Integumentary System 10000 series
1. 30 year old female having suction assisted lipectomy (15877) performed on her loves handles and
abdomen. She is also getting a right and left breast augmentation. The liposuction of the love handles
was performed through two stab incisions. The right and left handles had a total of 600cc of fat
removed. Attention is turned to the abdomen. A periumblical incision is made and liposuction was
performed on each of the four quadrants. A total of 850cc of fat was removed. Next inframammary
crease incisions were made on the right breast going through skin, subcutaneous tissue, down to the
capsule itself. A subglandular pocket was made inserting a 340cc Alergan textured high profile implant.
The same size implant was used for the same procedure I performed on the left breast. All wounds
were closed with deep sutures. Antibiotic ointment and dressing were applied to the incision sites.
A. 15877, 19325-50
B. 15830, 19340-50
C. 15830, 15847, 19324-50
D. 15877, 19340-50
2. Which CPT code describe the destruction using electrosutgery to the right leg on a patient diagnosed
with 10 benign lesions and removal of 10 fibrocutaneous tags during the same session
A. 11200, 17110
B. 11200, 11021-51, 17000-51, 17003-51 x9
C. 11200 x 20,
D. 11200, 11201, 17000-51, 17003 x 9
4. A 12year old male has received 64 percent total body surface area burns after being trapped in a
burning car, The surgeon has already performed excision of the burns and application of skin grafting to
the patient’s upper extremities two days prior. The patient is being returned to the OR today for
excision of the full thickness burns of the posterior and anterior trunk with simultaneous application of
integra (facellular dermal skin substitute replacement). After surgical preparation of the anterior and
posterior trunk, a total of 480sq cm were excised with a Watson knife until viable tissue was
encountered. Homeostasis was obtained with electrocautery with then with Epi soaked pads. The
Integra sheets were gently scooped out of holding basin and placed on the excised wound bed, checked
to ensure no air bubbles or wrinkles remained and excess material was trimmed. The seams were
placed along Langer’s lines to reduce risk of contracture. A net dressing was applied and expanded over
the graft site and secured with staples, The wound was covered with gauze dressing and secured with
bolster to prevent mechanical shear.
A. 15271-78, 15272-78 x19, 15002-78, 15003-78 x4
B. 15273-58, 15274-58 x4, 15002-58, 15003-58 x4
C. 15277-58, 15278-58 x3, 15002-58, 15003-58 x3
D. 15273-78, 15274-78 x3, 15002-78, 15003-78 x3
7. The physician removes a tumor form a patients hand using Motis micrographic surgery technique.
During the first state, the physician takes six tissue blocks and reviews them under a microscope. The
exam of the tissue blocks reveals a second state is necessary to remove areas where the tumor is still
present and the physician subsequently removes two additional tissue blocks. The physician repairs the
wound site using a rotation flap transfer measuring 5 square centimeters.
A. 17311, 17312, 17315, 15777
B. 17311, 17315, 15620
C. 17311, 17312, 17315, 14040
D. 17311, 17312, 17315
8. Select the procedure and diagnosis codes used to identify the removal of excess skin and fat pad from
lower left eyelid and lower right eyelid for herniated fat pad of the eyelid
A. 15820-E1, 15820-E3, 729.30
B. 15822-50, 374.34
C. 15821-50, 374.34
D. 15823-E1, 15823-E3, 729.30
Musculoskeletal System 20000 series
11. A 59year old male presented with DJD and spondylotheis at T4-T5. The patient is placed prone on
the operating table and after induction of general anesthesia, the lower back was sterilely prepped and
draped. One incision was made over T2-T6. This was confirmed with a probe under fluoroscopy.
Laminectomies was done at T4 and T5 with fasciectomies to relieve pressure to the nerve roots.
Allograft was packed in the gutters form T2-T6 for arthrodesis. Pedicle screws were placed at T2, T3,
and T4. The construct was copiously irrigated and muscles fascia and skin were closed in layers.
A. 63003 x2, 22610, 22614 x3, 22842
B. 63064, 63066, 22808, 22841 x3
C. 63046, 63048, 22610, 22614 x3, 22842
D. 63016, 63048, 22610, 22808, 22842 x3
13. A patient presents for excision on two lipomas in his right left. After satisfactory local anesthesia, a
longitudinal skin incision was made, and then 1 carefully indentified two lipomas, which were then
sharply dissected away from the surrounding subcutaneous tissue, 1 excised both lipomas in total with
the one in the high measuring 2.6cm and the one in the lower leg measuring 3.0cm.
