver donor nephrectomy (Unilateral) backbench work and recipient renal autotransplantation
c. No donor nephrectomy ( nephrectomy(unilateral or bilateral), backbench work, and recipient renal
allotransplantation .
d. Cadavor donor nephrectomy (unilateral or bilateral) forwarded bench-set work and recipient renal
allotransplamtation.

43. A patient had an open cryosurgical ablation of two renal mass lesions. The s urgeon used an
intraoperativeeultrasound for the procedure. Select the appropriate code for this procedure.
1 point

a. 50250 x 2
b. 50590
c. 50542
d. 50250

44. Sally has been unable to become pregnant and has undergone extensive testing. She is now
scheduled for an vitro fertilization procedure. She underwent a follicile puncture to retrieve 12
eggs. The surgeon then injected one egg into the right fallopian tube. Which codes capture this
procedure ?
1 point

a. 58970, 58976-51
b. 58970, 58976-59
c. 58661-51
d. 58976-59

45. Which modifies should be appended when multiple investigative procedure are performed in
the sameurodynamic session and the physician only interprets the results and/corperates the
equipment ?
1 point

a. -51, TC
b. -51, -26
c. -59, TC
d. No modifiers are necessary.

46. A 65 year old male patient underwent a repair of the tunica vaginalis hydrocele, Bottle type ,
which CPT code isappropriate to report this procedure ?
1 point

a. 55041
b. 55000
c. 55060
d. 54865

47. A patient had a vulvectomy with removal greater than 80 % of the vulvar area and a bilateral
inguionofemorallymphadenectomy. Which CPT code is appropriate to report this procedure ?
1 point

a. 56634
b. 56620
c. 56637
d. 56632

48. Dr. Level delivered a healthy baby via routine cesarean delivery. He also provided all the
antepartum andpostpaturn care for this patient. How would you report this procedure?
1 point

a. 59510,59425-59,59430-59
b. 59400
c. 59618
d. 59510
49. A patient had a laparoscopic treatment of ectopic pregnancy with a salpingectomy and an
cophorectomy.Which code captures this procedure ?
1 point

a. 59150
b. 59136
c. 59120
d. 59151

50. A physician inserts a catheter into a renal abscess using radiologic guidance, then drains the
abscess. How would you code the physicians professional service ?
1 point

a. 50020,75989
b. 49405, 75989-26
c. 50010
d. 49405

Nervous system, Eye and Ocular Adnexa and Auditory system )10 Questions)

51. A patient had a 2 cm lesion excised from conjuction in the right eye. How would you report
this procedure ?
1 point

a. 68135-RT
b. 68115-RT
c. 68330-RT
d. 68110-RT

52. A patient underwent a phacoemulsification extra-capsular cataract extraction with an Alcon

6.0 mm opticdiopter poseterior chamber intraocular lens inserted into the capsular bag. This
procedure was completed with a surgical microscope. How would you report this service ?
1 point

a. 66982
b. 66982,69990
c. 66984,69990
d. 66984

53. Apatient had four prophylaxis photocoagulation treatments for lattice degeneration. These
treatments werecompleted over a one-week time period. How many units of code 67145 would
be reported ?
1 point

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

54. How would you report an endolymphatic sac operation with shunt ?
1 point
a. 69806
b. 69801
c. 69949
d. 69949, 69990-51

55. Bob, a healthy 12 year old patient, had bilateral removal of ventilating tubes. An
anesthesiologist administratedgeneral anesthesia for the procedure. How would the surgeon
report her services ?
1 point

a. 69424-47,00120-P1
b. 69200-50
c. 69424-50
d. 69200, 00120-P1

56. The code range 65710-65757 should not be reported in conjunction with which of the
following ?
1 point

a. Sensorimotor examination with single measurement ,unilateral or bilateral, with interpretation and
report ?
b. Any codes in the E/M section
c. Computerized corneal topography unilateral, with interpretation and report
d. There is not a code for reporting a restriction

57. Dr.Smith injected 12cc of 0.5% Marcaine in the occipital nerve for a patient suffering from
occipitalneuraligia/headache. How would you report this professional service ?
1 point

a.64653
b.64408
c.64405
d.64650

58. Select the appropriate codes to report a supratentorialcraniectomy, for excision of a brain
tumor andimplantation of brain intracavitary agent.
1 point

a. 61510,61517
b. 61518,61517
c. 61512, 61517-59
d. 61510,61316-59

59. A patient with spondylosis and lumber degenerative disc decease underwent bilateral steroid
paravertebralfacent joint injections to C3 and C4. Additionally, a transforaminal epidural
injection of anesthetic was done to theright side at T2. These procedures were completed
underflouroscopy included. How would you report theseprofessional service ?
1 point

a. 64490-50,64491, 64491, 64479-59-RT

b. 64490,64491,64483,77003
c. 64494,64480-59-RT, 77003-26
d. 64483-50, 64479-59-RT, 77003-26

