CPC PT

An 11 month old baby with rheumatic mitral insufficiency undergoes a valvuloplasty with cardiopulmonary bypass. Code the anesthesia for this procedure. A. 00561, 99100 B. 00561 C. 00562, 99100 D. 00567

B. 00561

Dr. Rodgers received a new patient who was 37 weeks pregnant. The woman recently moved from her previous home in Virginia back to NYC. This was her second pregnancy the first child was delivered 3 years ago by C-sect. She opted to try VBAC with this pregnancy. However, the placenta separated prematurely with delivery, and Dr. Rodgers performed an emergency C-sect. A healthy baby girl was delivered. Another obstetrician provided her antepartum care in her former town, and Dr. Rodgers provided post-operative care. What are the CPT® and ICD-10-CM codes reported for this service? A. 59614, O34.29, Z37.0 B. 59620, 59622, O45.93, O34.219, Z37.0 C. 59622, O45.93, O34.219, Z37.0 D. 59515, O34.219, Z37.0

C. 59622, O45.93, O34.219, Z37.0

A 68 year old receives general anesthesia for a Whipple procedure. The anesthesiologist medically directs a CRNA on this case, while medically directing four other cases by qualified health care professionals. What are the appropriate codes for both providers? A. 48150-AA, 48150-QZ B. 48150-QK, 48150-QX C. 00790-AA, 00790-QZ D. 00794-QK, 00794-QX

D. 00794-QK, 00794-QX

This organ breaks down red blood cells, stores blood, and produces lymphocytes and plasma cells. A. thymus B. spleen C. lymph nodes D. pancreas

B. spleen

A woman is having Mohs micrographic surgery for skin cancer tumor on her lip and nasal area. The surgeon performs 3 stages before all margins are clear. The first stage has 5 tissue blocks and the second stage has 6 tissue blocks, and the final stage has 2 tissue blocks. Repair of the defect was by island pedicle flap. What are the proper CPT® codes for this procedure? A. 17311, 17312 X 2, 17315, 15740-51 B. 17311, 17312, 17315 X 2, 15740-51 C. 17311, 17312 X 2, 17315 D. 17311, 17312, 17315, 13152-51

A. 17311, 17312 X 2, 17315, 15740-51

A COPD patient is in the hospital for a foot injury, but needs clearing of the trachea, bronchi, and bronchial tubes, in the morning, prior to foot surgery, which his pulmonologist provides using the endoscope. Again, later the same day, it is necessary for the pulmonologist to repeat the therapeutic aspiration of the trachea, bronchi, and bronchial tubes for the patient. Code the appropriate CPT® code(s) for the pulmonologist. A. 31645, 31646-59 B. 31624 X 2 C. 31635 D. 31645 X2

A. 31645, 31646-59

A 4-year old boy is diagnosed with left eye monocular exotropia with A pattern. The boy has been unsuccessfully treated with alternative methods for 18 months. After being informed of the risks and benefits of surgery the parents have consented to surgical treatment. The patient undergoes resection of the left lateral rectus and the left inferior rectus muscles. Both muscles were reattached to the sclera by adjustable sutures. What are the CPT® and ICD-10-CM codes? A. 67311-LT, 67314-LT, 67335-LT, H5Ø.122 B. 67311-50, H5Ø.1Ø C. 67312-LT, 67335-51, H5Ø.122 D. 67312-LT, 67314-LT, H5Ø.122

A. 67311-LT, 67314-LT, 67335-LT, H5Ø.122

A patient with advanced adrenocortical carcinoma presents for chemotherapy administration at the infusion center. The infusion was started with 1000 cc of normal saline. Doxorubicin HCl at 50mg was added and then cisplatin, 40 mg, was added and infused 2 hours. At the end of the 2 hours, the IV was disconnected and the patient was discharged. What codes are reported? A. 96413, 96415, J9000 x 5, J9060 x 4, Z51.11, C74.00 B. 96413, 96415, Q2050 x 5, J9060 x 4, Z51.12, C79.7Ø, C8Ø.1 C. 96413, 96415, 96360-51, 96361, Q2050 x 5, J9060 x 4, J7050 x 2, Z51.11, C74.00 D. 96415, 96360-59, J9000, J9060, Z51.Ø, C79.7Ø, C8Ø.1

