Medical Coding and Billing Final Exam | 2025 -2026 LATEST UPDATE| COMPREHENSIVE
QUESTIONS WITH 100% RATED ANSWERS | GUARANTEED TO PASS
A 68-year-old male patient is seen in the Radiation Oncology Department at the hospital for
secondary prostate cancer. The primary site was the lower lobe of the lung. The oncologist,
who is an employee of the hospital, performs complex clinical treatment planning, basic
dosimetry calculation, and a complex isodose plan; treatment devices include blocks, special
shields and wedges. The patient had 5 days of radiation treatments for 2 weeks, a total of 10
days of treatment. Report the physician service. 77263, 77307, 77334, 77427x2
A 46-year-old female patient was admitted to the hospital. She was taken to the operating
room to have a percutaneous transluminal angioplasty due to insufficient hemodialysis based
on segmental stenosis of the fistula/cephalic vein. The percutaneous transluminal angioplasty
involved navigating through the radial artery into the cephalic vein to accomplish repair and a
dialysis fistula angiography. 36902
Dave, a 38-year-old male patient with chronic sinusitis went to the ASC to have endoscopic
sinus surgery performed. The physician performed an endoscopic total ethmoidectomy with an
endoscopic maxillary antrostomy with removal of maxillary tissue. The patient was taken to the
recovery room in satisfactory condition. Code as if you work for the physician. 31255,
31267-51
The patient had a raised mole under her right breast that is continually irritated from her
underwire bra rubbing on it and causing it to bleed. After local anesthetic, the mole, measuring
2.5 cm, was excised and placed in a vial of formalin, labeled, and sent for pathology. The defect
,was closed with Steri-Strips and the patient was instructed on wound care. The pathology
report came back four days later showing the mole was benign.11403 11403
Katie, a 13-year-old, is in for a 2-year follow-up comprehensive ophthalmologic exam.
Correct! 92014 92014
Right carpal tunnel release. The patient was brought to the operating room, and Bier block
anesthesia was performed. The right upper extremity was prepped and draped in the usual
sterile manner. A longitudinal incision was made along the thenar crease in the right palm. This
was carried sharply down through the skin and subcutaneous tissue to the transverse carpal
ligament. The carpal ligament was then carefully incised using a push technique with a 15
blade. The recurrent branch of the median nerve was identified on the distal extent of the
transverse carpal ligament. It was intact. The other digital nerves were found coming off the
median nerve and were intact. The median nerve was found to have an hourglass deformity
with some bluish discoloration. An aponeurotomy was performed using a 15 blade and smooth
pickups. The floor of the carpal canal was explored, and there were no masses. There was no
significant synovi 64721-RT
John, a 73-year-old patient, was admitted to the hospital to have a single-chamber temporary
pacemaker implanted because of his supraventricular tachycardia. He was taken to the
operating room. The right subclavian area was prepped and draped in the usual fashion. Local
anesthetic was infiltrated. The subclavian vein was entered via Seldinger technique with a Cook
needle. A guide wire was passed to the right heart. A 6-French dilator sheath was placed. The
dilator and wire were then removed. The sheath was sutured into place. A 5-French bipolar
pacemaker wire was placed near the apex of the right ventricle. Temporary pacing was
,instituted. Threshold was less than 0.5 mV. Pacer settings were 60 per minute demand and 5
MA. Patient returned to his room in good condition. 33210
This 55-year-old patient was seen previously for a laparoscopic biopsy of her cervical lymph
nodes. The biopsy came back showing abnormal cells. The decision was made to do a
lymphadenectomy (modified radical neck dissection). The patient was brought to the operating
room and put under general anesthesia. The lymphadenectomy was performed and the patient
was returned to the recovery room in satisfactory condition.38724 38724
Sarah, a 40-year-old female new patient was seen in the clinic by Dr. Izzy Stevens for fever,
flank pain and blood in the urine. Dr. Stevens performed a comprehensive history and
examination. The medical decision making was of moderate complexity. The diagnosis of
urosepsis and bacteremia was made. The patient was given an IM injection of Rocephin 250
mg, under direct physician supervision. 99204-25, 96372, J0696
Extracorporeal shockwave lithotripsy of right kidney stone. Under IV sedation the patient was
placed in the supine position. The stone in the upper right kidney was positioned at F2. Then
the extracorporeal lithotripsy was started at 19 KV. Subsequently the KV was increased to a
maximum of 26 KV at 1,600 shocks. The stone was revisualized and repositioning was done
considering the transverse colon passing right anterior to the stone. With repositioning
completed, the stone appears to be in the same place therefore, shocks were delivered. A total
of 2,400 shocks were delivered with apparent adequate fragmentation obtained.50590-RT
50590-RT
This patient injured his left foot on a garden hoe. He severed the superficial branch of the
external plantar nerve. The patient experienced loss of sensation on the outer side of the fifth
, toe and across the side of the foot. Following exploration of the wound and identification of the
nerve avulsion a repair of the nerve was undertaken using a nerve graft from the sural nerve. A
lateral incision was made on the lateral mallelous of the ankle. The nerve was identified and
freed for grafting and the proximal and distal sural nerve endings were anastomosed. The
wound was dissected and the damaged area of the area was removed. The innervation of the
external digital nerve was restored by suturing the 2.0 cm graft to the proximal and digital ends
of the damaged nerve using the operating microscope. The wound was closed in layers.
