Practice Test Questions
test 4 #15: upon leaving the stomach, nutrients move through the small intestine in what order? -a: duodenum, jejunum, ileum -b: duodenum, ileum, jejunum -c: jejunum, ileum, duodenum -d: jejunum, duodenum, ileum
answer: a, duodenum, jejunum, ileum
test 17 #42: urethral dilation codes are often divided based on this factor: -a: initial or subsequent -b: new or established -c: patient status -d: none of the above
answer: a, initial or subsequent
practice test 7 #26: immediately prior to inserting a permanent pacemaker and placing an electrode in the ventricle, the same physician surgically created a pocket to hold the pulse generator. how is creation of skin pocket coded: -a: skin pocket is included -b: 33222 -c: 33222, 33215-51 -d: 33233
answer: a, skin pocket is included
The act of turning upward, such as the hand turned palm upward: -a: supination -b: adduction -c: pronation -d: circumduction
answer: a, supination
test 17 # 23: to properly code lesion excision, you must know the behavior and the narrowest margin about the lesion, in addition to the following: -a: site, number -b: site, number, diameter -c: status, diamater -d: status, site, number
answer: b, site, number, diameter
test 17 #77: what is the name of the procedure that is performed to assess the intraocular pressure of the eye? -a: tomography -b: tonometry -c: ophthalmoscopy -d: tonography
answer: b, tonometry
test 6 #118: anesthesia service includes the following care: -a: preoperative, intraoperative -b: preoperative, intraoperative, postoperative -c: intraoperative, postoperative -d: preoperative, postoperative
answer: b: preoperative, intraoperative, postoperative --> this is stated in the anesthesia guidelines section
practice test 7 #12: patient is scheduled to have Moh's surgery to remove skin cancer and the lesion is removed in 3 stages. surgeon took an additional 3 blocks after first 5 blocks were taken in stage 2. -a: 17313, 17314, 17315, 11100-59 -b: 17311, 17312x2, 17315x3 -c: 17313, 17314x2, 17315x3 -d: 11100, 17311-59, 17312-59, 17315-59
answer: c, 17313, 17314x2, 17315x3
test 4 #4: HITECH was enacted as part of the American Recovery and Reinvestment Act in what year? -a: 2007 -b: 2010 -c: 2009 -d: 2000
answer: c, 2009
test 17 #17: using rule of nines, adult legs are what percentage of the human body? -a: 12% -b: 14% -c: 16% -d: 18%
answer: d, 18%
test 6 #140: bilirubin, total (transcutaneous): -a: 82252 -b: 82247 -c: 82248 -d: 88720
answer: d, 88720
test 17 #50: loop electrode excision procedures are also referred to as: -a: LETZ -b: LEEP -c: cervical loop diathermy -d: all of the above
answer: d, all of the above
Croup Syndromes
Infections of the epiglottis or larynx
Colpocentesis
This term describes an incision of the vagina to gain access to the peritoneal cul-de-sac to explore or to drain an abscess.
