Toughest CPC Exam Quiz! Trivia

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  • 1/122 Questions

    URINARY SYSTEM : 50000 SeriesOPERATIVE REPORT DIAGNOSIS: Acute renal insufficiencyprocedure : Renal biopsyThe patient was taken to the operating room for percutaneous needle biopsy of the right and left kidneys. 

    • 50200-50
    • 49000-50
    • 50555-50
    • 50542-LT, 50542-RT
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About This Quiz

Tackle the 'Toughest CPC Exam Quiz! Trivia' to test your proficiency in medical coding across various scenarios including surgery, diagnostics, and treatment. This quiz assesses critical skills in using different coding standards such as ICD-9-CM and CPT codes, essential for professionals in the healthcare billing sector.

Toughest CPC Exam Quiz! Trivia - Quiz

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  • 2. 

    Which code would you use to report a rigid proctosigmoidoscopy with guide wire?

    • 45303

    • 45339

    • 52260

    • 45386

    Correct Answer
    A. 45303
  • 3. 

    A patient suffered a fracture of the femur head. He had an open treatment of the femoral head with a replacement using a Medicon alloy femoral head and methylmethacrylate cement. How would you report this procedure?

    • 27236

    • 27235

    • 27238

    • 27275, 27236-59

    Correct Answer
    A. 27236
    Explanation
    The correct answer is 27236 because this code specifically represents the open treatment of the femoral head with a replacement using a Medicon alloy femoral head and methylmethacrylate cement. The other codes listed do not accurately describe this specific procedure.

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  • 4. 

    Mike had a bicycle accident and suffered deep hematomas in both knees. He underwent a bilateral incision and drainage. How would you report the procedure?

    • 27301-50

    • 10040

    • 27303

    • 27301-59

    Correct Answer
    A. 27301-50
    Explanation
    The correct answer is 27301-50. The code 27301 represents incision and drainage of deep hematoma or fluid collection. The -50 modifier indicates that the procedure was performed bilaterally, meaning on both knees. Therefore, reporting the procedure as 27301-50 accurately reflects the bilateral incision and drainage performed on Mike's knees.

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  • 5. 

    DIGESTIVE SYSTEM : 40000 seriesGary is admitted to same-day surgery for a laparoscopic cholecystectomy.

    • 47562

    • 47600

    • 47562, 47550

    • 47560

    Correct Answer
    A. 47562
    Explanation
    The correct answer is 47562. This code represents a laparoscopic cholecystectomy, which is the surgical removal of the gallbladder using a minimally invasive technique. The other codes listed do not accurately describe this specific procedure.

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  • 6. 

    What modifier should you report when the same physician provided a re-reduction of a fracture?

    • 76

    • 59

    • 77

    • 54

    Correct Answer
    A. 76
    Explanation
    Modifier 76 should be reported when the same physician provided a re-reduction of a fracture. This modifier is used to indicate that a procedure or service was repeated by the same physician or other qualified healthcare professional on the same day. It is important to report this modifier to ensure accurate billing and reimbursement for the repeated procedure.

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  • 7. 

    A five-year-old boy was brought to the ER by a social worker who discovered him alone in spasms, and seizures. The Social Worker relates that the child's older sister told her the boy was bitten on the hand by a raccoon he played with 11 days ago. No treatment was sought for the injury at the time, but the area was inflamed and hot. According to the Social Worker, the mother is a drug addict and often leaves the children unattended, illness actually began 2 days ago with a headache and restlessness and inflammation at the wound site.The child expired due to cardiorespiratory failure before any effectivetreatment could be administered. CPR was performed but was not successful. The physician's diagnosis was listed as Rhabdovirus from infected raccoon bite, not treated due to child's neglect. Critical care was provided for 60 minutes. Which of the following code sets will be provided? 

    • 071, 882.1, E906.3, E968.4, E967.2, 99291, 92950

    • 079.89, 99285

    • 799.1, 780.39, 780.6, 882.1, E906.3, E968.4, E967.2, 92950

    • 071,780.39, 780.6, 92950

    Correct Answer
    A. 071, 882.1, E906.3, E968.4, E967.2, 99291, 92950
    Explanation
    The correct answer is 071, 882.1, E906.3, E968.4, E967.2, 99291, 92950. The diagnosis of Rhabdovirus from an infected raccoon bite, combined with the neglect of the child's wound and the mother's drug addiction, suggests that the child's condition was a result of an untreated infection. The codes provided include 071 for the viral infection, 882.1 for the wound, E906.3 for the neglect, E968.4 for the drug addiction, E967.2 for the child being left unattended, 99291 for critical care, and 92950 for CPR.

