Practice Quiz 7.1 (RHIA & RHIT)Practice Quiz 7.2 (RHIA & RHIT) Practice Quiz 7.3 (RHIA & RHIT)CPT Coding Practice Quiz 4 (RHIA/RHIT)JUST CPT CODING

Patient has recurrent spontaneous pneumothorax, which has resulted in a chemical pleurodesis by thoracoscopy.

32650

Patient undergoes ocular resurfacing construction utilizing stem cell allograft from a cadaver.

65781

Left carotid artery excision for tumor of carotid body

60605

Aphakia penetrating corneal transplant

65750

Radial keratotomy

65771

Hydrocelectomy of spermatic cord

55500

Patient comes into his physician's office complaining of wrist pain. Physician gives the patient an injection and sends the patient to the hospital for an arthrography. Code the complete procedure.

25246, 73115

Code anesthesia for decortication of left lung.

00542

Code anesthesia for upper abdominal ventral hernia repair.

00752

Code anesthesia for vaginal hysterectomy.

00944

Code anesthesia for procedures on bony pelvis.

01120

Code anesthesia for total hip replacement.

01214

Code anesthesia for total shoulder replacement.

01638

Code anesthesia for placement of vascular shunt in forearm.

01844

Code anesthesia for cesarean section.

01961

Patient presents to the radiology department where a fine-needle aspiration of the breast is performed utilizing computed tomography.

10009

Patient presents to the hospital for debridement of a diabetic ulcer of the left ankle. The patient has a history of recurrent ulcers. Medication taken by the patient includes Diabeta, and the patient was covered in the hospital with insulin sliding scales. The decubitus ulcer was debrided down to the bone.

11043

Patient presents to the operating room for excision of three lesions. The 1.5 cm and 2 cm lesions of the back were excised with one excision. The 0.5 cm lesion of the hand was excised. The pathology report identified both back lesions as squamous cell carcinoma. The hand lesion was identified as seborrheic keratosis.

11604, 11420

Patient presents to the emergency room with lacerations of right lower leg that involved the fascia. Lacerations measured 5 cm and 2.7 cm. Repair for the wound required the physician to close the epidermal and dermal layers.

12034

Patient presents to the emergency room with lacerations sustained in an automobile accident. Repairs of the 3.3 cm skin laceration of the left leg that involved the fascia, 2.5 cm and 3 cm lacerations of the left arm involving the fascia, and 2.7 cm of the left foot, which required simple sutures, were performed. Sterile dressings were applied.

12034, 12002-59

Patient presents to the operating room where a 3.2 cm malignant lesion of the shoulder was excised and repaired with simple sutures. A 2 cm benign lesion of the cheek was excised and was repaired with a rotation skin graft.

14040, 11604

Patient presents to the operating room for excision of a 4.5 cm malignant melanoma of the left forearm. A 6 cm x 6 cm rotation flap was created for closure.

14301

Patient presents to the hospital for skin grafts due to previous third-degree burns. The burn eschar of the back was removed. Once the eschar was removed, the defect size measured 10 cm x 10 cm. A skin graft from a donor bank was placed onto the defect and sewn into place as a temporary wound closure.

15002, 15273

A 10 sq cm epidermal autograft to the face from the back

15115

Nonhuman graft for temporary wound closure. Patient has a 5 cm defect on the scalp.

15275

Facelift utilizing the superficial musculoaponeurotic system (SMAS) flap technique.

15829

Patient presents to the operating room where the physician performed, using imaging guidance, a percutaneous breast biopsy utilizing a rotating biopsy device.

19081

Female patient has a percutaneous needle biopsy of the left breast lesion in the lower outer quadrant. Following the biopsy frozen section results, the physician followed this with an excisional removal of the same lesion.

19120-LT

Patient is brought to the emergency room following a shark attack. The paramedics have the patient's amputated foot. The patient is taken directly to the operating room to reattach the patient's foot.

20838

Patient presents to the emergency room following an assault. Examination of the patient reveals blunt trauma to the face. Radiology reports that the patient suffers from a fracture to the frontal skull and a blow-out fracture of the orbital floor. Patient is admitted and taken to the operating room where a periorbital approach to the orbital fracture is employed and an implant is inserted.

