Medicine

1. Colin had a comprehensive audiometry threshold evaluation and speech recognition testing to the left
ear. What code(s) capture this procedure?
a. 92557-52
b. 92553, 92556
c. 92557
d. 92700-59

2. An adult patient had the following immunizations with administration:

▪ Yellow fever vaccine, subcutaneous injection
▪ Hepatitis B (adult dose) vaccine, intramuscular injection
▪ Plague vaccine, intramuscular injection
How would you report these services?
a. 90465, 90466 x 2, 90717-51, 90746-51, 90727-51
b. 90471, 90472 x 2, 90717, 90746, 90727
c. 90473, 90474 x 2, 90746, 90727, 90717
d. 90471, 90472 x 2, 90727-51, 90746-51, 90717-51

3. Sally suffered from dehydration after running a marathon. She was taken into her primary care
doctor’s office. Dr. Small checked Sally and ordered hydration therapy with normal saline. The hydration
lasted 45 minutes. How would you report this service?
a. 96365, 96361
b. 96369
c. 96360
d. 96360, 96361

4. A patient had a bronchoscopy with destruction for relief of stenosis by laser therapy. During this
procedure photodynamic therapy by endoscopic application of light was used to ablate abnormal tissue
via activation of photosensitive drugs. The photodynamic therapy lasted 60 minutes. How would you
report this procedure?
a. 31645, 96567
b. 96567 x 2
c. 31643, 96570-51, 96571-51
d. 31641, 96570, 96571 x 2
5. Dr. George asked the local pharmacist to review Ann’s new medications with her when she picked
them up. Ann is a new patient who just moved into the area and required several new medications. Ann
is hard of hearing and had a difficult time understanding Dr. George when he called her. The pharmacist
spent 35 minutes with Ann and documented a review of her history, recommendations for improving
health outcomes, and treatment compliance. The pharmacist faxed this note back to Dr. George’s office.
How would the pharmacist report his services?
a. 99605, 99607x2
b. 99605, 99607
c. 99607 x 3
d. 99213
6. What code would report an internet assessment and management service provided by a qualified
non-physician healthcare professional to an established patient not originating from a related
assessment and management service provided within the previous seven days?
a. 96150
b. 99444
c. 98969
d. 96151

7. Code 95904 could describe studies to which of the following nerves?

a. Lateral antebrachial cutaneous sensory nerve and posterior femoral cutaneous sensory nerve
b. Medial calcaneal sensory nerve and radial sensory nerve to digit one
c. Both A and B
d. None of the above

8. Jane has a family history of skin melanoma. Her primary care doctor asked for a consult with Dr. John.
During Jane’s first visit with her new dermatologist, Dr. John, he documented a comprehensive history,
comprehensive examination, and medical decision-making of moderate complexity. Dr. John also
performed a whole body integumentary photography for monitoring of Jane’s skin. Dr. John sent a
report back to her PCP and told Jane she should return in one year or before then if anything should
change on her skin. What code(s) would you use to report Dr. John’s services?
a. 99244-25, 96904
b. 99213
c. 96904
d. 99204, 96904

9. What services can you report in addition to the general ophthalmological services or evaluation and
management services?
a. Intermediate ophthalmological services
b. Special ophthalmological services
c. Only new patient general ophthalmological services
d. Only established patient general ophthalmoligical services

10. Jim underwent a percutaneous transluminal coronary atherectomy with a balloon to the left main
coronary artery. During the same session his physician placed three drug coated stents in the left
circumflex artery. What code(s) should you use to report these services?
a. 92980 x 3
b. 92981, 92996-51
c. 92980, 92996
d. 92995, 92982, 92981 x 3
11. 4-year-old is getting over his cold and will be getting three immunizations in the pediatrician’s office
by the nurse. The first vaccination administered is the Polio vaccine intramuscularly. The next one is the
influenza (live) administered in the nose. The last vaccination is the Varicella (live) by subcutaneous
route. What CPT® codes are reported for the administration and vaccines?

A. 90713, 90658, 90716, 90460, 90461 x 2 B. 90712, 90656, 90716, 90460, 90461 x 1
C. 90713, 90660, 90716, 90471, 90472, 90474 D. 90713, 90658, 90716, 90471, 90472, 90473
12. A patient with chronic renal failure is in the hospital being evaluated by his endocrinologist after just
placing a catheter into the peritoneal cavity for dialysis. The physician is evaluating the dwell time and
running fluid out of the cavity to make sure the volume of dialysate and the concentration of
electrolytes and glucose are correctly prescribed for this patient. What code should be reported for this
service?