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  • 8. 

    How should you code an excision of a lesion when completed with an adjacent tissue transfer or rearrangement?

    • The excision is always reported in addition to the adjacent tissue transfer or rearrangement.

    • The excision is not separately reported with adjacent tissue transfer or rearrangement codes.

    • Code only malignant lesions in addition to the adjacent tissue transfer or rearrangement codes.

    • Code the lesion with a modifier -51 and code in addition to the adjacent tissue transfer or rearrangement codes.

    Correct Answer
    A. The excision is not separately reported with adjacent tissue transfer or rearrangement codes.
    Explanation
    When an excision of a lesion is completed with an adjacent tissue transfer or rearrangement, the correct coding practice is not to separately report the excision. Instead, the codes for the adjacent tissue transfer or rearrangement should be used. This means that the excision is bundled or included in the reporting of the adjacent tissue transfer or rearrangement codes.

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  • 9. 

    What code would youy report for a cervical approach of a mediastinotomy with exploration, drainage, removal of foreign body, or biopsy?

    • 39010

    • 39000

    • 39200

    • 39400

    Correct Answer
    A. 39000
    Explanation
    The correct answer is 39000. This code is reported for a cervical approach of a mediastinotomy with exploration, drainage, removal of foreign body, or biopsy. It specifically identifies the procedure performed and accurately reflects the cervical approach used.

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  • 10. 

    A woman presents to the Emergency Department for a deep 3.5 cm wound of the right arm. A routine cleansing and layer closure was required.

    • 12031-RT

    • 12032-RT

    • 10121-RT

    • 10061-RT

    Correct Answer
    A. 12032-RT
    Explanation
    The correct answer is 12032-RT. This code represents the closure of a wound that requires a more extensive procedure, such as layered closure, due to its depth. The other codes listed do not specify the closure of a deep wound or the need for layered closure.

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  • 11. 

    An arterial catheterization is coded how?

    • 36600

    • 36620

    • 36640

    • 36620, 36625

    Correct Answer
    A. 36620
    Explanation
    An arterial catheterization is coded as 36620.

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  • 12. 

    This woman is in for multiple external hemorrhoids. After inspection of the hemorrhoids, the physician decides to excise all the hemorrhoids.

    • 46250, 455.3

    • 46083, 455.5

    • 46615, 455.0

    • 46255, 455.5

    Correct Answer
    A. 46250, 455.3
    Explanation
    The correct answer is 46250, 455.3. In this scenario, the physician diagnoses the patient with multiple external hemorrhoids and decides to perform an excision of all the hemorrhoids. The correct answer, 46250, represents the excision of multiple external hemorrhoids. The additional code, 455.3, indicates the specific type of hemorrhoids being excised, which in this case is external thrombosed hemorrhoids.

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  • 13. 

    FEMALE GENITAL SYSTEM : 50000 SeriesD & C performed for a woman with dysfunctional bleeding.  

    • 58100

    • 58120

    • 59160

    • 57505

    Correct Answer
    A. 58120
    Explanation
    The correct answer is 58120. This code represents a dilation and curettage (D&C) procedure performed on a woman with dysfunctional bleeding. D&C is a common gynecological procedure that involves dilating the cervix and scraping the lining of the uterus to remove tissue. In this case, the D&C was performed specifically for dysfunctional bleeding, which is abnormal or irregular bleeding from the uterus. The code 58120 accurately represents this procedure and the reason for its performance.

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  • 14. 

    A child is seen in the office for a superficial laceration of the right knee. The physician repairs the  3.0 cm. laceration with simple suturing. 

    • 12002-RT

    • 13120-RT

    • 12031-RT

    • 12007-50

    Correct Answer
    A. 12002-RT
    Explanation
    The correct answer is 12002-RT. This code represents the repair of a superficial laceration of the right knee using simple suturing. The code 13120-RT is incorrect because it represents the repair of a complex laceration, not a superficial one. The code 12031-RT is incorrect because it represents the repair of a deep laceration, not a superficial one. The code 12007-50 is incorrect because it represents the repair of a wound that requires complex closure techniques, such as the use of adhesive strips or tissue adhesives, not simple suturing.