After adequate homeostasis we then closed the incisions by using a 3-0 Vicryl suture subcuticularly
followed by staples for both incisions.
27337-RT
27327-RT, 27632-51-RT
27328-RT, 27619-51-RT
27634-RT
14. What are the CPT and ICD-9-CM codes for an orthopedic surgeon repairing a nonunion of a tibia
fracture with a sliding graft?
A. 27724, 733.81, 905.4
B. 27724, 823.80, 733.81, 905.4
C. 27722, 733.82, 905.4, I chose this one
D. 27722, 20900-51, 905.4, 733.82
17. A patient with Type 1 Diabetes has recently undergone a below the elbow amputation for peripheral
circulatory loss, the patient is admitted now for a planned scar revision to the affect limb.
25907-58, 250.71, V58.41
25909-58, 250.71, V49.75
25905-58, 250.73, V52.1
25900-58, 250.73, V54.89
18. A 32 year old male who underwent a previous repair of his Achilles tendon a year ago presents today
with a sprained tendon. The injury occurred when he twisted his right ankle while playing tackle
football. Repairing the Achilles tendons this time involves debridement of a scar tissue and requites a
tendon graft
27659-RT, 891.2, E917.0, E007.0
27654-RT, 845.09, E927.0, E007.0
27652-RT, 20924, 891.2, E917.0, E007.0
27665-RT, 845.09, E927.0, E007.0
Respiratory System, Cardiovascular system
Hemic and Lymphatic system, mediastinum, and Diaphragm 30000 series
21. A 15 year old male was seen this morning in his pediatrician’s office for controlling a nosebleed with
cauterization. He returns to the office in the afternoon with a nosebleed continuing after initial cautery.
This time the pediatrician uses Surgifoam and extensive cautery anteriorly in the left nase.
30901-78…… can be this
30903-52
30903-59
30903-78
24. Preoperative Diagnosis: Acute MI, severe left main arteriosclerotic coronary artery disease
Postoperative Diagnosis: Acute MI, severe left main arteriosclerotic coronary artery disease
Procedure performed: Placement of an LABP right common femoral artery
Description of procedure: Patient’s right groin was prepped and draped in the usual sterile fashion.
Access was obtained through the groin via opening the femoral artery. The tip of the balloon catheter
was placed and then intra-aortic balloon pump was placed after the right common femoral artery had
been dilated with the small dilator. The ballon pump had good waveform. The balloon pump catheter
was secured to his skin after local anesthesia of 2cc of 1% Xylocaine was used to numb the area. 0 silk
suture was used to secured the balloon pump. The patient had sterile dressing placed. The patient
tolerated the procedure there were no complication.
33970
33975
33967
33973
25. The cardiothoracic surgeon takes a patient to the operating room to perform an open balloon
angioplasty of femoral pepriteal artery. During the same operative session, the surgeon performs an
open transluminal peripheral atherectomy of the visceral artery.
A. 37224, 75964-26 can be this
B. 37224, 0235T
C. 37228, 37220
D. 37228, 0238T
27. A lymphanglogram is performed on a patient with early onset of cervical cancer. Code the condition
as well as the injection procedure with radiological imaging on one side.
A. 38790-50, 75807, 180.0.. can be this
B. 38792-50, 78195, 180.8
C. 38790, 75805, 180.9,
D. 38792, 76942, 180.0
28. An eight year old male presents with multiple Ventrical Septai Defects (VSDs) and is in current heart
failure. Under general anesthesia, the skin incision is made via median sternotomy. Cardiopulmonary
bypass is initiated. Under epicardial guidance the muscular VSD is located. The guidewire is placed
transmyocardially through the VSD. A new technology device is then delivered over guidance to close
the VSD, after successful closure the guidewire is removed and the site is repaired. A chest tube is
placed in the sternum
A. 33684
B. 33681
C. 33999
D. 33993
Digestive system 40000 series
31. A 10 year old child that has regrowth of tonsil tissue is taken to the operating room for a
tonsillectomy.
A. 42835
B. 42825
C. 42820
D. 42826
32. A 34year old male is taken back to the OR for a takedown of his colostomy and reversal of his small
intestines after six months of bowel rest for his colitis. The patient supine on the operating table and
general endotracheal anesthesia is administered. His abdomen is prepped and draped in the usual
sterile manner. The colostomy stoma was incised and dissected sharply from the abdominal wall. After
the stoma was mobilized and taken down from the abdominal wall, it was closed with 0-0 chronic and 50 prolene. The abdominal incisions were closed in the usual fashion.