21390

Open I&D of a deep abscess of the cervical spine

22010

Chronic nontraumatic rotator cuff tear. Arthroscopic procedure of the shoulder with removal of foreign body and open rotator cuff repair

23412, 29819-59

Patient presents to the emergency room following a fall from a tree. X-rays were ordered for the left upper arm, which showed a fracture of the humerus shaft. The emergency room physician performed a closed reduction of the fracture and placed the patient in a long arm spica cast. Code the procedures, excluding the X-ray.

24505-LT

Patient presents to the hospital with a right index trigger finger. Release of the trigger finger was performed.

26055-F6

Patient presents with a traumatic partial amputation of the second, third, and fourth fingers on the right hand. Patient was taken to the operating room where completion of the amputation of three fingers was performed with direct closure.

26951-F6, 26951-F7, 26951-F8

Trauma patient was rushed to the operating room with multiple injuries. Open reduction with internal fixation of intertrochanteric femoral fracture and open reduction of the tibial and fibula shaft with internal fixation were performed.

27244, 27758

Patient presents to the emergency room following a fall. X-rays were ordered for the lower leg, and results showed a fracture of the proximal left tibia. The emergency room physician performed a closed manipulation of the fracture with skeletal traction.

27532-LT

Patient presents to the hospital with ulcer of the right foot. Patient is taken to the operating room where a revision of the right metatarsal head is performed.

28899

Patient with a deviated nasal septum that was repaired by septoplasty

30520

Patient presents to the surgical unit and undergoes unilateral nasal endoscopy, partial ethmoidectomy, and maxillary antrostomy.

31254, 31256-51

Patient has been diagnosed with metastatic laryngeal carcinoma. Patient underwent subtotal supraglottic laryngectomy with radical neck dissection.

31368

Lye burn of the larynx repaired by laryngoplasty

31599

Patient was involved in an accident and has been sent to the hospital. During transport, the patient develops breathing problems and, upon arrival at the hospital, an emergency transtracheal tracheostomy was performed. Following various X-rays, the patient was diagnosed with traumatic pneumothorax. A thoracentesis with insertion of tube was performed.

31603, 32554

Patient with laryngeal cancer has a tracheoesophageal fistula created and has a voicebox inserted.

31611

Tracheostoma revision with flap rotation

31614

Patient has a bronchoscopy with endobronchial biopsies of three sites.

31625

Bronchoscopy with multiple transbronchial right upper and right lower lobe lung biopsy with fluoroscopic guidance

31628, 31632

Patient was admitted with hemoptysis and underwent a bronchoscopy with transbronchial lung biopsy. Following the bronchoscopy, the patient was taken to the operating room where a left lower lobe lobectomy was performed without complications. Pathology reported large cell carcinoma of the left lower lobe.

31628, 32480

Upper lobectomy of the right lung with repair of the bronchus

32480, 32501

Patient presents to the operating room where a CABG x 3 is performed using the mammary artery and two sections of the saphenous vein.

33533, 33518

Patient undergoes construction of apical-aortic conduit with an insertion of a single-ventricle ventricular assist device.

33975

Patient complains of recurrent syncope following carotid thromboendarterectomy. Patient returns 2 weeks after initial surgery and undergoes repeat carotid thromboendarterectomy.

35301

Patient has a history of PVD for many years and experiences chest pains. The patient underwent Doppler evaluation, which showed a common femoral DVT. Patient is now admitted for thromboendarterectomy.

35371

Patient returns to the operating room following open-heart bypass for exploration of blood vessel to control postoperative bleeding in the chest.

35820

The physician punctures the left common femoral to examine the right common iliac.

36245

Blood transfusion of three units of packed red blood cells

36430

Eighty-year-old patient has carcinoma and presents to the operating room for placement of a tunneled implantable centrally inserted venous access port.

36561

Patient is admitted with alcohol cirrhosis and has a TIPS procedure performed.

37182

Trauma patient is rushed to the operating room with multiple injuries. The patient had his spleen removed due to a massive rupture, with repair of the lacerated diaphragm.