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  • 15. 

    RESPIRATORY SYSTEMThe patient is seen at the clinic for chronic sinusitis. It is determined that an endoscopic sinus surgery is scheduledd for the next day. The patient arrives for same-day surgery, and the physician performs an endoscopic total ethmoidectomy with an endoscopic maxillary antrostomy with removal of maxillary tissue. Code the procedure(s) and diagnosis. 

    • 31255, 31267-51, 473.9

    • 31200, 31225-51, 473.9

    • 31254, 31256-51, 473.9

    • 31255, 31267-51, 461.9

    Correct Answer
    A. 31255, 31267-51, 473.9
    Explanation
    The correct answer is 31255, 31267-51, 473.9. This is because the physician performed an endoscopic total ethmoidectomy and an endoscopic maxillary antrostomy with removal of maxillary tissue. The codes 31255 and 31267-51 accurately represent these procedures. The diagnosis code 473.9 is appropriate for chronic sinusitis.

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  • 16. 

    A patient underwent a secondary percutaneous transluminal thrombectomy for retrieval of a short segment of embolus evident during another percutaneous intervention procedure. How would you report this secondary procedure?

    • 37184, 37186

    • 37186 in addition to the primary procedure.

    • 37185, 76000

    • 37187

    Correct Answer
    A. 37186 in addition to the primary procedure.
    Explanation
    The correct answer is 37186 in addition to the primary procedure. This is because the patient underwent a secondary percutaneous transluminal thrombectomy, which is reported with code 37186. The "in addition to the primary procedure" indicates that this secondary procedure was performed in addition to the primary intervention procedure.

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  • 17. 

    Harry had a couple of stones in both kidneys. He was taken into the lithotripsy unit and placed on the lithotripsy table in a supine position with the induction of anesthesia. The stones were well visualized andthe patient retrieved a total of 3, 500 shocks with a maximum power setting of 3.0. The treatment was successful. How would you report this procedure?

    • 50590

    • 50561

    • 50060

    • 50080

    Correct Answer
    A. 50590
  • 18. 

    John was hospitalized for a repair of a laceration to his left conjunctiva by mobilization and rearrangement. How should you report this procedure?

    • 65273-LT

    • 67930

    • 65272

    • 67930-LT

    Correct Answer
    A. 65273-LT
    Explanation
    The correct answer is 65273-LT. This code represents the repair of a laceration to the conjunctiva by mobilization and rearrangement. The "LT" modifier indicates that the procedure was performed on the left side. This code accurately describes the specific procedure performed on John's left conjunctiva.

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  • 19. 

    For revascularization therapy of the femoral/popliteal territory, how many codes should be used for a combination angioplasty, stent and angioplasty?

    • One ----- 37230

    • Three

    • One but use an Add-on code for any additional Vessels

    • None of the Answers are Correct

    Correct Answer
    A. One ----- 37230
    Explanation
    For revascularization therapy of the femoral/popliteal territory, only one code should be used for a combination angioplasty, stent, and angioplasty. The correct code for this procedure is 37230. This means that the correct answer is "One - 37230." The other options, including using three codes or using an add-on code for additional vessels, are not applicable in this case.

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  • 20. 

    Dr. Erin is treating a 58-year-old male patient with a history of chewing tobacco. Dr. Erin finds a 3.4 cm tumor at the base of his tongue. She places needles under fluoroscopic guidance for sub-sequential interstitial radioelement application. How would you report the professional services?

    • 41019, 77002-26

    • 41019, 77012-26, 77021-26

    • 61770, 41019-59

    • 77002

    Correct Answer
    A. 41019, 77002-26
    Explanation
    The correct answer is 41019, 77002-26. The CPT code 41019 represents the placement of needles under fluoroscopic guidance for interstitial radioelement application. This code is appropriate for the procedure described in the scenario. The modifier -26 is added to the CPT code 77002, which represents fluoroscopic guidance, to indicate that the professional component of the service is being reported separately from the technical component. This is necessary when the radiologist is providing only the professional interpretation of the fluoroscopic guidance, and not the technical aspect of the procedure.

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  • 21. 

