Test 16. 17.

18

Q:1-Howard was admitted by Dr. Smith to the hospital on Monday. Tuesday, Dr. Smith
provided a follow-up hospital visit, which consisted of an expanded problem focused
examination and medical decision-making of moderate complexity. He reviewed Howards
medical records and test results from the previous day. How would you report the visit on
Tuesday?
Mark one answer:
A. 99204
B. 99232
C. 99222
D. 99213

Q:2-A comprehensive history obtained as part of the preventive medicine Evaluation and
Management service is not problem-oriented and does not involve a chief complaint or
present illness.
Mark one answer:
A. True
B. False

Q:3-If a patient is diagnosed with a myosarcoma, which heading would you refer to in the
ICD-10 manual to start coding?
Mark one answer:
A. Neoplasm, connective tissue, malignant
B. Neoplasm, primary, ca in situ
C. Neoplasm, connective tissue, benign
D. Mass unknown

Q:4-What is removed by a pneumonectomy?

Mark one answer:
A. The pleural sac
B. A tumor of the inner ear
C. The lung
D. A cyst in the muscle of the foot
Q:5-Gerry had the following laboratory tests completed. How should you code these
services? Cholesterol, serum, total, Lipoprotein, direct measurement, high density
cholesterol (HDL cholesterol), Triglycerides, Urea nitrogen, quantitative.
Mark one answer:
A. 84520, 84478, 80076, 82465
B. 80076-91
C. 82465, 83718, 84478
D. 80061, 84520

Q:6-Stephanie underwent an endoscopic lysis of epidural adhesions, with fluoroscopic

guidance using a spinal endoscopic catheter system, including radiologic localization,
multiple adhesiolysis sessions; 1 day. How would you code this procedure?
Mark one answer:
A. 72275
B. 64999, 72275
C. 62264
D. 62263, 72275, 77003

Q:7-Andrea fell down while skateboarding and broke her acetabulum. Her physician
performed a closed manipulation with skeletal traction. How would you code this
procedure?
Mark one answer:
A. 27220, 27222-59
B. 27227, 27222-51
C. 27220
D. 27222

Q:8-Which of the following terms defines a closed fracture?

Mark one answer:
A. Simple, spiral, greenstick, comminuted, depressed
B. Linear, impacted, compound, puncture, elevated
C. Missile, unspecified, fissured, simple, infected
D. Slipped epiphysis, spiral, infected, compound
Q:9-Terry decided to obtain a second opinion from an orthopedic specialist for a wrist
injury. He made an appointment with Dr. Berry, who provided an initial evaluation. Dr.
Berry documented the request for the consult and documented a comprehensive history,
comprehensive examination, multiple management options, reviewed a moderate
amount of data brought in by the patient, and discussed the risk of complications, which
he judged as moderate. After the consultation, Dr. Berry sent a written report to Terry and
his primary care physician. How would you code this encounter with Dr. Berry?
Mark one answer:
A. 99215
B. 99244
C. 99204
D. 99243

Q:10-A six-year-old patient received an initial dose of Rotavirus orally, an intramuscular

does of diphtheria, tetanus toxoids, and acellular pertussis (DTaP), and an intranasal dose
of live influenza. A nurse administered these immunizations, as ordered by the physician;
the physician was present in the office but was seeing other patients at the time of this
service. How would you code the immunizations?
Mark one answer:
A. 90680, 90700-51, 90702-51, 90473 X 2
B. 90680, 90473, 90700, 90472, 90660, 90474
C. 90471, 90472-59, G0008, J9999, 90473
D. 90680, 90660-51, 90474, 90461, 90471 X 2

Q:1-Urethral calculus; transurethral basket removal of calculus. Provide the appropriate

ICD-10-CM diagnosis and procedure codes.
Mark one answer:
A. N21.0, 0TC37ZZ, 0T770DZ
B. N21.0, 0TC37ZZ
C. N21.1, 0T7D0DZ
D. N21.1, 0TND0ZZ

Q:2-The physician has documented the final diagnoses as: acute myocardial infarction,
COPD, CHF, hypertension, atrial fibrillation and status-post cholecystectomy. The
following conditions should be reported using ICD-10-CM diagnostic codes.
Mark one answer:
A. I21.3, J44.9, I11.0, I48.91, Z90.89
 B. I21.3, J44.9, I50.9, I10, I48.91
C. I21.3, J44.9, I50.9, I10, I48.91, Z90.89
D. I21.3, J44.9, I50.9, I10, I48.92

Q:3-HPV or human papilloma virus.

Mark one answer:
A. is caused by the spirochete Treponema pallidum
B. is a vaginal inflammation that is caused by a protozoan parasite
C. is also known as genital warts
D. is characterized by painful urination and an abnormal discharge

Q:4-Total Transcervical thymectomy. Provide appropriate CPT code(s).