60. A led had a neuroplasty of the ulnar at the elbow. How would you report this procedure?
1 point

a. 64719
b. 64718
c. 64822
d. 64836

Section II
Evaluation and Management (12 Questins)

61. Chief complaint: Nause and Vomiting diffuse abdominal pain headache. Present illness:
Lucy is well a wellknown 45 – year old patient with a history of adult onset. Diabetes. She was
on insulin while pregnant but has nottaken any medicine since she delivered one year ago. She
has a poor understanding of her disease and does notkeep her follow-up appointments . She
complained of onset of the above-mentioned symptoms as of yesterdaymorning. Today, she
reports continued chief complaint problems and generalized aches.Past medical history : Lives
alone with her infant son.Social history: Smokes three packs of cigarettes per daySurgical
history: C-section one ago. Otherwise negativeFamily history: Positive for diabetes mellitus and
breast cancer. Both parents died in their early 50s after years ondialysis.Medications: Patient
discontinued her insulin. She takes a multiple vitamin, birth control pills, and herbal
remedies.Physical exam: Temperature is 106, pulse is 94, blood pressure 145/70. Generally, she
is uncooperative and appearstired, sweaty, and disoriented . r movements are intact, but she is
slow to verbal commands, pupils are e equal,round, and reactive to light. Her throat is negative,
mouth is clear, and teeth appear to be fine. Chest exam revealscrackers in her left lower lobe. Her
abdomen has normal bowel sounds and is soft and non-tender with no masses.Her live span is 8
cm in the midclavicular line. Heart shows a normal rate and regular rhythm without
murmurs,rubs, or gallops, Her extremities are negative. Her back showed to contovertebral angle
tenderness. Laboratory.Urine shows positive culture and E.coil growth.Assessment and plan :
This patient is noncompliant with medical treatment and stopped her insulin. She lives lonewith
her 1 year old son. Today, I plan toadmit her to the hospital fro m the office.How would Dr.Terry
report her evaluation and management (E/M0for this patient ?
1 point

a. Code for a new patient, office visit

b. Code for a follow-up patient, office visit
c. Code for a hospital admission
d. Code for a hospital admission and a follow up office visit

62. James was admitted to the critical care unit following a car accident. Today, his physaican
reported two hoursand 15 minutes of critical care services. The physician also reported 35
minutes to complete insertion of a tunneled,centrally inserted central venous access device with a
subcutaneous pump. How would you report these services ?
1 point

a. 99291 , 99292 x 3, 36563

b. 99291, 99292 x 4
c. 99291-25,99292 x 4, 36565
d. 99291, 99292 x 3, 36000

63. Dr.George completed a circumcision and an initial visit on a normal newborn. The place of
service was a birthingcenter. Which code(s) would you report for this service ?
1 point

a. 99460-25 54150-59
b. 99222-25, 54150
c. 99462
d. 99462,54150-59

64. Before he moved to another city three years ago, Bill was patient of Dr.Smith’s since Bill
returned to Dallas,where Dr.Smith is located, he has not seen him or any other provider in
Dr.Smith’s office. Today, Dr.Smith evaluatedBill for a cough and fever. He documented a
detailed history, performed a detailed examination, and decision makingwas of low complexely.
How would you report this service ?
1 point

a. 99214
b. 99204
c. 99213
d. 99203

65. When can time be considered a key or controlling factor to quality for a particular level of
E/M service ?
1 point

a. When the examination and coordination of care dominates more than 50% of the face -to-face
time or floor/unit
b. When counseling and/ or coordination of care dominates more than 50 % of the face-to-face time
or floor/unit
time.
c. When counseling and/or coordination of history dominates more than 50% of the face-to-face time
or floor/unit
time
d. When the examination and decision making takes less than 50% of the face to face time or
floor/unit time.

66. Nancy, a 91-year old patient, had a stroke with late effect hemiplegia to her internist, was
called, and he admitsNancy to the nursing facility. He documents a multisystem examination and
comprehensive history and reviews anextensive amount of data from her hospital stay and
information provided to hi by her daughter. He documents ahigh risk of complications due to
extensive medications and management of multiple systemic diseases. Dr. Glenntalks with the
multidisciplinary rehabilitation team regarding Nancy’s physical activities, including a plan for
physicaland speech therapy to strengthen her left side. How would Dr.Glenn’s service be
reported ?
1 point

a. 99304,I69.952
b. 99310,I69,954
c. 99306, I69.354
d. 99306, I69.352

67. Dr.Denver, a pediatrician, continues to follow Zachary, a 12 – day-old, non critically ill
infant who currentlyweighs 3,850 grams. Zachary requires intensive cardiac and respiratory
monitoring. Dr Denvr checked o Zachary fiveseparate times on both Saturday and Sunday.
Which code(s) captures these services ?
1 point

a. 99472 Saturday, 99476 Sunday

b. 99480 Saturday, 99480 Sunday
c. 99479 x 10 reported for each visit
d. 99380 x 5 Saturday, 99477 x 5 sunsay