    Charley was playing in the backyard when his sister fired a pellet gun at his left leg and hit him from close range. The pellet penetrated the skin and lodged in the muscle underlying the area. The doctor removed the pellet without complication or incident. Code the procedure only.

    • 10121-LT

    • 20520-LT

    • 20525-LT

    • 10120-LT

    Correct Answer
    A. 20520-LT
    Explanation
    The correct answer is 20520-LT. This code represents the procedure of removing a foreign body from the subcutaneous tissue or muscle. In this case, the pellet that penetrated Charley's skin and lodged in the muscle was successfully removed by the doctor.

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  • 22. 

    Dr. Alexis completed  Mohs surgery on Ralph's left arm. She reported routine stains on all slides, mapping, and color coding of specimens. The procedure was accomplished in three stages with a total of seven blocks in the second stage. How would you report Dr. Alexis' services?

    • 17313, 17314-58, 17315-59, 88314-59

    • 17311, 17312 X 7

    • 17313, 17314 X 2, 17315 X 2

    • 17311, 88302, 17314 X 3, 17312 X 7

    Correct Answer
    A. 17313, 17314 X 2, 17315 X 2
    Explanation
    The correct answer is 17313, 17314 X 2, 17315 X 2. This answer accurately reflects the codes for the services provided by Dr. Alexis during the Mohs surgery on Ralph's left arm. The use of "X 2" and "X 2" indicates that there were two specimens coded as 17314 and two specimens coded as 17315. The code 17313 represents the routine stains on all slides. This answer is the most appropriate and specific representation of the services performed.

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  • 23. 

    Sally suffered a burst fracture to her lumbar spine during a skiing accident. Dr. Phyllis performed a partial corpectomy to L2 by a transperitoneal approach followed by anterior arthrodesis of L1-L3. She also positioned anterior instrumentation and placed a structural allograft to L1-L3. How would Dr. Phyllis report this procedure?

    • 63090, 22558-51, 22585, 22845, 20931

    • 63085, 22533, 22585-51, 22808-59

    • 22612 X 2,22808, 22840-51, 20931

    • 22585, 22585-51, 22845-51, 20931-59

    Correct Answer
    A. 63090, 22558-51, 22585, 22845, 20931
  • 24. 

    A 22-year-old female is seen at the clinic today for a colposcopy. The physician will take multiple biopsies of the cervix uteri.

    • 57455

    • 57461

    • 56821

    • 57420

    Correct Answer
    A. 57455
    Explanation
    The correct answer is 57455 because this code represents a colposcopy with directed biopsy of the cervix uteri. This is the most appropriate code for the procedure described in the scenario, as it specifically mentions taking multiple biopsies of the cervix uteri during the colposcopy.

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  • 25. 

    ENDOCRINE SYSTEM, NERVOUS SYSTEM, EYE AND OCULAR ADNEXA, AND AUDITORY SYSTEM  : 60000 SeriesOPERATIVE REPORT DIAGNOSIS : Malignant tumor, thyroidPROCEDURE : Thyroidectomy, totalThe patient was prepped and draped. The neck area was opened. With careful radical dissection of the neck completed, one could visualize the size of the tumor. The decision was made to do a total thyroidectomy.Note :  The pathology report later indicated that the tumor was malignant.  

    • 60254, 193

    • 60240, 193

    • 60271, 193

    • 60220, 164.0

    Correct Answer
    A. 60254, 193
    Explanation
    The correct answer is 60254, 193. The operative report states that the patient underwent a total thyroidectomy for a malignant tumor of the thyroid. The correct code for a total thyroidectomy is 60254. The code 193 represents the diagnosis of a malignant tumor. Therefore, the combination of 60254 and 193 is the correct code for this procedure. The other options do not accurately represent the procedure or diagnosis mentioned in the operative report.

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  • 26. 

    Lynn has a family history of colon cancer and is scheduled for a screening colonoscopy. During the procedure, three polyps were discovered and removed via hot biopsy forceps technique. The polyps were reported as benign. What diagnoses and procedure(s) codes capture these services?

