) MEDICAL TERMINOLOGY Questions ‘what structure cushions and reduces friction between bones in joints? 125, A Cartilage 8) Fascla C) Ligaments 0D) Tendons 126 ‘strength of muscle contractions as the muscle is stimulated? A) Electromyography B) Sono-myography © Myelogram D) Pyelography 127 Urticaria is commonly called: A). Hives 8) Hair joss ©) Scarring D) Bruises 128 A) Removal of both ovaries B) _Asling procedure for vaginal prolapse c) Laparoscopic removal of the uterus D) __ Removal of both fallopian tubes Which one of the following records the electrical activity of muscle th issue in determining the What is done when a surgeon performs a bilateral oophorectomy?stem? caged und in which $1 re fo 129, The adrenal glands ® Ajintegumentary ‘ByLymphati Endocrine D) Nervous 2 he lymphatic system 130. Which one is an organ of / A) Vas deferens | 8) Pancreas ©) Pineal gland (D|___Spleen ingotomy tube. 131, A patient is going to have placement of a myringotomy drain excess fluid. 4) tymphnode 8) Tear duct Co far dD) tung 132. The carries urine from the bladder and travels through the prostate to the outside of the body. 4)__Urethra 8) Epididymis © — Ureter D) Penis COMPLIANCE AND REGULATORY i) —£valuation/Managem | Pathology nt Medicinebp) Surgery TBA. Whichone oratvefotlowing ts commercial or private payer? A) Veterans’ Health Administration (VHA) 8) Blue Cross Blue Shield C) Medicald ) Medicare 155, which one othe following is # budget neutral POE NT snot provides a single uel "PORTE Es eiiaal or erour perormen in system with 2 single payment adjustment factor base Medicare Part 8? A) Advance Alternative Payment Model (arm) '8) Merit-based Incentive Payment system (MIPS) dons (NCD) ) National Coverage Determinat 1) Local Coverage Determinations (LCD) CODING GUIDELINES 136. According to CPT@ coding guidelines for obstetrical ultrasounds, which CPT code includes determination of the number of gestational sacs and fetuses: 2% well as qualitative assessment of ‘mniotic fluid volume and examination of the maternal uterus and adnexa? A) 76805, 8) 76816 Q 76815 D) 76801 4137, According to CPT@coding guidelines for obstetrical ultrasounds, which cude represents “quick look” exam? A) 76801 B) 76815 ©) 76805 D) 76816atest clinical diameter of 2 lesion von codes are selected by measunne the Bre margins required to complete the excision. 'B) Lesion excision codes include removal ofa lesion, with ma when performed. 140. In the ICD-10-CM code gins, and intermediate closure book, which of the following is NOT true about the abbreviation NOS? ten though the medical record is specifi, the condition Is not ‘Ay It signifies that ev elsewhere classifiable {tis the equivalent of unspecified 8) oa itis the abbreviation for “not otherwise specified” for assigning a more specific code D) _Itsignifies that the record lacks information which scenario best represents the correct use of modifier 73? 141. According to CPT@ guidelines, yys ago. In the hospital, the patient developed 2 fever ‘A) Patient had an appendectomy three da ‘and receiving an IV antibiotic for treatinent. an nder the di m from. ndectomy. He is returned the af 0 drain the abscess. © — A patient returning entensive anterior packing for hemostasis a second time. to the ED in the same day for the same ED physician to perform anAHO. He is in the doctor's omen th Ye physician cleans th leans the wound and applies wound CPT@ guidelines, what is reporte of the 1d scaphoid fracture equent fracture care? M2 Accordi na to the Appi 2 pletion of Cast and Sr ‘Sean Provider pertorms initial fracture care i "i fe Sr Spplies short arm cast andthe patient wil be returning for subs ‘2622 % 29075 ©) 25622, 29075 0) 2907522 1cD-10-cM ED) with shortness of breath. An 143 An elderly patient comes into the emergency department ( ECG is performed. The final diagnosis at discharge is impending myocardial infarction According to ICD-10-CM guidelines, how is this reported? A) 121.3, RO6.02 8) 120.0 ©) R06.02 D) 120.0, RO6O2 id with Type 1 Diabetes Mellitus comes in for comprehensive eye examination. 