68. A 22 year old female patient returns to see Dr. Moore for her yearly examination. During this
examination, DrMoore documents the patient is in good health with the exception of smoking.
She documents a detailed review oforgan systems, extensive past medical history, and indicates
that there are no new symptoms. Dr. Moore’s decisionmaking is limited with notes regarding an
over – the counter medication review and diet plan. Dr.Moore counselsthe patient regarding
tobacco cessation and prescribes a path to help her quit smoking. Dr. Moore reviews the useand
side effects of the patch along with 15 minutes of counseling documented. How would you
report thisencounter ?
1 point

a. 99385-25, 99401
b. 99395-25,99407
c. 99213-25,99385, 99407
d. 99202-25, 99407

69. Critical care codes 99291 and 99292 are used for patients starting at what age ?
1 point

a. There is no ge limit for these codes

b. Older than 2 years of age
c. Older than 11 years of age
d. Older than 6 years of age

70. Dr.Miles, an intermist, spoke to the ER physician, then admitted Sam to an observation bed
on Tuesday at6.00am. Sam is a well-known diabetic patient of Dr Miles and is having difficulty
controlling his blood sugars.Additionally, Sam is suffering from severe hypertension and was
given new medications for both conditions twoweek ago. After admission into observationstatus
Dr.Miles documented a comprehensive history and performed acomprehensive examainatioin.
Decision- making was of moderate complexity. Dr Miles followed Sam’s course ofcare for 12
hours and changed medication with observation prior to discharging him. How would Dr. Miles
reportthis visit ?
1 point

a. 99235-25
b. 99285
c. 99235
d. 99215

71. A physician located in the critical care department is in two-way voice communication with
an ambulance crewoutside the hospital and is directing telemetry of cardiac rhythm; pulmonary
resuscitation esophageal obturatorairway intubation; administration of fV fluids and
administration ofintramuscular drugs; and elecgtricaal conversionof arrhythmia. How would you
report this service ?
1 point

a. 99288
b. 99291
c. 99288,99358-59
d. There is no code to report this service

72. A- 65 year old male presented to Broadway Street Clinic complaining of persistent
abdominal pain. This patientwas seen in the clinic two years ago by Dr.Bill. Today, Dr John
documented a comprehensive history and performed acomprehensive examination. Additionally,
Dr.John reviewed a few pages of online medical information the patientprinted prior to the visit .
The physician spent approximately 50 minutes with the patient. The physician spent 15minutes
counseling the patient on dietary changes. How would Dr.John report this visit ?
1 point

a. 99215
b. 99213
c. 99214
d. 99205

Anesthesia (6 Questioins)

73. Anesthesia for a diagnostic arteriography/venography cannot be reported with which set of
therapeutic anesthesia codes ?
1 point

a. 01924-01926, 01930-01933
b. 01710-01782, 01830-01860
c. 00877-00873, 00790-00792
d. 00630-00635, 01935-01936

74. Dr.Myron, an anesthesiologist, performed general anesthesia for a Walsh modified radical
prostatectomy on a74-year old male patient with mild hypertension. Which codes capture the
services performed by Dr.Myron ?
1 point
a. 55810,00865-P2
b. 00865-P2
c. 00865,99100- P2
d. 99100,55810-51.00865-51

75. A surgeon performed aa Joplin procedure with tendon transplants under general anesthesia
for a healthy 35-year old patient. How would the surgeon report his services for both the surgery
and anesthesia in this case ?
1 point

a. 01470-P2, 99140
b. 01470-P1
c. 01470-P1, 28294-51
d. 28899-47

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76. If a patient does not require moderate conscious sedation for an induction of arrhythmia by
electrical pacing, isit necessary to append modifier-52 to the procedure code (93618) ?
1 point

a. Yes, according to moderate conscious sedation guidelines

b. Yes, according to anesthesia guidelines
c. No, according to moderate conscious sedation guidelines
d. No, according to medicine guidelines

77. In his office suite, Dr.Smith performed a diagnostic colonoscopy under moderate conscious
sedation on a 54year old male patient. The intraservice time for the sedation was 45 minutes.
How would Dr.Smith report thisservices ?
1 point
a. 45378
b. 45378,99152, 99153 x2
c. 99148,99149
d. 45378-p1, 00740

78. Which modifier best describes general anesthesia being delivered under unusual
circumstances ?
1 point

a. –P6
b. -47
c. -23
d. -59

Radiology (9 Questions)