A. 44227
B. 44640
C. 44625
D. 44620
33. A patient undergoes a laparoscopic partial colostomy of the transverse colon, including low pelvic
anastomosis, due to cancer of the colon and rectum.
A. 44146, 197.5
B. 44207, 154.0
C. 44208, 197.5
35. A patient is seen at the doctor’s office nausea, vomiting and abdominal pain. Labs came back
indicating an increased WBC count. The physician determines the patient has an acute appendicitis. The
physician scheduled an OR and took the patient to the operating room. An abdominal incision is made.
The patient is also diagnosed with generalized peritonitis. An appendectomy is performed
A. 44960, 540.0
B.44960, 540.9, 787.03, 789.00
C. 44950, 542
D. 44970, 540.1, 787.03, 789.00
37. Operative Report
Preoperative Diagnosis: Incarcerated left inguinal hernia in 38 year old male
Postoperative Diagnosis: As above
Finding: Huge incarcerated left inguinal hernia containing bowel and ascetic fluid
Technique: The patient was placed on the operating room table in the supine position. IV sedation was
administered without complications. Oxygen and monitoring were in place per protocol. Left groin and
scrotum were prepped with Betadine and draped in a sterile fashion. Local anesthesia was infiltrated in
the subcutaneous tissue in a field block using a mixture of lidocaine, Marcaine, Saline. The patient was
placed general Trendelenburg position. The incision was made over the inguinal ligament and dissection
was carried down sharply to the external oblique aponeurosis which was opened along the course of its
fibers. Hernia and spermatic cord was encircled with a Penrose drain at the public tubercle. The
ilioinguinal nerve was identified and carefully preserved, retracted superiorly. The incarcerated hernia
sac was gendy dissected away from the vas and the testicular vessels with careful preservation of the
vessels. The hernia was then reduced and the defect closed with an extra large Marlex mesh plug which
was sutured in place at various points using 2-0 Vicryl suture. The mesh onlay patch was then placed as
reinforcement. The Illoinguinal nerve was placed back in the canal. The onlay patch was sutured
together lateral to the internal ring. External oblique was closed with running 2-0 Vicryl suture. Scarpus
was closed with interrupted 2-0 Vicryl suture. Skin was closed with staples. Antibiotic ointment and
sterile dressing were placed over the incision.
All sponge, instrument and needle counts were correct. The patient tolerated the procedure well. He
was taken back to the recovery room in stable condition.
A. 49507
B. 49521, 49568
C. 49525
39. 27 year old male has obesity with a BMI of 35. He has decided to have a Roux-En-Y gastric bypass.
The patient is brought to the operating room and placed in supine position. A midline abdominal incision
is made. The stomach is mobilized and the proximal stomach is divided and stapled creating a small
proximal pouch in continuity with the esophagus. A short limb of the proximal bowel of 115cm is
divided. It is brought up and anastomosed to the gastric pouch. The other end of the divided bowel is
connected back into the distal small bowel to the short limb’s gastric anastomosis to restore intestinal
continuity. The abdominal incision is closed.
A. 43645, 278.00, V85.35,
B. 43644, 278.01, V85.43
C. 43846, 278.00, V85.35
D. 43847, 278.01, V85.43
Urinary System, Male Gential, Female Genital, Maternity Care, and Delivery 50000 series
41. An 8 day old being circumcised. Topical anesthesia is used for the procedure. The foreskins of the
penis is clamped with a plastic device and the excess protruding skin is trimmed. Dorsal side of the penis
is crushed with forceps and a cut is made through the crushed tissue with scissors and divided foreskin is
fitted in a bell shaped clamp. Clamp is left in place and falls off when healing has finished.
A. 54150, 64450
B. 54150-53
C. 54160, 64450
D. 54150-52
42. Patients 6 month old and has an undescended right testicle. Patient is placed under general
anesthesia. Attention was directed to the testicle on the right side. The testicle was not in the scrotum.
An inguinal incision was made and extended to the abdominal cavity. Testicle was palpated and
visualized in the abdominal cavity. Once this was completed the testicle was then delivered into the
operative field and examined. A sub Dattos pouch was created then the testicle was pexed at 3.6 and 9
o’clock position with a 50 Prolene. The skin was closed with sutures.