144) A 5B-year-ol wular edema in one of her eyes. She is diagnosed with non-proliferative diabetic retinopathy with mac What ICD-10-CM coding is reported? A) £10.3519 8) £10.311 C) £10.3219 D) £10.3511 145) In an accidental shooting, multiple pellets, from a shotgun blast puncturing the patient fight uppes Quadrant of the aludomen, are removed from skin, muscle, and faccia. No pellets penetrated the thoracic of abdominal castes You correctly report A) S31.14GA, W13.0/KA B) $31 1494, W3301XAo axeann, w83.00/% = | nt F0 33,0004 bs “= 9) 833.1308, W E : | proviou.coPY eae ; repos ered OF coh NO ee arin a stomach PONT soph ae none aip exarminaion fOr 3 gee reported for the fora fal seen, What diagnosis codes 27 1a) 206, 31.7 9) 287.15,209 station. Fetus 1is rmed for p-10-cM codes )205,287.19 0).2089, 286.010 0 labor at 34 weeks 6: ‘ean section is perfo! what IC Jd, pregnant with twins, goes int A2ryear-ol is in breech position and a cesar aithy Applying 1c0-10-CM guidelines, 147 delivered vaginally. Fetus 2 delivering this baby. Both babies are he: ted on the maternal record? are repot (032.4XX1, 738.31, 238.30, 230.34 8) —_032.1%X3, 237.2, 230.34 ©) _ 080, 082, 032.1XX2, 238,30, 238.31, 234.34 0) 10000 SERIES 148) A 55-year-old male is seen for a hairline transplant. A total of 20 punch grafts were A) 032.4XX2, 237.2, 23A.34 transferred to the recipient site. What CPT@ coding is reported? A) 15775,15776 8) 15776 Q 15775 D) 15776x20 ight leg is performed along with a 25 149. The surgical preparation of a 25 sq cm wound on the ri $9 6m wound on the left leg. What CPT@ code is reported? A) 15002-2 8) 15002 ) — 15004x2re doctor oer ded A) 04a. anos7, 2104259, 11045:59 ©) 11049, 10429, 13012:59 ne physician ase of the taibone: T A patient presents with a draining, inflamed area 3t the Ro am s plone ,e that require: packing with gauze. What CPT® 5) 10081 >) 10080 152) During her annual physical exam, a mass was found in the upper outer quadrant of the atient’s right breast. She is scheduled today for a breast biopsy. An 8-gauge vacuum assisted biopsy phic guidance and one core was yeedle was advanced into the mass under sono taken from the mass. A clip was placed. A sonographic image after clip placement shows the clip in he lesion. The bic psy is to pathology to rule out cancer CPT@ and ICD-10-CM codes are reported for this procedure? A 10125, N63.1 19083, N63.11 53. A physician excises a 3.5 cm malignant lesion including margins fron the back. Then tructon ofa 2.0 em benign lesion onthe ight cheek ofthe face with cryosurgery. What CPT 4 |CD-10-CMis report1604,17110, c44 509,023.39 20000 seme POT omy ry, ttl POMCYI scheduled to recetve on injec nal lendemess i peiated, ond a needs itroci dng i etsone. Permanent recording and report sr proce Ad reporting sre158) _Apatenrecenty dagnased with dyrhythmia was taken '0 eins in the left atrium. and alates the electric paths ofthe pulmonary Wnet CPT Bode i reported? A) a6 159) A 6-year conrect prose reiting ECMO requires open insertion of @ peripheral Hace ripheral Cannula what; F 33952 D)3395¢ 260)sa cannula ater near funcion S10 35778 58, 3395558, 2398558 78, 3398578 53 3779-58, 32955-58 38 43779-78, 33953-78, 398978 4) _Apotient has long cancer i PS ght obe The patient sin operating suite 0 MVE co assisted thoracoscopic Su ery WATS) & 10 10 Ze 1 racozenpe was wseriea i epleural cavity Removal of the aratight tower be with Me vine performed, wmspecton = eg revealed nora} pulmonar Pa wma scope iS seu, and patient was extobate nen transferred tothe sursical intensive Foding is reposted? what CPTs removed dl ils and