test 17 #32: full-thickness graft, free, including direct closure of donor site from the axillae 12 square cm: -a: 15240 -b: 15200 -c: 15260 -d: 15340
answer: a, 15240
test 4 #62: while whittling a piece of wood, the patient sustained an avulsion injury to a portion of his left index finger and underwent formation of a direct pedicle graft with transfer from his left middle finger. immobilization was accomplished with a plaster splint. what cpt code is reported? -a: 15574 -b: 15740 -c: 15750 -d: 15758
answer: a, 15574
test 6 #70: the patient returns to the operating room for placement of an additional chest tube for an anterior pneumothorax due to contusion lung injury. The same physician had just placed a chest tube 4 days earlier. -a: 32551, S27.329A -b: 32405, S27.309A -c: 32551-58, S27.329A -d: 32551, S27.339A
answer: a, 32551, S27.329A
test 6 #88: cystoscopy with multiple bladder biopsies with possible recurrent transitional cell carcinoma of bladder: -a: 52224, Z85.51 -b: 51020, 52204, Z80.59 -c: 52234, Z85.51 -d: 52224x4, D41.4
answer: a, 52224, Z85.51
practice test 7 #48: 3 individual specimens from partial left breast mastectomy were submitted for surgical& microscopic evaluation. each specimen required an independent comprehensive examination, report & decalcification: -a: 88307x3, 88311 -b: 88307, 88331, 88323x3 -c: 88305 -d: 88305, 88331, 88323x3
answer: a, 88307x3, 88311
practice test 7 #44: patient suffered 2nd degree burns to chest& 3rd degree burns to groin, burns occurred when butane burner exploded while he was cooking in his apartment: -a: T21.39XA, W40.1XXA, Y93.G3, Y99.8, Y92.030 -b: T21.21XA, T21.32XA, W40.8XXA, Y92.838 -c: T21.79XA, Y92.79, X11.8XXA -d: T21.79XA, T21.63XA, Y92.79, Y92.030
answer: a, T21.39XA, W40.1XXA, Y93.G3, Y99.8, Y92.030
practice test 7 #43: baby was delivered by cesarean at the hospital. she was premature, weighing 1200 grams at 27.5 weeks gestation. she was also treated for wet lung syndrome: -a: Z38.01, P07.14, P07.26, P22.1 -b: Z38.00, P07.14, P07.32, P22.0 -c: Z37.0, P07.14, P07.26, P22.1 -d: Z38.01, P07.10, P07.26, P22.0
answer: a, Z38.01, p07.14, P07.26, P22.1
The name of the entire motor nervous system: -a: autonomic nervous system -b: parasympathetic system -c: peripheral nervous system -d: sympathetic system
answer: a, autonomic nervous system
test 17 #69: quantitative analysis is defined as: -a: determining the amounts& proportions of chemical constituents -b: analysis of a substance in order to ascertain the nature of chemical constituents
answer: a, determining the amounts & proportions of chemical constituents
The shaft of a long bone: -a: diaphysis -b: epiphysis -c: metaphysis -d: periosteum
answer: a, diaphysis
test 6 #45: patient had a nasal bridge laceration after falling on bathroom floor. wound was draped and repaired using sutures cpt and icd 10 codes. -a: 12051, S01.21XA, W01.0XXA -b: 12011, S01.21XA, W01.0XXA -c: 12011, S01.22XA, W18.30XA -d: 12011, 11000, S01.22XA, X58.XXXS
answer: b, 12011, S01.21XA, W01.0XXA --> choose simple closure because there's no indication that it was anything more than that
test 6 #57: passenger in car accident thrown from car and pinned under it, sustained craniofacial separation that required complicated internal & external fixation & a halo device was used: -a: 21435, 20661 -b: 21435 -c: 21432 -d: 21436, 20661
answer: b, 21435, halo is included in 21435, so it is not reported separately
test 6 #72: atherosclerotic heart disease with coronary bypass grafts (x2), with single graft from aorta to distal left anterior descending & from aorta to distal right coronary artery: -a: 33511, 33517, I70.90 -b: 33511, 33508, I25.10 -c: 33534, 33508, I25.119 -d: 33511, 33517, I25.10
answer: b, 33511, 33508, I25.10
test 6 #93: ectopic pregnancy, laparoscopic salpingectomy: -a: 59120, O00.9 -b: 59151, O00.9 -c: 58943, O00.1 -d: 59120, O00.8
answer: b, 59151, O00.9
