TEST 3,4,5

:1-The patient is being evaluated for spinal curvature problems of the lower back. She has been sent
to the radiologist for a set of spinal x-rays. The radiologist takes x-rays from 4 different views of her
spine (standing straight, bending forward and from each side) along with three additional views.
These films are sent to the patient's PCP for interpretation and report. What code should the
radiologist report?

Mark one answer:

a) 72114 -TC
b) 72110 -TC, 72120 -TC
c) 72114
d) 72110, 72120

Q:2-A pediatrician performed a lumbar puncture on a 2-day-old premature infant weighing 2.3 kg
with possible meningitis. What is the correct code for this service?

Mark one answer:

a) 62272
b) 62270
c) 62270 -63
d) 62272 -63

Q:3-A physician performed a thoracoabdominal diaphragmatic hernia repair on 45-year-old male

patient with the implantation of prosthetic mesh for support. What is the correct code for this
procedure?

Mark one answer:

a) 39531
b) 39530
c) 43336
d) 43337

Q:4-The patient was seen in the emergency department for a severe laceration to the right forearm,
following a work injury. The on-call physician performed an expanded problem-focused history
assessment and examination, and then sutured the complicated wound using 25-0 vicryl sutures in
three subcutaneous layers. The patient was prescribed prophylactic antibiotics and released from
the emergency department. The patient was instructed to return to his PCP in one week for a follow-
up appointment. The MDM was moderate. What is the correct level of E&M service?

Mark one answer:

 a) 99284
b) 99282

99283

99291

Q:5-A 47-year-old male patient with advanced cancer of the lower left mandible presented to the
hospital for surgical removal of the lower left jawbone with secondary insertion of mandibular
prosthesis. In order to perform surgery, the patient had to be intubated through a tracheostomy.
After anesthesia, the surgeon performed the tracheostomy by incising the cricothyroid membrane
horizontally along the trachea and inserting the intubation device. The surgeon completed the
primary surgical procedure on the patient's mandible. What is the correct code for the intubation?

Mark one answer:

31605

31600

No code would be used for the intubation

31603

Q:6-When selecting an evaluation and management code, what is the first thing that the coder
needs to determine?

Mark one answer:

The time the provider spent with the patient

The appropriate category of E&M service

Whether the patient was new or established

How long the discharge took

Q:7-A physician performed craniotomy on a patient with a severe head trauma and intracerebral
hematoma. Due to the patient's condition the procedure was extremely difficult, requiring a
significant amount of extra time and effort. What is the correct code for this procedure?

Mark one answer:

61315

61313

61313 -22

61315 -23
Q:8-Diaphragmatic hernia repair codes are divided based upon what?

Mark one answer:

The age of the patient and whether or not mesh was used

The age of the patient and whether or not the hernia is acute or chronic.

The stage of the hernia and the site of the hernia

The age of the patient and the site of the hernia

Q:9-A radiographic image of the colon's interior is referred to as which of the following?

Mark one answer:

Colonography

Colonoscopy

Duodenoscopy

Cholangiography

Q:10-What is the difference between meningitis and encephalitis?

Mark one answer:

Meningitis is the inflammation of the spinal cord, and encephalitis is the inflammation of the lining
of the brain

Meningitis is the inflammation of the lining of the brain and encephalitis is the inflammation of the
brain

Meningitis is the inflammation of the lining of the brain and encephalitis is the swelling of the spinal
cord

Meningitis is a respiratory infection and encephalitis is the inflammation of the nervous system.

Q:1-A physician removed 1.5 cm mass from mediastinal wall, along with appropriate margins. The
tumor was sent to pathology to determine the malignancy status. What is the correct code for this
procedure?

Mark one answer:

39200

39220

39000

39010
Q:2-What is the difference between anterior nasal packing versus posterior nasal packing procedure
codes?

Mark one answer:

None, they are the same codes

Posterior packing is done in the larynx, whereas anterior packing is done at the back of the throat

There are no nasal packing procedure codes in the CPT manual

Anterior packing is applied pressure and gauze and posterior packing is the insertion of a balloon
into the back of the nasal cavity

Q:3-A 65-year-old female patient with atherosclerosis receives an abdominal aortography via
serialography. The patient's cardiologist reviews and interprets the findings. What is the appropriate
code for this service?

Mark one answer:

75625

75625 -26

75605

75630

Q:4-Which of the following is always the payer of last resort?

Mark one answer:

Medicare

Medicaid

Worker's Compensation Insurance

Commercial Insurance

Q:5-When a doctor manipulates a dislocated joint back into place, he:

Mark one answer:

Reduces the subluxation

Manipulates the fracture

Suspends the dislocation

Reduces the suspension

Q:6-During delivery, an episiotomy may be performed in order to allow a larger opening for the baby
to pass through. In this procedure, the obstetrician will incise which area?