    • V76.51, V16.0, 45315, 45331

    • V76.51, 211.3, V16.0, 45384

    • 45378

    • 45378, 45384

    Correct Answer
    A. V76.51, 211.3, V16.0, 45384
    Explanation
    The correct answer is V76.51, 211.3, V16.0, 45384. The code V76.51 represents the screening colonoscopy due to family history of colon cancer. The code 211.3 represents the diagnosis of benign neoplasm of colon. The code V16.0 represents the family history of malignant neoplasm of gastrointestinal tract. The code 45384 represents the removal of polyps via hot biopsy forceps technique. Therefore, these codes capture Lynn's family history, the diagnosis of benign polyps, and the procedure of removing the polyps.

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  • 27. 

    Alex suffered several injuries to his upper leg muscles and penis when he fell onto the bar of his touring bicycle. The day of the accident, Dr. Green completed muscle repair surgery to Alex 's upper legs. Today, three days after the leg surgeries, Dr. Green took Alex back to the operating suite to complete an unrelated repair to the penis. Dr. Green completed a plastic repair to correct the penal injury. What code(s) would capture today's procedure?

    • 54440-79

    • 27385, 54440-59

    • 27393. 54620-79

    • 54440-26

    Correct Answer
    A. 54440-79
    Explanation
    The correct answer is 54440-79. This code captures the plastic repair procedure performed by Dr. Green to correct the penile injury that Alex suffered. The -79 modifier indicates that this procedure is an unrelated service performed by the same physician during the postoperative period of the previous surgery.

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  • 28. 

    Brandon comes into the orthopedic department today with his father after falling from the top bunk bed, where he and his sister were playing.  Cole is having pain in his left lower leg and is unable to bear weight on it.  Brandon istaken to the x-ray department. After the physician talks with the radiologist regarding the diagnosis of sprained ankle, the physician decides to apply a short leg cast, designed for walking, just below Brandon's knee to his toes.

    • 29405-LT, 845.00, E884.4, E849.0

    • 29425-LT, 845.00, E884.4, E849.0

    • 29515-LT, 845.00, E888.9, E849.0

    • 29405-LT, 845.00, E844.4

    Correct Answer
    A. 29425-LT, 845.00, E884.4, E849.0
  • 29. 

    Excision of parotid tumor or gland or both. Once the patient was under general anesthesia, successfully, Dr. White assisted by Dr. Green, opened the area in which the parotid gland is located. After inspecting the gland, the decision was made to excise the total gland because of the size of the tumor  (5 cm.). With careful dissection and preservation of the facial nerve, the parotid gland was removed. The wound was cleaned and closed,  and the patient was brought to recovery in satisfactory condition.  Report one Dr. Green's service.

    • 11426. 239.8

    • 42420-80, 239.8

    • 42410-80, 97597, 142.0

    • 42426-62, 210.2

    Correct Answer
    A. 42420-80, 239.8
    Explanation
    The correct answer is 42420-80, 239.8. The code 42420-80 represents the excision of the parotid gland or tumor. The modifier -80 indicates that an assistant surgeon (Dr. Green) was involved in the procedure. The diagnosis code 239.8 corresponds to the size of the tumor (5 cm).

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  • 30. 

    Roger had a rhinoplasty to correct damage caused by a broken nose. One year later he had a secondary rhinoplasty with major revisions.  At the end of the second surgery the incisions were closed with a single layer technique. How would you report the second procedure?

    • 30450

    • 30450-78

    • 30420, 12014

    • 30430, 12014-59

    Correct Answer
    A. 30450
    Explanation
    The correct answer is 30450. This code represents the secondary rhinoplasty with major revisions that Roger had one year after the initial rhinoplasty to correct damage caused by a broken nose. The use of the single layer technique to close the incisions is not relevant to the reporting of the procedure.

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  • 31. 

    The burn patient had a 20 sq cm Biobrane skin graft  the upper right leg and a 30 sq cm Biobrane skin graft of the lower left leg.

    • 15271

    • 15271-RT

    • 15271-RT; 15271-LT, 15272-LT

    • 15271-RT; 15271-LT X 2

    Correct Answer
    A. 15271-RT; 15271-LT, 15272-LT
    Explanation
    The correct answer is 15271-RT; 15271-LT, 15272-LT. This answer is correct because it includes the appropriate codes for the skin grafts performed on both the upper right leg and the lower left leg. The code 15271-RT represents the skin graft on the upper right leg, while 15271-LT represents the skin graft on the lower left leg. Additionally, the code 15272-LT is included to indicate an additional skin graft performed on the lower left leg.

