AAPC CHAPTER 14 FINAL STUDY GUIDE Questions with
Correct Answers (Grade A+)
Question 1: What is a vertebral segment?
Answer: A single complete vertebral bone with its associated process and laminae.
Question 2: A 70 year-old patient has toxic myelitis due to inhaling vapors of carbon tetrachloride from
using a fire extinguisher. The appropriate codes to report are
Answer: T53.0X1A, G92.
Question 3: A 65 year-old patient with type 1 diabetes may need left lower leg amputation due to
diabetic gangrene. Select the ICD-10-CM code(s) to report.
Answer: E10.52.
Question 4: A 35 year-old male has a left chronic subdural hematoma. He will undergo a left burr hole
evacuation of the hematoma. What CPT® code is reported for this surgery?
Answer: 61154.
Question 5: A patient has severe spinal stenosis between L3- L5 inferior to disc space. A laminectomy is
performed on L4 along with a decompression of L3-L4 and L4-L5. What CPT® code is reported for
this surgery?
Answer: 63005.
Question 6: A college student goes to the ER with symptoms of headache and high fever for the past two
days. A Lumbar Puncture is performed and spinal fluid is sent to the lab to check for meningitis. What
CPT® code is reported for this surgery?
Answer: 62270.
Question 7: Select the HCPCS code to report a patient having a spinal needle inserted into the nucleus
pulposus of the L3-L4 intervertebral disc until the desired decompression is accomplished using radio
frequency energy.
Answer: S2348.
Question 8: A 6 week-old baby had a cerebrospinal fluid shunt placed two days ago. The shunt is not
draining the excess CSF and the baby is returning to the OR for shunt removal and replacement by the
same surgeon who placed the original shunt. What CPT® code is reported for this surgery?
Answer: 62258-78.
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, Question 9: A patient sees her physician for follow-up of a repaired damaged nerve to her finger.
During the visit she tells the doctor she fell and hit her little toe this morning; now it is red and swollen,
and she wants to make sure it's not broken. The physician examines the toe and reassures her it is not
fractured. The doctor also examines the finger which is healing well with no infection. Select the
Evaluation and Management service for this visit.
Answer: 99212-24.
Question 10: A 27 year-old had an MVA accident a couple days ago and sees his primary care physician
for pain management for acute pain in his neck since the accident. Select the ICD-10-CM code(s).
Answer: G89.11, M54.2.
Question 11: A 59 year-old female with failed back syndrome has undergone a recent test dose of
intrathecal narcotics with good pain response. She is brought to the operating room for preparation
and insertion of Medtronic programmable pain pump and intrathecal catheter. What CPT® codes are
reported for this surgery?
Answer: 62362, 62350-51.
Question 12: A 45 year-old female has carpal tunnel syndrome. A neuroplasty is performed on her left
wrist. During the surgery the patient's blood pressure starts dropping and the surgeon decides to stop
the operation. How should the procedure be reported?
Answer: 64721-53.
Question 13: A neurosurgeon was called to the ER to examine a young child hit by a car. The
neurosurgeon examines the patient with a diagnosis of a subdural hematoma and takes the child to the
OR. Which modifier is appended to the Evaluation and Management service?
Answer: 57.
Question 14: The nervous system is composed of what two parts?
Answer: Central and Peripheral Nervous Systems.
Question 15: Select the code for a patient diagnosed with thyrotoxicosis crisis with an overactive
nodular goiter.
Answer: E05.21.
Question 16: A 35 year-old male has a left chronic subdural hematoma. He will undergo a left burr hole
evacuation of the hematoma. What CPT® code is reported for this surgery?
Answer: 61154.
Page 2
Correct Answers (Grade A+)
Question 1: What is a vertebral segment?
Answer: A single complete vertebral bone with its associated process and laminae.
Question 2: A 70 year-old patient has toxic myelitis due to inhaling vapors of carbon tetrachloride from
using a fire extinguisher. The appropriate codes to report are
Answer: T53.0X1A, G92.
Question 3: A 65 year-old patient with type 1 diabetes may need left lower leg amputation due to
diabetic gangrene. Select the ICD-10-CM code(s) to report.
Answer: E10.52.
Question 4: A 35 year-old male has a left chronic subdural hematoma. He will undergo a left burr hole
evacuation of the hematoma. What CPT® code is reported for this surgery?
Answer: 61154.
Question 5: A patient has severe spinal stenosis between L3- L5 inferior to disc space. A laminectomy is
performed on L4 along with a decompression of L3-L4 and L4-L5. What CPT® code is reported for
this surgery?
Answer: 63005.
Question 6: A college student goes to the ER with symptoms of headache and high fever for the past two
days. A Lumbar Puncture is performed and spinal fluid is sent to the lab to check for meningitis. What
CPT® code is reported for this surgery?
Answer: 62270.
Question 7: Select the HCPCS code to report a patient having a spinal needle inserted into the nucleus
pulposus of the L3-L4 intervertebral disc until the desired decompression is accomplished using radio
frequency energy.
Answer: S2348.
Question 8: A 6 week-old baby had a cerebrospinal fluid shunt placed two days ago. The shunt is not
draining the excess CSF and the baby is returning to the OR for shunt removal and replacement by the
same surgeon who placed the original shunt. What CPT® code is reported for this surgery?
Answer: 62258-78.
Page 1
, Question 9: A patient sees her physician for follow-up of a repaired damaged nerve to her finger.
During the visit she tells the doctor she fell and hit her little toe this morning; now it is red and swollen,
and she wants to make sure it's not broken. The physician examines the toe and reassures her it is not
fractured. The doctor also examines the finger which is healing well with no infection. Select the
Evaluation and Management service for this visit.
Answer: 99212-24.
Question 10: A 27 year-old had an MVA accident a couple days ago and sees his primary care physician
for pain management for acute pain in his neck since the accident. Select the ICD-10-CM code(s).
Answer: G89.11, M54.2.
Question 11: A 59 year-old female with failed back syndrome has undergone a recent test dose of
intrathecal narcotics with good pain response. She is brought to the operating room for preparation
and insertion of Medtronic programmable pain pump and intrathecal catheter. What CPT® codes are
reported for this surgery?
Answer: 62362, 62350-51.
Question 12: A 45 year-old female has carpal tunnel syndrome. A neuroplasty is performed on her left
wrist. During the surgery the patient's blood pressure starts dropping and the surgeon decides to stop
the operation. How should the procedure be reported?
Answer: 64721-53.
Question 13: A neurosurgeon was called to the ER to examine a young child hit by a car. The
neurosurgeon examines the patient with a diagnosis of a subdural hematoma and takes the child to the
OR. Which modifier is appended to the Evaluation and Management service?
Answer: 57.
Question 14: The nervous system is composed of what two parts?
Answer: Central and Peripheral Nervous Systems.
Question 15: Select the code for a patient diagnosed with thyrotoxicosis crisis with an overactive
nodular goiter.
Answer: E05.21.
Question 16: A 35 year-old male has a left chronic subdural hematoma. He will undergo a left burr hole
evacuation of the hematoma. What CPT® code is reported for this surgery?
Answer: 61154.
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