WGU C808 - Study this!
Question 1.
Assign the correct CPT code for the following: a 58-year-old male was seen in the outpatient surgical center for insertion of a
self-contained inflatable penile prosthesis for impotence A: 54401 - insertion of penile prosthesis; inflatable (self-contained) B: 54405
- Insertion of multicomponent, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir C: 54440 - Plastic
operation of penis for injury D: 54400 - Insertion of penile prosthesis, noninflatable (semirigid)
ANSWER
A: 54401 - insertion of penile prosthesis; inflatable (self-contained)
Question 2.
Assign the correct CPT code for the following: A 63-year-old female had a temporal artery biopsy completed in the outpatient surgical
center. A: 32405 - biopsy, lung or mediastinum, percutaneous needle B: 37609 - ligation or biopsy, temporal artery C: 20206 - biopsy,
muscle, percutaneous needle D: 31629 - bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed; with
transbronchial needle aspiration biopsy(s), trachea, mainstem and/or lobar bronchus(i)
ANSWER
B: 37609 - ligation or biopsy, temporal artery
Question 3.
The patient is 47 years old. What is the correct code for an initial inguinal herniorrhaphy for incarcerated hernia? a. 49496, Repair,
initial inguinal hernia, full-term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and
younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated b. 49501, Repair
initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated c. 49507,
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated d. 49521, Repair recurrent inguinal hernia, any age;
incarcerated or strangulated
ANSWER
c. 49507, Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated
Question 4.
Assign the correct CPT code for the following procedure: Revision of the pacemaker skin pocket. A: 33223 - relocation of skin pocket
for implantable defibrillator B: 33210 - insertion or replacement of temporary transvenous single chamber cardiac electrode or
pacemaker catheter (separate procedure) C: 33212 - insertion of pacemaker pulse generator only; with existing single lead D: 33222
- revision or relocation of skin pocket for pacemaker
ANSWER
D: 33222 - revision or re-location of skin pocket for pacemaker
Question 5.
True or False: The AMA developed CPT primarily to describe medical services and procedures performed by physicians and other
healthcare providers.
ANSWER
True
, Question 6.
Which clinical setting below does not submit CPT codes for reimbursement? A: Physician offices B: Hospital inpatient services C:
Hospital outpatient services D: Ambulatory surgery centers
ANSWER
B: Hospital inpatient services
Question 7.
CPT category I codes are used to describe: A: New technology procedures B: Procedures that are widely performed C: Procedures
that Medicare recognizes as covered entities D: All of the above
ANSWER
B: Procedures that are widely performed
Question 8.
Which of the following statements about category II codes is not true? A: Category II codes are alphanumeric B: Category II codes
are used in conjunction with category I codes C: Category II codes describe emerging technologies D: Category II codes support
performance measurement
ANSWER
C: Category II codes describe emerging technologies
Question 9.
CPT codes are part of a larger system known as: A: Healthcare Common Procedure Coding System (HCPCS) B: ICD-10-CM C:
Uniform Hospital DIscharge Data Set (UHDDS) D: Unified Medical Language System (UMLS)
ANSWER
A: Healthcare Common Procedure Coding System (HCPCS)
Question 10.
CPT is composed of: A: Category I, category II, and category III codes B: Category I and category II codes C: HCPCS Level I,
HCPCS Level II, and HCPCS Level III codes D: Category I and HCPCS Level II codes
ANSWER
A: Category I, category II, and category III codes
Question 11.
A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The attending physician requested an
upper GI series and laboratory evaluation of CBC and UA. The x-ray re-vealed possible cholelithiasis, and the UA showed an
increased white blood cell count. The patient was taken to surgery for an exploratory laparoscopy, and a ruptured appendix was
discovered. The chief complaint was: A: Abdominal pain B: Cholelithiasis C: Exploratory laparoscopy D: Ruptured appendix
ANSWER
A: Abdominal pain
, Question 12.
A patient returns during a 90-day postoperative period from a ventral hernia repair; the patient is now complaining of eye pain. What
modifier would you use with the Evaluation and Management code? A: -79, unrelated procedure or service by the same physician or
other qualified health care professional during the postoperative period B: -25, significant, separately identifiable evaluation and
management service by the same physician or other qualified healthcare professional on the same day of the procedure or other
service C: -59, distinct procedural service D: -24, unrelated evaluation and management service by the same physician or other
qualified health care professional during a postoperative period
ANSWER
D: -24, unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period
Question 13.
"Mother died of breast cancer; father still living but has heart disease" is an example of what type of health record documentation? A:
Discharge summary B: History report C: Physician's order D: Physician's progress note
ANSWER
B: History report
Question 14.
True or false: Evaluation and management codes are generally assigned on the basis of documentation of history, physical
examination, and medical decision making.
ANSWER
True
Question 15.
Which set of E/M codes below is not assigned based on documentation of history, physical examination, and medical decision
making? A: Inpatient consultations B: Office visits C: Critical care services D: Hospital observation services
ANSWER
C: Critical care services
Question 16.
A complete list of CPT modifiers and their definitions is included in which appendix of CPT? A: A B: B C: C D: D
ANSWER
A
Question 17.
Which circumstance below cannot be reflected with a CPT modifier? A: A service/procedure that has both a professional and a
technical component B: A service/procedure that has been reduced or expanded in sope C: A service/procedure that does not yet
have a specific CPT code D: A patient that has a bilateral procedure performed
ANSWER
C: A service/procedure that does not yet have a specific CPT code
Question 1.
