MEDICAL CODING REVIEW
QUESTIONS WITH COMPLETE
ANSWERS
Types of Endoscopy - Answer-1.) Diagnostic endoscopy- is an insertion of scope for
viewing or examination only.
2.) Surgical endoscopy- if they do something else.
What condition is associated with Epstein-Barr virus (EBV)? - Answer-Infectious
Mononucleosis
What is Non-Excisional Debridement? - Answer-Debridement using water, gauze or
a blunt instrument > non-surgical (including sharp debridement)
What is Excisional Debridement? - Answer-Debridement done either by the
physician, nurse or therapist using a cutting instrument > surgical removal or cutting
away.
What is being treated if a patient is receiving Potassium? - Answer-Hypokalemia
(Low-Potassium/Potassium Deficiency)
Treatment for high LDL cholesterol (Low-density Lipoprotein) & low HDL (High-
density Lipoprotein) cholesterol? - Answer-Pravachol
Types of Skin Grafts: - Answer-1.) Free Skin Graft
2.) Split Thickness
3.) Full Thickness
Skin graft from another human being (or cadaver) - Answer-Allograft
In Adverse Effect of drug, what is the principal diagnosis? - Answer-The
Manifestation Code
What agency checks on one day inpatient hospitalization? - Answer-CMS- Center for
Medicare & Medicaid Services
Adjacent tissue transfer (includes excision of the lesion) - Answer-Z-plasty
What condition is associated with high PSA (Prostate-Specific Antigen)? - Answer-
Prostate Cancer (BPH- Benign Prostatic Hyperplasia)
Types of Hernia - Answer-Inguinal, Umbilical, Femoral, Hiatal or Diaphragmatic
Hernia, Incisional or Ventral.
What is Stress Fracture? - Answer-Fracture caused by repetition trauma.
,What is the principal diagnosis if a patient is admitted for an HIV related condition? -
Answer-042 AIDS
Post-operative Anemia. - Answer-285.9
A screening colonoscopy was performed which showed the presence of diverticulitis.
How is this coded? - Answer-Screening colonoscopy, diverticulosis.
What Auxiliary procedure is coded in CABG? - Answer-39.61 Extracorporeal
circulation or Cardio-pulmonary bypass machine.
When is the 5th digit 0 NOT used? - Answer-MI & Pregnancy
What is Blood Transfusion Hepatitis? - Answer-Hepatitis C
Code for Normal Delivery - Answer-650 & V27.0
Auto Immune Hemolytic Anemia (always choose over cold/warm type) - Answer-
283.0 cold type/warm type
Exploratory laparotomy with appendectomy & drainage of abscess of appendix. -
Answer-47.09
What is Endoscopy? - Answer-Insertion (the act of implanting or putting in) of scope
into natural body passageways.
Skin graft from the patient himself. - Answer-Autograft
What is a Separate Procedure? - Answer-Part of a comprehensive procedure
What diagnosis is an indication for EPS (Electrophysiological Study) - Answer-Sinus
Node Dysfunction
What type of Hernia Repair requires additional code for mesh? - Answer-Incisional or
Ventral
Patient was admitted for TURP (Transurethral Resection of the Prostate) because of
BPH (Benign Prostate Hyperplasia). Patient was found to have pneumonia so
surgery was cancelled. Pneumonia was treated. Patient was discharged &
rescheduled TURP later. What is the correct sequence? - Answer-BPH &
Pneumonia.
Patient underwent tonsillectomy as outpatient. After the procedure, the patient had
post-operative hemorrhage & was admitted. Code-in correct sequence. - Answer-
Post operative Hemorrhage, Tonsillitis.
CPT code for TURP (Transurethral Resection of Prostate) - Answer-52601
CPT code for PTCA with insertion of coronary stent. - Answer-92980 = old code (use
this instead). 92928 = new code. *always includes angioplasty.
, (ONE code only- because the code indicates with or without therapeutic intervention
which is the PTCA.)
CPT code for PTCA - Answer-92920 (92982 - deleted)
What is the code for Decompensated COPD (Chronic Obstructive Pulmonary
Disease)? - Answer-491.21 (decompensated is the same as exacerbation of COPD)
CPT code for Total abdominal hysterectomy with or without salpingo- oophorectomy.
- Answer-58150
What condition is associated with elevated ammonia in the blood? - Answer-
Alcoholic Encepalopathy
If the physician excised 2 lesions with 1 incision how is this coded? - Answer-2
Excision codes with modifier-51 on the last
What are E codes? - Answer-Codes used to identify the cause of injury, poisoning
and other adverse effects.
In poisoning with drug, what is the principal diagnosis? - Answer-The Poisoning
Code
Modifier to be used if submitting 2 codes, one of which is a part of the other
procedure & is not coded unless done in a separate session or a different excision
site. - Answer-modifier-59 (to be used on/with the less significant procedure)
What is the correct coding sequence: Patient had cataract surgery in the observation
room. Patient had shortness of breath. Patient was admitted. - Answer-Asthma,
Cataract
What do you call the series of terms in parenthesis () following the main term? -
Answer-Non-essential Modifiers
What condition is associated with elevated HBNP (Human Brain Natriuretic
Peptide)? - Answer-CHF (Congestive Heart Failure)
What enzymes are elevated in acute MI (Myocardial Infarction)? - Answer-CPK-MB
(Creatine Phosphokinase-MB) & Troponin.
What are M codes? - Answer-Morphology codes for study of types of cells &
behavior of neoplasm.
Organ involved in Ossicular chain reconstruction: - Answer-Middle Ear.
Symbol for Revised Text - Answer-Facing Triangle/Bow Tie (><)
What are the KEY factors/components of E & M (Evaluation & Management)? -
Answer-History, Examination & Medical Decision Making.