A. 96413, 96415, J9000 x 5, J9060 x 4, Z51.11, C74.00

Mrs. Smith, a 70-year-old woman is brought to the hospital by her son because she has had diarrhea, vomiting, and abdominal pain for the past 3 days. The patient states she cannot keep down any liquid or food and has scanty urine. She is admitted for observation. The admitting physician does a review of systems that includes constitutional, neurological, ENT, eyes, cardiovascular, respiratory, gastrointestinal, endocrine, hematological, genitourinary, musculoskeletal, and integumentary. A complete past, family, and social history was taken and is insignificant. Physical exam: PT is lethargic but responds to verbal commands slowly. Vital signs: heart rate 76; respiratory rate 25; temperature 102.5; blood pressure 100/63. Eyes: PERRLA. The skin shows decreased turgor and mucous membranes are dry. The neck is supple; lymph nodes are normal. Lungs are clear. The heart has regular rate and rhythm, no murmurs. The abdomen is soft, with increased bowel sounds. The history is detailed, and the examination is detailed, and the MDM was of moderate complexity. A. 99218 B. 99219 C. 99203 D. 99204

A. 99218

A 55 year old hospital patient had a myocardial infarction 2 days ago and is now out of Critical Care. He is now having premature ventricular contractions. Dr. Long spends 30 minutes reviewing the medical record and examining the patient. Dr. Long performed a detailed interval history, an expanded problem focused examination, and MDM of high complexity. Code for this E&M service. A. 99233 B. 99232 C. 99231 D. No code is needed because patient is in the global period

A. 99233

Which of the following statements is false? A. Abuse consists of payment for items that are billed by mistake but should not be paid for by Medicare. B. The OIG Work Plan outlines priorities for investigating potential problem areas with claims submissions C. HIPAA requires that an individual be notified if there is an unauthorized disclosure of his PHI. D. An ABN is used to explain to the patient why Medicare may deny a particular service or procedure.

A. Abuse consists of payment for items that are billed by mistake but should not be paid for by Medicare.

Which of the following violates ICD-10-CM guidelines? A. B20 should be the first listed code even if the patient is seen for an unrelated condition. B. A patient who is known to be HIV positive but who has no documented symptoms would be assigned code Z21. C. B20 is used if the physician states the patient has an HIV-related illness. D. A patient with inconclusive HIV blood test has no diagnosis and no manifestations of the illness may be assigned code R75.

A. B20 should be the first listed code even if the patient is seen for an unrelated condition.

Code for 14 days of premixed parenteral nutrition solution containing compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, with 60 g of protein: A. B4193 X 14 B. B4189 X 14 C. B4220 X 14 D. B5200 X 14

A. B4193 X 14

Which types of codes are supplemental tracking codes used for performance measurement? A. Category II B. Category I unlisted codes C. Category III codes ending with T D. HCPCS

A. Category II

The Part of Medicare that helps to cover hospice care is: A. Part A B. Part A and B C. Part C D. Hospice care is not covered under Medicare

A. Part A

The distal end of this bone articulates with the thumb side of the hand. A. radius B. ulna C. humerus D. medial epicondyle

A. radius

A 23 year old woman collided with a rose bush hedge while cross country skiing and lacerated her neck, cheek and right eyebrow area. The cuts on the face were 6, 4, and 3 cm long. The 2 cuts on the neck were 5 and 6 cm long. All required a layered closure. What ICD-10-CM and CPT® codes are needed? A. 12055, 12044, S11.91XA, Y93.24 B. 12055, 12044, S11.91XA, S01.419A, S01.111A, Y93.24 C. 12055, 12044, S11.91XA, S01.419A, S01.81XA, Y93.24 D. 12055, 12044, S11.90XA, S01.412A, S01.80XA, Y93.24

B. 12055, 12044, S11.91XA, S01.419A, S01.111A, Y93.24

The patient is diagnosed with melanoma of the scalp and face. After discussion with the physician about different treatment options the patient decides to have these lesions destroyed using laser surgery. Consent is obtained and the patient's scalp and face prepped appropriately. With the use of laser surgery the physician destroys the lesion on the scalp measuring 1.3 cm and the lesion on the face measuring 0.5 cm. What CPT® codes are reported? A. 17270, 17282-51 B. 17272, 17280-51 C. 17272, 17280-51, 11622-51, 11640-51 D. 11622, 11640-51Q.30)