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  • 32. 

    By manipulation, under general anesthesia a 6-year-old left tarsal's dislocation was reduced. Correct alignment was confirmed by a two-view intraoperative x-rays. A short leg cast was then applied to the left leg. Code only the reduction service.

    • 28545-LT

    • 28545-LT, 29405-LT, 73620

    • 28545-LT, 29405-LT-51

    • 28540-LT, 73620

    Correct Answer
    A. 28545-LT
    Explanation
    The correct answer is 28545-LT because it is the only code that represents the reduction service. The other codes included in the options are either unrelated or not applicable to the given scenario.

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  • 33. 

    The 55-year-old female was seen previously for a laparoscopic biopsy of her cervical lymph nodes. The biopsy came back showing abnormal cells. The decision was made to do a lymphadenectomy. The patient was brought to the operating room and put under general anesthesia.  When the radical neck dissection was complete, the lymph nodes were excised. The patient was returned to recovery in satisfactory condition. Code the lymphadenectomy only.

    • 38724

    • 38571

    • 38720, 38570-51

    • 38720, 38500-51

    Correct Answer
    A. 38724
    Explanation
    The correct answer is 38724. This code is used to report a complete lymphadenectomy, which involves the removal of lymph nodes in a specific area. In this case, the patient underwent a radical neck dissection, which is a type of lymphadenectomy. The other options do not accurately represent the procedure performed.

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  • 34. 

    Dr. Jess removed a 4.5 cm (excised diameter) cystic lesion from Amy's forehead. The ulcerated lesion was anesthetized with 20 mg of 1% Lidocaine and then elliptically excised. The wound was closed with a layered suture technique and a sterile dressing applied.  The wound closure, according to Dr. Jess's documentation, was 5.3 cm. How would you report this procedure?

    • 11446, 12053-51

    • 11646, 12013-51

    • 11446, J2001 X 2, 12013-59

    • 11313, 12053-59

    Correct Answer
    A. 11446, 12053-51
    Explanation
    The correct answer is 11446, 12053-51. The code 11446 represents the excision of a benign skin lesion measuring 4.5 cm in diameter. The code 12053-51 represents the closure of the wound using a layered suture technique. The -51 modifier indicates that multiple procedures were performed during the same encounter.

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  • 35. 

    Mrs. Reyes had a temporary ventricular pacemaker placed at the start of a procedure. This temporary system was used as support during the procedure only. How would you report the temporary system?

    • 33210

    • 33211

    • 33207

    • 33210, 33207-51, 33235-51

    Correct Answer
    A. 33210
    Explanation
    The correct answer is 33210. This code is used to report the placement of a temporary ventricular pacemaker. Since the pacemaker was only used during the procedure and not left in place, this code accurately describes the situation.

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  • 36. 

    An infant born at 33 weeks underwent five photocoagulation treatments to both eyes due to retinopathy of prematurity at six months of age. The physician used an operating microscoipe during these procedures. These treatments occurred once per day for a defined treatment period of five days. How would you report all of these services?

    • 67229-50

    • 67229 X 5

    • 67229, 69990

    • 67229

    Correct Answer
    A. 67229-50
    Explanation
    The correct answer is 67229-50. This code represents the photocoagulation treatment to both eyes using an operating microscope. The "-50" modifier indicates that the procedure was performed bilaterally. Since the treatments occurred once per day for five days, the code is not multiplied by 5 or combined with any other code.

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  • 37. 

    A patient is taken to the operating room for a ruptured spleen. A partial splenectomy and repair of a rupture was done.

    • 38101, 865.14

    • 38101-58, 38115-51, 289.59

    • 38115, 289.59

    • 38120, 865.04

    Correct Answer
    A. 38115, 289.59
    Explanation
    The correct answer is 38115, 289.59. This answer is correct because 38115 represents the code for a partial splenectomy, which is the surgical procedure that was performed on the patient. Additionally, 289.59 represents the code for the repair of a rupture, which was also done during the surgery. Therefore, this answer accurately represents the procedures that were performed on the patient in the operating room.

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  • 38. 