79. How would you report the professional service for the following study ?Reason for study:
R/O fractureFindings :CT scan of the abdomen and pelvis is performed with a power injected
bolus of 125 cc of Opitray 320 .Images are obtained at 1.5 cm slice thickness at 1.5 cm intervals
in the diaphragm to pelvic floor and demonstrate a left subcapsular hematoma. There is minimal
fluid anterior to the left lobe of the liver consistent with a tear of the capsule. Fluid is noted
lateral to the spleen. Adequatelly enhancing spleen is noted, and this may be secondary to spelnic
contusion or small surface tear of the spleen. The gallbladder is adequately visualized and
appears within normal limits. The pancreas also appears within normal limits. Both kidneys
function adequately bilaterally. There is evidence of active bleeding approximately 2 cm above
the umbillicus and approximately 3-4 cm to the left of midline in the mesentery. There is a small
pool of blood at the level of the umbilicius in the midline and slightly below. There are at least
three left anterior lower rib fractures identified.Impression.1. Kidneys and gallbladder within
normal limits2. Small surface tear of the spleen3. Anterior lower rib fractures.
1 point

a. 74177-26
b. 74176-26
c. 74176-TC
d. 76376-26, 76377-26, 74160-TC

80. Dr. Chandler ordered and read a three –view x-ray of Marsha’s calcaneous and toes. This
study was completed in Dr.Chandler’s office. How would Dr Chandler report this study ?
1 point

a. 73620-26
b. 73630-TC
c. 73660
d. 73660-26

81. A diagnostic ultrasound that is described in terms of a one-dimensional ultrasonic

measurement procedure withmovement of the trace to record amplitude and velocity of moving
echo-producing structures is what type of anultrasound ?
1 point
a. A-mode
b. B-scan
c. M-mode
d. real-time scan

82. a patient pregnant with triplets had a transabdominal ultrasound to reevaluate fetal size for
conformation ofabnormalities to the cardiac system. Which codes capture this service ?
1 point

a. 76815.76815-51, 76815-59
b. 76816,76816-59, 76816-59
c. 76811, 76812 x 2
d. 76816, 76815 x 2

83. A patient was diagnosed with vaginal cancer. Dr.Smith completed the surgical removal of the
tumor and placement of the catheters for delivery of brachytherapy. After the surgery and
adequate recovery, the patient received low-dose brachytherapy treatment. She was readmitted to
the hospital by Dr.Howard, a therapeutic radiologist for a 48-hour course of intermediate
intracavitary brachytherapy with placement of five sources.Day one: Dr.Howard’s admission
documentation supported a comprehensive history, comprehensive examination, and high-
complexity decision making. She also documented and completed the application, supervision,
and dose interpretation of brachtherapy. Day two: Dr.Howards subsequent hospital visit
documentation supported a detailed history, an expanded problem focused examination, and
moderate decision – making. She also completed and documented follow-up evaluation of the
brachytherapy.How would you report Dr.Howard’s services for these two days ?
1 point

a. 77762
b. 57155-59,77777-51
c. 77777, 99223-51,99232-25
d. 99223-25,99232-25,77762 x 5

84. During her monthly self-examination , Linda felt a lump in her right breast. She made an
appointment with herphysician to have the ump evaluated. Dr.Dan reviewed the results of
Linda’s last screening mammography, whichwas completed a year ago. It showed to
abnormalities. Dr.Dan completed an exam, noting a lump in the breast andabnormal dense
changes in the breast. After a complete workup, Dr.Dan ordered a bilateral
diagnosticmammography with computer-aided detection. Which codes correctly capture the
current mammography ?
1 point

a. 76499, 77062
b. 77066-50,
c. 77067-50
d. 77066,
85. A physician performed a complete transvaginal ultrasound of a female pelvis. She documents
visualization and evaluation of a growth in the urinary bladder. How would you report this
service ?
1 point

a. 76830, 76856-59-TC
b. 76870
c. 76856
d. Query the physician and patient chart for additional information to correctly code this service ?

86. Vascular radiology6 procedures for the aorta include work captured in the radiological
supervision andinterpretation code(s) and should not be used with interventional procedures for
which of the following statements?
1 point

a. Prior study available, but as documented in the record, there is inadequate visualization of the
anatomy and/or pathology
b. Contrast injections, angiography, road mapping, and /or fluoroscopic guidance for the
intervention , vessel measurement, and post-angioplasty/stent angiography
c. Three prior studies, available but, as documented in the record there is inadequate visualization of
the anatomy and/or pathology
d. Adequate visualization of the anatomy documented and / or fluoroscopic guidance for the
intervension, and postangioplasty/stent angiography for anatomy and/or pathology