A. 90935 B. 90937 C. 90947 D. 90945

13. An established patient had a comprehensive exam in which she has been diagnosed with dry eye
syndrome in both eyes. The ophthalmologist measures the cornea for placement of the soft contact lens
for treatment of this syndrome. What codes are reported by the ophthalmologist?

A. 92014-25, 92070 B. 99214-25, 92325-50

C. 92014-25, 92325-50 D. 92014-25, 92310

14. A patient who is a singer has been hoarse for a few months following an upper respiratory infection.
She is in a voice laboratory to have a laryngeal function study performed by an otolaryngologist. She
starts off with the acoustic testing first. Before she moves on to the aerodynamic testing she complains
of throat pain and is rescheduled to come back to have the other test performed. What CPT® code(s)
should be reported?

A. 99211, 92520 B. 92700 C. 92520-52 D. 99211, 92700-52

15. A new patient is having a cardiovascular stress test done in his cardiologist’s office. Before the test is
started the physician documents a comprehensive history and exam and moderate complexity medical
decision making. The physician will be supervising and interpreting the stress on the patient’s heart
during the test. What procedure code should be documented for this encounter?
A. 93015-26, 99204-25
B. 93016, 93018, 99204-25
C. 93015, 99204-25
D. 93018-26, 99204-25

16. A cancer patient is coming in to have a chemotherapy infusion. The physician notes the patient is
dehydrated and will first administer a hydration infusion. The infusion time was 1 hour and 30 minutes.
Select the code(s) that should be reported for this encounter?
A. 96360
B. 96360, 96361
C. 96365, 96366
D. 96422

17. A patient that has multiple sclerosis has been seeing a therapist for four visits. Today’s visit the
therapist will be performing a comprehensive reevaluation to determine the extent of progress in
parameters and if the patient is reaching his goals for common impairments associated with this
neurologic condition, which includes performing activities of daily living, movement, muscle strength
and reasoning abilities for independent living. What CPT® and ICD-9-CM codes should be reported?
A. 97004, V57.21, 340
B. 97002, V57.1, 340
C. 97003, V57.22, 340
D. 97004, V57.89, 340
18. Patient with hemiparesis on the dominant side due to having a CVA lives at home alone and has a
therapist at his home site to evaluate meal preparation. The therapist observes the patient’s functional
level of performing kitchen management activities within safe limits. The therapist then teaches meal
preparation using one handed techniques along with adaptive equipment to handle different kitchen
appliances. The total time spent on this visit was 45 minutes. Report the CPT® and ICD-9-CM codes for
this encounter.
A. 97530 x 3, 436, 342.91
B. 97535 x 3, 342.91, 438.21
C. 97530 x 3, 438.21, 436
D. 97535 x 3, 438.21
19.10-year-old patient had a recent placement of a chochlear implant. She and her family see an
audiologist to check the pressure and determine the strength of the magnet. The transmitter,
microphone and cable are connected to the external speech processor and maximum loudness levels
are determined under programming computer control. Which CPT® code should be used?
A. 92601
B. 92603
C. 92562
D. 92626

20. A cardiologist pediatrician sends a four-week-old baby to an outpatient facility to have an

echocardiogram. The baby has been having rapid breathing. He is sedated and a probe is placed on the
chest wall and images are taken through the chest wall. A report is generated and sent to the
pediatrician. The interpretation of the report by the pediatrician reveals the baby has an atrial septal
defect. Choose the CPT® code the cardiologist pediatrician should report.
A. 93303
B. 93315-26
C. 93303-26
D. 93315
21. A patient presents to her oncologist’s office for schedule chemotherapy. The patient is severely
dehydrated. The physician decides to schedule the chemotherapy for another day and orders hydration
therapy to be performed today instead of the chemotherapy. The therapy is ordered and administered
for one hour and 10 minutes. Select the code(s).
A. 96413-53, 96360 B. 96360
C. 96360, 96361 D. 96413, 96361

22. Left heart catheterization retrograde from the femoral artery with injection procedures for selective
coronary angiography and selective left ventriculography, including imaging supervision and
interpretation with report, are performed. The cardiologist performed all of the services at the hospital.
The CPT® codes are:
A. 93458 C. 93452, 93454
C. 93452, 93563 D. 93458, 93565