test 6 #94: left frontal ventricular puncture for implanting catheter, layered repair of 8cm scalp laceration, and repair of multiple facial& eyelid lacerations of 12 cm total: -a: 61020, 12015-51 -b: 61107, 12034-51, 12015-51 -c: 61215, 12015-51 -d: 61107, 12034-51
answer: b, 61107, 12-34-51, 12015-51
test 6 #135: necrotic soleus muscle, right leg, soft tissue debridement, necrosis & patchy acute inflammation, skeletal muscle -a: 88305-26, M62.561 -b: 88304-26, M60.061 -c: 88307-26, I70.761 -d: 88304-26, M62.561
answer: b, 88304-26, M60.061
test 17 #43: for medical complications of pregnancy, the physician would report his additional professional services using codes from what section or subsection? -a: medicine -b: E/M -c: female genital system -d: maternity care& delivery
answer: b, E/M
test 4 #23: Refer to icd 10 tabular list & identify code that contains an excludes 1 note indicating not to code a specific diagnosis and that it should be coded elsewhere? -a: A18.01 -b: N94.1 -c: K31.84 -d: S03.0-
answer: b, N94.1
test 4 #22: The diagnosis "caudal cervical inflammatory spondylopathy" is assigned ICD 10 code M46.82 & is an example of what coding convention? -a: etiology/ manifestation -b: NEC -c: NOS -d: unspecified
answer: b, NEC
test 4 #1: The Medicare program is made up of several parts. Which part is most significant to coders working in physician offices and covers physician fees without the use of a private insurer? -a: Part A -b: Part B -c: Part C -d: Part D
answer: b, Part B
test 5 #47: where and when were the DRG's first developed? -a: Harvard, 1970s -b: Yale, 1960s -c: National Center for Health Statistics, 1970s -d: CMS, 1960s
answer: b, Yale, 1960s
This term is also known as a homograft: -a: autograft -b: allograft -c: xenograft -d: zenograft
answer: b, allograft autograft: bone or tissue transferred from one spot to another on the patient's body allograft: bone or tissue transferred from one person to another
test 17 #68: qualitative analysis is defined as: -a: determining the amounts & proportions of chemical constituents -b: analysis of a substance in order to ascertain the nature of chemical constituents
answer: b, analysis of a substance in order to ascertain the nature of chemical constituents
practice test 7 #24: which types of joints are considered synovial? -a: suture joint, medial joint,& articulation joint -b: ball&socket joint, hinge joint, & saddle joint -c: pivot joint, talus joint& cranial joint -d: ball&socket joint, nasal joint& elevation joint
answer: b, ball&socket joint, hinge joint&saddle joint
test 4 #44: in which circumstances would an external cause code be reported? -a: delivery of a newborn -b: causes of injury or health condition -c: chemotherapy treatment of neoplasms -d: only for the cause of motor vehicle accidents
answer: b, causes of injury or health conditions
test 17 #49: this term describes an incision of the vagina to gain access to the peritoneal cul-de-sac to explore or drain an abscess: -a: perineoplasty -b: colpocentesis -c: colpocleisis -d: oophorectomy
answer: b, colpocentesis
test 17 #80: on what basis are the dermatology codes usually used by the dermatologist who sees patients in the office? -a: new or established -b: consultation -c: treatment length -d: patient age
answer: b, consultation
test 4 #18: a thin membrane lining the chambers of the heart and valves is called the: -a: myocardium -b: endocardium -c: pericardium -d: epicardium
answer: b, endocardium
test 17 #15: single layered closure of heavily contaminated wounds that require extensive cleaning or removal of particulate matter constitutes what type of repair? -a: simple -b: intermediate -c: complex -d: none of the above
answer: b, intermediate --> in closure guidelines under intermediate repair, it explains that heavily contaminated wounds requiring single layer closure are classified as intermediate repair