A. 54620-RT
B. 54600
C. 54650
D.54640-RT
43. A paravaginal dissected repair including a cystocele via vaginal approach is performed on a 38 year
old patient.
A. 57285
B. 57285, 57240-51
C. 57200, 57285-51
D. 57285, 57260-51
45. A patient who has endometriosis has decided to have a total hysterectomy. Under general
anesthesia a 12mm incision is made in the infraumbilical folds and the Veress needle is introduced in the
abdominal cavity. The abdomen is insufflated with C02 gas to pressure of mm Hg. A 12mm scope was
introduced into the abdomen and intraabdominal placement was confirmed the laparoscope with the
placing of two ports. The uterus and cervix are dissected free from the bladder and surrounding tissues.
Both ovaries and both fallopian tubes are not removed. The abdominal cavity is deflated and
instruments removed. The incision is closed in two layers. The uterus weighs 250g
A. 58570
B. 58573
C. 58150
D. 58291
46. 38 year old female requested to have sterilization. The patient is placed supine on the OR table,
placed under general anesthesia scrubbed and draped in the usual sterile manner. The abdomen is
cannulated and insufflated with C02. Four ports are placed. The colon is retracted. A laser is used to
fulgurated the fallopian tubes. The physician transects the fallopian tubes. All posts were removed and
port sites sutured closed with 2 prolene.
A. 58661
B. 58662
C. 58673
48. Preoperative Diagnosis: Right ureteral calculus
Postoperative Diagnosis: Right intramural ureteral calculus
Finding: 5 mm stone impacted at the beginning of the intramural ureter on the right
Procedure: Patient brought to the operating room and given general anesthesia by LMA prepped and
draped and laid in the lithotomy position. Under fluoroscopic guidance the stone was visualized in the
ureter. A .038 Teflon-coated guidewire was passed up to the kidney.
ACMI rigid ureteroscope was passed up the ureter and the stone identified appearing white in color. An
electric hydraulic lithotripter probe is passed through the endoscope destroying the calculus. A 26cm x
#6 French double J stent was passed up the ureter and the guidewire removed. Fluoroscopy showed the
upper and curled in the pelvis. A cystoscopy was performed in the lower end and the bladder. A pullout
string was maintained for later removal of the stent. After draining the bladder, the patient was
transported to recovery in stable condition.
A. 52352, 52332
B. 52353, 52332
C. 52310, 52282
D. 52315, 52282
49. A couple presents to the freestanding fertility clinic. The wife has finished her cancer treatment and
is ready to have in vitro fertilization. The embryos are aspirated in a catheter. The catheter is passed
through the cervical ox and into uterus. The embryos are injected into the uterus.
A. 58970
B. 58976
C. 58974
D.58999
Endocrine system, Nervous system eye and ocular Adnexa, auditory system 60000 series
51. A patient is taken to the operating room for a unilateral partial thyroid lobectomy with
isthmusectomy.
A. 60210
B. 60212
C. 60220-52
D. 60225
52. A 10 year old child with spina bifida with congenital hydrocephalus presents with headache and
blurred vision. The patient has a shunt that is malfunctioning. Parents have agreed to take out the entire
shunt system.
A. 62258, 996.2, 742.3
B. 62192, 996.62, 331.4
C. 62256, 996.2, 741.00
D. 62256, 62258-51, 996.70, 331.4, 368.8
53. A 28 year old male was rock climbing and hit his head on a rock, suffering an injury resulting in a left
subdural hematoma and skull fracture on the right. He has been unconscious for the last three hours.
The surgeon drills burr holes in the skull. The dura meter is incised to reach the subdural hematoma and
it is decompressed to control the bleeding. The dura is sutured closed and scalp repositioned and
sutured into place.
A. 61107, 803.26, E917.0, E004.0
B. 61154, 803.23, E917.0, E004.0
C. 61156,804.76, E849.4, E004.9
D. 61108, 803.70, E917.0, E004.9
55. An iridectomy with intracapular removal of cataract is performed on the left eye. An intrancular lens
is also inserted during this encounter
A. 66761-LT, 66840-LT-51, 66985-LT
B. 66982-50, 66985-50-51
C. 66983-LT, 66920-LT
D. 66983-LT
56. A general surgeon performs a retroperitoneal approach to access an extradural tumor that is
adherent to two lumbar vertebral bodies. It is subsequently removed en bloc via extradural corpectormy
by an orthopedic surgeon.