64890-LT, 69990
A 44-year-old male patient underwent a colon resection for adenocarcinoma one and one-half
years ago. Following the left colon surgery, he received systemic chemotherapy. After six
months of treatment, the patient's carcinoembryogenic antigen (CEA) began to rise. CT imaging
of the liver revealed three lesions along the anterior and inferior surfaces of the right lobe of
the liver. All three lesions were confirmed on ultrasound examination and were felt to be
superficial and accessible by laparoscopy. The lesions measure 4 cm, 2.0 cm and 2.5 cm in
diameter. The physician performed a laparoscopy surgical ablation, cryosurgery technique using
ultrasonic guidance (supervision and interpretation). All three lesions were ablated by
cryosurgery. 47371, 76940-26
What code(s) would you use to report chemosurgery, Mohs' micrographic technique, with six
specimens of fresh tissue trunk, first stage? 17313, 17314
A 42-year-old female new patient went to see Dr. Shepherd for her migraine headaches. Dr.
Shepherd took a comprehensive history. The patient explained she is now getting auras with
her headaches and sometimes she even has passes out. She informed the physician her sister
suffers from migraines, as did her mother; however, the mother passed away from a ruptured
aneurysm. The patient is concerned about this because she is nearing the age that her mother
QUESTIONS WITH 100% RATED ANSWERS | GUARANTEED TO PASS
A 68-year-old male patient is seen in the Radiation Oncology Department at the hospital for
secondary prostate cancer. The primary site was the lower lobe of the lung. The oncologist,
who is an employee of the hospital, performs complex clinical treatment planning, basic
dosimetry calculation, and a complex isodose plan; treatment devices include blocks, special
shields and wedges. The patient had 5 days of radiation treatments for 2 weeks, a total of 10
days of treatment. Report the physician service. 77263, 77307, 77334, 77427x2
A 46-year-old female patient was admitted to the hospital. She was taken to the operating
room to have a percutaneous transluminal angioplasty due to insufficient hemodialysis based
on segmental stenosis of the fistula/cephalic vein. The percutaneous transluminal angioplasty
involved navigating through the radial artery into the cephalic vein to accomplish repair and a
dialysis fistula angiography. 36902
Dave, a 38-year-old male patient with chronic sinusitis went to the ASC to have endoscopic
sinus surgery performed. The physician performed an endoscopic total ethmoidectomy with an
endoscopic maxillary antrostomy with removal of maxillary tissue. The patient was taken to the
recovery room in satisfactory condition. Code as if you work for the physician. 31255,
31267-51
The patient had a raised mole under her right breast that is continually irritated from her
underwire bra rubbing on it and causing it to bleed. After local anesthetic, the mole, measuring
2.5 cm, was excised and placed in a vial of formalin, labeled, and sent for pathology. The defect
,was closed with Steri-Strips and the patient was instructed on wound care. The pathology
report came back four days later showing the mole was benign.11403 11403
Katie, a 13-year-old, is in for a 2-year follow-up comprehensive ophthalmologic exam.