B. 17272, 17280-51

A 32-year-old presents with left-sided myofascial pain of the upper back trunk. Injections into a total of 5 trigger points where made on the deltoid, rhomboid major, rhomboid minor, levator scapular muscles. What CPT® code(s) should be used for this procedure? A. 20552, 20553-51 B. 20553 C. 20553 X 5 D. 20550 X 5

B. 20553

A 23 year old football player is diagnosed with lateral dislocation of the left tibia proximal end and derangement of posterior horn of the lateral meniscus, left side, due to an old injury. This initial visit, he undergoes surgical arthroscopy of the knee with lateral release. Additionally, a medial meniscectomy is performed with shaving of the meniscus in the medial and articular cartilage in the lateral compartment. What are the ICD-10-CM and CPT® codes? A. 29882, 29871, S83.125A B. 29881, 29873-51, S83.145A, M23.252 C. 29880, 29873-51, S83.125A, M23.052 D. 29880, 29873-51, S83.145A, M23.052

B. 29881, 29873-51, S83.145A, M23.252

A 10-yr old girl arrives at the Emergency Dept. with a laceration to the tongue. The cut is 1 cm in length and is on the anterior 1/3 of the tongue. The emergency doctor repairs the laceration. What are the CPT® and ICD-10-CM codes? A. 41251, K14.8 B. 41250, S01.512A C. 41510, K14.6 D. 41599, S01.522A

B. 41250, S01.512A

A 34 year old patient with a primary malignant neoplasm of the urachus presents for surgery. Dr. Clark prepared the abdominal area with povidone-iodine. Under general anesthesia, a cystotomy is done. An incision was made just 2 cm above the pubic symphysis. The skin is exposed and dissection of the local tissues is done to locate the bladder. The bladder was then checked by inserting a syringe and draining out the urine. The neoplastic tumor was located, and fulguration is used to burn the malignant tissue, but could not totally be destroyed. To complete the procedure, radioactive material was inserted. Dr. Clark inserted a drainage tube in the bladder, so the urine could drain before suturing the bladder wall and the abdominal area. What is the proper CPT® code(s) for this procedure? A. 53220 B. 51020 C. 51030 D. 53852

B. 51020

A patient with varicosity of the scrotal veins undergoes a closed procedure for ligation of spermatic veins. What is the correct CPT® code for this procedure? A. 55559 B. 55550 C. 55535 D. 55530

B. 55550

Radiation treatment delivery is provided by a radiation treatment facility for a patient with anaplastic large cell lymphoma for a two intrathoracic lymph nodes at 2 MeV in two separate treatment areas using a single port on each, with one simple block. What is the appropriate CPT® code for this procedure? A. 77401 B. 77402 C. 77407 D. 77412

B. 77402

To find out the percentage of the volume of whole blood that is made up of red blood cells, the physician would the following test(s): A. 85041 B. 85014 C. 85018 D. all of the above

B. 85014

A patient has a knee arthrotomy on the left knee. A synovial cyst and cartilage shavings are removed in the process. Both specimens are examined by the pathologist. What CPT® code(s) are reported? A. 88305, 88304 B. 88304 x 2 C. 88304-LT D. 88305 x 2

B. 88304 x 2

Which of the following is a malignant tumor of the bone marrow? A. Myoma B. Myeloma C. Osteoma D. Myotome

B. Myeloma

A young child accidentally ingested his mother's antidepressant medication that is of the SSRI type. He is rushed to the ED and is experiencing seizures. What ICD-10-CM codes are reported? A. R56.1, T43.221A B. T43.221A, R56.9 C. R56.9, T43.221A D. T43.211A

B. T43.221A, R56.9

The dorsal surface refers to: A. The back of the hand and the bottom of the foot B. The back of the hand and the top of the foot C. The palm of the hand and the top of the foot D. The palm of the hand and the plantar surface of the foot

B. The back of the hand and the top of the foot

Code the anesthesia for this procedure. A 14 year old boy receives 2nd degree burn debridement without skin grafting, for his upper left leg and left hand and forearm. The documentation indicates the burn is 10% of TBSA. The patient has mild asthma. A. 16030-P2 B. 01952-P1, 01953-P1 C. 01952-P2, 01953-P2 D. 01953-P1

