Toughest CPC Exam Quiz! Trivia

122 Questions | By MITULPAR | Updated: Mar 22, 2022 | Attempts: 1793

Questions

Settings

Create your own Quiz

Questions and Answers

1.

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.
- A.
  
  881.11, 682.3, 041.00, 99201, 96372, J0540
- B.
  
  881.11, 682.3, 041.00, 96372-LT, J0540
- C.
  
  884.0, 041.00, 99201
- D.
  
  881.01, 99281, 96372, J0540
2.

12-year-old female was chasing her friend when she fell through a sliding glass door sustaining three lacerations. Left knee 5.5 cm laceration, involving deep subcutaneous tissue and fascia, was repaired with layered closure using 1% lidocaine anesthetic. Right knee: 7.2 cm laceration was repaired under local anesthetic with a single-layer closure. Right hand: 2.5 cm laceration of the dermis was repaired with simple closure using Dermabond tissue adhesive.What are the correct ICD-9-CM and CPT procedure codes? Do not code anesthesia administration.
- A.
  
  891.0, 882.0, E920.8, E849.0, 12005
- B.
  
  891.1, 882.0, 12002-RT, 12032-51-LT, 17999-51-LT
- C.
  
  894.0, 12032, 12002-LT, E/M code for Dermabond adhesive
- D.
  
  891.0, 882.0, E920.8, E849.0, 12032-LT, 12004-51-RT
3.

Excision lesion on left shoulder, 2.5 X 1.0 X .5 cm, including circumferential margins. Excision lesion, skin of right cheek, 1.0 X 1.0 X .5 cm, including margins. Pathology report states that the skin lesion on the left shoulder is a lipoma and the lesion on the right cheek is a squamous cell carcinoma. The physician progress note states that the left shoulder was sutured with a layered closure, and the cheek was repaired with a simple repair. What are the correct code sets?
- A.
  
  173.3, 214.8, 11641-RT, 11403-51-LT, 12031-51-LT
- B.
  
  173.3, 214.8, 11641-RT, 12031-51-LT
- C.
  
  173.3, 214.1, 11641-RT, 12031-51-LT
- D.
  
  173.3, 11643-RT, 12031-51-LT
4.

OPERATIVE REPORT :Postoperative Diagnosis : Full thickness burn wound to anterior left lower leg. Operation: Split-thickness graft, approximately 35 centimeters; preparation of the wound. Procedure: Left lower leg was prepped and draped in the usual sterile fashion. The ulcer, which measured approximately 8 X 4 to 4.5 cm, was debrided sharply with Goulian knife until healthy bleeding was seen. Split-thickness skin graft was harvested from the left lateral buttock area approximately 4.5 to 5 cm X 8 cm at the depth of 14/1000 of an inch.What are the correct procedure codes reported by the physician for this procedure performned in the hospital outpatient surgical suite?
- A.
  
  15220-LT, 15221-51-LT, 15002-51-LT
- B.
  
  15100-LT
- C.
  
  14021-LT, 15002-51-LT
- D.
  
  15100-LT, 15002-51-LT
5.

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.
- A.
  
  195.0, 15120
- B.
  
  173.3, 15120
- C.
  
  173.3, 15120, 11646
- D.
  
  195.0, 15002, 15120
6.

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?
- A.
  
  071, 882.1, E906.3, E968.4, E967.2, 99291, 92950
- B.
  
  079.89, 99285
- C.
  
  799.1, 780.39, 780.6, 882.1, E906.3, E968.4, E967.2, 92950
- D.
  
  071,780.39, 780.6, 92950
7.

A 49-year-old female sustained injuries to the forehead, 1.5 cm. And a 1 cm wound to the eyebrow when she hit her steering wheel with her head. The closure was layered. Code the service only.
- A.
  
  12001
- B.
  
  12011
- C.
  
  13131
- D.
  
  12051
8.

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.
- A.
  
  15271
- B.
  
  15271-RT
- C.
  
  15271-RT; 15271-LT, 15272-LT
- D.
  
  15271-RT; 15271-LT X 2
9.

Stacey a 35-year-old female presents for biopsies of both breasts. The biopsies were done using fine-needle aspiration with imaging guidance.
- A.
  
  19103-50
- B.
  
  19102-50
- C.
  
  10022-50
- D.
  
  10021
10.