38100, 39501

Patient has a bone marrow aspiration of the iliac crest and of the tibia.

38220, 38220-59

Patient has breast carcinoma and is now undergoing sentinel node biopsy. Patient was injected for sentinel node identification and two deep axillary lymph nodes showed up intensely. These two lymph nodes were completely excised. Path report was positive for metastatic carcinoma.

38525, 38792

Patient diagnosed with cystic hygroma of the axilla, which was excised

38550

Laparoscopic retroperitoneal lymph node biopsy

38570

Laparoscopy with multiple biopsies of retroperitoneal lymph nodes

38570

Excision of mediastinal cyst

39200

Young child presents with cleft lip and cleft palate. This is the first attempt of repair, which includes major revision of the cleft palate and unilateral cleft lip repair.

42215, 40700

Two-year-old patient returns to the hospital for cleft palate repair where a secondary lengthening procedure takes place.

42220

Injection snoreplasty for treatment of palatal snoring

42299

Tonsillectomy on a 14-year-old

42826

Patient presents with a history of upper abdominal pain. Cholangiogram was negative, and patient was sent to the hospital for ERCP. During the procedure, the sphincter was incised and a stent was placed for drainage.

43274

Patient arrives to the hospital and has a Nissen fundoplasty done laparoscopically.

43280

Patient has a history of hiatal hernia for many years, which has progressively gotten worse. The decision to repair the hernia was made, and the patient was sent to the operating room where the repair took place via the thorax and abdomen.

43336

Laparoscopic gastric banding

43770

Morbidly obese patient comes in for vertical banding of the stomach.

43842

Patient presents to the emergency room with right lower abdominal pains. Emergency room physician suspects possible appendicitis. Patient was taken to the operating room where a laparoscopic appendectomy was performed. Pathology report was negative for appendicitis.

44970

Patient underwent anoscopy followed by colonoscopy. The physician examined the colon to 60 cm.

45378

Ultrasonic guidance for the needle biopsy of the liver. Code the complete procedure.

47000, 76942

Patient was admitted for right upper quadrant pain. Workup included various X-rays that showed cholelithiasis. Patient was taken to the operating room where a laparoscopic cholecystectomy was performed. During the procedure, the physician was unable to visualize through the ports, and an open cholecystectomy was elected to be performed. An intraoperative cholangiogram was performed. Pathology report states acute and chronic cholecystitis with cholelithiasis.

47605

Laparoscopic repair of umbilical hernia

49652

Nephrectomy with resection of half of the ureter

50220

Patient undergoes partial nephrectomy for carcinoma of the kidney.

50240

Removal of nephrostomy tube with fluoroscopic guidance

50389

Patient comes to the hospital with a history of right flank pain. Urine tests are negative. Radiology examination reveals that the patient has renal cysts. Patient is now admitted for laparoscopic ablation of the cysts.

50541

Patient has ovarian vein syndrome and has ureterolysis performed.

50722

Closure of ureterocutaneous fistula

50920

Patient presented to the operating room where an incision was made in the epigastric region for a repair of ureterovisceral fistula.

50930

Ureterolithotomy completed laparoscopically

50945

Patient has extensive bladder cancer. She underwent a complete cystectomy with bilateral pelvic lymphadenectomy and creation of ureteroileal conduit.

51595

Female with 6 months of stress incontinence. Outpatient therapies are not working and the patient decides to have the problem fixed. Laparoscopic urethral suspension was completed.

51990

Patient presents to the operating room for fulguration of bladder tumors. The cystoscope was inserted and entered the urethra, which was normal. Bladder tumors measuring approximately 1.5 cm were removed.

52234

Excision of 2.5 cm bladder tumor with cystoscopy

52235

Litholapaxy, 3 cm calculus

52318

Placement of double-J stent

52332

Patient presents to the hospital with right ureteral calculus. Patient is taken to the operating room where a cystoscopy with ureteroscopy is performed to remove the calculus.

52352-RT

Excision of Cowper's gland

53250

Male with urinary incontinence. Sling procedure was performed 6 months ago, and now the patient has returned for a revision of the sling procedure.