    INTEGUMENTARY SYSTEM SECTION OF SURGERY SECTION :A new patient presents to the urgent care center with a laceration to the left elbow that happened 10 days ago and was not treated. An infected gaping wound was found, with resulting cellulitis to the forearm and upper left arm. Extensive irrigation and debridement using sterile water were performed but closure was not attempted pending resolution of the infection. Culture of the wound revealed streptococcus. The patient received 1, 200, 000 units of Bicillin CR IM and is to return in 3 days for follow up. The history and physical examination were problem focused. 

    • 881.11, 682.3, 041.00, 99201, 96372, J0540

    • 881.11, 682.3, 041.00, 96372-LT, J0540

    • 884.0, 041.00, 99201

    • 881.01, 99281, 96372, J0540

    Correct Answer
    A. 881.11, 682.3, 041.00, 99201, 96372, J0540
    Explanation
    The correct answer is 881.11, 682.3, 041.00, 99201, 96372, J0540. This answer includes the appropriate codes for the patient's condition and the procedures performed. The codes 881.11 and 682.3 indicate the laceration and cellulitis, respectively. The code 041.00 indicates the streptococcus infection. The code 99201 represents the level of evaluation and management service provided. The code 96372 represents the therapeutic, prophylactic, or diagnostic injection administered. The code J0540 represents the medication administered.

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  • 39. 

    Sam is treated for multiple wounds of the right forearm, hand and knee. The physician sutured the following : simple repair, 2.5 cm forearm; intermediate repair, 1.5 cm. hand;  2.0 cm.  simple repair, right knee.

    • 12041-RT, 12002-RT

    • 12041-RT, 12002-RT-51

    • 11600-RT, 11420-RT

    • 11400-RT, 11420-51-RT

    Correct Answer
    A. 12041-RT, 12002-RT-51
    Explanation
    The correct answer is 12041-RT, 12002-RT-51. The physician performed a simple repair on a 2.5 cm wound on the forearm (12041-RT) and an intermediate repair on a 1.5 cm wound on the hand (12002-RT). The -RT modifier indicates that the procedure was performed on the right side of the body. The -51 modifier indicates that the second procedure (12002-RT) is a separate and distinct procedure from the first one (12041-RT).

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  • 40. 

    In the operating room the Dr. repaired an aneurysm of the intracranial artery by balloon catheter.

    • 61710

    • 61697

    • 61698

    • 61700

    Correct Answer
    A. 61710
    Explanation
    The correct answer is 61710. This is the correct code for the repair of an aneurysm of the intracranial artery using a balloon catheter. The other codes listed are not relevant to this procedure.

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  • 41. 

    Strabismus correction involving the lateral rectus muscle.

    • 67314

    • 67311

    • 67318

    • 67312

    Correct Answer
    A. 67311
    Explanation
    The correct answer is 67311. This code is used for the correction of strabismus involving the lateral rectus muscle. Strabismus is a condition where the eyes are misaligned and do not focus on the same point. The lateral rectus muscle is responsible for outward movement of the eye. By correcting the strabismus involving this muscle, the alignment of the eyes can be improved.

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  • 42. 

    Excisional transverse blepharotomy with one-quarter lid margin rotation graft.

    • 67966

    • 67950

    • 67961

    • 67961, 15576

    Correct Answer
    A. 67961
    Explanation
    The correct answer, 67961, refers to the procedure of excisional transverse blepharotomy with one-quarter lid margin rotation graft. This involves making an incision along the eyelid, removing a section of tissue, and then rotating a portion of the eyelid margin to fill the gap. This procedure is commonly done to correct eyelid malposition or deformities, and can help improve the function and appearance of the eyelid.

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  • 43. 

    Heather had a bilateral laparoscopic occlusion of her fallopian tubes using a Falope ring. How would you report this procedure?

    • 58615

    • 58671

    • 58671-50

    • 58679-50

    Correct Answer
    A. 58671
    Explanation
    The correct answer is 58671. This code is used to report a bilateral laparoscopic occlusion of the fallopian tubes using a Falope ring. The term "bilateral" indicates that both fallopian tubes were occluded, and "laparoscopic" indicates that the procedure was performed using minimally invasive techniques. The use of the Falope ring is also specified in the question.

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  • 44. 

    Jennifer was admitted to the hospital for an aspiration of two thyroid cysts. Her physician completed this procedure with CT guidance of the needle including interpretation and report. How would you report the professional services?

