1. What is the purpose of an E/M (evaluation and management)
code in CPT?
A. To report laboratory services
B. To document the procedures performed during a visit
C. To report the complexity of a visit and the decision-making
involved
D. To indicate the diagnosis for the visit
Answer: c) To report the complexity of a visit and the decision-
making involved
Rationale: E/M codes are used to describe the complexity and
level of care provided during an office visit or other encounter.
2. Which of the following would be considered a "medically
necessary" service for billing purposes?
A. Cosmetic surgery
B. Emergency room visit for a broken bone
C. A routine physical exam
D. A non-recommended weight loss surgery
Answer: b) Emergency room visit for a broken bone
Rationale: Medically necessary services are those that are required
to treat a patient's condition and are covered by insurance.
,3. What is the correct ICD-10 code for a patient diagnosed with
mild essential hypertension?
A. I10
B. I11.9
C. I12.0
D. I13.9
Answer: a) I10
Rationale: I10 is the ICD-10 code for essential (primary)
hypertension, which includes mild cases.
4. Which CPT code would be used to report a colonoscopy with
the removal of polyps?
A. 45378
B. 45380
C. 45385
D. 45392
Answer: b) 45380
Rationale: CPT code 45380 is used for a colonoscopy with the
removal of polyps.
5. Which of the following is an example of a Z code in ICD-10-
CM?
, A. Z00.00
B. C50.9
C. S12.9
D. L20.9
Answer: a) Z00.00
Rationale: Z00.00 is a Z code for an encounter for an examination
of an apparently healthy person, which does not involve any illness
or injury.
6. What modifier would you use to report a procedure performed
on the wrong side of the body?
A. -50
B. -59
C. -XU
D. -76
Answer: c) -XU
Rationale: Modifier -XU is used to indicate that the procedure was
performed on the wrong side (unilateral procedure) or a different
site than intended.
7. What is the appropriate ICD-10 code for a history of breast
cancer without active disease?
A. Z85.3
code in CPT?
A. To report laboratory services
B. To document the procedures performed during a visit
C. To report the complexity of a visit and the decision-making
involved
D. To indicate the diagnosis for the visit
Answer: c) To report the complexity of a visit and the decision-
making involved
Rationale: E/M codes are used to describe the complexity and
level of care provided during an office visit or other encounter.
2. Which of the following would be considered a "medically
necessary" service for billing purposes?
A. Cosmetic surgery
B. Emergency room visit for a broken bone
C. A routine physical exam
D. A non-recommended weight loss surgery
Answer: b) Emergency room visit for a broken bone
Rationale: Medically necessary services are those that are required
to treat a patient's condition and are covered by insurance.
,3. What is the correct ICD-10 code for a patient diagnosed with
mild essential hypertension?
A. I10
B. I11.9
C. I12.0
D. I13.9
Answer: a) I10
Rationale: I10 is the ICD-10 code for essential (primary)
hypertension, which includes mild cases.
4. Which CPT code would be used to report a colonoscopy with
the removal of polyps?
A. 45378
B. 45380
C. 45385
D. 45392
Answer: b) 45380
Rationale: CPT code 45380 is used for a colonoscopy with the
removal of polyps.
5. Which of the following is an example of a Z code in ICD-10-
CM?
, A. Z00.00
B. C50.9
C. S12.9
D. L20.9
Answer: a) Z00.00
Rationale: Z00.00 is a Z code for an encounter for an examination
of an apparently healthy person, which does not involve any illness
or injury.
6. What modifier would you use to report a procedure performed
on the wrong side of the body?
A. -50
B. -59
C. -XU
D. -76
Answer: c) -XU
Rationale: Modifier -XU is used to indicate that the procedure was
performed on the wrong side (unilateral procedure) or a different
site than intended.
7. What is the appropriate ICD-10 code for a history of breast
cancer without active disease?
A. Z85.3