MUSCULOSKELETAL SYSTEM ----- 20000 SeriesDon a 36-year-old male, fell 4 feet off scaffolding and hit his left heel on the bottom rung of the support, fracturing his calcaneal bone in several locations. The surgeon manipulated the bone pieces back in to position and secured the fracture sites with percutaneous fixation.
- A.
  
  28456-LT
- B.
  
  28415-LT
- C.
  
  28405-LT
- D.
  
  28406-LT
11.

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.
- A.
  
  27200
- B.
  
  27202
- C.
  
  27510
- D.
  
  28445
12.

Fred, a 40-year old carpenter at a local college. While working on a window frame from a ladder, the weld on the rung of the metal ladder loosened and he fell backward 8 ft. He landed on his left hip, dislocating it. Under general anesthesia, the Allis maneuver is used to repair the anterior dislocation of the right hip. The pelvis is stabilized and pressure applied to the thigh to reduce the hip and bring it into proper alignment.
- A.
  
  27252
- B.
  
  27253-LT
- C.
  
  27250-LT
- D.
  
  27252-LT
13.

A 12-year-old female sustained multiple tibial tuberosity fractures of the left knee while playing soccer at her local track meet. The physician extended the left leg and manipulated several fragments back into place. The knee was then aspirated. A long-leg knee brace was then placed on the knee.
- A.
  
  27330-LT
- B.
  
  27550-LT
- C.
  
  27334-LT
- D.
  
  27538-LT
14.

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.
- A.
  
  28545-LT
- B.
  
  28545-LT, 29405-LT, 73620
- C.
  
  28545-LT, 29405-LT-51
- D.
  
  28540-LT, 73620
15.

Dr. Devine applied a cranial halo to Gary to stabilize the cervical spine in preparation for x-rays and subsequent surgery. The scalp was sterilized and local anesthesia injected over the pin insertion sites. Posterior and anterior cranial pins are inserted and the halo device attached.
- A.
  
  20664
- B.
  
  20664, 96372
- C.
  
  20661
- D.
  
  20661, 96372
16.

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.
- A.
  
  10121-LT
- B.
  
  20520-LT
- C.
  
  20525-LT
- D.
  
  10120-LT
17.

Steve presents with a deep, old hematoma on his right shoulder. After examination of the shoulder area, the doctor decides that the hematoma needs to be incised and drained.
- A.
  
  10160-RT
- B.
  
  23030-RT
- C.
  
  10140-RT
- D.
  
  10060-RT
18.

The surgeon performed an arthrodesis, including a laminectomy of the L1 and L2 segments. Approach was posterior with a posterior interbody technique.
- A.
  
  22630; 22632
- B.
  
  22633 X 2
- C.
  
  22634 X 2
- D.
  
  22633; 22634
19.

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.
- A.
  
  29405-LT, 845.00, E884.4, E849.0
- B.
  
  29425-LT, 845.00, E884.4, E849.0
- C.
  
  29515-LT, 845.00, E888.9, E849.0
- D.
  
  29405-LT, 845.00, E844.4
20.

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.
- A.
  
  12002-RT
- B.
  
  13120-RT
- C.
  
  12031-RT
- D.
  
  12007-50
21.

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.
- A.
  
  12031-RT
- B.
  
  12032-RT
- C.
  
  10121-RT
- D.
  
  10061-RT
22.

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.
- A.
  
  12041-RT, 12002-RT
- B.
  
  12041-RT, 12002-RT-51
- C.
  
  11600-RT, 11420-RT
- D.
  
  11400-RT, 11420-51-RT
23.

CARDIOVASCULAR SYSTEM : 30000 SeriesA 69-year-old male is admitted for coronary ASHD. A prior cardiac catheterization showed numerous native vessels to be 70% to 100% blocked. The patient was then taken to the operating room. After opening the chest and separating the rib cage, a coronary artery bypass was performed using five venous grafts and four coronary arterial grafts. Code the graft procedure(s) and the diagnosis :
- A.
  
  33514, 414
- B.
  
  33536, 33517-51, 414.9
- C.
  
  33533, 33522, 414.05
- D.
  
  33536, 33522, 414.01
24.

An arterial catheterization is coded how?
- A.
  
  36600
- B.
  
  36620
- C.
  
  36640
- D.
  
  36620, 36625
25.

A patient is taken to the operating room for a ruptured spleen. A partial splenectomy and repair of a rupture was done.
- A.
  
  38101, 865.14
- B.
  
  38101-58, 38115-51, 289.59
- C.
  
  38115, 289.59
- D.
  
  38120, 865.04