    • 60300-26, 76942-26

    • 60300 X 2, 77012-26

    • 10021, 60300-51, 77012-26

    • 60300

    Correct Answer
    A. 60300 X 2, 77012-26
    Explanation
    The correct answer is 60300 X 2, 77012-26. This answer indicates that the physician completed the procedure of aspiration of two thyroid cysts using CT guidance of the needle, and also provided interpretation and a report. The code 60300 X 2 represents the two aspirations, and the code 77012-26 represents the CT guidance. The -26 modifier indicates that only the professional component of the service was provided.

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  • 45. 

    After a snow skiing accident, Barry had a cervical laminoplasty to four vertebral segments. How should you report this procedure?

    • 63050 X 4

    • 22600, 63051-51

    • 22842, 63045, 63050

    • 63050

    Correct Answer
    A. 63050
    Explanation
    The correct answer is 63050. This is the correct code to report the procedure of cervical laminoplasty to four vertebral segments. The other options either include incorrect codes or do not account for the number of vertebral segments involved in the procedure.

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  • 46. 

    Tracy a 5-year-old female fell down stairs at a daycare. She hit her coccygeal bone and fractured it. The doctor manually manipulated the bone into the proper alignment and told Tracy's mom to have her sit on a rubber ring to alleviate pain.  

    • 27200

    • 27202

    • 27510

    • 28445

    Correct Answer
    A. 27200
    Explanation
    Tracy fell down the stairs and fractured her coccygeal bone. The doctor manually manipulated the bone into the proper alignment, which suggests that Tracy had a dislocation or subluxation of the coccyx. The code 27200 is for manipulation of the coccyx, which aligns with the doctor's action. The other codes listed do not pertain to the specific treatment mentioned in the scenario.

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  • 47. 

    RESPIRATORY SYSTEMPREOPERATIVE DIAGNOSIS :  Deviated septum.PROCEDURE PERFORMED : Septoplasty; Resection of inferior turbinatesThe patient was taken to the operating room and placed under general anesthesia. The fracture of the inferior turbinates was first performed to do the septoplasty.  Once this was done, the septoplasty was completed and the turbinates were placed back in their original position. The patient was taken to recovery in satisfactory condition.  Code the procedure(s) and the diagnosis :

    • 30520, 30140-51, 470

    • 30520, 30130, 470

    • 30520, 30130-51, 470

    • 30520, 30140-51, 802.0

    Correct Answer
    A. 30520, 30140-51, 470
    Explanation
    The correct answer is 30520, 30140-51, 470. The reason for this is that the preoperative diagnosis was a deviated septum, and the procedure performed was a septoplasty and resection of inferior turbinates. The code 30520 represents the septoplasty, the code 30140-51 represents the resection of inferior turbinates, and the code 470 represents the deviated septum diagnosis.

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  • 48. 

    Code a biopsy of the bladder?

    • 52354

    • 52204

    • 52250

    • 52224

    Correct Answer
    A. 52204
    Explanation
    The correct answer is 52204. This code is used for a biopsy of the bladder. A bladder biopsy is a procedure in which a small sample of tissue is taken from the bladder for further examination. This code specifically represents a transurethral biopsy of the bladder, which involves inserting a cystoscope through the urethra to access the bladder and take the biopsy sample.

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  • 49. 

    Postoperative Diagnosis : Basal Cell Carcinoma of the forehead.Procedure: Excision of basal cell carcinoma with split-thickness skin graft.The area of the excision measured 5 X 4 cm in total.Attention was then turned to the skin graft. A pattern of the defect was transferred to the left anterior thigh using a new needle. A local infiltration was performed on the thigh. Using a free-hand knife, a split-thickness skin graft was harvested. 

    • 195.0, 15120

    • 173.3, 15120

    • 173.3, 15120, 11646

    • 195.0, 15002, 15120

    Correct Answer
    A. 173.3, 15120, 11646
    Explanation
    The given answer, 173.3, 15120, 11646, represents the correct CPT codes for the procedure described in the postoperative diagnosis. CPT code 173.3 corresponds to the excision of the basal cell carcinoma, while CPT code 15120 represents the harvesting of the split-thickness skin graft. The additional code 11646 indicates the transfer of the defect pattern to the left anterior thigh. Therefore, this answer accurately reflects the different components of the procedure performed.

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  • Mar 22, 2023
    Quiz Edited by
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  • Dec 26, 2014
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