87. Mrs. Prentice is entering her fourth phase of radiation treatment for bladder and kidney
cancer. Today, she reports to the cancer treatment facility for her regularly scheduled treatment.
She missed her treatment on Tuesday due to an illness, Typically, patients do not receive two
treatment on the same day . However, her physician determined that she can be given two
separate radiation treatments to keep her on course. She receives two treatments of 10 MeV to
separate treatment areas, which require three ports and multiple blocks.How should the facility
report this service ?
1 point

a. 77407,77407-59
b. 77402-TC, 77412-59
c. 77407-26
d. 77401, 77407 x 2, 77333

Laboratory and pathology ( 10 Questions)

88. A forensic autopsy was completed on an adult female for evidence of poisoning. How would
you report thisservice ?
1 point

a. 88027
b. 88040
c. 88099
d. 88000
89. Dr.Green, anOB/GYN, verbally requested Dr.Randal, a clinical pathologist who specializes
in genetic disorders, toprovide a consultation for Maryanne, a high – risk pregnant patient. Dr.
Randel provided a comprehensiveconsultation with extensive medical records review of the
patient’s and husband’s family history , medical treatmentfor previous miscarriages, and
episodes of seizures during pregnancy. Dr.Randal reviewed several series of genetictests, which
required his specialized medical interpretive judgement After a complete review. Dr.Randal
se3nt acomprehensive report back to Dr.Green. which code(s) would you report for Dr.Randall’s
services ?
1 point

a. 80502
b. 99214-25
c. 99223-25,80500
d. 80500

90. A patient underwent cytogenetic testing for a neoplastic hereditary paraganglioma disorder in
a solid tumor.Which code(s) would you report for this study, the interpretation, and the report ?
1 point

a. 88239, 88291
b. 88291
c. 88241-50, 88291-24
d. 88299

91. Code 3278F is used to report what type of performance measure testing for chronic kidney
disease (CKD) ?
1 point

a. Laboratory testing for influenza immunization

b. Laboratory testing for elevated hemoglobin levels and erythropoiesis-stimulating agents.
c. Laboratory testing for calcium, phosphorus, intact antigene hormone and lipid profile
d. Serum levels of calcium, phosphorus, intact parthyroid hormone, and lipid profile ordered CKD

92. Eldon had a breath alcohol test at the hospital after being arrested for jogging naked through
the park. Eldon told the police that he had a few beers for breakfast but was not drunk and
enjoyed the air on his skin while jogging.“ Eldon’s breath alcohol test was mathematically
calculated . How would the calculation on this test be reported ?
1 point

a. 84600
b. 80320
c. 82075, 82355
d. 82075

93. Panel tests in the pathology and Laboratory section of the CPT book include all the codes
listed with the paneldescription. When a panel is performed and additional pathology/laboratory
tests are complete, how should youreport those additional tests ?
1 point
a. All tests are bundled when performed with a panel
b. reporting additional tests is upcoding and could flag an audit that always leads to financial
penalties
c. Both a and b
d. The additional test should be reported separately in addition to the panel code.

94. A patient presents to the hospital for a scheduled procedure to remove suspicious lesions
from her left arm and chest. The surgeon excised one lesion near the posterior side of the
olecranon process. The second just under the clavicle bone. The surgeon requests a pathology
consult during surgery for immediate diagnosis. The pathologistSpecimen A: Three blocks Two
frozen sections Specimen B: Four blocks Five frozen sections Which codes correctly capture the
pathologist professional services ?
1 point

a. 88331,88332-26 x 2
b. 88331-26 x 2, 88332 – 26 x 5
c. 88331, 88332 x 7
d. 88329, 88331-47, 88332 – 26 x 2

95. After surgical excision of a breast lesion, the breast biopsy was submitted for surgical
pathology gross andmicroscopic evaluation of the surgical margins. A pathologist reported a
comprehensive examination on thespecimen. Select the appropriate codes (s) for the laboratory
services.
1 point

a. 88302
b. 88305, 88331, 88323-26
c. 88307
d. 88307, 88331, 88323-26

96. Irrna has had intermittent abdominal pain, occasional diarrhea, stool frequency, and
excessive abdomionalbloating. Her systems have worsened over the past three months. Her
Physician ordered a fecal Calprotection test tocheck for Crohs’s disease . Which code(s) for the
laboratory services
1 point

a. 82270
b. 82272,83993
c. 83993
d. 82271, 82272

97. Mr. Hall takes a prescribed dose of Topiramate for his migraine disorder. Three days ago, he
stopped taking hismedication because he ran out. He knew he had an appointment with his
physician and decided to wait until his nextcheckup to get a new prescription. His physician
ordered a quantitative drug assay to check the therapeutic level ofTopiramate still present in the
patient’s blood before giving a new prescribed dose and instruction to get Mr.Hallback on the
treatment course. Select the correct code(s) to capture this laboratory service.
1 point
a. 80299, 80150
b. 80163
c. 80200
d. 80201