QUESTIONS WITH COMPLETE
ANSWERS
Types of Endoscopy - Answer-1.) Diagnostic endoscopy- is an insertion of scope for
viewing or examination only.
2.) Surgical endoscopy- if they do something else.
What condition is associated with Epstein-Barr virus (EBV)? - Answer-Infectious
Mononucleosis
What is Non-Excisional Debridement? - Answer-Debridement using water, gauze or
a blunt instrument > non-surgical (including sharp debridement)
What is Excisional Debridement? - Answer-Debridement done either by the
physician, nurse or therapist using a cutting instrument > surgical removal or cutting
away.
What is being treated if a patient is receiving Potassium? - Answer-Hypokalemia
(Low-Potassium/Potassium Deficiency)
Treatment for high LDL cholesterol (Low-density Lipoprotein) & low HDL (High-
density Lipoprotein) cholesterol? - Answer-Pravachol
Types of Skin Grafts: - Answer-1.) Free Skin Graft
2.) Split Thickness
3.) Full Thickness
Skin graft from another human being (or cadaver) - Answer-Allograft
In Adverse Effect of drug, what is the principal diagnosis? - Answer-The
Manifestation Code
What agency checks on one day inpatient hospitalization? - Answer-CMS- Center for
Medicare & Medicaid Services
Adjacent tissue transfer (includes excision of the lesion) - Answer-Z-plasty
What condition is associated with high PSA (Prostate-Specific Antigen)? - Answer-
Prostate Cancer (BPH- Benign Prostatic Hyperplasia)
Types of Hernia - Answer-Inguinal, Umbilical, Femoral, Hiatal or Diaphragmatic
Hernia, Incisional or Ventral.
What is Stress Fracture? - Answer-Fracture caused by repetition trauma.
,What is the principal diagnosis if a patient is admitted for an HIV related condition? -
Answer-042 AIDS
Post-operative Anemia. - Answer-285.9
A screening colonoscopy was performed which showed the presence of diverticulitis.
How is this coded? - Answer-Screening colonoscopy, diverticulosis.
What Auxiliary procedure is coded in CABG? - Answer-39.61 Extracorporeal
circulation or Cardio-pulmonary bypass machine.
When is the 5th digit 0 NOT used? - Answer-MI & Pregnancy
What is Blood Transfusion Hepatitis? - Answer-Hepatitis C
Code for Normal Delivery - Answer-650 & V27.0
Auto Immune Hemolytic Anemia (always choose over cold/warm type) - Answer-
283.0 cold type/warm type
Exploratory laparotomy with appendectomy & drainage of abscess of appendix. -
Answer-47.09
What is Endoscopy? - Answer-Insertion (the act of implanting or putting in) of scope
into natural body passageways.
Skin graft from the patient himself. - Answer-Autograft
What is a Separate Procedure? - Answer-Part of a comprehensive procedure
What diagnosis is an indication for EPS (Electrophysiological Study) - Answer-Sinus
Node Dysfunction
What type of Hernia Repair requires additional code for mesh? - Answer-Incisional or
Ventral
Patient was admitted for TURP (Transurethral Resection of the Prostate) because of
BPH (Benign Prostate Hyperplasia). Patient was found to have pneumonia so
surgery was cancelled. Pneumonia was treated. Patient was discharged &
rescheduled TURP later. What is the correct sequence? - Answer-BPH &
Pneumonia.
Patient underwent tonsillectomy as outpatient. After the procedure, the patient had
post-operative hemorrhage & was admitted. Code-in correct sequence. - Answer-
Post operative Hemorrhage, Tonsillitis.
CPT code for TURP (Transurethral Resection of Prostate) - Answer-52601
CPT code for PTCA with insertion of coronary stent. - Answer-92980 = old code (use
this instead). 92928 = new code. *always includes angioplasty.
, (ONE code only- because the code indicates with or without therapeutic intervention
which is the PTCA.)
CPT code for PTCA - Answer-92920 (92982 - deleted)
What is the code for Decompensated COPD (Chronic Obstructive Pulmonary
Disease)? - Answer-491.21 (decompensated is the same as exacerbation of COPD)
CPT code for Total abdominal hysterectomy with or without salpingo- oophorectomy.
- Answer-58150
What condition is associated with elevated ammonia in the blood? - Answer-
Alcoholic Encepalopathy
If the physician excised 2 lesions with 1 incision how is this coded? - Answer-2
Excision codes with modifier-51 on the last
What are E codes? - Answer-Codes used to identify the cause of injury, poisoning
and other adverse effects.
In poisoning with drug, what is the principal diagnosis? - Answer-The Poisoning
Code
Modifier to be used if submitting 2 codes, one of which is a part of the other
procedure & is not coded unless done in a separate session or a different excision
site. - Answer-modifier-59 (to be used on/with the less significant procedure)
What is the correct coding sequence: Patient had cataract surgery in the observation
room. Patient had shortness of breath. Patient was admitted. - Answer-Asthma,
Cataract
What do you call the series of terms in parenthesis () following the main term? -
Answer-Non-essential Modifiers
What condition is associated with elevated HBNP (Human Brain Natriuretic
Peptide)? - Answer-CHF (Congestive Heart Failure)
What enzymes are elevated in acute MI (Myocardial Infarction)? - Answer-CPK-MB
(Creatine Phosphokinase-MB) & Troponin.
What are M codes? - Answer-Morphology codes for study of types of cells &
behavior of neoplasm.
Organ involved in Ossicular chain reconstruction: - Answer-Middle Ear.
Symbol for Revised Text - Answer-Facing Triangle/Bow Tie (><)
What are the KEY factors/components of E & M (Evaluation & Management)? -
Answer-History, Examination & Medical Decision Making.