ad sos) Ar-eorcold female has Ter tonsl cpr@ cade is reported” ay 42831 5) 42820 ae p) 42826 16) Apatent with severe aWverticutis inthe sigrold eoIon presents to surgery for 2 partis ‘an exploratory laparoscopic laparotomy to verify the mm the colectomy. The physician performs ied that there was bleeding fro it was not on and then transects at the line of the focation. of the diverticulitis. Once identified, yy with diverticulitis. The physician transects the descending col sician mobilizes the splenic flexure in order to create a colostorm of the colon is closed. The physician and then closes the rectum, The phys the proximal Portion of the remaining colon. The distal portion washes the patient's abdomen with saline, removes all trocars and instruments, abdomen with sutures. What CPT@ and ICD-10-CM codes are reported? A) 44212, 44213, KS7.30 B) 44212, 44213-51, 57.41 ©) 44206, 44213, K57.33 D) 44206, 44213-51, «57.41 167) A 60-year-old man presents for an es f the .ctum an colon. Presents for an examination of the entire rectum and sigmoid col The physician Inserts a flexible sco} he patient's rectum mine: flexible scope into the patient's rectum and determines that th ines that the ret isle of polyp. s ie scope is advanced to ths Tl polyps are found in i erate the iomoidcolon. Polyps ae removed wing the hat biogoy es Tal Of to iy forceps. The flexibl = scope is withdrawn. What CPT and ICD-10-CM codes are reported? A) 33, K63.5 8) 45308 x 2, K62.1 45333 x2, K63.5 45315, K62.1 pair with insertion rosthetic mesh. The F the he sertion of a lemesh. The size of the hernia is 2 What CPT@ and ICD-10-CM codes are reported: are reported?performed 70) he AR-year-old female's adenoids has grown back after the primary procedure 1 years ago What CPT@code ts reported? 2631 50000 SERIES 71) A 42-year-old male 1s diagnosed with a left renal mass. Patient is placed under generat ‘and in prone position. A perlumbilical Incislon is made, and a trocar inserted. A vied and advanced to the operative site, The left kidney is partially removed. laparoscope it 1 CVT@ code Is reported for this procedure? A) 90 4) 0220 ah =150543 12) S6.yearo4 Performa bystero 415855 858579 O57 O)sasse 175) A patie ‘onderwent 9 rok artereteauin 92353, S261 5, 8) S2a56 982555 ?)S28s9 8 the =SCOPY to examin male (poste wi mal vag sl with abnormal vag femele 8 postmenops Bina! bleeding Wlerine cavity. What core ca, eaewine" Mreestensie a ny was performed and dve to remavat oft wee adhesions the surnery t90% 1207 1. What CPT¢ stores an normal of? ae a) 8180-78, NBO.9, N99.4 fs) $8150:22,.N80.00, N73.6 )_$8571-22, 80,00, N99,4 b) $8871.78, NRO.9, N73.6 {60000 SERIES 1on of atropine shea, The physkian administers an tle! 177) A patient with Parkinson's has sia rary elands bilaterally into a total of four submandibular sali What CPT@ coding is reported? A) 64613 8) 64621-50 cc) 6ae11-s2z b)— 6ae2a x4 there is a malfunction ofa vagus nerve electrode arey- Te © 178) 17) senerator. Whats the CPT@ coding forts procedure? a) 64569 5) 64570 61888 pb) 64568 onic cholesteatoma in the right middle ear The otola 179) A patient has chr removing the middle ear «a tympanoplasty with a radical mastoidectomy, surgeon removes the array and sryngologist performedation of 6 Jon to reduce the aisiocation aistocat remy permed est wien ode a) 73202 73200 py 73203 as) Appatient with 20 ace was seen bY tne DISET to obtain ter BOBS anesdle DIOP vros taxen using CT BS irre for needle HCEMEN ‘he a i estore were then sent Pa" What CPT cose’ reported? v4 7000, 47003, 77082 gy 47090,77032 c 47001, 76942 oy 47000, 77002 86 tien saitogy fait bas 28 XA) exarination ot her entire SP after falling, airs a ving peiane’s! Rares EAS ‘radiologist takes 2 t0t2 Pat 8 views of NE resea spine lug aS a axis) ane base Of ne, themed by the physician tion ofthe images i pe What cades are reported for this p A) 36010, 75827-26 8) 36010, 75825.26 36000, D} 36000, 75825-2 188) Mrs. Wilder presents with right and left leg swelling. Venous thrombi isdone and shows deep venous. sis imaging of each leg embolism and thrombosis in each leg. ‘What CPT@ and ICD-10-CM codes are reported? 