A. 49010, 63277-62
B. 63303-62x2
C. 63303-62, 63308-62
D.49010, 63307-62, 63308-62
57. A patient present with a Xomed bone conductor, which requires repair. This electromagnetic bone
conduction hearing device was removed via a postauricular incision. The wound is irrigated and repaired
with sutures.
A. 69710
B. 69717, 69711
C. 69710, 69711
59. A patient glaucoma continues to progress despite the use of medication regimens and laser
treatments. The ophthalmologist performs a trabeculotomy on both eyes under local anesthesia.
A. 65800, 66030
B. 65850-50
C. 66150-50
D. 66170-50
Evaluation and Managment
61. A medicare patient is seen by the nurse for a flu vaccination. The nurse administers the flu vaccine in
the right deltoid. The physician reviews the chart and signs off on the nurse’s note.
A. 90471, 90656, V05.9
B. G0008, 90656, V04.81
C. 99211-25, G0008, 90656, V04.81
D. 99212-25, 90460, 90656, V04.81
64. A patient presents to the physician’s office for the first time in two years with a cough and sore
throat. The physician suspect strep throat and does a brief history of the present illness and an
expanded problem focused exam. The quick strep test results are negative and the medical decision
making is of straightforward complexity
A. 99212, 87880, 034.0
B. 99201, 86580, 462
C. 99212, 87880, 786.2, 462
D. 99213, 86580, 034.0
67. A 65 year old patient is brought into the ER in cardiac arrest. The emergency room physician spends
15 minutes with the critically ill patient. He uses CPR and emergency endotracheal intubation to stabilize
patient. The ER physician makes a notation that the 15 minutes does not include the time for other
separate billable services.
A. 99285-25, 92950, 31500
B. 99291-25, 92961, 31500
C. 92950, 31500
D. 99291-25, 92950, 31500
68. A 16year old female has just moved to the area from out of state. She has numerous problems and is
seen for evaluation and management. The physician documents a comprehensive history and physical
and a medical decision making, which is moderate. After the visit, the physician spends an additional 45
minutes in a prolonged discussion with the patient’s parents, he reviews complex and detailed medical
records from her previous physicians and completes a comprehensive treatment plan. He personally
initiates the case plan with the local health agency and a dietician
A. 99204
B. 99203
C. 99204, 99358
D. 99202, 99358
69. A Physician admitted a 28 days old male baby to inpatient critical case for respiratory arrest. The
physician performs CPR, emergency endrotracheal intrubation, and insertion of an umbilical venous
catheter in order to stabilize his condition.
A. 99468-25, 92950
B. 92950, 31500,36510
C. 99471
D. 99291-25, 99292, 92950, 31500, 36510
Anesthesia
71. A 64 year old fell in the kitchen while mopping the floor and could not get up. The fall resulted in a
broken hip. Upon examination of the break, the physician decides a hip replacement is needed. The
patient is taken to the operating room where anesthesia is administered for the surgery of a total hip
replacement.
A. 01210, 99100
B. 01210
C. 01214
D. 01214, 99100
72. A patient presents to the labor delivery department in the first stages of labor. The baby is in breech
position so the physician decides to perform an external cephalic version to manipulate the fetus for a
head presentation. The patient is taken to the operating room where she received anesthesia for this
procedure.
A. 01963
B. 01961
C. 01967, 01968
D. 01958
75. A 67 year old female in good physical health is having a cholecystectomy. The anesthesiologist
begins to prepare this patient for surgery at 1000. The surgery begins at 10:15 and ends at 11:30. The
anesthesiologist releases the patient to the PACU nurses at 11:45.
A. 1 hr 30mins, 00840
B. 1 hr 45mins, 00790
C. 1 hr 15mins, 00790
D. 2hrs 15mins, 00840
76. Using ultrasound guidance an anesthesiologist injects an analegesic and a steroid mixture into the
parsvertebral facet joint on both the right and left sides at L1-L2 and L2-L3. The procedure is done for
pain management for the patient’s persistent pain secondary to spondylosis with myelopathy.
A. 64493, 64494, 77003-26
B. 0216T-50, 0217T-50
C. 64483-50, 64484-50, 77003-26 x2
D. 64493-50, 64494-50
77. Patient is coming into surgery for total knee replacement due to worn down cartilage in the knee
joint. When patient was taken to the recovery room, he still continued to have postoperative pain
during recovery. The anesthesiologist came in and performed a left femoral block, which provided
significant post-operative pain relief.
