EXAM 140 QUESTIONS & ACCURATE DETAILED ANSWERS ALREADY
GRADED A+
A patient presents for esophageal dilation. The physician begins dilation by using a bougie. This
attempt was unsuccessful. The physician then dilates the esophagus transendoscopically using a
balloon (25mm). What CPT® code(s) is/are reported?
a. 43220, 43450-52
b. 43220
c. 43450, 46220
d. 43450-53, 43220
b. 43220
What are the reproductive glands that produce male hormones?
a. Spermatic Cord
b. Testes
c. Epididymis
d. Vas Deferens
b. Testes
A 63-year-old gentleman comes into the ED complaining of the urge to urinate but has been unable to
empty his bladder. The provider decides to place a Foley catheter to relieve the urine retention due to
prostate hypertrophy. What is the code selection for the procedure and diagnosis codes?
a. 51701, N40.1, R33.9
b. 51702, N40.1, R33.8
c. 51701, R33.8, N40.1
d. 51702, R33.9, N40.1
b. 51702, N40.1, R33.8
,Cryosurgical ablation of the prostate is performed for prostate cancer. What CPT® and ICD-10-CM
codes are reported for this service?
a. 55873, D07.5
b. 55873, C79.82
c. 55873, C61
d. 55875, C61
c. 55873, C61
Benign prostatic hypertrophy with outlet obstruction and hematuria.
Operation: TURP
Anesthesia: Spinal
Description of procedure: Resection began at the posterior bladder neck and extended to the
verumontanum (a crest near the wall of the urethra). Posterior tissue was resected first from the left
lateral lobe, then right lateral lobe, then anterior. Depth of resection was carried to the level of the
circular fibers. Bleeding vessels were electrocauterized as encountered. Care was taken to not resect
distal to the verumontanum, thus protecting the external sphincter. At the end of the procedure,
prostatic chips were evacuated from the bladder. Final inspection showed good hemostasis and intact
verumontanum. The instruments were removed, Foley catheter inserted and the patient returned to
the recovery area in satisfactory condition. What CPT® code is reported for this service?
a. 52630
b. 52640
c. 52601
d. 52601-50
c. 52601
A 40-year-old presents with vaginal bleeding for several weeks. The gynecologist orders an ultrasound
to obtain more information for a diagnosis. What diagnosis code is appropriate for this encounter?
a. N92.4
b. N92.6
,c. N92.5
d. N93.9
d. N93.9
Rationale: The bleeding is unrelated to the patient's menstrual cycle and there is no indication of
menopause. Look in the ICD-10-CM Alphabetic Index for Bleeding/vagina, vaginal (abnormal) directing
you to N93.9.
Patient presents with no menses and positive pregnancy test but ultrasound finds no uterine contents.
Embryo has implanted on left ovary and this is treated with laparoscopic oophorectomy. What are the
CPT® and ICD-10-CM codes reported for this procedure? Do not code the ultrasound.
a. 59150, O00.90
b. 59151, O00.202
c. 59121, O00.102
d. 58661, O00.00
b. 59151, O00.202
What ICD-10-CM codes are reported for an encounter for full-term uncomplicated delivery of a single
live birth at 41 weeks of pregnancy?
a. O80, Z37.0, Z3A.41
b. 08O, Z37.1, Z3A.41
c. O82, Z37.1, Z3A.41
d. O82, Z37.0, Z3A.41
a. O80, Z37.0, Z3A.41
A woman with abdominal pain and bleeding has a diagnosis of multiple fibroid tumors and undergoes
laparoscopic resection without hysterectomy. After the abdomen is entered and inspected it is found
she has 5 separate intramural fibroid tumors. The fibroid tumors are successfully removed, with a total
weight of 300 grams. Pathology confirms leiomyoma (myomas or fibroids). What are the CPT® and
ICD-10-CM codes reported for this service?
, a. 58545, D25.1
b. 58146, D25.9
c. 58140, D25.9
d. 58546, D25.1
d. 58546, D25.1
When coding for surgery performed on the Skull Base (61580-61598) what term describes the method
used to gain exposure to the lesion?
a. Repair procedure
b. Radical procedure
c. Definitive procedure
d. Approach procedure
d. Approach procedure
What diagnosis coding is reported for pneumonia due to severe acute respiratory syndrome (SARS)?
a. J18.9, B97.21
b. J18.9
c. J12.81, B97.21
d. J12.81
d. J12.81
When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is assigned?
a. R75
b. B20
c. Z11.4
d. Z21
a. R75
A patient presents to the ED with weakness on the left side and aphasia. Tests are ordered and the
patient is admitted with a cerebrovascular accident (CVA). What ICD-10-CM code(s) is/are reported?