1|Page
COC 2025 FINAL EXAM STUDY QUESTIONS (SET 4) | 2025-2026
LATEST UPDATED | ACTUAL EXAM QUESTIONS WITH SOLUTIONS |
100% RATED CORRECT | 100% VERFIED SOLTIONS | ALREADY
GRADED A+
A patient with an adherent scar of the skin on the left forearm is seen in the hospital surgery
department for correction. Documentation states 2.5 cc of collagen was injected into the
subcutaneous tissue of the deformed area using a syringe. The collagen augmented the
subcutaneous tissue and alleviated the depression of the soft tissue. What are the correct
procedure and diagnosis codes for this encounter? - (ANSWER)11951, L90.5
A patient with an enlarged uterus, 10-11 weeks in size (325 g), menometrorrhagia, and
dysmenorrhea has a laparoscopic vaginal hysterectomy and bilateral salpingo-oophorectomy.
Report the CPT code(s). - (ANSWER)58554
A patient with atrial fibrillation had a multiple lead implantable cardioverter-defibrillator system
implanted 2 years ago. Today he returns to the clinic for evaluation of the function of the device
and any reprogramming if needed. What CPT ® code is reported? - (ANSWER)93284
A patient with bilateral partial vocal cord paralysis requires removal of the arytenoid cartilage to
improve breathing. After adequate visualization is established with a laryngoscope, the arytenoid
cartilage is exposed by excision of the mucosa overlying it. The procedure is performed in the
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outpatient surgery center of the hospital. What CPT" and ICD-10-CM codes are reported?31560,
J38.02 - (ANSWER)
A patient with CHF was taken to the outpatient hospital surgery department to replace his
malfunctioning dual defibrillator pulse generator with a multiple lead system generator. During
the same session, a left ventricular lead was placed in the coronary sinus. - (ANSWER)33264,
33225, T82.518A, 150.9
A patient with chronic back and neck pain developed a drug dependency on oxycodone (opioid).
After being taken off the drug, he was seen in the clinic for withdrawal symptoms. What ICD-
10-CM codes are reported? - (ANSWER)F11.23, T40.2X5A
A patient with chronic mucoid otitis media was taken to the hospital outpatient surgery
department for bilateral myringotomy and tubes. The procedure was performed under local
anesthesia. The ears were curetted clear of wax. An inferior myringotomy was made with a
counter incision anteriorly. Aspiration of mucoid effusion was accomplished, followed by
insertion of a tympanostomy tube in both ears. The ear canal was then suctioned free of any
debris and the patient was taken to recovery in good condition. Provide the procedure code and
diagnosis code for this encounter. - (ANSWER)69433-50, H65.33
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A patient with chronic paranoid psychosis visits her hospital-based psychiatrist for her regularly
scheduled psychotherapy. The provider uses behavior modifying techniques, supportive
interactions, suggestion, and reality discussions. The face-to-face visit lasts 45 minutes. What
CPT® and ICD-10-CM codes are reported for the visit to the psychiatrist? - (ANSWER)90834,
F22
A patient with chronic simple glaucoma of the left eye is in the hospital outpatient surgery center
for an initial trabeculectomy. Fornix-based conjunctival flap is performed in the superior
temporal quadrant. Grooves were made at the site of the future scleral flap and then a three-
sided, partial-thickness, scleral flap was created. Trabeculectomy and peripheral iridectomy were
performed. The scleral flap was irrigated and it was free flowing. The conjunctiva was closed
and Decadron 5 mg was injected in the inferior fornix. Maxitrol ointment, patch, and shield were
applied. What CPT ® and ICD-10- CM codes are reported by the facility? - (ANSWER)66170-
LT, H40.1120
A patient with chronic sinusitis was in the hospital outpatient surgery department. Procedures
performed were bilateral endoscopic sinusotomies, anterior and posterior ethmoidectomies, and
sphenoidectomy with debridement removal in all areas. The postoperative diagnosis was sinusitis
of the maxillary, ethmoid, and sphenoid sinuses. Report the ICD-10-CM code(s). -
(ANSWER)J32.8
COC 2025 FINAL EXAM STUDY QUESTIONS (SET 4) | 2025-2026
LATEST UPDATED | ACTUAL EXAM QUESTIONS WITH SOLUTIONS |
100% RATED CORRECT | 100% VERFIED SOLTIONS | ALREADY
GRADED A+
A patient with an adherent scar of the skin on the left forearm is seen in the hospital surgery
department for correction. Documentation states 2.5 cc of collagen was injected into the
subcutaneous tissue of the deformed area using a syringe. The collagen augmented the
subcutaneous tissue and alleviated the depression of the soft tissue. What are the correct
procedure and diagnosis codes for this encounter? - (ANSWER)11951, L90.5
A patient with an enlarged uterus, 10-11 weeks in size (325 g), menometrorrhagia, and
dysmenorrhea has a laparoscopic vaginal hysterectomy and bilateral salpingo-oophorectomy.