53442

Male patient has been diagnosed with benign prostatic hypertrophy and undergoes a transurethral destruction of the prostate by radiofrequency thermotherapy.

53852

Laser destruction of penile condylomas

54057

Patient has been diagnosed with prostate cancer. Patient arrived in the operating room where a therapeutic orchiectomy is performed.

54520

Patient undergoes laparoscopic orchiopexy for intra-abdominal testes.

54692

Scrotal wall abscess drainage

55100

Male presented to operating room for sterilization by bilateral vasectomy

55250

Patient has been followed by his primary care physician for elevated PSA. Patient underwent prostate needle biopsy in the physician's office 2 weeks ago, and the final pathology was positive for carcinoma. Patient is admitted for prostatectomy. The frozen section of the prostate and one lymph node is positive for prostate cancer with metastatic disease to the lymph node. Prostatectomy became a radical perineal with bilateral pelvic lymphadenectomy.

55815

Patient has a Bartholin's gland cyst that was marsupialized.

56440

Patient has been diagnosed with carcinoma of the vagina, and she has a radical vaginectomy with complete removal of the vaginal wall.

57111

Patient was admitted with a cystocele and rectocele. An anterior colporrhaphy was performed.

57240

Patient has been diagnosed with uterine fibroids and undergoes a total abdominal hysterectomy with bilateral salpingo-oophorectomy.

58150

Hysteroscopy with D&C and polypectomy

58558

Patient was admitted to the hospital with sharp pelvic pains. A pelvic ultrasound was ordered, and the results showed a possible ovarian cyst. The patient was taken to the operating room where a laparoscopic destruction of two corpus luteum cysts was performed.

58662

Laparoscopic tubal ligation utilizing Endoloop

58671

Patient is at a fertility clinic and undergoes intrauterine embryo transplant.

58974

Amniocentesis

59000

Patient is admitted to the hospital following an ultrasound at 25 weeks, which revealed fetal pleural effusion. A fetal thoracentesis was performed.

59074

Patient is 6 weeks pregnant and complains of left-sided abdominal pains. Patient is suspected of having an ectopic pregnancy. Patient has a laparoscopic salpingectomy with removal of the ectopic tubal pregnancy.

59151

A D&C is performed for postpartum hemorrhage.

59160

A pregnant patient has an incompetent cervix, which was repaired using a vaginal cerclage.

59320

Patient in late stages of labor arrives at the hospital. Her OB physician is not able to make the delivery, and the house physician delivers the baby vaginally. Primary care physician resumes care after delivery. Code the delivery.

59409

Cesarean delivery with antepartum and postpartum care

59510

Attempted vaginal delivery in a previous cesarean section patient, which resulted in a repeat cesarean section

59620

Patient is 24 weeks pregnant and arrives in the emergency room following an automobile accident. No fetal movement or heartbeat noted. Patient is taken to the OB ward where prostaglandin is given to induce abortion.

59855

Patient comes in for a percutaneous needle biopsy of the thyroid gland.

60100

Unilateral partial thyroidectomy

60210

Patient undergoes total thyroidectomy with parathyroid autotransplantation.

60240, 60512

Laparoscopic adrenalectomy, complete

60650

Patient is admitted to the hospital with facial droop and left-sided paralysis. CT scan of the brain shows subdural hematoma. Burr holes were performed to evacuate the hematoma.

61154

Patient has metastatic brain lesions. Patient undergoes stereotactic radiosurgery gamma knife of two lesions.

61796, 61797

Patient with Parkinson's disease is admitted for insertion of a brain neurostimulator pulse generator with one electrode array.

61885

Patient has rhinorrhea, which requires repair of the CSF leak with craniotomy.

62100

Spinal tap

62270

Patient comes in for steroid injection for lumbar herniated disk. Marcaine and Aristocort were injected into the L2-L3 space.

62322

Laminectomy and excision of intradural lumbar lesion

63272

Patient requires repair of a 6 cm meningocele.

63702

Injection of anesthesia for nerve block of the brachial plexus.