Correct! 92014 92014
Right carpal tunnel release. The patient was brought to the operating room, and Bier block
anesthesia was performed. The right upper extremity was prepped and draped in the usual
sterile manner. A longitudinal incision was made along the thenar crease in the right palm. This
was carried sharply down through the skin and subcutaneous tissue to the transverse carpal
ligament. The carpal ligament was then carefully incised using a push technique with a 15
blade. The recurrent branch of the median nerve was identified on the distal extent of the
transverse carpal ligament. It was intact. The other digital nerves were found coming off the
median nerve and were intact. The median nerve was found to have an hourglass deformity
with some bluish discoloration. An aponeurotomy was performed using a 15 blade and smooth
pickups. The floor of the carpal canal was explored, and there were no masses. There was no
significant synovi 64721-RT
John, a 73-year-old patient, was admitted to the hospital to have a single-chamber temporary
pacemaker implanted because of his supraventricular tachycardia. He was taken to the
operating room. The right subclavian area was prepped and draped in the usual fashion. Local
anesthetic was infiltrated. The subclavian vein was entered via Seldinger technique with a Cook
needle. A guide wire was passed to the right heart. A 6-French dilator sheath was placed. The
dilator and wire were then removed. The sheath was sutured into place. A 5-French bipolar
pacemaker wire was placed near the apex of the right ventricle. Temporary pacing was
,instituted. Threshold was less than 0.5 mV. Pacer settings were 60 per minute demand and 5
MA. Patient returned to his room in good condition. 33210
This 55-year-old patient was seen previously for a laparoscopic biopsy of her cervical lymph
nodes. The biopsy came back showing abnormal cells. The decision was made to do a
lymphadenectomy (modified radical neck dissection). The patient was brought to the operating
room and put under general anesthesia. The lymphadenectomy was performed and the patient
was returned to the recovery room in satisfactory condition.38724 38724
Sarah, a 40-year-old female new patient was seen in the clinic by Dr. Izzy Stevens for fever,
flank pain and blood in the urine. Dr. Stevens performed a comprehensive history and
examination. The medical decision making was of moderate complexity. The diagnosis of
urosepsis and bacteremia was made. The patient was given an IM injection of Rocephin 250
mg, under direct physician supervision. 99204-25, 96372, J0696
Extracorporeal shockwave lithotripsy of right kidney stone. Under IV sedation the patient was
placed in the supine position. The stone in the upper right kidney was positioned at F2. Then
the extracorporeal lithotripsy was started at 19 KV. Subsequently the KV was increased to a
maximum of 26 KV at 1,600 shocks. The stone was revisualized and repositioning was done
considering the transverse colon passing right anterior to the stone. With repositioning
completed, the stone appears to be in the same place therefore, shocks were delivered. A total
of 2,400 shocks were delivered with apparent adequate fragmentation obtained.50590-RT
50590-RT
This patient injured his left foot on a garden hoe. He severed the superficial branch of the
external plantar nerve. The patient experienced loss of sensation on the outer side of the fifth
, toe and across the side of the foot. Following exploration of the wound and identification of the
nerve avulsion a repair of the nerve was undertaken using a nerve graft from the sural nerve. A
lateral incision was made on the lateral mallelous of the ankle. The nerve was identified and
freed for grafting and the proximal and distal sural nerve endings were anastomosed. The
wound was dissected and the damaged area of the area was removed. The innervation of the
external digital nerve was restored by suturing the 2.0 cm graft to the proximal and digital ends
of the damaged nerve using the operating microscope. The wound was closed in layers.
64890-LT, 69990
A 44-year-old male patient underwent a colon resection for adenocarcinoma one and one-half
years ago. Following the left colon surgery, he received systemic chemotherapy. After six
months of treatment, the patient's carcinoembryogenic antigen (CEA) began to rise. CT imaging
of the liver revealed three lesions along the anterior and inferior surfaces of the right lobe of
the liver. All three lesions were confirmed on ultrasound examination and were felt to be
superficial and accessible by laparoscopy. The lesions measure 4 cm, 2.0 cm and 2.5 cm in
diameter. The physician performed a laparoscopy surgical ablation, cryosurgery technique using
ultrasonic guidance (supervision and interpretation). All three lesions were ablated by
cryosurgery. 47371, 76940-26
What code(s) would you use to report chemosurgery, Mohs' micrographic technique, with six
specimens of fresh tissue trunk, first stage? 17313, 17314
A 42-year-old female new patient went to see Dr. Shepherd for her migraine headaches. Dr.
Shepherd took a comprehensive history. The patient explained she is now getting auras with
her headaches and sometimes she even has passes out. She informed the physician her sister
suffers from migraines, as did her mother; however, the mother passed away from a ruptured
aneurysm. The patient is concerned about this because she is nearing the age that her mother