Report the CPT code(s). - (ANSWER)58554
A patient with atrial fibrillation had a multiple lead implantable cardioverter-defibrillator system
implanted 2 years ago. Today he returns to the clinic for evaluation of the function of the device
and any reprogramming if needed. What CPT ® code is reported? - (ANSWER)93284
A patient with bilateral partial vocal cord paralysis requires removal of the arytenoid cartilage to
improve breathing. After adequate visualization is established with a laryngoscope, the arytenoid
cartilage is exposed by excision of the mucosa overlying it. The procedure is performed in the
,2|Page
outpatient surgery center of the hospital. What CPT" and ICD-10-CM codes are reported?31560,
J38.02 - (ANSWER)
A patient with CHF was taken to the outpatient hospital surgery department to replace his
malfunctioning dual defibrillator pulse generator with a multiple lead system generator. During
the same session, a left ventricular lead was placed in the coronary sinus. - (ANSWER)33264,
33225, T82.518A, 150.9
A patient with chronic back and neck pain developed a drug dependency on oxycodone (opioid).
After being taken off the drug, he was seen in the clinic for withdrawal symptoms. What ICD-
10-CM codes are reported? - (ANSWER)F11.23, T40.2X5A
A patient with chronic mucoid otitis media was taken to the hospital outpatient surgery
department for bilateral myringotomy and tubes. The procedure was performed under local
anesthesia. The ears were curetted clear of wax. An inferior myringotomy was made with a
counter incision anteriorly. Aspiration of mucoid effusion was accomplished, followed by
insertion of a tympanostomy tube in both ears. The ear canal was then suctioned free of any
debris and the patient was taken to recovery in good condition. Provide the procedure code and
diagnosis code for this encounter. - (ANSWER)69433-50, H65.33
, 3|Page
A patient with chronic paranoid psychosis visits her hospital-based psychiatrist for her regularly
scheduled psychotherapy. The provider uses behavior modifying techniques, supportive
interactions, suggestion, and reality discussions. The face-to-face visit lasts 45 minutes. What
CPT® and ICD-10-CM codes are reported for the visit to the psychiatrist? - (ANSWER)90834,
F22
A patient with chronic simple glaucoma of the left eye is in the hospital outpatient surgery center
for an initial trabeculectomy. Fornix-based conjunctival flap is performed in the superior
temporal quadrant. Grooves were made at the site of the future scleral flap and then a three-
sided, partial-thickness, scleral flap was created. Trabeculectomy and peripheral iridectomy were
performed. The scleral flap was irrigated and it was free flowing. The conjunctiva was closed
and Decadron 5 mg was injected in the inferior fornix. Maxitrol ointment, patch, and shield were
applied. What CPT ® and ICD-10- CM codes are reported by the facility? - (ANSWER)66170-
LT, H40.1120
A patient with chronic sinusitis was in the hospital outpatient surgery department. Procedures
performed were bilateral endoscopic sinusotomies, anterior and posterior ethmoidectomies, and
sphenoidectomy with debridement removal in all areas. The postoperative diagnosis was sinusitis
of the maxillary, ethmoid, and sphenoid sinuses. Report the ICD-10-CM code(s). -
(ANSWER)J32.8