4) 78458,182.403 5) 78457-50, 182.403 )78487-RT, 78457-.7, 182.401, 182.402 9) 74858-50, 182.401, 182.402 PATHOLOGY AND LABORATORY 189) 4 3-day-old died in her sleep, syndrome. The paren SNe the Rewborn with her brain and Physician issues the fncings and reponse The pedia an determined this was the result of "5 give permission to refer the news ib death d performs What CPT code is reported: a) 88014 88028 9 sozlurbance Lab analy! Is reported for the test? d there was no reaction indicating the child has a peanut allergy What lab testis reported? A)85001, 8)86008 )86003 ‘D) 86005 482. Apatient presents to the omce with dysuria and lower abdominal pain. The physician Suspects she has a UTI. An automated with microscopy urinalysis is done in the omce and is negative. UTI is ruled out for the final diagnosis. What CFT and ICD-10-CM codes are reported? A) 81002, N39.0 8) 81001, R30.0, R10.30 ©) 81000, N39.0, R30.0, 10.30 D) —_-81002, R30.0, R10.30 Which code selection is reported for the following laboratory blood tests performed: carbon 193) fe, and sodium? dioxide (bicarbonate), chlor A) 80051 B) 80051, 82374, 82435, 84295 ¢) 8051-52 Db) 82374, 82435, 842957040,87070 a sri MEDICINE amtinence receives anorectal piofeedback with et ennorentey for 15 nutes oF OPE IT on reported a) 90901 5) 91120 90875 Dp) | aaa 426) which coding option is correct for 1 hour of cr psychotherapy for a child abuse victim with state agency report? A) 90845 8) 90791 9083 p) 90838 197) A 10-year-old had a cochlear implant in his left ear few weeks ago. Today he sees the audiologist to initialize and program the implant. What CPT@code is reported? a 8) 9 92604 92626 92630M J with ongoini Asphonia due 10 vocal cond oodules wrsert moive tet eptae anv CI 52,1982 ertorined varie yolce analy 0M cou im 92520, 982 92520, 138.2, RA9.0, 192520 82, 138.2, NA9.0 lon on a very hot 4 due to heat ext fe center for him to be treated ping for a marathon collaps 499) Apatient who was tra doy. The patient is driven by ti physictan began 1V ts for ‘at exhaustion and dehydration, The ‘On Examination, the physician diagnoses he aged fluid and electrolytes, THE therapy of normal saline that consists of pr ‘and 30 minutes, What CPT@ coding 1S reported? hyde A) 96365 B) 96365, 96366 Q 96360 bp) —_-96360, 96361 is administered tient, suffering from hyperten mofittration, The on-duty nephrologist performs a s vices to monitor the patient's status, 200) An inpa continuous venovenous he ind management Se level evaluation a What is the CPT@ and [CD-10.CM coding? 90935, 112.9, N18.9 A) p) 90947, 132.9, N16.9 ©) 90937, 110, N1B.9 p) 90945, 110, N18.9 &/M yor) A46-vear-old females admitted to the hospital by her urologist fora left ureteral calculusfor number wed and analyzed, none .d for daY two! aaressed, Tr complieaion a se 8) 99385 9 recent ischarged from the hospital for chest pain. Dr. He performs and bills @ pr John's omce. 0 rent appropriate history and exam. ‘Mp, and Troponin results from 1. Ross sends a letter with his cur negative, He reviews the CI came of the chest pain and orders a nuciear stress test D course back to Dr John. What CPT@ code does Dr. Ross rePor for the visit? Ay 99254 8) 99253 Q 99243 Do) = 99244 204 i i he =e sees a patient with abdominal pain in the observation unit in the hospital. This is apes with at during this stay. He spent a total of 85 minutes on that patient on th rvice, including review of the observation admi area f ion admission, labs, X- examining the patient with a moderate level of medical decision making, Se ean What CPT@coding is reported? 