test 4 #6: What is the value of a remittance advice? -a: it tells you to when to schedule the patient's next appointment -b: it tells you what you will be paid and why any changes and charges were made -c: it documents the physician is part of the plan in question -d: it catalogs the patient's coverage benefits
answer: b, it tells you what you will be paid and why any changes to charges that were made
test 5 #46: what edition of the federal register would outpatient facilities be especially interested in? -a: october -b: november or december -c: january -d: july
answer: b, november or december
test 5 #49: what is the name of the document that is produced by CMS that defines the type and number of health records that must be reviewed for a patient record: -a: peer review organization -b: scope of work -c: federal register -d: fair practice act
answer: b, scope of work
test 5 #8: arrhythmia ablation is a treatment for: -a: bradycardia/tachycardia -b: atrial fibrillation -c: complete heart block -d: all of the above
answer: bradycardia/tachycardia
practice test 7 #1: 1 hour 42 minutes of critical care via video conference from a facility linked to a major metropolitan trauma center: -a: 99291, 99292 -b: 99291, 99292x2 -c: 0188T, 0189T -d: 99291, 0188T, 0189Tx2
answer: c, 0188T, 0189T
test 6 #53: What code(s) is used by the radiologist when performing preoperative placement of a needle localization wire of a single lesion of the breast with ultrasound guidance? -a: 19083, 19084 -b: 19125 -c: 19083 -d: 19281
answer: c, 19083, because it includes preoperative placement of wire
test 6 #56: right tibial shaft fracture while moving chair upstairs when person in front of him slipped and released chair. percutaneous screws& pins were placed to secure the fracture sites codes: -a: 27750-RT, S82.201A, W10.8XXA -b: 27756-RT, S82.201A, W19.XXXA -c: 27756-RT, S82.221A, W10.8XXA -d: 27750-RT, S82.221A, W10.8XXA
answer: c, 27756-RT, S82.221A, W10.8XXA
test 6 #76: revision of ileostomy stoma (see test for more details) -a: 44310, K56.7 -b: 45136, A09 -c: 44312, K94.19, K55.30 -d: 44314, K55.30
answer: c, 44312, K94.19, K55.30
test 6 #98: brain tumor versus abscess, craniotomy -a: 61154, G06.0 -b: 61154, D49.6 -c: 61150, G06.0 -d: 61150, D49.6
answer: c, 61150, G06.0
test 6 #139: pregnancy test, urine -a: 84702 -b: 84703 -c: 81025 -d: 84702x2
answer: c, 81025 --> I chose b, 84703, which was blood pregnancy test
test 6 # 131: boil, left groin, necrotic fascia left groin & leg: -a: 88304, L08.9 -b: 88305-26, L98.8 -c: 88304-26, L98.8, L08.9 -d: 88305, L02.234
answer: c, 88304-26, L98.8, L08.9
test 6 #110: neurological consultation in the ED -a: 99285 -b: 99253 -c: 99245 -d: 99255
answer: c, 99245 --> consultation is always coded when it is performed
test 6 #115: care planning oversight visit, 45 minutes -a: 99378 -b: 99374 -c: 99375 -d: 99380
answer: c, 99375
practice test 7 #10: Which syndrome has symptoms of abnormal sounds heard from the chest when listening with a stethoscope, which indicate that the mitral valve is not closing properly? (chest pain, dyspnea, and fatigue are other symptoms). -a: Sotos' syndrome -b: Thibierge-Weissenbach syndrome -c: Barlow syndrome -d: Croup syndrome
answer: c, Barlow syndrome
the hospital inpatient services subsection is used for patients admitted to: -a: a skilled nursing facility -b: a temporary care unit -c: an acute care facility -d: a hospital observation unit
answer: c, an acute care facility
test 17 #35: an instillation procedure of the bladder is performed for treatment of: -a: obstruction -b: BPH -c: bladder cancer -d: pain
answer: c, bladder cancer
the physician performs an extended exam of the affected body areas and related organ systems. what is the level of examination? -a: problem-focused -b: expanded problem-focused -c: detailed -d: comprehensive
answer: c, detailed --> giveaway= extended exam, this means that the level is detailed & not expanded problem-focused
The term that defines the relaxation phase of the heart beat is: -a: systole -b: sinoatrial -c: diastole -d: septa
answer: c, diastole