A. 01402, 64448, 01996
B. 01400, 64447
C. 01402, 64447
D. 01401,64450, 01996
Radiology 70000 series
79. A catheter is placed within the common hepatic artery, dye is injected and imaging is obtained. A
stenosis within this artery is identified. A percutaneous transuluminal angioplasty is performed on the
common hepatic (visceral) artery in the outpatient radiology department.
A. 36245, 75710-26, 37220
B. 36246, 75726-26, 35471, 75966-26
C. 36245, 37220
D. 36247, 75716, 75625, 37223, 75962
80. Radiation oncology involves clinical treatment planning. A patient presents for treatment planning
and field setting involving two separate treatment areas and multiple blocks.
A. 77261, 77295
B. 77262, 77280
C. 77262, 77285
D. 77263, 77290
81. A hospital based radiologist performs the injection and radiology supervision and interpretation for a
shoulder arthrography.
A. 20610, 73201-26
B. 73040-26
C. 23350, 73040-26
D. 73040-26, 96372
83. The physician orders and performs an ultrasound with real time image documentation for fetal and
maternal evaluation using a transabdominal approach on a patient who is expecting twins and is in the
11th week of gestation?
A. 76801, 76802
B. 76811, 76812
C. 76815
D. 76816 x2
84. A screening bilateral mammography is performed followed by computer aided detection applied to
the films to analyze lesions.
A. 77057, 77052
B. 77056, 77051
C. 77057
D. 77059
85. The patient presents with neck pain radiating across the left shoulder. The physician orders and
interprets cervical spine X-rays including lateral and anterior/posterior views.
Select the procedure fordes for the X-rays performed and interpreted in the physicians office.
A. 72040
B. 72040-26
C. 72020-26 x2
D. 72050
87. A 55 year old patient with suspected liver cancer was seen by the physician to obtain biopsies. The
patient is administered moderate sedation for 35 minutes by the physician performing the biopsies.
During the sedation, a trained independent observer monitors the patient. The special biopsy needle
was placed using ultrasonic guidance. The physician obtained two core biopsies, which were then sent
to pathology
A. 47000, 77002-26, 99143
B. 47100, 76942-26, 99148
C. 47000, 76942-26
D. 47000, 77002-26
89. Within the organ or disease oriented panels, which four panels include codes for tests of potassium
(84132), glucose (82947), and sodium (84295)?
A. 80048, 80050, 80053, 80061
B. 80048, 80050, 80053, 80069
C. 80048, 80051, 80061, 80069
D. 80051, 80055, 80069, 80076
90. A physician prescribes doxepin for treating a patient diagnosed with depression. After six months,
the physician performs a therapeutic drug test to monitor the level of the drug on the patient.
A. 80101, 80102
B. 80166
C. 80162, 80102
D. 80162
91. A business requires drug testing for cocaine and methamphetamines prior to hiring a job candidate.
A single analysis with one stationary and one mobile phase is performed, followed by a confirmation for
cocaine.
A. 80100, 80102
B. 80100 x2, 80102 x2
C. 80102 x2
D. 82145, 82520
93. Lab results of a urine test of total proteins reveals abnormally high levels of ketones, which the body
may produce when fats rather than glucose, are used for energy. Based on the results, the ordering
physican takes a blood sample from the patient to test for glucose levels. The ordering physician sends
the blood to the lab for a glucose level.
A. 82947
B. 83036
C. 84156, 82947
D. 84156, 83021
94. The pathologic examination of a single bone biopsy is performed and requires a decalcification
process. The decalcification process is performed on two separate blocks of the bone specimen.
A. 88307, 88311 x2
B. 88307, 88311
C. 88307 x2, 88311
D. 88307 x2, 88311 x2
95. The geneticist develops two karyotypes with banding involving a 20 cell count to verify a suspected
genetic anomal. The service includes interpretation and reports
A. 88262, 88291
B. 88261, 88285
C. 88262
D. 88248, 88291
97. Embryos are collected into an approved sterile container for later attempts at insemination by
transfer to a woman’s uterus, the embryos are cryopreserved four days cooled and stored in liquid
nitrogen.
A. 89258
B. 89259, 89346
C. 89259, 89343
D. 89258, 89342
Medicine 90000 Series
99. A physican assistant counsels a mother about the importance of vaccinations and administers the
DTaP by intramuscular route, MMR (live) immunization by subcutaneous route, and Hib (HbOC
conjugate) by intramuscular route to a four month old established patient during a well baby check.