C. 01952-P2, 01953-P2

A 43-year old woman complains of painful varicose veins in the calf that have not responded to compression stockings. Her leg was scanned using duplex ultrasound to excess damage, and to identify affected veins. There are 4 veins with inflammation in the left calf, with one of the veins also ulcerated. All 4 veins are treated using endovenous ablation therapy with radiofrequency to remove abnormal tissue growth. The veins are then injected with sclerosing solutions. What are the appropriate CPT® and ICD-10-CM codes? A. 36475, 36476, 36471-51, I83.202, L97.929 B. 36476, 36470-51 X2, I83.209 C. 36475, 36476, 36471-51, I83.222, L97.229 D. 36468, 36475, I83.222, L97.229

C. 36475, 36476, 36471-51, I83.222, L97.229

A 43-year old male patient is diagnosed with eventration diaphragmatic paralysis due to late effect of a thoracic spinal cord injury that compromised the left phrenic nerve. The patient is placed on the operating table in supine position and prepped and draped sterilely. The surgeon makes a thoracoabdominal incision to expose the diseased area. The area of the diseased diaphragm is cut out and closed with a simple repair. The incision of 7.0 cm is closed in layers. What are the appropriate CPT® and ICD-10-CM codes? A. 39561-LT, J98.6, S24.109S B. 39545, 12032-51, J98.6, S34.109S C. 39560, J98.6, S24.109S D. 39560, 12032-51, J98.6, S34.109S

C. 39560, J98.6, S24.109S

A 73-year-old Medicare patient with a history of intestinal polyps is experiencing occasional rectal bleeding. She presents to the hospital for a diagnostic colonoscopy. She is given Versed and Fentanyl intravenously for conscious sedation. She is placed in a lateral recumbent position. Perianal area is inspected: no evidence of anal fissure, hemorrhoids, and no palpable masses are found. The colonoscopy proceeds from anus to cecum without difficulty. The lumen of the colon is visualized. There are 6 mm and 5mm polyps in the lining of the transverse colon which are snared. There is a 7 mm polyp in the descending colon which is removed in its entirety with hot biopsy forceps. There is a single internal group of 1st degree internal hemorrhoids in the upper anal canal. These are apparently the cause of the rectal bleeding and are excised. The colonoscope was withdrawn. The patient tolerated the procedure well. What are the appropriate CPT® codes? A. 46255, 45385-51, 45384-51-XS B. 46255-52, 45378-51, 45385-51, 45384-51-XS C. 46255-52, 45385-51, 45384-51-XS D. 46255, 45379-51 X 2

C. 46255-52, 45385-51, 45384-51-XS

A 34-year old woman has a thyroid neoplasm of unspecified nature on the right lobe, and some suspicious looking nodules on the upper left node. Her physician has counseled her and she has consented to have the right side of the thyroid removed and a partial lobectomy on the left including removal of the isthmus. What is the CPT® code(s) for this procedure? A. 60212 B. 60220 C. 60225 D. 60252

C. 60225

An 8 month old boy with symptoms of hydromyelia undergoes MRI of the lumbar spinal canal with and without contrast. What CPT and ICD-10-CM code(s) are reported? A. 72148, 72149, QØ6.4 B. 72197, QØ6.4 C. 72158, QØ6.4 D. 72159, QØ6.4

C. 72158, QØ6.4

A physician orders electrolyte tests for chloride, potassium, and sodium, and a glutathione test. What CPT® code(s) are reported? A. 80051-52, 82979 B. 80051, 82978 C. 82435, 84132, 84295, 82978 D. 82374, 84132, 84295, 82979

C. 82435, 84132, 84295, 82978

A 15 month old is brought to his physician's office for a DTaP injection. His mother receives physician counseling. What CPT® code(s) are reported? A. 90715, 90461 X 3 B. 90715, 90460, 90461 x 2 C. 90700, 90460, 90461 x 2 D. 90700, 90460

C. 90700, 90460, 90461 x 2

What ICD-10-CM codes should be reported for Bacteremia in a 3 week old baby due to pseudomonas? A. B96.89 B. B96.89, B96.5 C. R78.81, B96.5 D. B96.5, R78.81