test 17 #41: endoscopic procedures within the urinary subsection, kidney subheading, are often divided based on this unique factor: -a: patient condition -b: urgency of procedure -c: existence of a stoma -d: recurrence of condition
answer: c, existence of a stoma
test 4 #10: which bone(s) have trochanters? -a: humerus -b: tibia -c: femur -d: both a&c
answer: c, femur
Specific information about coding each CPT section is located in the: -a: index -b: introduction -c: guidelines -d: Appendix A
answer: c, guidelines
bruising would be an element of review of this organ system? -a: integumentary -b: neurologic -c: hematologic -d: immunologic
answer: c, hematologic --> even though bruises appear on skin, they result from issues with the blood system
test 17 #34: to report cystourethroscopic removal of a self-retaining indwelling ureteral stent, the correct codes would be 52310 or 52315, what modifier would be applied? -a: -25 -b: -57 -c: -58 -d: -none of the above
answer: c, modifier 58
test 17 #46: the anatomy in the female genital system subsection starts with the vulva and progresses upward to the: -a: fallopian tube -b: uterus -c: ovary -d: perineum
answer: c, ovary
Which of the following is not a covering of the chamber walls of the heart: -a: endocardium -b: myocardium -c: pericardium -d: epicardium
answer: c, pericardium
test 5 #45: Medicare part B pays for: -a: professional services &durable medical equipment -b: hospital/ facility care -c: physician services& durable medical equipment -d: hospital/ facility care & durable medical equipment
answer: c, physician services & durable medical equipment
test 17 #48: according to the text, vulvectomy codes are divided based on the _________ and ___________ of vulvar area removed during the procedure: -a: complexity -b: status (malignant or premalignant lesions) -c: size -d: recurrence
answer: c, size
test 6 #51: open wound of left leg, total extent measuring 40x35 cm. Split thickness grafts 10,000th inch thick were taken from both thighs cpt and icd 10 codes: -a: 15120, 15121x12, S71.112AX58.XXXS -b: 15100, 15101, 11010, S81.002A, X58.XXXA -c: 15220, 15221x13, S71.112A, X58.XXXA -d: 15100, 15101x13, S71.112A, X58.XXXA
answer: d, 15100, 15101x13, S71.112A, X58.XXXA --> debridement= included in grafting it says so in guidelines
test 6 #60: patient has pain in left wrist for several weeks. physician examines area & palpates ganglion cyst of tendon sheath and injects a corticosteroid in two areas codes: -a: 20550-LTx2, M67.432 -b: 20551-LT, M67.432 -c: 20551-LTx2, M67.40 -d: 20612-LT, 20612-59-LT, M67.432
answer: d, 20612-LT, 20612-59-LT, M67.432
test 6 #77: repair of esophagogastrostomy leak, transthoracic approach during post-op period: -a: 44320-78, K20.9 -b: 44340-78, K92.2 -c: 43341, K91.89 -d:43415-78, K91.89
answer: d, 43415-78, K91.89
test 6 #96: fever, lumbar puncture -a: 62272, R68.12 -b: 62268, R50.9 -c: 62272, R60.9, r50.9 -d: 62270, R50.9
answer: d, 62270, R50.9 --> it's 62270 because it's a diagnostic puncture to further explore & diagnose the patient's condition
test 5 #26: select the cpt code for radiation treatment delivery to four separate areas with a rotational beam at 4 MeV: -a: 77402 -b: 77407 -c: 77401 -d: 77412
answer: d, 77412
practice test 7 #15: insight-oriented psychotherapy with expanded problem-focused history that lasted 45 minutes -a: 90853 -b: 99215-25, 90853 -c: 99204, 90785-25 -d: 90785
answer: d, 90785
practice test 7 #18: established patient is admitted to hospital from doctor's office with comprehensive history & exam & moderate complexity decision making: -a: 99203, 99223, 99233-25 -b: 99213 -c: 99213, 99222-25, 99232 -d: 99222, 99232
answer: d, 99222, 99232
test 6 #105: patient admitted to hospital with comprehensive history & physical examination with tachypnea & angina -a: 99236, R07.2, R06.82 -b: 99223, I30.0, I20.0, I72.9, I26.09, K22.9 -c: 99245, I30.0, I20.0, I72.9, I26.09, K22.9 -d: 99223, R07.2, R06.82
answer: d, 99223, R07.2, R06.82
