COC 2020 - FINAL EXAM STUDY
QUESTIONS (SET 1) 2025 EXPERT
VERIFIED | ACE THE TEST
14 year-old status post injury over one year ago to her left wrist presented
with recurrent wrist pain. The patient was taken to the operating room and
placed under general anesthesia. She was placed in wrist traction. The
radiocarpal joint was entered endoscopically through sharp skin incisions
and blunt dissection into the joint. There was found to be mild synovitis in
the dorsal ulnar aspect of the wrist. This was debrided arthroscopically with
a shaver. There was a peripheral tear of the triangular fibrocartilage. This
area was shaved to promote healing. Using outside in technique, a PDS
suture was placed across the TFCC and into the capsule. There was
synovitis within the midcarpal joint, but there was no articular injury. All
instruments were removed and the wounds were closed with interrupted
nylon sutures. What CPT ® code is reported? - 🧠 ANSWER ✔✔29846-LT
,44-year-old male with biplanar deformity, acquired limb length
discrepancies and tibial nonunion has undergone deformity correction. He
now requires exchange of an external fixation strut 45 days postoperatively.
The intraoperative mounting parameters, deformity parameters, and initial
strut settings are inserted into the computer prior to Jim's discharge and a
daily schedule is generated for him to perform the gradual deformity
correction necessary. What CPT® code(s) should be reported? - 🧠
ANSWER ✔✔20697
56 year-old pro golfer is having Mohs micrographic surgery for skin cancer
on his forehead. The surgeon takes him back for two stages. The first stage
has 4 tissue blocks and the second stage has 6 tissue blocks. What is the
best way to code for both stages? - 🧠 ANSWER ✔✔17311, 17312, 17315
66 year-old male with a history of anemia presents for a liver core biopsy to
evaluate for possible cirrhosis. The patient was brought to the CAT scan
suite in which limited CT images of the upper abdomen were performed for
biopsy needle placement. The appropriate site for the liver core biopsy was
chosen. The patient's skin was then marked with the computer coordinates.
An 18-gauge needle was advanced into the appropriate site and a sample
,was obtained. What CPT ® codes are reported for the facility? - 🧠
ANSWER ✔✔47000, 77012
A must include cholesterol, serum total (82465), Lipoprotein, direct
measurement, high density cholesterol (HDL cholesterol) (83718), and
Triglycerides (84478) - 🧠 ANSWER ✔✔Lipid Panel (80061)
A patient presents to the hospital-based outpatient surgery department for
a left knee medial meniscus repair. She had recurrent locking, swelling and
catching of the knee. A diagnostic arthroscopy was performed. Under direct
visualization, a medial portal was established and debridement of the
posterior horn of the medial meniscus was performed. A shaver was then
introduced to trim the meniscus back to a stable rim. The remainder of the
knee was probed. The scope was then withdrawn and the wound was
closed with #4-0 Vicryl. The discharge diagnosis was a bucket-handle tear
of the medial meniscus. The patient tolerated the procedure well. What are
the correct procedure and diagnosis codes for this encounter? - 🧠
ANSWER ✔✔29881, S83.212A
A 12 year-old child presents to the ED with an acute exacerbation of
asthma. The patient is wheezing and is having difficulty breathing. She is
not responding to the therapy. The physician documents as the final
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, diagnosis asthma with status asthmaticus. What ICD-10-CM code(s) is/are
reported? - 🧠 ANSWER ✔✔J45.902
A 12 year-old's diabetes mellitus is well controlled with oral antidiabetic
medications . The patient has no complications. Applying the coding
concept from ICD-10-CM guidelines I.C.4.a.l, I.C.4.a.2, and I.C.4.a.3, what
ICD-10-CM code(s) is/are reported? - 🧠 ANSWER ✔✔E11.9, Z79.84
A 13 year-old is seen in the emergency department with a sudden onset of
nausea, fever and diarrhea. A stool culture indicated Salmonella bacterium.
