CCS MIDTERM EXAM QUESTIONS
AND ANSWERS
1. According to CPT® definitions, _____________ is the provision of similar services to
the same patient by more than one physician or other qualified health care professional
on the same day.
a) Concurrent Care
b) Recurring Care
c) Follow-up Care
d) Consultation Care - Correct Answers -a) Concurrent Care*
2 How is endoscopic nasal septoplasty coded?
a) 30400
b) 31299
c) 30520
d) 30520, 31231 - Correct Answers -C.
30520
When coding radical resection of soft tissue tumors in CPT®, which of the following
should be reported separately?
a) Appreciable vessel exploration
b) Complex repair
c) Nerve reconstruction
d) All the above - Correct Answers -d) All the above*
5. Patient presents for treatment of Dupuytren's contraction of the left hand and
sesamoid arthritis. The pre-tendinous cords over the 3rd & 4th metacarpals of the palm
were injected with 1% Lidocaine & 10 mg of Kenalog. What is the correct code for a
steroid injection for treatment of Dupuyten's contracture?
a) 20527
b) 20550
c) 20520
d) 20552 - Correct Answers -b) 20550
, 6. Patient with CAD had a percutaneous transluminal coronary angioplasty with
placement of drug-eluting stents in the right coronary artery and the left circumflex.
Assign the CPT® codes for this procedure.
a) 92920, 92921
b) 92928, 92929
c) 92924, 92925
d) 92928-RC, 92929-LC - Correct Answers -d) 92928-RC, 92929-LC*
7. What is the appropriate code to report cryoanalgesia applied to pudendal nerves? -
Correct Answers -Answer: 64630
These services are reported the same way as other neurolytic destruction procedures,
ie, depending on the anatomical location of the nerve(s) to be treated (eg, code 64630,
Destruction by neurolytic agent; pudendal nerve; code 64632, Destruction by neurolytic
agent; plantar common digital nerve; code 64640, Destruction by neurolytic agent; other
peripheral nerve or branch
8. Assign the CPT® code for intranasal influenza virus vaccine, quadrivalent, live.
a) 90654
b) 90660
c) 90672
d) 90664 - Correct Answers -c) 90672*
9. True or False? Time is a descriptive component for the emergency department levels
of E/M services.
a) True
b) False - Correct Answers -b) False*
10. All of the following are included in the CPT® surgical package, except:
a) Writing orders
b) Typical postoperative follow-up care
c) Local or topical anesthesia
d) Critical care services - Correct Answers -d) Critical care services*
11. A patient with Barrett's dysplasia was referred for an esophageal endoscopy. Which
CPT code should be reported when the endoscopic mucosal resection is performed with
a volumetric laser endomicroscopy device to provide two-dimensional, cross-sectional,
real-time depth visualization to guide where the resection should be performed? -
Correct Answers -Answer: 43211, 43206.59
The procedure described is an optical endomicroscopy. Therefore, codes 43211,
Esophagoscopy, flexible, transoral; with endoscopic mucosal resection, and 43206,
Esophagoscopy, flexible, transoral; with optical endomicroscopy, should be reported
with modifier 59, Distinct Procedural Service, appended.
AND ANSWERS
1. According to CPT® definitions, _____________ is the provision of similar services to
the same patient by more than one physician or other qualified health care professional
on the same day.
a) Concurrent Care
b) Recurring Care
c) Follow-up Care
d) Consultation Care - Correct Answers -a) Concurrent Care*
2 How is endoscopic nasal septoplasty coded?
a) 30400
b) 31299
c) 30520
d) 30520, 31231 - Correct Answers -C.
30520
When coding radical resection of soft tissue tumors in CPT®, which of the following
should be reported separately?
a) Appreciable vessel exploration
b) Complex repair
c) Nerve reconstruction
d) All the above - Correct Answers -d) All the above*
5. Patient presents for treatment of Dupuytren's contraction of the left hand and
sesamoid arthritis. The pre-tendinous cords over the 3rd & 4th metacarpals of the palm
were injected with 1% Lidocaine & 10 mg of Kenalog. What is the correct code for a
steroid injection for treatment of Dupuyten's contracture?
a) 20527
b) 20550
c) 20520
d) 20552 - Correct Answers -b) 20550
, 6. Patient with CAD had a percutaneous transluminal coronary angioplasty with
placement of drug-eluting stents in the right coronary artery and the left circumflex.
Assign the CPT® codes for this procedure.
a) 92920, 92921
b) 92928, 92929
c) 92924, 92925
d) 92928-RC, 92929-LC - Correct Answers -d) 92928-RC, 92929-LC*
7. What is the appropriate code to report cryoanalgesia applied to pudendal nerves? -
Correct Answers -Answer: 64630
These services are reported the same way as other neurolytic destruction procedures,
ie, depending on the anatomical location of the nerve(s) to be treated (eg, code 64630,
Destruction by neurolytic agent; pudendal nerve; code 64632, Destruction by neurolytic
agent; plantar common digital nerve; code 64640, Destruction by neurolytic agent; other
peripheral nerve or branch
8. Assign the CPT® code for intranasal influenza virus vaccine, quadrivalent, live.
a) 90654
b) 90660
c) 90672
d) 90664 - Correct Answers -c) 90672*
9. True or False? Time is a descriptive component for the emergency department levels
of E/M services.
a) True
b) False - Correct Answers -b) False*
10. All of the following are included in the CPT® surgical package, except:
a) Writing orders
b) Typical postoperative follow-up care
c) Local or topical anesthesia
d) Critical care services - Correct Answers -d) Critical care services*
11. A patient with Barrett's dysplasia was referred for an esophageal endoscopy. Which
CPT code should be reported when the endoscopic mucosal resection is performed with
a volumetric laser endomicroscopy device to provide two-dimensional, cross-sectional,
real-time depth visualization to guide where the resection should be performed? -
Correct Answers -Answer: 43211, 43206.59
The procedure described is an optical endomicroscopy. Therefore, codes 43211,
Esophagoscopy, flexible, transoral; with endoscopic mucosal resection, and 43206,
Esophagoscopy, flexible, transoral; with optical endomicroscopy, should be reported
with modifier 59, Distinct Procedural Service, appended.