4) 99222, 99418 8) —99223,99418presents to the physician's ofce for the first time with coughing and shortness of nt has @ history of asthma and esophagial reflux. The physician performs 2 propriate History and exam The physician assesses the patient with moderate Festhma with acute exacerbation and esophageal reflux. The patient was told to forthe reflux. What CPT@ and ICD-10.cM cades are reported for this service? 199203, 145.41, K21.9 99205, 45.41, K21.9 @ 99202, 145.901, k21.00 ‘p)__99204, 145.991, K21.00 208) _A3-year-old critically ill child is seen in the ED with respiratory failure due to aspiration from falling into a swimming pool. A bystander on the scene provided CPR and the child is breathing on hhis own but is nonresponsive. The ED physician called the PICU pediatrician to see the child and take over the care, The PICU pediatrician intubated the child and mechanical ventilation was started. The Pediatrician adnits the patient in PICU and continues the care of the patient in PICU. 20 minutes of critical care time was performed by the PICU pediatrician. Report the services for the PICU pediatrician, A) 99291-25, 31500 8) 9285-25, 31500 ) 9475-25, 31500 D) 99475 HCPCS LEVEL I 207) A physician has a patient with short bowel syndrome and prescribes parental nutrition, & portable parenteral nutrition infusion pump is ordered for the patient. What is the HCPCS Level 2 code for the infusion pump? A) 84224 B) 89002 cc — 84222 p) 9008nent of hes Pr a joint. What HCPcs for manageme pe right knee pedis hoped to the on 13490, Mi 8) if ) 17325.MI7. 17321, M17.31 ‘i patient has a family screening, colonoscopy. Pat ass the sc doctor for a sician is able to ps care patient presents to a Gi da The phys 203) A Medica nd paternal sid ron both maternal and p: olyps, or concern: code for this, s. What is the correct cod procedure? A 45378 8) Go120 Q cor >) Gonos ANESTHESIA hout supervision of an anesthesiologist. What 10) _A CRNA is personally performing @ case withou visio) hesiologist. W! 210) son modifier is reported for the CRNA services? a) ay 3) @ 9 as ax 211) A G-month-old male is having an inguinal hernia 5 documents he is anormal health 87. Surgery begins at 09:30 am ‘he patient to the PACU nurses st fepair. Dr. x, the anesthesiologist for this Y infant and begins to prepare the patient for Surgery at 09:00 The surgery is concluded at 10 00 am. The anesthesiologist releases 10:15 am, What is the anesthesia time and anesthesia coding fo, the anesthesiologist? 4) 00830.a4-p1, 39 Minutes 8)intabilty Act we and Account e Prospect health insurane - ment and Accountal Health insured Pa nd accountable Act : ty Act eaith insured Patient pilty and Accountabilld ain section titles. Sections are care divided into six ™: code boo) ; sory | codes in the PT lease a Be ercc order exeut for which CANSAONY od in numeric organize A Medicine B Surgery Pathology o. Evaluation/Management, determine when CPT rofessional coders to 218 The is procedure-to-procedure edits used by p codes are considered by CMS to be bundled codes. Relative value unit (RVU) National Correct Coding Initi 8 © Physician fee schedule (PFS) D. A ive (NCCI) Resource-based relative value scale (RBRVS) 218 A cardiologist attempted to perform a percutaneous transluminal coronary angioplasty of a totally occluded blood vessel. The surgeon stopped the procedure because of an anatomical Problem creating risk for the patient and preventing performance of the catheterization, What modifier is appended to the procedure code? A 54 52 me i). 2. 220. 