64415

Patient has right sacroiliac joint dysfunction and requires a right S2-S3 paravertebral facet joint anesthetic nerve block with image guidance.

64493

Patient comes in through the emergency room with a wound that was caused by an electric saw. Patient is taken to the operating room where two ulna nerves are sutured.

64836, 64837

Patient undergoes enucleation of left eye, and muscles were reattached to an implant.

65105-LT

Patient returns to the physician's office complaining of obscured vision. Patient has had cataract surgery 6 months prior. Patient requires laser discission of secondary cataract.

66821

Patient suffers from strabismus and requires surgery. Recession of the lateral rectus (horizontal) muscle with adjustable sutures was performed.

67311, 67335

Correction of trichiasis by incision of lid margin

67830

Lagophthalmos correction with implantation using gold weight.

67912

Patient is admitted for a blepharoplasty of the left lower eyelid and a repair for a tarsal strip of the left upper lid.

67917-E1, 15820-E2

Drainage of simple external ear abscess

69000

Patient comes into the office for removal of impacted earwax.

69210

Modified radical mastoidectomy

69505

Patient came in for excision of a middle ear lesion.

69540

Myringoplasty

69620

Patient with a traumatic rupture of the eardrum. Repaired with tympanoplasty with incision of the mastoid. Repair of ossicular chain not required.

69635

Patient with chronic otitis media requiring transtympanic eustachian tube catheterization.

69799

Insertion of cochlear device inner ear

69930

Patient with Bell's palsy requiring a total facial nerve decompression

69955

Decompression internal auditory canal

69960

CT scan of the head with contrast

70460

Patient presents to the hospital for a two-view chest X-ray for a cough. The radiology report comes back negative. What would be the correct codes to report to the insurance company?

71046

Patient comes into the outpatient department at the local hospital for an MRI of the cervical spine with contrast. Patient status post automobile accident.

72142

Patient undergoes X-ray of the foot with three views.

73630

Obstetric patient comes in for a pelvimetry with placental placement.

74710

Pregnant female comes in for a complete fetal and maternal evaluation via ultrasound.

76811

Unilateral mammogram with computer-aided detection with further physician review and interpretation.

77065

Patient has carcinoma of the breast and undergoes proton beam delivery of radiation to the breast with a single port.

77520

SPECT bone imaging

78320

Administration of initial oral radionuclide therapy for hyperthyroidism

79005

Basic metabolic panel (calcium, total) and total bilirubin

80048, 82247

A physician orders a lipid panel on a 54-year-old male with hypercholesterolemia, hypertension, and a family history of heart disease. The lab employee in his office performs and reports the total cholesterol and HDL cholesterol only.

82465, 83718

An established 3-year-old patient was seen by his pediatrician for a DTaP immunization. The pediatrician also provided documentation for a minimal level office visit in addition to the immunization.

90700, 90471, 99211-25

Creatinine clearance

82575

Vitamin B12

82607

Clotting factor VII

85230

Partial thromboplastin time utilizing whole blood

85730

Hepatitis C antibody

86803

Chlamydia culture

87110

Pathologist performs a postmortem examination, including the brain, of an adult. Tissue is sent to the lab for microscopic examination.

88025

Cytopathology of cervical Pap smear with automated thin-layer preparation utilizing computer screening and manual rescreening under physician supervision

88175

Pathologist bills for gross and microscopic examination of medial meniscus

88304

What code is used for a culture of embryos less than 4 days old?

89250

Huhner test and semen analysis

89300

Caloric vestibular test using air, monothermal

92538

A physician performs a PTCA with drug-eluting stent placement in the left anterior descending artery and angioplasty only in the right coronary artery.

92928-LD, 92920-RC

The patient's physician performed a balloon angioplasty (PTCA) with insertion of drug-eluting stent in the right coronary artery.

92928-RC

Cardioversion of cardiac arrhythmia by external forces

92960

Transesophageal echocardiography (TEE) with probe placement, image, and interpretation and report

93312

Patient presents to the emergency room with chest pains. The patient is admitted as a 23-hour observation. The cardiologist orders cardiac workup, and the patient undergoes left heart catheterization via the left femoral artery with visualization of the coronary arteries and left ventriculography. The physician interprets the report. Code the heart catheterization.

