QUESTIONS WITH VERIFIED ANSWERS & EXPERT RATIONALES
– COMPLETE COVERAGE OF ICD-10-CM, CPT®, HCPCS LEVEL II,
MODIFIERS, E/M GUIDELINES, AND ALL DOMAINS FOR
GUARANTEED PASS (BRAND NEW & UPDATED)
1. A patient is seen for a routine gynecological examination, including
a Pap smear. The Pap smear results come back abnormal, and the
provider performs a colposcopy with biopsy during the same
encounter. What CPT code(s) should be reported?
A) 99395, 58110
B) 99395, 57455
C) 99395, 57452, 57455
D) 57455 only
Correct Answer - B
Rationale: When a colposcopy with biopsy (57455) is performed during
a routine visit, the E/M service (99395 for established patient, age 40-
64) is reported with modifier -25. The colposcopy with biopsy code
includes the colposcopy and biopsy. Code 58110 is for endometrial
sampling, which was not performed.
2. What does the abbreviation "CPT" stand for in medical coding?
A) Current Procedural Terminology
B) Clinical Procedure Terminology
,C) Common Procedural Terms
D) Current Physician Terminology
Correct Answer - A
Rationale: CPT stands for Current Procedural Terminology, which is
maintained by the American Medical Association (AMA) and is used to
report medical procedures and services.
3. A patient presents with acute appendicitis with generalized
peritonitis. What ICD-10-CM code is reported?
A) K35.2
B) K35.3
C) K35.89
D) K35.80
Correct Answer - A
Rationale: K35.2 is the correct code for acute appendicitis with
generalized peritonitis. K35.3 is for acute appendicitis with localized
peritonitis. K35.89 is for other and unspecified acute appendicitis, and
K35.80 is for unspecified acute appendicitis.
4. What is the correct HCPCS Level II code for a wheelchair, manual,
lightweight?
A) E0100
B) E1011
C) K0001
D) K0003
Correct Answer - C
Rationale: K0001 is the correct HCPCS code for a standard wheelchair.
,K0003 is for lightweight wheelchair, K0002 is for hemi-wheelchair, and
E0100 is for a cane.
5. A patient is diagnosed with essential (primary) hypertension and
chronic kidney disease stage 3. What ICD-10-CM codes are reported?
A) I10, N18.3
B) I12.9, N18.3
C) I12.0, N18.3
D) I12.9, N18.9
Correct Answer - A
Rationale: I10 is for essential (primary) hypertension. When
hypertension and CKD coexist, a combination code from category I12 is
used only when hypertension is the cause of CKD. If the provider
documents essential hypertension and CKD, code I10 and N18.3 are
reported separately.
6. A patient undergoes a laparoscopic cholecystectomy. What is the
correct CPT code?
A) 47562
B) 47563
C) 47600
D) 47605
Correct Answer - A
Rationale: 47562 is the correct code for laparoscopic cholecystectomy.
47563 includes cholangiography, 47600 is open cholecystectomy, and
47605 is open cholecystectomy with cholangiography.
, 7. A physician performs a comprehensive history, comprehensive
examination, and medical decision making of high complexity. What
level of E/M service for a new patient office visit is reported?
A) 99202
B) 99203
C) 99204
D) 99205
Correct Answer - D
Rationale: 99205 is for a new patient office visit with comprehensive
history, comprehensive examination, and high complexity medical
decision making. 99204 is moderate complexity, 99203 is low
complexity, and 99202 is straightforward.
8. A patient with type 2 diabetes mellitus with diabetic neuropathy is
seen for a routine follow-up. What ICD-10-CM code is reported for the
neuropathy?
A) E11.9
B) E11.40
C) E11.42
D) E11.41
Correct Answer - C
Rationale: E11.42 is the correct code for type 2 diabetes mellitus with
diabetic polyneuropathy. E11.40 is for diabetic neuropathy unspecified,
E11.41 is for diabetic mononeuropathy, and E11.9 is for type 2 diabetes
without complications.