23. The correct code for OMT performed on the cervical, thoracic and sacral regions would be:
A. 97110 B. 98941
C. 98926 D. 97124

24. The patient is admitted to the hospital for an eight channel EEG to determine the focus of her
cerebral seizures. The EEG is performed for 24 hours. Select the appropriate code.
A. 95813 B. 95824
C. 95827 D. 95950
25. A pediatrician is managing the care of a patient who is at home on a ventilator under the care of a
home health agency. The patient has cystic fibrosis and is suffering from recurrent pneumonia. The MD
did the initial plan of care for the home health agency and now is following this monitor vent
management oversight on day 20. The provider has a total 45 minutes for this month how should he
code?
A. 94002 B. 94003
C. 94005 D. 94004
26. A two-month-old comes in for a well check up and several shots (Rota, DTaP-Hib, PCV) with her
pediatrician. He offers suggestions to the mom, completes the exam, and counsels her on the
vaccinations. How should this be coded?
A. 99391-25, 90471, 90472 x 2, 90680, 90721, 90669
B. 99381-25, 90460, 90461 x 2, 90680, 90700, 90648, 90669
C. 99381-25, 90471, 90472 x3, 90680, 90700, 90645, 90669
D. 99391-25, 90460, 90461 x 2, 90680, 90721, 90669

27. Mary, who has food allergies, came to her physician for her weekly allergen immune therapy that
consists of two injections prepared and provided by the physician. The correct code is:
A. 95125 B. 95117
C. 95131 D. 95146
28. Photodynamic therapy involving application of light externally to destroy premalignant lesions on
the lower lip was provided to a 63-year-old patient. Code the encounter.
A. 96570 B. 96999
C. 96567 D. 96913

29. The patient presents to see the nurse for his scheduled vitamin B12 injection. The physician ordered
the injection at the patient’s last visit. The physician is in the office seeing other patients. The nurse
administers the 1000 mcg of vitamin B12 intramuscularly. She schedules the patient for his next
appointment.
A. 99211-25, 96372, J3420 B. 99211-25, J3420
C. 96372, J3420 D. 96401, J3420

30. In the inpatient setting, the psychiatrist provides psychotherapy for 30 minutes to affect a change in
the patient’s maladaptive behavior. What is the procedure code?
A. 90804 B. 90816
C. 90845 D. 90801
31. Mae’s physician asked her to wear a glucose monitoring device to obtain more accurate information
about her blood sugars. She had sensors placed and was then hooked up to a calibrated wearable
device. Once this was complete, the technician provided Mae with training for the noninvasive
ambulatory continuous glucose monitoring device. After wearing the device for 72 hours, Mae’s
physician’s office removed the device, printed recordings, and downloaded analyses reports to its
computer system. Which code captures this service?
a. 99090
b. 99091
c. 95250
d. 95251
32. Edna, a 72-year-old patient, returned to her regular pulmonologist for a follow-up visit. Dr. Harry
documented Edna’s chief complaint as fatigue after recovering from a minor flu. His documentation
supports a past history of smoking, COPD, and well-controlled diabetes. Edna lives with her husband,
maintains her weight with a balanced diet, and exercises in the warm weather but feels “shut in” during
the winter. Dr. Harry noted a detailed examination, reviewed multiple treatment options, and reviewed
moderate risks for complications. Dr. Harry completed a six-minute walking pulmonary stress test to
evaluate distance, dyspnea, desaturation, and heart rate. The stress test was repeated with adequate
rest walks, pre-/post-spirometry and oximetry, and interpretation and evaluation protocol for Edna’s
entry into a pulmonary rehabilitative program. Which code(s) should Dr. Harry report for today’s
services?
a. 99214-25, 94620
b. 99204-25, 94621
c. 94799
d. 99213-25, 94620 x 2
33. A 19-year-old patient received immunizations at her health clinic. The immunizations were
administered by a medical assistant at the same clinic. The patient was seen two weeks ago but was
unable to complete the immunizations due to a stomach virus. Today, she is symptom free and receives
an intramuscular H1N1 influenza pandemic formulation, preservative-free vaccine and an intramuscular
hepatitis A immunization. Which codes capture these services?
a. 99211-25, 90633, 90667, 90473-51, 90474-51
b. 99213-25, 90632-51, 90666-51, 90471-51, 90472-51
c. 90460, 90470, 90632-51, 90632-51
d. 90632, 90663, 90471, 90472