Assign the correct CPT code for the following: a 58-year-old male was seen in the outpatient surgical center for insertion of a
self-contained inflatable penile prosthesis for impotence A: 54401 - insertion of penile prosthesis; inflatable (self-contained) B: 54405
- Insertion of multicomponent, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir C: 54440 - Plastic
operation of penis for injury D: 54400 - Insertion of penile prosthesis, noninflatable (semirigid)
ANSWER
A: 54401 - insertion of penile prosthesis; inflatable (self-contained)
Question 2.
Assign the correct CPT code for the following: A 63-year-old female had a temporal artery biopsy completed in the outpatient surgical
center. A: 32405 - biopsy, lung or mediastinum, percutaneous needle B: 37609 - ligation or biopsy, temporal artery C: 20206 - biopsy,
muscle, percutaneous needle D: 31629 - bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed; with
transbronchial needle aspiration biopsy(s), trachea, mainstem and/or lobar bronchus(i)
ANSWER
B: 37609 - ligation or biopsy, temporal artery
Question 3.
The patient is 47 years old. What is the correct code for an initial inguinal herniorrhaphy for incarcerated hernia? a. 49496, Repair,
initial inguinal hernia, full-term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and
younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated b. 49501, Repair
initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated c. 49507,
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated d. 49521, Repair recurrent inguinal hernia, any age;
incarcerated or strangulated
ANSWER
c. 49507, Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated
Question 4.
Assign the correct CPT code for the following procedure: Revision of the pacemaker skin pocket. A: 33223 - relocation of skin pocket
for implantable defibrillator B: 33210 - insertion or replacement of temporary transvenous single chamber cardiac electrode or
pacemaker catheter (separate procedure) C: 33212 - insertion of pacemaker pulse generator only; with existing single lead D: 33222
- revision or relocation of skin pocket for pacemaker
ANSWER
D: 33222 - revision or re-location of skin pocket for pacemaker
Question 5.
True or False: The AMA developed CPT primarily to describe medical services and procedures performed by physicians and other
healthcare providers.
ANSWER
True
, Question 6.
Which clinical setting below does not submit CPT codes for reimbursement? A: Physician offices B: Hospital inpatient services C:
Hospital outpatient services D: Ambulatory surgery centers
ANSWER
B: Hospital inpatient services
Question 7.
CPT category I codes are used to describe: A: New technology procedures B: Procedures that are widely performed C: Procedures
that Medicare recognizes as covered entities D: All of the above
ANSWER
B: Procedures that are widely performed
Question 8.
Which of the following statements about category II codes is not true? A: Category II codes are alphanumeric B: Category II codes
are used in conjunction with category I codes C: Category II codes describe emerging technologies D: Category II codes support
performance measurement
ANSWER
C: Category II codes describe emerging technologies
Question 9.
CPT codes are part of a larger system known as: A: Healthcare Common Procedure Coding System (HCPCS) B: ICD-10-CM C:
Uniform Hospital DIscharge Data Set (UHDDS) D: Unified Medical Language System (UMLS)
ANSWER
A: Healthcare Common Procedure Coding System (HCPCS)
Question 10.
CPT is composed of: A: Category I, category II, and category III codes B: Category I and category II codes C: HCPCS Level I,
HCPCS Level II, and HCPCS Level III codes D: Category I and HCPCS Level II codes
ANSWER
A: Category I, category II, and category III codes
Question 11.
A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The attending physician requested an
upper GI series and laboratory evaluation of CBC and UA. The x-ray re-vealed possible cholelithiasis, and the UA showed an
increased white blood cell count. The patient was taken to surgery for an exploratory laparoscopy, and a ruptured appendix was
discovered. The chief complaint was: A: Abdominal pain B: Cholelithiasis C: Exploratory laparoscopy D: Ruptured appendix
ANSWER
A: Abdominal pain
, Question 12.
A patient returns during a 90-day postoperative period from a ventral hernia repair; the patient is now complaining of eye pain. What
modifier would you use with the Evaluation and Management code? A: -79, unrelated procedure or service by the same physician or
other qualified health care professional during the postoperative period B: -25, significant, separately identifiable evaluation and
management service by the same physician or other qualified healthcare professional on the same day of the procedure or other
service C: -59, distinct procedural service D: -24, unrelated evaluation and management service by the same physician or other
qualified health care professional during a postoperative period
ANSWER
D: -24, unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period
Question 13.
"Mother died of breast cancer; father still living but has heart disease" is an example of what type of health record documentation? A:
Discharge summary B: History report C: Physician's order D: Physician's progress note
ANSWER
B: History report
Question 14.
True or false: Evaluation and management codes are generally assigned on the basis of documentation of history, physical
examination, and medical decision making.
ANSWER
True
Question 15.
Which set of E/M codes below is not assigned based on documentation of history, physical examination, and medical decision
making? A: Inpatient consultations B: Office visits C: Critical care services D: Hospital observation services
ANSWER
C: Critical care services
Question 16.
A complete list of CPT modifiers and their definitions is included in which appendix of CPT? A: A B: B C: C D: D
ANSWER
A
Question 17.
Which circumstance below cannot be reflected with a CPT modifier? A: A service/procedure that has both a professional and a
technical component B: A service/procedure that has been reduced or expanded in sope C: A service/procedure that does not yet
have a specific CPT code D: A patient that has a bilateral procedure performed
ANSWER
C: A service/procedure that does not yet have a specific CPT code