20. In which instance can a CPT code Classified as a "separate procedure’ be reported? ‘4. When itis an integral component Of the total service 8. When a service is provided that is not listed in the CPT code book.indent of other procedures pe Soanother procedure performed in the same encounter, RB jyness of 4 trame accident call g witne ident call 911. An ambulance with emergency bast | pe seene of the accident. The injured party was sian sien is ih ‘what HCPCS Level Il coding is A0427-QM-HS ‘A0428-QM-HS A0429-QN-SH A0426-QN-SH 222 An 18-year-old involve: olved ina motorcycle accident presents to the OR with a compound i teft lower third ofthe femur. The bone is exposed through 2 wound in the skin. After the open wong eee nctracheal anesthesia, the surgeon debrides the skin and bone and extends Pen wound to expose the bone further. The bone is debrided, aligned, and secured with plates and screws. After extensive irrigation with antibiotics, the wound is Closed. What anesthesia code is reported? A. 01230 8 01340 c 01360 D. 01220 Which one of the following is an infection that occurs in the respiratory system? 223, A. Meningitis 8B. Diverticulosis Cc. Endocarditis Dp. Tuberculosis 24. Provider documents the patient has pruritus, This means 2 rovider A profuse sweating Pus that is 0"mes pervert setomed an 4 moot ein sears wu woul ventricles atriaand ter and glottis rricuspid and bicuspid oe formed, noting ve documentation st ic. vy (ct) of the abdomen and Pell es re orm ening for ruptured ectople PreBnor re was oe within the pelvis concern secon eet th corpus lute resound was en stent wil iat ovary 60 De ai a ancy.Based on the jhancing lesion consi for ruptured ectopic prean’ ygenic structure an 1] fed .7-cm. echo natomical structure? tube. Ths wes Wel . ye on which al A Uterus 8 Fallopian tube covey B vagina 227, Skilled nursing facility care is covered under which Medicare program? A Medicare Part B B. Medicare Part D © Medicare Part C Dd. Medicare Part A 228. Which circumstance su pports medical neces aaa ssity for a required payment by the insurance A, Second rhinoplasty for a smaller nose. 8 Removi ir Ing excess ski nin losing weight from a gastric bypass 0. ch therapy for a lis, Tummy tuck after a pregnancy‘melanom? _ he liver and duodenum ar vet aren ded it four sn qvrants. TE | a ancnauninn? kent tower quadrant (RUC) 8 night upper quadrant (RUQ)- —_temtupper quadrant (LUO) > teftower quadrant (LO) 285, HIPAA provides which service? Prevents identity theft Governs physician self-referral for Medicare patients Protects the privacy of individually identifiable health information, Protects the privacy of individually identifiable health information, DB. Protects patients against fraud and abuse Ae: x 236 Theis procedure to-procedure edits used by professional coders to determine when PTR codes are considered ‘by CMS to be bundled codes. A. Relative value unit (RVU) 8. National Correct Coding Initiative (NCCI) £ Resource-based relative value scale (RBRVS) Physician fee schedule (PFS)fascripti procedures, with vvades ruil descriptions of medi sas re Pct Ok MOVE gush among sen rials procedures. What ( A exploration for postoperative hemorrhage, thrombosis 0” infection; excluding extremity and/or extremity £D ‘abdominal pain and vomiting m with che Is admitted to observation status by the is waiting to have a fed to the emergency ro! 244, Pam present examines her and after an exam and X-rays, provider, She is given intravenous fluids, further lab tests are ordered, and she i surgeon assess her for surgery, ‘According to PTIR) guidelines which E/M category selection is reported? A. _ Emergency department and subsequent observation care with modifier 25, 8. _ Emergency department only C _ Emergency department with modifier 25 and tial observation care only ial observation care Blood from the right ventricle is pumped through the Pulmonary semilunar id rom the right ventri el jonary semiluna: i valve and 245. eventually into the lungs through which of the following? A Aorta 8. Coronary sinus © pulmonary vein D. Superior vena cava