Medicine (10 Questions)

98. A 7 year old female patient was tested for a language delay. The physician explained to the
patient to use herwords to describe games at school and her ideas about the pictures she would be
seeing. “The physician completedlanguage standardized tests including the Peabody picture
Vocabulary and Word knowledge instrument. Thephysician documented his findings of a mixed
receptive-expressive language disorder. He spent 70 minutes with thepatient and her family,
scored the tests, and completed a report.Which codes capture this service ?
1 point

a. 967101,F80.2
b. 96112, F80.2
c. 90838-25, 96118, F80-81
d. 96112, F80.1, F80.81

99. A patient with severe asthma was seen in the office and given two nebulized Albuterol
treatments and steroidsduring the same visit with th same provider. How would you report these
services ?
1 point

a. 94644
b. 94640, 94640-76
c. 94664
d. 94664, 94640-76

100. A patient suspected to have macular degeneration is tested by electro-oculography. How

would you reportthis service ?
1 point

a. 92260
b. 92250
c. 92270
d. 92499

101.What code should you report for tetanus(td) adsorbed for intramuscular use ?
1 point

a. 90715
b. 90714
c. 90700
d. 90702

102. A 4-year old patient was given the immunizations listed below during a follow-up visit. The
nurse administeredthe immunizations per the physician’s written orders. How would you report
these immunization services ?DT ap, intramuscular administrationInfluenza split virus,
intramuscular administrationPneumococcal conjugate 13 valent, intramuscular
1 point

a. 90670, 90656, 90700, 90471, 90472 x 2

b. 90669, 90656, 90700, 90473, 90473 x 2
c. 90471, 90472, 90700-51, 90656-51, 90669-51
d. 90658, 90460, 90700-51, 90461-51, 90471-59

103. A patient with a non-healing diabetic ulcer on her left leg underwent three sessions of
negative pressurewound therapy. The patient was given detailed instructions for ongoing home
care and an appointment to return tothe wound to the wound care clinic in two days for
additional treatments. The ulcer site being treated is. 22 sqcm.Which code(s) would you report
for this procedure ?
1 point

a. 97605-LT x 3, 11044-LT-51
b. 97597- LT, 11044-LT-59
c. 97605-LT, 97606-LT x 2
d. 97605-LT x 3

104.What code should you report for esophageal balloon distension provocation study ?
1 point

a. 91030
b. 91095
c. 91040
d. 91052

105. An implantable loop records cardiac episodes from which two sources ?
1 point

a. Patient initiated and AV interval voltage duration sensors

b. patient initiated and SA rhythm strip algorithms
c. Patient initiated and device algorithm
d. Patient initiated and intravascular acquisition sensors

106. Sam, a 22 year old ESRD patient, completes a full month of dialysis at his assigned
treatment center. Duringthese monthly visits, he and his physician have five face-to-face visits.
Assign the correct code(s) for this service.
1 point

a. 90960
b. 99212-25 x 5, 90954
c. 90954 x 5
d. 99211 – 25, 90960 x 5

107. A cancer patient is coming in to have a chemotheraphy infusion. The physician notes the
patient is dehydratedand will first administer a hydration infusion. The infusion time was 1 hour
and 30 minutes. Select the code(s) thatshould be reported for this encounter ?
1 point
a. 96360
b. 96360, 96361
c. 96365, 96366
d. 96422

Section 3
Medical; Terminology (8 Questions)

108. What does the prefix “aniso” mean ?

1 point

a. Large
b. Different
c. Three
d. Unequal

109. What does it mean to place a patient prone position ?

1 point

a. Face up or palms up
b. On the left side facing down
c. Face down or palms down
d. On the right side facing forward

110. A ventriculomyectomy procedure is performed on which body system ?

1 point

a. Cardiovascular system
b. Musculoskeletal system
c. Integumentary system
d. Nervous system

111. What does Hexxocyclium refer to ?

1 point

a. A diagnosis
b. A procedure
c. A syndrome
d. A drug

112. Which term refers to a pregnancy to which an embryo grows outside the uterus ?
1 point

a. Intramural
b. Viral
c. Ectopic
d. Retention

113. Which procedure is used to create an opening of the illium to the outside of the body ?
1 point

a. A Culostomy
b. A nephrosstomy
c. An illiostomy
d. An arthrocentesis

114. Hodgkin’s disease is an example of which type of tumor ?

1 point

a. Lymphoma
b. Sarcoma
c. Myoma
d. Adenoma

115. Which term describes a patient with a slow heart rhythm ?

1 point

a. Arthythrmia
b. tachycardia
c. Dysrythrmia
d. Bradycardia

Anatomy (8 Questions)