test 6 #112: 56 year old established patient presents to family physician for a checkup at local outpatient clinic & patient conducts a detailed history & physical examination & checkup lasts 45 minutes -a: 99214 -b: 99403 -c: 99386 -d: 99396
answer: d, 99396
Woman was admitted to the hospital with septicemia and SIRS. Her temperature was 38.5 degrees celsius, heart rate 102 beats/ min, respiration 20/ min, WBC 12,500 with respiratory and hepatic failure icd 10 codes: -a: A41.9, R65.20 -b: A41.9, J96.00, K72.00 -c. R65.20, A41.9 -d: A41.9, R65.20, J96.00, K72.00
answer: d, A41.9, R65.20, J96.00, K72.00
What are the ICD 10 codes for glomerulonephritis due to infectious hepatitis? -a: N00.9, B15.0 -b: B15.0, N00.9 -c: N08, B19.9 -d: B19.9, N08
answer: d, B19.9, N08
test 6 # 119: The following is the anesthesia formula: -a: BTC -b: TBC -c: BTQ -d: BTM
answer: d, BTM --> anesthesia formula: basic unit, time, and modifying factor
practice test 7 #45: patient has a consultation with patient with malignant melanoma in stomach wall, primary site unknown, starts chemo treatment today: -a: Z51.0, C16.8, C78.89 -b: C16.8, C78.89, Z51.0 -c: C80.1, C78.89, Z51.11 -d: Z51.11, C78.89, C80.1
answer: d, Z51.11, C78.89, C80.1
test 17 #18: wound closure requiring the use of adhesive strips as the sole repair material should be coded with: -a: 99024 -b: repair code -c: 99499 -d: an E/M code
answer: d, an E/M code
test 4 #60: melanin is found in what layer of the epidermis? -a: epithelium -b: squamous -c: dermal -d: basal
answer: d, basal
the request for advice or opinion from one physician to another is this type of service: -a: counseling -b: concurrent care -c: coordination of care -d: consultation
answer: d, consultation
Which of the following is not a receptor of the body? -a: mechanoreceptor -b: proprioceptor -c: thermoreceptor -d: endoreceptor
answer: d, endoreceptor
test 4 #59: if a cpt code & hcpcs level II code exist for the same service, which should you report? -a: the hcpcs level II code -b: the cpt code -c: report both -d: it depends on the payer
answer: d, it depends on the payer
test 17 #79: what is being measured while the sleep testing is being conducted? -a: settings -b: outline -c: baseline -d: parameters
answer: d, parameters
practice test 7 #7: which muscles comprise the quadriceps? -a: flexor hallcus longus, sartorius, extensor digitorium longus -b: abductor pollicis longus, anconeus, gracilis -c: trapezius, deltoid, teres minor -d: rectus femoris, vastus medialis, vastus lateralis
answer: d, rectus femoris, vastus medialis, vastus lateralis
test 17 #24: the method used by the physician to obtain a lesion biopsy depends on which set of factors: -a: size, location -b: location, type -c: malignant/ benign status -d: size & type
answer: d, size & type
test 17 #73: what must always be documented in the patient record and is the major billing factor for reporting codes in the psychiatric subsection? -a: patient status -b: complexity -c: fee -d: time
answer: d, time
practice test 7 #25: a physician applied a cast & also provided all of the subsequent fracture care. the same physician may report the application of the cast separately from the fracture care in the following situation: -a: closed reduction -b: ORIF -c: percutaneous fixation -d: when a cast is changed, after the initial fracture care
answer: d, when a cast is changed, after the initial fracture care
test 6 #67: what code would you use to report the percutaneous insertion of a dual-chamber pacemaker by means of the subclavian veins? -a: 33240 -b: 33217 -c: 33208 -d: 33240
answer:c, 33208
Therapeutic lumbar puncture
drainage for relief
diagnostic lumbar puncture
drainage to diagnose or further understand the patient's condition
Sotos Syndrome
hereditary gigantism
Barlow Syndrome
mitral valve prolapse
Thibierge-Weissenbach Syndrome
rare case of generalized soft tissue calcinosis of hand associated with scleroderma
colpocleisis
surgical closure of the vaginal canal