C. R78.81, B96.5

A patient with uncontrolled type II diabetes is experiencing a shadow across her field of vision and pain in the eye. She is diagnosed with diabetic retinopathy. What are the correct ICD-10-CM codes? A. E11.9 B. E11.319, H35.00 C. E11.319 D. E11.65, H35.00

C. E11.319

A leukemia patient is given an IV of DaunoXome, 10 mg. How would the chemotherapy drug be coded? A. J9150 B. J9130 C. J9151 D. J9171

C. J9151

HIPAA provides federal protections for PHI when held by covered entities. Which of the following is NOT a covered entity? A. nursing homes B. pharmacies C. clergy D. HMOs

C. clergy

A patient presents with a problem where full recovery without functional impairment is expected and there is little or no risk of mortality without treatment, and the risk of morbidity without treatment is low. The severity of the problem is considered to be: A. minimal severity B. self-limited severity C. low severity D. minor severity

C. low severity

Which of the following is a severe condition characterized by fatigue and progressive muscle weakness? A. paramnesia B. hematocyst C. myasthenia gravis D. icterus gravis

C. myasthenia gravis

Q.11) A 23 year old female suffered a fracture of the middle finger in a bike accident three months ago. She still experiences considerable pain in the area. She is diagnosed with a non-union fracture. The surgeon repairs the finger using a bone graft with internal fixation. What are the CPT® and ICD-10-CM codes? A. 26546, S62.609K B. 26615, S62.609K C. 26735, S62.608K D. 26546, S62.608K

D. 26546, S62.608K

A 52 year old patient presents for an open repair of an initial ventral hernia which is incarcerated. After administration of general anesthesia, an incision is made over the fascial defect. The peritoneal cavity is entered and the sac is dissected free from the nearby tissues. The intestinal loop is separated free from the hernia. The sac is then reduced. Prosthesis mesh is used to close a defect, which is threaded between the muscles and sutured. The incision is then closed with sutures for healing. The patient has tolerated the procedure well. What are the appropriate CPT® codes for this procedure? A. 49655 B. 49657 C. 49566, 49568 D. 49561, 49568

D. 49561, 49568

A 43-year old woman has been diagnosed with an intracranial abscess which is to be removed. Dr. Goodwin, a surgeon, uses an orbitocranial zygomatic approach to the cavernous sinus which included the osteotomy of zygoma, craniotomy, and extradural elevation of temporal lobe and then performed the excision of the extradural abscessed lesion in the cavernous sinus. Repair is by myocutaneous flap with microvascular anastomosis under operating microscope. What are the CPT® codes for this procedure? A. 61584. 61600-51, 15758-51 B. 61584. 61600-51, 15756-51, 69990 C. 61608, 61592-51, 15758-51, 69990 D. 61607, 61592, 15756-51

D. 61607, 61592, 15756-51

A patient with endomyocardial fibrosis undergoes cardiac blood pool imaging (planar) using the first pass technique. Four studies are performed, two at rest and two on a treadmill. Included is a wall motion study plus ejection fraction. A. 78472 X 4 B. 78494 C. 78454 D. 78483

D. 78483

A 6 month old baby with pneumonia due to streptococcus group B received circadian respiratory pattern recoding for 12 hour continuous recording. An EEG and EKG were also done. What CPT® code(s) and ICD-10-CM codes are reported? A. 94772, B95.1, J17 B. 94774, J18.9 C. 94774, B95.1, J17 D. 94772, J15.3

D. 94772, J15.3

A 15 year established patient presents to his dermatologist with dozens of pimples that cover his face, shoulders and back. Many of the lesions are large, deep, and painful to the touch. After performing a problem focused history and exam, and low complexity medical decision making, the dermatologist diagnosed severe cystic acne. Five of the largest cysts are drained and oral antibiotics are prescribed by the dermatologist. Over the counter cleansing agents are discussed with the patient. A follow-up visit is scheduled in 3 weeks. What is the E/M code for this visit? A. 99211 B. 99202 C. 99213 D. 99212

D. 99212

What type of hernia is most severe? A. incarcerated B. reducible C. ventral D. strangulated

D. strangulated