CPC PRACTICE EXAM 2 COMPREHENSIVE
QUESTIONS AND ANSWERS GRADED A+
◉ A patient was referred by primary care to GI for rectal bleeding.
The colonoscope was advanced into the cecum. The patient had a
polyp removed by snare, another polyp was hot biopsied, and a
separate area of questionable inflammation was also biopsied. The
base of the polyps was cauterized to control bleeding.
45385, 45380-51
45385, 45380-59, 45384--51, 45382-51
45385, 45380-51, 45382-51
45385, 45380-59.
Answer: 45385, 45380-59
One technique is allowed per polyp or lesion; therefore, a code for
the polyp removed by snare (45385) would be appropriate as well
as a separate code assignment for the biopsy(ies) performed to
other sites. The polyp that was hot biopsied was not removed and,
therefore, would be included in the 45380 with biopsy code.
Cauterization to control bleeding created by the excisions or
biopsies is included in the procedures assigned.
◉ Encounter due to family history heart disease. Patient
experiencing chest pain and chest tightness.
,R07.89
R07.9, R07.89, Z86.79
R07.9, R07.89, Z82.49
R07.9.
Answer: R07.9, R07.89, Z82.49
◉ Patient scheduled for possible TAH/BSO, however, surgical
abdomen is explored and no additional procedures performed.
49000
58120
49000, 58150-52
58150-52.
Answer: 49000
Since patient was scheduled for "possible" TAH/BSO following
findings from exploratory laparotomy, only exploratory laparotomy
would be assigned, code 49000.
◉ CABG, venous grafting, three vessels
33512
33519
33510
,33513.
Answer: 33512
◉ Left diagnostic shoulder arthroscopy was performed which
revealed a large rotator cuff tear. Repair of the rotator cuff tear was
attempted arthropically; however, it was necessary to perform a
mini-arthrotomy to complete the repair of the tear.
29805-LT, 23410-LT
23410-LT, 29848-LT
29848-LT-53, 23410-LT
23410-LT.
Answer: 23410-LT
◉ Scope advanced into cecum. There were multiple diverticula seen
in the sigmoid and descending colon, some were filled showing
diverticulitis.
K57.92, K57.90
K57.92
K57.80
K57.90.
Answer: K57.92
, Diverticula has developed into diverticulitis, therefore, no need to
code the diverticula.
◉ A 17-year-old presents for his initial visit with complaints of left
knee pain after playing football. An expanded problem-focused
history and exam were performed with straightforward MDM.
99201
99202
99213
99212.
Answer: 99202
All three elements are met for 99202.
◉ Modifier -26 indicates
may be used in all sections of CPT.
radiology codes for supervision/interpretation.
codes in CPT for supervision/interpretation.
only utilized in E/M section..
Answer: codes in CPT for supervision/interpretation.
◉ A 13-year-old presents for removal of tonsils. Tonsils are grasped
and removed.
QUESTIONS AND ANSWERS GRADED A+
◉ A patient was referred by primary care to GI for rectal bleeding.
The colonoscope was advanced into the cecum. The patient had a
polyp removed by snare, another polyp was hot biopsied, and a
separate area of questionable inflammation was also biopsied. The
base of the polyps was cauterized to control bleeding.
45385, 45380-51
45385, 45380-59, 45384--51, 45382-51
45385, 45380-51, 45382-51
45385, 45380-59.
Answer: 45385, 45380-59
One technique is allowed per polyp or lesion; therefore, a code for
the polyp removed by snare (45385) would be appropriate as well
as a separate code assignment for the biopsy(ies) performed to
other sites. The polyp that was hot biopsied was not removed and,
therefore, would be included in the 45380 with biopsy code.
Cauterization to control bleeding created by the excisions or
biopsies is included in the procedures assigned.
◉ Encounter due to family history heart disease. Patient
experiencing chest pain and chest tightness.
,R07.89
R07.9, R07.89, Z86.79
R07.9, R07.89, Z82.49
R07.9.
Answer: R07.9, R07.89, Z82.49
◉ Patient scheduled for possible TAH/BSO, however, surgical
abdomen is explored and no additional procedures performed.
49000
58120
49000, 58150-52
58150-52.
Answer: 49000
Since patient was scheduled for "possible" TAH/BSO following
findings from exploratory laparotomy, only exploratory laparotomy
would be assigned, code 49000.
◉ CABG, venous grafting, three vessels
33512
33519
33510
,33513.
Answer: 33512
◉ Left diagnostic shoulder arthroscopy was performed which
revealed a large rotator cuff tear. Repair of the rotator cuff tear was
attempted arthropically; however, it was necessary to perform a
mini-arthrotomy to complete the repair of the tear.
29805-LT, 23410-LT
23410-LT, 29848-LT
29848-LT-53, 23410-LT
23410-LT.
Answer: 23410-LT
◉ Scope advanced into cecum. There were multiple diverticula seen
in the sigmoid and descending colon, some were filled showing
diverticulitis.
K57.92, K57.90
K57.92
K57.80
K57.90.
Answer: K57.92
, Diverticula has developed into diverticulitis, therefore, no need to
code the diverticula.
◉ A 17-year-old presents for his initial visit with complaints of left
knee pain after playing football. An expanded problem-focused
history and exam were performed with straightforward MDM.
99201
99202
99213
99212.
Answer: 99202
All three elements are met for 99202.
◉ Modifier -26 indicates
may be used in all sections of CPT.
radiology codes for supervision/interpretation.
codes in CPT for supervision/interpretation.
only utilized in E/M section..
Answer: codes in CPT for supervision/interpretation.
◉ A 13-year-old presents for removal of tonsils. Tonsils are grasped
and removed.