116. What does the term cholelithiasis refer to ?

1 point

a. Inflammation of the liver

b. Abnormal condition of gallstones
c. Small growths in the colon
d. A yellow discoloration of the around the nipple

117. What is an arteriole ?

1 point

a. A small artery
b. A large artery
c. A dark pigmented area around the nipple
d. A joint

118. Which direction divides the body into front and back sections?
1 point

a. Coronal
b. Lateral
c. Sagittal
d. Superior

119. The term “Mastication” refers to what process?

1 point

a. Squeezing movement
b. Backward gastric content movement
c. Swallowing
d. Chewing

120. Which type os nervous system response would define a patient who suffers from decreased
blood pressure,salivation, and heart rate ?
1 point

a. Parasympathetic
b. Sympathetic
c. Central
d. Automatic

121. Which of the following bones are located in the skull ?

1 point

a. Carpal, Ulna, Zygomatic

b. Nasal, femoral, tarsal
c. Nasal, temporal, Zigomatic
d. Caalcaneus talus, nasal

122. The appendix is attached to the end of which part of the digestive sysem ?
1 point

a. Small intestine in the lower right area of the abdomen

b. Large intestine in the lower right area of the abdomen
c. Small intestine in the lower left area of the abdomen
d. Large intestine in the lower left area of the aabdoman

123. What is another term for the viral disease varicella ?

1 point

a. Small pox
b. Chickenpox
c. Cowpox
d. Psedo-cowpox

10 CM (10 Questions)

124. A patient had an inconclusive HIV test. Which diagnosis code is used to report this
finding ?
1 point

a. R76.9
b. B20
c. R75
d. Z21

125. Cynthia suffered second-degree burns to her chin and third-degree burns to her nose. These
burns occurred when a propane grill exploded while she was trying to light it in her garage. How
would thew diagnoses codes forCynthia’s condition be reported ?
1 point

a. T20.34XA, T20.23XA, W40,1XXA, Y92.094

b. T20.74XA, T20.63XA, W40.1XXA, Y92.099
c. T20.79ZA, T20.39XA, W40.8XA, Y92.094
d. T20.79XA, T20.34XA, W40.1XXA, Y92.099
126. While on the golf course with his mother, a-15-year old patient accidentally took his
mother’s thyroid hormonepills instead of Tylenol. He suffered from dizziness and was taken to
the ED for treatment. How the diagnoses codeswould be reported for this patient ?
1 point

a. T38.2X1A, R42, Y92.328

b. R42, T38,1X1A
c. T38.1X1A, R42.Y92.39
d. R42, T38.2X1A, Y92.322

127. Tom was taken to the hospital by his wife after falling from a ladder. He told he ED staff
that e was putting screens on the windows on the window of his house when the ladder slipped.
Tom was examined and diagnosed with derangement of the left knee, multiple closed fractions
of the phalanges on the left foot, and an open wound to the upper right arm’s and scapular
region. How would you report the diagnoses codes for this patient ?
1 point

a. S83.209A, M23.201, W11.XXXA,Y92.009

b. S41.101A,S92.502A, S83.32XA, W11.XXXA, Y92.019
c. S83.32XA, M23.201, W11.XXXA, Y92.019
d. S83.282A,S41.111A, W11.XXXA, Y92.89

128. A patient was admitted to the hospital with Anthrax pneumonia Assign the correct code(s)
for this case.
1 point

a. A22.1
b. A22.9,118.9
c. J12.89, A22.9
d. J15.211

129. Sally was diagnosed with acute narrow-angle glaucoma-OD and chronic narrowangle
glaucoma-OS. Whichwould you report the diagnoses for this newborn ?
1 point

a. H40.9
b. H40.249
c. H40.211
d. H40.211, H40.2220

130. Baby Gomez was born in 28 weeks, weighing 1,400 grams. He was delivered via normal
vaginal delivery in the hospital with hyaline membrane disease. How would you report the
diagnoses for this newborn ?
1 point

a. P07.15 P07.31, P22.0

b. Z38.00, P22.0
c. Z38.00, P07.15, P07.31, P22.0
d. Z37.00, P07.15,P07.31, P22.0
131. Doug was treated for multiple conditions: bleeding internal and external hemorrhoids and a
stasis ulcer with inflammation to the right lower leg. How would you report his diagnoses ?
1 point

a. K64.8, K64.4, I83.218

b. K64.8, K64.4
c. K64.8, K64.4, I83.208
d. K64.9, K64.4, I83.10

132. How is the time frame for a late effect of cerebrovascular disease defined ?
1 point

a. May be present from the onset or may arise only within 24 hours from the condition
b. May be present from the onset or may arise at any time after the onset of the condition
c. May be present from the onset or may arise only within the first three weeks of the condition ?
d. Must be present 36 hours prior to the onset of the condition to be coded

