MACS 609 CERTIFICATION questions with correct answers

MACS 609 CERTIFICATION questions with
correct answers

MACS 609 – CERTIFICATION PRACTICE EXAM (PART 2)
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SECTION 1: ICD-10-CM DIAGNOSIS CODING (Questions 1–12)
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1. A patient is diagnosed with "acute appendicitis with generalized peritonitis." How shoul
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d this be coded?
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A) K35.2 (Acute appendicitis with generalized peritonitis)
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B) K35.3 (Acute appendicitis with localized peritonitis)
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C) K35.8 (Acute appendicitis, other and unspecified)
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D) K35.2 and K65.9 (Peritonitis) separately
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2. A patient has Chronic Kidney Disease (CKD) Stage 4 due to Type 2 Diabetes. What is the c
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orrect coding sequence? jh jh




A) E11.22, N18.4 (Diabetes first, CKD second)
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B) N18.4, E11.22 (CKD first, Diabetes second)
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C) E11.9, N18.4
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D) N18.9, E11.22
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3. A patient falls from a ladder and fractures their right tibia. The provider documents this
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as an "initial encounter." What 7th character is added to the fracture code?
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A) A jh




B) D jh




C) S jh




D) B jh




4. A patient presents with "acute bronchitis due to Rhinovirus." How many codes are requir
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ed?
A) One (J20.9)
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B) Two (J20.9 and B97.4)
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C) One (J00)
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D) Two (J40 and B34.9)
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5. In ICD-10-CM, what is the appropriate code for "Malignant neoplasm of the upper-
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outer quadrant of the right female breast"?
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A) C50.411
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B) C50.412
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C) C50.419
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D) C50.511
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,6. A patient is seen for "screening for malignant neoplasm of the prostate" and has no sign
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s or symptoms. The primary code is:
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A) Z12.5
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B) Z12.4
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C) R97.2
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D) C61 jh




7. A patient is admitted for "severe sepsis" due to a "Urinary Tract Infection" caused by E. c
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oli. Which code is sequenced first?
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A) N39.0 (UTI)
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B) B96.20 (E. coli)
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C) R65.20 (Severe sepsis)
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D) A41.51 (Sepsis due to E. coli)
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8. What is the correct code for "Nonrheumatic aortic valve stenosis"?
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A) I35.0
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B) I35.1
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C) I06.0
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D) I34.0
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9. A patient has "COVID-19" with "acute respiratory failure." How is this coded?
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A) U07.1 (COVID) and J96.00 (Respiratory failure) as secondary.
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B) J96.00 first, U07.1 second.
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C) Only U07.1 because COVID covers it.
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D) Only J96.00 because COVID is presumed.
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10. An "Excludes2" note in ICD-10-CM means:
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A) The condition is not included here and cannot be coded together.
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B) The condition is included here but can be coded together if the patient has both.
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C) The code is invalid.
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D) The code requires a 7th character.
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11. A patient has "Osteoarthritis of the knee" that is "bilateral." The correct code is:
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A) M17.0
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B) M17.9
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C) M17.10
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D) M17.0 (This code specifically states "Bilateral")
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12. A patient is seen for a "routine postpartum checkup" 4 weeks after delivery. The appro
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priate Z-code is: jh jh




A) Z39.1 (Care and examination of mother immediately after delivery)
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B) Z39.2 (Routine postpartum follow-up)
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C) Z30.8 (Other contraceptive management)
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D) Z34.0 (Supervision of normal first pregnancy)
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,SECTION 2: CPT & HCPCS PROCEDURE CODING (Questions 13–27)
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13. What is the correct CPT code for a "Total Knee Arthroplasty" (Unilateral)?
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A) 27447
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B) 27445
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C) 27486
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D) 27130
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14. A patient has a "Diagnostic Colonoscopy" that is converted to a "Screening Colonoscop
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y" because the patient has a family history of polyps. What modifier is appended?
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A) Modifier -33 (Preventive Service)
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B) Modifier -52 (Reduced Services)
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C) Modifier -73 (Discontinued procedure)
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D) No modifier; use the screening code 45378 with a PT modifier for Medicare.
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15. What does Modifier -59 (Distinct Procedural Service) indicate?
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A) The procedure was performed bilaterally.
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B) The procedure was performed on a different session, different site, or different surgery.
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C) The procedure was performed by a resident.
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D) The procedure was mandated by law.
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16. A physician performs a "Laparoscopic Cholecystectomy" with an "Intraoperative Chola
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ngiogram." How is this coded? jh jh jh jh




A) 47562 (Cholecystectomy) and 74300 (Cholangiogram) with modifier -59.
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B) 47563 (Cholecystectomy with cholangiography) -- it is bundled.
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C) 47562 and 74420 (Urography)
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D) Only 47562.
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17. What is the HCPCS Level II code for "Albuterol Sulfate" for inhalation?
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A) J7613
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B) J7620
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C) J8600
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D) J3490
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18. A patient presents for a "New Patient" Office Visit (E/M) where the physician spends 45
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minutes of total time. The medical decision making is moderate. What code should be used
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?
A) 99203
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B) 99204
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C) 99214
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D) 99215
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, 19. A surgeon performs a complex repair (intermediate) of a 5.5 cm laceration on the forea
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rm. The correct CPT code is:
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A) 12031 (Simple repair)
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B) 12032 (Intermediate repair)
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C) 12033 (Intermediate repair, 5.1 cm to 7.5 cm)
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D) 12034 (Complex repair)
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20. What is the correct code for a "Pulmonary Function Test" (Complete, including spirome
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try, lung volumes, and diffusion capacity)?
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A) 94010
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B) 94060
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C) 94070
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D) 94729
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21. Modifier -26 is appended to a radiology code to indicate:
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A) The service was performed bilaterally.
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B) The technical component (machine/hospital) only.
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C) The professional component (physician interpretation) only.
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D) The procedure was discontinued.
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22. A patient receives an injection of "Denosumab" (Prolia) 60 mg. Where is this code foun
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d?
A) CPT Surgery section
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B) HCPCS Level II J-code (J3490)
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C) HCPCS Level II Q-code
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D) CPT Medicine section (96372)
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23. A patient undergoes a "Radical Hysterectomy" (abdominal) for cervical cancer. The CPT
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code is:
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A) 58150 (Total hysterectomy)
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B) 58200 (Radical abdominal hysterectomy)
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C) 58570 (Laparoscopic hysterectomy)
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D) 57531 (Trachelectomy)
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24. What is the CPT code for "Audiometry, pure tone, air only"?
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A) 92551
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B) 92552
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C) 92557
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D) 92567
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25. A physician places a "Central Venous Catheter" in the subclavian vein. The code is:
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A) 36555 (Insertion, central venous catheter, under 5 years)
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B) 36556 (Insertion, central venous catheter, over 5 years)
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