A.99391-25, 90707, 90645, 90460 x3, 90461 x4
B. 90700, 90707, 90645, 90460 x3, 90461 x4
C. 99391-25, 90720, 90707, 90472 x3
D. 99213-25, 90707, 90721, 90460, 90461 x2
100. The physician sees a 15 year old established patient two times a dialysis procedure to declot the
access cannula during the hemodialysis process. The cannuals requires declotting during the procedure.
A. 90937
B. 36861
C. 9093, 36860
D. 90935, 36861
101. An ophthalmologist conducts serial tonometry with multiple measurements of intraocular pressure
over an extended time period. The patient requesting physician receive the interpretation and report on
the same date of service.
A. 92100
B. 0198T
C. 99212
D. 92083
103. A patient is referred to the hospital radiology clinic for numbness and tingling in the arms that the
physician suspect is related to thoracic outlet syndrome. The radiologist performs a Doppler analog
waveform analyze a photoplethysmography and a flow velocity signal of the arteries of both arms. A
duplex scan of both arms is also performed.
A. 93922-TC, 93930-TC
B. 93922-52-TC, 93930-50-TC
C. 93922-26, 93925-26
D. 93922-26, 93930-26
104. A patient presents to the oncology office for her scheduled chemotherapy. During encounter she
receives IV chemo medication for two hours and 16 minutes.
A. 96413, 96415
B. 99211-25, 96413, 96417
C. 99211, 96413, 96417
D. 96413, 96365
107. What CPT and ICD-9-CM codes should be used for a patient suffering from myopathy, requiring the
occupational therapist to perform 30 minutes of intermittent hot and cold water baths to the hand?
A. 97010, 359.6
B. 97022, 714.0, 719.44
C. 97039 x2, 715.14, 713.6
Medical Terminology
109. The wound was proximal to her right knee. Where is her injury?
A. Between her right medical compartment and lateral compartment
B. Between her right knee and right ankle
C. Between her right knee and right thigh
D. At the same location on her left knee
110. Venography is the radiologic study of the:
A. Abdomen
B. Autonomic Nervous System
C. Blood Vessel
D. Leg Veins
111. Which of the following describes percutanecous transluminal angioplasty of the brachiocephalic
A. Through a femoral puncture into the brachiocephalic branch
B. Through the skin into the brachiocephalic artery
C. Through a catheter inserted into the carotid artery
D. Through the nose, down the trachea, and into the lungs
112. Where would a Codman’s tumor be found?
A. Ovary
B. Pituitary gland
C. Back of eye
D. Bone
113. Myringotomy is a
A. Surgical incision of the tympanic membrane
B. Surgical removal the breast
C. Surgical removal of the ear drum
D. ------ of the mammary gland
Anatomy
117. The abdominal area is divided into four distinct quadrants. The liver and duodenum are found in
which quadrant?
A. Right lower quadrant (RLQ)
B. Right upper quadrant (RUQ)
C. Left upper quadrant (LUQ)
D. Left lower quadrant (LLQ)
118. What is the function of a pacemaker?
A. It unclogs plaque build up in the coronary arteries
B. Delivers shocks to the heart only when it stops beating
C. Uses electrical impulses to control the heart rhythm
D. Replaces the heart
119. When a patient has an EKG, which of the following systems is tested?
A. Constitutional
B. Neurologic
C. Cardiovascular
D. Respiratory
120. An endotracheal tube is placed inside the trachea to:
A. Drain peritoneal fluid
B. Drain urine
C. Open airway to breathe
D. Feed the patient
125. A patient presents with pain in her leg. After reviewing the patient’s X-rays the physician diagnosed
the patient with a closed distal end femur fracture. According to ICD-9-CM guidelines regarding coding
of symptoms, new should encounter be coded?
A. 729.5, 821.20
B. 729.5
C. 821.30
D. 821.20
126. What code describes malignant hypertension secondary to stage V chronic kidney disease?
According to ICD-9-CM Guidelines regarding code sequencing, how should this encounter be coded?