34. What codes are not reported in conjunction with the following code descriptor?
Comprehensive electrophysiologic evaluations including insertion and repositioning of multiple
electrode catheters with indication or attempted induction of arrhythmia; with right atrial pacing and
recording, right ventricular pacing and recording, and His bundle recording
a. 93600, 93602, 93610, 93612, 93618, 93619
b. No codes are restricted from conjunction reporting with 93620
c. 93600-51, 93602-51, 93610-51, 93612-51, 93618-51, 93619
d. Both a & c
35. An 11-year-old female had one face-to-face visit with her physician and received three daily dialysis
services during a one-month period prior to her kidney transplant. How should these services be
reported?
a. 90945
b. 90968 x 3
c. 90964 x 3
d. 90956
36. Which codes should be reported for the following case?
Preoperative diagnosis: Coronary arteriosclerosis of native arteries, chronic occlusion of coronary
arteries
Postoperative diagnosis: Same
Anesthesia: Conscious sedation by procedure physician with presence of trained observer
Procedure: The 64-year-old patient was prepped, draped, and positioned in the usual fashion. After
adequate sedation was administered, an access site into the right femoral artery was achieved. The
catheter devices were advanced into position. Extensive review of the current anatomy was completed
along with review of the previous catheterization. The procedure continued as planned with placement
of two drug-eluting stents in the left circumflex, PTCA to the right coronary artery, and atherectomy for
occlusion in the left anterior descending artery. Adequate flow was reviewed and confirmed via
angiograms upon completion of the procedures. The guiding catheter was withdrawn after flow
confirmation. Total intraservice time was noted at 1 hour 30 minutes. The sheath was secured to the
groin with a suture and the patient was moved to recovery in good condition. Standing orders were
given for sheath removal when the heparin effects are noted as normal through blood tests. Normal
pressure is to be applied at the groin as needed with placement of a sandbag or ice bag.
a. 414.01, 414.2, 92980-LC, 92984-RC, 92996-LD
b. 414.2, 424.0, 92980, 92984, 92996
c. 414.2, 424.0, 92980, 92982-51, 92995-51
d. 424.0, 414.2, 92980-LC, 92984-RC, 92996-LD, 99144, 99145 x 2

37. A patient suffering from nystagmus completed a basic vestibular function evaluation with testing
and recording in five different positions with gaze fixation; optokinetic, bidirectional, foveal, and
peripheral stimulation; and oscillation. An additional vertical electrode and vertical axis rotational
testing was employed during testing. How should this procedure be reported?
a. 92545, 92541-59, 92542-59, 92540-59
b. 92540, 92545, 92542, 92546, 92547
c. 92540, 92546, 92547
d. 92545, 92547-51
38. A patient underwent a left heart catheterization by transseptal puncture through an intact septum
with image supervision and interpretation and intraprocedural injection for left ventriculography. During
the procedure, pharmacologic agents were administered and measured. An arm ergometry was
employed for exercise study to assess hemodynamics before and after the procedure. How should this
procedure be reported?
a. 93458, 93462, 93463, 93464 x 2
b. 93452, 93566, 93462, 93463, 93464 x 2
c. 93452, 93566, 93462, 93463, 93464 x 2
d. 93452, 93462, 93463, 93464
39. A patient completed a diagnostic computerized ophthalmic scan of the retina on both eyes. The
physician’s interpretation and report included changes to the retina in the right eye from a previous
study. The left retina looked stable with no changes noted. The patient is scheduled for a follow-up
study in three weeks to assess any new changes and treatment as needed. How should the physician
report her services?
a. 92132-50, 92134-26
b. 92132
c. 92134
d. 92134-50
40. Cameron received 60 minutes of insight-oriented psychotherapy in an outpatient facility. During this
same visit, Cameron complained of an upset stomach due to his new medications. The medications were
reviewed and new medications were prescribed, a flare-up of his seasonal allergies was documented,
and a persistent cough is noted. The documentation included the psychotherapy notes with an
additional 35 minutes dedicated to a problem-focused history, problem-focused examination, and low-
complexity decision-making. How would the physician services be reported?
a. 90822
b. 99213-25, 99354, 90815
c. 90809
d. 99213-25, 90809