The patient stated that she had been at a family reunion and recalls eating
some salad, ice-cream and chicken. Diagnosis made was salmonella
gastroenteritis. Report the diagnosis code(s) for the visit. - 🧠 ANSWER
✔✔A02.0
A 14-year-old male is brought to the ER by his parents after hitting his left
knee on the base when sliding into base at a baseball game in a public
park. After X-rays were obtained, it revealed a sprain to the knee. The
patient was instructed to keep his leg elevated and keep weight off of it as
much as possible for the next two weeks. What diagnosis codes are
reported for this encounter? - 🧠 ANSWER ✔✔S83.92XA, W21.89XA,
Y92.830, Y93.64
QUESTIONS (SET 1) 2025 EXPERT
VERIFIED | ACE THE TEST
14 year-old status post injury over one year ago to her left wrist presented
with recurrent wrist pain. The patient was taken to the operating room and
placed under general anesthesia. She was placed in wrist traction. The
radiocarpal joint was entered endoscopically through sharp skin incisions
and blunt dissection into the joint. There was found to be mild synovitis in
the dorsal ulnar aspect of the wrist. This was debrided arthroscopically with
a shaver. There was a peripheral tear of the triangular fibrocartilage. This
area was shaved to promote healing. Using outside in technique, a PDS
suture was placed across the TFCC and into the capsule. There was
synovitis within the midcarpal joint, but there was no articular injury. All
instruments were removed and the wounds were closed with interrupted
nylon sutures. What CPT ® code is reported? - 🧠 ANSWER ✔✔29846-LT
,44-year-old male with biplanar deformity, acquired limb length
discrepancies and tibial nonunion has undergone deformity correction. He
now requires exchange of an external fixation strut 45 days postoperatively.
The intraoperative mounting parameters, deformity parameters, and initial
strut settings are inserted into the computer prior to Jim's discharge and a
daily schedule is generated for him to perform the gradual deformity
correction necessary. What CPT® code(s) should be reported? - 🧠
ANSWER ✔✔20697
56 year-old pro golfer is having Mohs micrographic surgery for skin cancer
on his forehead. The surgeon takes him back for two stages. The first stage
has 4 tissue blocks and the second stage has 6 tissue blocks. What is the
best way to code for both stages? - 🧠 ANSWER ✔✔17311, 17312, 17315
66 year-old male with a history of anemia presents for a liver core biopsy to
evaluate for possible cirrhosis. The patient was brought to the CAT scan
suite in which limited CT images of the upper abdomen were performed for
biopsy needle placement. The appropriate site for the liver core biopsy was
chosen. The patient's skin was then marked with the computer coordinates.
An 18-gauge needle was advanced into the appropriate site and a sample
,was obtained. What CPT ® codes are reported for the facility? - 🧠
ANSWER ✔✔47000, 77012
A must include cholesterol, serum total (82465), Lipoprotein, direct
measurement, high density cholesterol (HDL cholesterol) (83718), and
Triglycerides (84478) - 🧠 ANSWER ✔✔Lipid Panel (80061)
A patient presents to the hospital-based outpatient surgery department for
a left knee medial meniscus repair. She had recurrent locking, swelling and
catching of the knee. A diagnostic arthroscopy was performed. Under direct
visualization, a medial portal was established and debridement of the
posterior horn of the medial meniscus was performed. A shaver was then
introduced to trim the meniscus back to a stable rim. The remainder of the
knee was probed. The scope was then withdrawn and the wound was
closed with #4-0 Vicryl. The discharge diagnosis was a bucket-handle tear
of the medial meniscus. The patient tolerated the procedure well. What are
the correct procedure and diagnosis codes for this encounter? - 🧠
ANSWER ✔✔29881, S83.212A
A 12 year-old child presents to the ED with an acute exacerbation of
asthma. The patient is wheezing and is having difficulty breathing. She is
not responding to the therapy. The physician documents as the final
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, diagnosis asthma with status asthmaticus. What ICD-10-CM code(s) is/are
reported? - 🧠 ANSWER ✔✔J45.902
A 12 year-old's diabetes mellitus is well controlled with oral antidiabetic
medications . The patient has no complications. Applying the coding
concept from ICD-10-CM guidelines I.C.4.a.l, I.C.4.a.2, and I.C.4.a.3, what
ICD-10-CM code(s) is/are reported? - 🧠 ANSWER ✔✔E11.9, Z79.84
A 13 year-old is seen in the emergency department with a sudden onset of
nausea, fever and diarrhea. A stool culture indicated Salmonella bacterium.
The patient stated that she had been at a family reunion and recalls eating
some salad, ice-cream and chicken. Diagnosis made was salmonella
gastroenteritis. Report the diagnosis code(s) for the visit. - 🧠 ANSWER
✔✔A02.0
A 14-year-old male is brought to the ER by his parents after hitting his left
knee on the base when sliding into base at a baseball game in a public
park. After X-rays were obtained, it revealed a sprain to the knee. The
patient was instructed to keep his leg elevated and keep weight off of it as
much as possible for the next two weeks. What diagnosis codes are
reported for this encounter? - 🧠 ANSWER ✔✔S83.92XA, W21.89XA,
Y92.830, Y93.64