93458

Which code listed below would be used to report an esophageal electrogram during an EPS?

93615

Comprehensive electrophysiologic evaluation (EPS) with induction of arrhythmia

93620

IV push of one antineoplastic drug

96409

One-half hour of IV chemotherapy by infusion followed by IV push of a different chemotherapy

96413, 96411

Osteopathic manipulative treatment to three body regions

98926

Patient with hematochromatosis had a therapeutic phlebotomy performed on an outpatient basis.

99195

The patient is on vacation and presents to a physician's office with a lacerated finger. The physician repairs the laceration and gives a prescription for pain control and has the patient follow up with his primary physician when he returns home. The physician completes problem-focused history and physical examination with straightforward medical decision making. Also checked is a laceration repair for a 1.5 cm finger wound.

99201, 12001

A patient receives individual psychotherapy for 30 minutes. The doctor also provides medical E/M services for this established patient that includes a problem-focused history, a problem-focused examination, and straightforward level of medical decision making

99212, 90833

An established patient returns to the physician's office for follow-up on his hypertension and diabetes. The physician takes the blood pressure and references the patient's last three glucose tests. The patient is still running above-normal glucose levels, so the physician decides to adjust the patient's insulin. An expanded history was taken, and a physical examination was performed.

99213

An established patient was seen in her primary physician's office. The patient fell at home and came to the physician's office for an examination. Due to a possible concussion, the patient was sent to the hospital to be admitted as an observation patient. A detailed history and physical examination were performed, and the medical decision was low complexity. The patient stayed overnight and was discharged the next afternoon.

99218, 99217

A 69-year-old established female patient presents to the office with chronic obstructive lung disease, congestive heart failure, and hypertension. The physician conducts a comprehensive history and physical examination and makes a medical decision of moderate complexity. Physician admits the patient from the office to the hospital for acute exacerbation of CHF.

99222

Patient is admitted to the hospital with acute abdominal pain. The attending medical physician requests a surgical consult. The consultant agrees to see the patient and conducts a comprehensive history and physical examination. To rule out pancreatitis, the physician orders lab work, along with an ultrasound of the gallbladder and an abdominal X-ray. Due to the various diagnosis possibilities and the tests reviewed, a moderate medical decision was made.

99254

Services were provided to a patient in the emergency room after the patient twisted her ankle stepping down from a curb. The emergency room physician ordered X-rays of the ankle, which came back negative for a fracture. A problem-focused history and physical examination were performed, and ankle strapping was applied. A prescription for pain was given to the patient. Code the emergency room visit only.

99281

Patient presents to the emergency room complaining of right forearm/elbow pain after racquetball last night. Patient states that he did not fall but overworked his arm. Past medical history is negative and the physical examination reveals the patient is unable to supinate. A four-view X-ray of the right elbow is performed and is negative. The physician signs the patient out with right elbow sprain. Prescription of Motrin is given to the patient.

99281-25, 73080

A doctor provides critical care services in the emergency department for a patient in respiratory failure. He initiates ventilator management and spends an hour and 10 minutes providing critical care for this patient. Code only critical care.

99291

Patient arrives in the emergency room via a medical helicopter. The patient has sustained multiple life-threatening injuries due to a multiple-car accident. The patient goes into cardiac arrest 10 minutes after arrival. An hour and 30 minutes of critical care time is spent trying to stabilize the patient. Code only critical care.

99291, 99292

The physician provided services to a new patient who was in a rest home for an ulcerative sore on the hip. A problem-focused history and physical examination were performed, and a straightforward medical decision was made.

99324

Established 42-year-old patient comes into your office to obtain vaccines required for his trip to Sri Lanka. The nurse injects intramuscularly the following vaccines: hepatitis A and B vaccines, cholera vaccine, and yellow fever vaccine. As the coding specialist, what would you report on the CMS 1500 form?

administration of two or more single vaccines; vaccine products for hepatitis A and B, cholera, and yellow fever