Mark one answer:
A. 60520
B. 60540
C. 60240
D. 60200

Q:5-You have been assigned to code the cases listed below. Which one will you
appropriately assign to 402, Hypertensive Heart Disease?
Mallory: left heart failure with benign hypertension
Emma: congestive heart failure; hypertension
Taylor: hypertensive cardiovascular disease with congestive heart failure
Trevor: cardiomegaly with hypertension
Mark one answer:
A. Mallory
B. Emma
C. Taylor
D. Trevor

Q:6-An established patient was seen by physician in her office for DTaP vaccine and HepB.
Provide the appropriate CPT code(s).
Mark one answer:
A. 90721
 B. 90717, 90471
C. 90700, 90748, 99211
D. 90471, 90723

Q:7-Pathological fracture of the femur due to metastatic bone cancer. Patient has a
history of lung cancer. Only the fracture is treated. Provide appropriate ICD-10-CM
diagnosis code(s).
Mark one answer:
A. C79.49, M84.459A , Z85.118
B. M84.553A, C79.52 , Z85.118
C. S72.90XA, C79.52 , Z85.118
D. S72.90XA, C79.52 , C34.90

Q:8-Office visit for 43 year-old male, new patient, with no complaints. Patient is applying
for life insurance and requests a physical examination. A detailed health and family
history was obtained and a basic physical was done. Physician completed life insurance
physical form at the patient's request. Blood and urine were collected. Provide
appropriate CPT code(s).
Mark one answer:
A. 99450
B. 99386
C. 99396
D. 99381

Q:9-Which diagnostic technique records the patient heart rates and rhythms over a 24-
hour period?
Mark one answer:
A. echocardiography
B. electrocardiography
C. Holter monitor
D. Angiocardiography

Q:10-Chip is a 35 year old who has been previously diagnosed with lung cancer. He has
been receiving chemotherapy and radiation. He develops seizures and is admitted. Work
up revealed metastasis of the lung cancer to the brain. Provide appropriate ICD-10-CM
diagnosis codes.
Mark one answer:
A. R56.9, C71.9, C78.00, Z85.118
B. R56.9, C79.31, C34.90
C. R56.9, Z85.118, Z85.841
D. C79.31, C34.90, R56.9

Q:1-A quantitative drug assay was performed for patient to determine digoxin level. The
CPT code would be?
Mark one answer:
A. 80300
B. 80050
C. 80336
D. 80162

Q:2-Patient was seen today for regular hemodialysis. No problems reported, tolerated
procedure well. Provide appropriate CPT code(s).
Mark one answer:
A. 90937
B. 99354
C. 90945
D. 90935

Q:3-The categories of patients (type and volume) treated by a hospital which represents
the complexity of the hospital's patient population is called the�
Mark one answer:
A. major diagnostic categories
B. case mix
C. severity of illness index
D. diagnosis related groups

Q:4-A patient with lung cancer and bone metastasis is seen for complex treatment
planning by a radiation oncologist. Provide the appropriate CPT code(s).
Mark one answer:
A. 77307
B. 77263
 C. 77290
D. 77334

Q:5-Patient presents to the hospital and undergoes a posterior L1-L5 spinal fusion for
scoliosis with placement of a Harrington Rod. Provide CPT Codes.
Mark one answer:
A. 22800, 22846
B. 22800, 22842
C. 22800, 22840
D. 22612, 22800, 22841

Q:6-The Chief of Staff and Director of Health Information Services are concerned about
the growing number of history and physical examination reports that are not being
completed in a timely manner. Which monitoring process will the Health Information
Services Director suggest they implement to correct this problem?
Mark one answer:
A. concurrent analysis
B. discharge analysis
C. discharge planning
D. retrospective review

Q:7-Hysteroscopy with D&C and polypectomy. Provide appropriate CPT code(s).

Mark one answer:
A. 58563
B. 58558
C. 58120, 58100, 58555
D. 58558, 58120

Q:8-Cesarean delivery with antepartum and postpartum care. Provide appropriate CPT
code(s).
Mark one answer:
A. 59610
B. 59514
C. 59400
D. 59510
Q:9-When coding multiple wound repairs in CPT:
Mark one answer:
A. only the most complex repair is reported
B. only the least complex repair is reported
C. up to nine individual repair codes may be reported
D. all wound repairs are coded, with the most complex reported first

Q:10-Provide ICD-10-CM and CPT codes for excision soft tissue lipoma of the back less
than 3 cm.
Mark one answer:
A. D22.5, 11600
B. D17.1 , 21925
C. D23.9, 21556
D. D17.1, 21930