Mark one answer:

Vagina

Labia Minora

Labia Majora

Perineum

Q:7-If a patient is in the prone position, he is:

Mark one answer:

Lying flat on his back

Lying flat on his stomach

Sitting up straight

Lying flat on his back with his feet elevated

Q:8-A 23-year old woman, pregnant with her second child, received antepartum care from her
physician in Atlanta, GA. After 9 visits with her physician in Atlanta, the patient moved to
Albuquerque, NM where she continued her prenatal care with a new doctor. The new physician saw
the patient for the remaining antepartum visits. The new physician also performed vaginal delivery
and postpartum care, which included the 6-week postpartum checkup. How should the physician in
Atlanta code for his services?

Mark one answer:

59426

59425

59410

59430

Q:10-Mr. Johnson, a 46-year-old male, has smoked cigars for the last 20 years of his life. He has a
suspicious lesion on his lower lip and is being seen for treatment. The physician suspects that it may
be malignant. The physician performed a shave biopsy of the patient's lower lip. What is the correct
code for this procedure?

Mark one answer:

40490
40500

11100

11600

Q:1-Sheila took her 5-year-old daughter to the pediatrician's office for an annual well-child exam.
She has a commercial Blue-Cross Blue-Shield insurance plan, through her work, which covers her
daughter. Sheila also has Medicaid coverage on her daughter, due to her low-income status. Which
one of her insurances is billed for the well-child exam?

Mark one answer:

You bill Blue-Cross Blue-Shield first and Medicaid second

You bill Medicaid only

You bill Blue-Cross Blue-Shield only

You bill Medicaid first and Blue-Cross Blue-Shield second

Q:2-A 36-year-old woman with a history of multiple complicated ectopic pregnancies presented to
her OB/GYN's office. She took an at-home pregnancy test two weeks ago, which was positive, and
experienced a heavy bleed in the middle of the night last night. She presented this morning with
complaints of excessive vaginal bleeding and pain in the abdominal area. After confirmation of the
pregnancy via urinalysis, the physician performed a pelvic examination. After examination, the OB
suspected that the pregnancy was ectopic and ordered an ultrasound confirmation. The ultrasound
confirmation, performed later that day, showed an advanced interstitial uterine ectopic pregnancy.
The estimated age of the pregnancy was 12 weeks. The OB discussed the risks of the ectopic
pregnancy with the patient, who then decided to have an excision of the ectopic pregnancy and a
total hysterectomy. The OB spent 45 minutes counseling the patient and the patient was scheduled
for an abdominal

hysterectomy in two days. How should the OB code for the procedure performed in the office?

Mark one answer:

99214, 76801

99215-57, 81025, 76801

99214-57, 81025

99215, 81025, 76805

Q:3-This condition occurs when the lining of the esophagus becomes inflamed. It is generally caused
by an infection or irritation of the esophagus. What is the name of this condition?

Mark one answer:

Esophagitis
Barrett's Esophagus

Esophageal Varices

Mallory-Weiss Tear

Q:4-A pacemaker or pacing cardioverter-defibrillator that has pacing and sensing functions in three
or more chambers of the heart is considered a:

Mark one answer:

Multiple Lead

Dual Lead

Single Lead

Triple Lead

Q:5-The tympanic membrane is often referred to as:

Mark one answer:

A taste bud

The ear drum

The stirrup

The inner ear

Q:6-A 14-year-old patient with an abscessed tooth presented to the physician's office with possible
sepsis. The tooth had gone untreated for two weeks, and now the patient is experiencing a high
fever, severe headaches and toothaches and malaise and fatigue. The physician suspects that the
bacteria from the tooth has spread to the patient's blood and is now a systemic infection. As part of
the office procedure, the physician orders a CBC in order to examine the bacterial levels in the
patient's blood. After the physician writes the orders, the nurse performs a venipuncture on the
patient in order to obtain a blood sample. What is the correct code for the collection of the blood
only?

Mark one answer:

36416

36415

36410

36406
Q:7-A physician harvested a viable left cornea, liver, and heart from a declared brain-dead patient.
What anesthesia services should have been provided?

Mark one answer:

01990

No anesthesia services should have been performed on a brain-dead patient

33930, 47133-51, 65110-51

01990-P6

Q:8-A physician performed a cystourethroscopy with an ejaculatory duct catheterization and

irrigation. Duct radiography was also performed to visualize ejaculatory duct system. What CPT
codes should be reported?

Mark one answer:

52000, 52010

52000, 52010, 74440

52010, 74440

52010

Q:9-What does the suffix "-megaly" refer to, as in cardiomegaly?

Mark one answer:

Inflammation, as in inflammation of the heart

Pain in, as in heart pain

Enlargement of, as in enlargement of the heart

Softening of, as in softening of the heart

Q:10-The time reported for an anesthesia service begins _____, and ends _____.

Mark one answer:

When the anesthesiologist administers the anesthetic agent; when the patient leaves the operating
table.

When the anesthesiologist begins prepping the patient; when the anesthesiologist is no longer in
personal post-operative attendance.

When the physician begins the procedure; when the physician ends the procedure.

When the anesthesiologist begins prepping the patient; when the patient leaves the hospital.