133. Mrs.Units suffers with uncontrolled type 2 diabetes. She recently decided to stop taking her
regular dose ofinsulin and control her condition by diet, like her friend does. Today, during her
examination, the physician increasesher regular dose of insulin and re-explains to Mrs. Units that
ongoing use of insulin in her condition is necessary andshe cannot control her diabetes through
diet. Mrs.Units also told her physician that her vision is” fading and it isdifficult to read or watch
television.” She is now diagnosed with cataracts as a manifestation of her diabeticcondition.
How would the physician document the diagnoses codes for today’s visit ?
1 point

a. H26.9, E08.36, Z79.4

b. E11.36, Z79.4
c. Z79.4, H26.9
d. E11.9, H26.9, Z79.4

HCPS Level II (5 Questions)

134. How would you report the study for a “knee ankle foot orthosis fracture orthosis, femoral
fracture castorthoris, rigid, prefabricated, includes fitting and adjustment with a drop lock knee
joint
1 point

a. L0970. L2126, L3995

b. E1805, L2136
c. L1700, L2182
d. L2136, L2182

135. How would you report the supply of Ketorolac tromethamine 30 mg injected
intravenously ?
1 point

a. J1885 x 2
b. J1840 x 2
c. J1885
d. J1850

136. A patient has an insulin pump of 100 units. The pump is filled. Which codes report the
supply ?
1 point

a. J11817
b. JK1815 x 20
c. J1817 x 2
d. J1835

137. Select the supply code for a “spherocylinder, trifocal, sphere over plus or minus 12.00d, per
lens”
1 point

a. V2314
b. V2399
c. V2785
d. V2300

138. How would the transportation of a portable EKG machine be reported when used for six
patients ?
1 point

a. R0076 x 6
b. R0075 x 6
c. R0070 x 6
d. None of the above

Coding Guidelines (6 Questions)

139. What are the two types of ICD-10 history codes ?

1 point

a. Personal and family history

b. High-risk and screening history
c. Observation and family history
d. Personal and status history

140. Radiology procedures or services completed with administration of oral and/or rectal
contrast alone do notqualify as which type of study ?
1 point

a. Study with contrast

b. Supervision study
c. Intravascular needle point study
d. None of the above

141. A surgical pathology unlisted specimen should be assigned to a code that most closely
reflects what ?
1 point
a. The hospital laboratory work involved when compared to other specimens assigned to that code
b. The physician work involved when compared to other specimens assigned to that code
c. The patient work involved when compared to mother specimens assigned to that code
d. The examination work involved when compared to other specimens assigned to that code.

142. Which is the correct set of codes that can have modifies 1P, 2P,3P and 8P attached when
reporting services ?
1 point

a. Evaluation and Management

b. Pathology
c. Anesthesia
d. Category II

143. Which type of provider can report stereotactic radiosurgery codes and head frame
application procedure ?
1 point

a. Radiologist
b. Neurosurgeon
c. Oncologist
d. General Surgeon

144. What is the CPT definition of “Professional services”?

1 point

a. Face – to-face services rendered within a facility by any staff member

b. Face- to –face and non-face to face services rendered by physicians and non physicians.
c. Face - to-face services rendered by physicians and non physicians.
d. Non-face –to - face services rendered by a physician

Practice Management (6Questions)

145. What does the symbol * mean when it precedes a code in the CPT book?
1 point

a. New or revised text

b. Vaccines pending FDA approval
c. telemedicine
d. Add-on code

146. The supplemental clinical examples provided by the AMA in the CPT manual include
which type of services ?
1 point

a. Clinical examples of laboratory testing and function testing

b. Documented notes for surgical services.
c. Office or other outpatient services, hospital inpatient services, consultation, critical care ,
prolonged services , and
care plan oversight
d. Documented examples of surgical notes for orthopedic cases

147. What is indicated by the use of a modifier

1 point

a. That a service of procedure is exempt from all payment rules and regulations set by insurance
companies
b. That a service or procedureis not covered under professional liability insurance and should not be
paid
c. That a service or procedure that has been performed has not been altered by specific
circumstance but not
changed in its definition or code
d. That a service or procedure that has been performed has been altered by a specific circumstance
but not changed
in its definition or code

148. Which of the following health plans does not fall under HIPAA ?
1 point

a. Medicaid
b. Medicare
c. Worker’s compensation
d. Private plans

149. What does the abbreviation RAC stand for related to medical claims ?
1 point

a. Relative Action Claims

b. Recovery Audit Comments
c. Recovery Audit Contractors
d. Recovrable Action Claims

150. Which two departments within the U.S federal government’s Department of Health and
Human Servicesprovide guidance for coding and reporting 1CD-10 codes ?
1 point

a. CMS and AHA

b. CMS and NIH
c. L1700,L2182
d. L2136,L2182