A. 405.01, 585.5
B. 403.01
C. 401.0
D. 403.01, 585.5
127. Which statement is true about coding late effects?
A. Time is the most important consideration for coding late effects
B. A late effect is a residual condition
C. Late effect are assumed and never separately coded
D. Most late effects codes are E codes
128. A physician is visiting his patient in the hospital for an impending CVA. On examination the
physician documents the patient now has facial droop in which the final diagnosis is CVA
A. 434.91
B. 435.9
C. 436
D. 438.83
130. A patient has second degree burns to 15 percent of his body and third degree burns to 5 percent
his body. Which code from category 948 is appropriate to report the total body surface involved in the
burn.
A. 948.22
B. 948.21
C. 948.10
D. 948.20
131. Patient is coming in for a screening colonoscopy. During the colonoscopy the patient has two
polyps from the colon removed
A. 211.3, V72.83
B. 211.3, V76.51
C. V76.51, 211.3
D. V72.83, 211.3
132. A patient presents with chest pains. The physician performs a CT of her chest that comes back
abnormal. He discovers a mass on her lung. The patient has uterine cancer with metastases to the liver.
The radiologist suspects the cancer has spread to her lungs and orders additional tests to confirm the
diagnosis.
A. 786.6, 179, 197.7
B. 179, 197.7, 197.0
C. 786.6, 155.2, 198.82
D. 179, 235.7
HCPCS Level II
135. A patient suffering from lower back pain receives a custom fabricated flexible lumbar-sacral
orthotic. How would you code the HCPCS Level II service?
A. L0637
B. L0630
C. L0628
D. L0629
136. A 75 year old Medicare patient presents for a colorectal cancer screening. He has no past history of
disease. Today, he has colonoscopy
A. G0104
B. G0105
C. G0120
D. G0121
137. A patient presents to the office for administration of ceftriaxone sodium. The nurse reviews the
physician’s order and administers 1,000 mg of ceftriaxone sodium via IV
A. 96365, J0696 x4
B. 90473, J0696
C. 99211-25, 96372, J0696
D. 96372, J0696 x4
138. An oncologist performs a bone marrow aspiration and a bone marrow biopsy on the right posterior
iliac spine. The procedures were performed during the same encounter. Select the appropriate code(s)
for a Medicare patient.
A. 38221, 38220
B. 38221
C. 38221, G0364
D. 38220, G0364
140. During a colonoscopy the provider is unable to advance to the splenic flexure due to an
obstruction. Which modifier is appended to the code for the colonoscopy?
A. 52
B. 53
C. 22
D. 58
141. The CPT manual provides full descriptions of medical procedures although some descriptions
require the use of a semicolon (;) distinguish closely related procedures.
What is the full description of CPT code 35840?
A. Exploration for postoperative hemorrhage, thrombosis or infection; abdomen
B. Exploration for postoperative hemorrhage, thrombosis or infection; excluding abdomen
C. Exploration for postoperative hemorrhage, thrombosis or infection; neck and/or abdomen
D. Exploration for postoperative hemorrhage, thrombosis or infection; neck, chest, abdomen, and/or
extremity
142. The patient’s managed care plan requires that physicians counsel their patients about habits
adverse to their health for data purposes. In this case, the patient is a heavy smoker (smoker than one
pack of cigarettes/day) and the physician provides advice on the benefits of quitting the habit during an
encounter for a preventive medicine service.
Which of the following codes is reported for the purposes of data collection?
A. 4000F
B. 4001F
C. 4006F
D. 4011F
144. An established patient is seen today to discuss her diagnosis of gallstones. The physician reviews all
the tests results. He recommends the patient have a laparoscopic cholecystectomy. He discusses the
surgery with her and the possible complications. The patient agrees to the surgery and is scheduled for
the surgery the next day.
A. 47562-57
B. 47579-59
C. 99201-25
D. 99212-57
Practice Management
146. Which of the following would be paid under Part B for Medicare?
A. Clinic infusion services
B. Inpatient dialysis
C. Hospital nursing care
D. Vitamins
147. Which of the following fraud and abuse scenarios is most certainly fraud?
A. Under documentation by the physician leading to under coding by the coder
B. Requiring an ABN if the service is not considered medically necessity
C. Intentional violation of incident to rules
D. Following whichever set of guidelines, 95 and 97, that leads to the highest paid code on the claim
148. What form is used for billing physician services performed in an outpatient hospital facility?
A. UB-04
B. CMS-1500
C. MS-DRG
D. ABN
149. HIPAA was created with which goal in mind?
A. To identify provider who do not transmit claims electronically
B. To provide an incentive for providers who implement an electronic health record
C. To allow for standardized code set claims transmission
D. To provide an incentive for providers who maintain patient privacy