CPC Mock Exam 2 |QUESTIONS AND ANSWERS | 2025/2026 |
LATEST UPDATE
CAD would be coded as The ICD-10-CM code for coronary artery disease (CAD) is I25.10
69436
A child with chronic otitis media
The Current Procedural Terminology (CPT) code 69436 is a
and fluid buildup in both ears
medical procedural code for a tympanostomy, or incision
was admitted by her
procedure on the middle ear, that requires the insertion of a
otolaryngologist for a
ventilating tube and general anesthesia.
bilateral tympanostomy. The
procedure was performed with
Chronic otitis media is a persistent inflammation or infection
placement of ventilating tubes.
of the middle ear and the space behind the eardrum. It often
The procedure required
involves a buildup of fluid (effusion) that can lead to
general anesthetic due to the
symptoms and potential complications over time
patient's age.
When multiple lesions are All lesions are assigned a separate CPT code, and, any with
excised during the same more than a simple closure are assigned additional
surgical session they are code(s)
coded as:
OPERATIVE REPORT 45330, 43235
Preoperative Since two (2) separate procedures were performed, a total of
Diagnosis: Anemia two (2) procedures will be performed. EGD was
Postoperative completed; therefore, 43235 is appropriate. The
Diagnosis: Anemia colonoscopy could not be advanced to the splenic
Procedure(s) flexure. According to the colonoscopy decision tree in
Performed: EGD, CPT, the colonoscopy is assigned 45330.
Colonoscopy Two of the remaining selections include an EGD with biopsy
EGD and attempted dx which was not performed in this instance
colonoscopy. A gastroscope
was inserted and passed into
the second portion of the
duodenum.
Colonoscope was inserted into
the rectum, and the scope
could not be advanced to
the splenic flexure.
Therefore, the procedure
,was terminated.
, OPERATIVE REPORT 31276-50, 31256-50-51, 31254-51-RT(Bilateral frontal sinus
Preoperative Diagnosis: exploration was performed (31276-50), as well as bilateral
Chronic ethmoid sinusitis, maxillary antrostomy (31256-50-51) and right
Maxillary sinusitis ethmoidectomy (31254-51-RT). All subsequent procedures
Postoperative should have modifier -51 appended.) WRONG
Diagnosis: Same
Procedure(s)
Performed:
Endoscopic right anterior
ethmoidectomy, bilateral
maxillary antrostomy, bilateral
frontal sinus exploration
Signed
Surgeon Signature
Repair prosthetic device L7510
19300-LT, 11200-59
Since two (2) procedures were performed, two (2) code
Left mastectomy for left
assignments are appropriate. Since the skin tag removal was
gynecomastia, skin tag
"distinct and separate" from the mastectomy, modifier
removal. Areola was
-59 would be assigned for the skin tag removal. CPT code
elevated off the breast and
19300-LT would be assigned for the left mastectomy,
breast tissue was excised.
specified as performed for gynecomastia. Skin tag removal is
Following completion of the
assigned CPT code 11200-59. Two (2) codes will be
breast procedure, right groin
necessary as two (2) separate procedures were performed.
was exposed and draped, and
Since 2 of the selections do not contain a code for the skin
skin tag was excised by shave
tag removal, they are not correct. The remaining selection
excision.
contains a code for a simple mastectomy rather than
mastectomy for gynecomastia, and therefore is also
incorrect in this instance.
HCPCS code A4233 is the only selection for alkaline batteries
(except J cells) for a blood glucose monitor. Read the
Replacement batteries (except
selections carefully as many of the HCPCS descriptors are
J cell) for medically
similar; therefore, pay particular attention to the additional
necessary alkaline blood
specification for each selection before selecting the
glucose machine owned by
most correct answer. Code A4235 is for lithium batteries,
patient
A4234 is for alkaline, J cell batteries, and A4236 is for silver
oxide batteries.
Percutaneous cystostomy Assign code 51040 for cystostomy. Code found in
insertion. A small stab incision surgery of bladder, incision section.The remaining codes
was made in the lower midline are for removal of a calculus, transvesical
abdomen for the ureterolithotomy and insertion of catheter/stent none of
cystostomy catheter which were performed in this instance.
insertion. Cystostomy trocar
LATEST UPDATE
CAD would be coded as The ICD-10-CM code for coronary artery disease (CAD) is I25.10
69436
A child with chronic otitis media
The Current Procedural Terminology (CPT) code 69436 is a
and fluid buildup in both ears
medical procedural code for a tympanostomy, or incision
was admitted by her
procedure on the middle ear, that requires the insertion of a
otolaryngologist for a
ventilating tube and general anesthesia.
bilateral tympanostomy. The
procedure was performed with
Chronic otitis media is a persistent inflammation or infection
placement of ventilating tubes.
of the middle ear and the space behind the eardrum. It often
The procedure required
involves a buildup of fluid (effusion) that can lead to
general anesthetic due to the
symptoms and potential complications over time
patient's age.
When multiple lesions are All lesions are assigned a separate CPT code, and, any with
excised during the same more than a simple closure are assigned additional
surgical session they are code(s)
coded as:
OPERATIVE REPORT 45330, 43235
Preoperative Since two (2) separate procedures were performed, a total of
Diagnosis: Anemia two (2) procedures will be performed. EGD was
Postoperative completed; therefore, 43235 is appropriate. The
Diagnosis: Anemia colonoscopy could not be advanced to the splenic
Procedure(s) flexure. According to the colonoscopy decision tree in
Performed: EGD, CPT, the colonoscopy is assigned 45330.
Colonoscopy Two of the remaining selections include an EGD with biopsy
EGD and attempted dx which was not performed in this instance
colonoscopy. A gastroscope
was inserted and passed into
the second portion of the
duodenum.
Colonoscope was inserted into
the rectum, and the scope
could not be advanced to
the splenic flexure.
Therefore, the procedure
,was terminated.
, OPERATIVE REPORT 31276-50, 31256-50-51, 31254-51-RT(Bilateral frontal sinus
Preoperative Diagnosis: exploration was performed (31276-50), as well as bilateral
Chronic ethmoid sinusitis, maxillary antrostomy (31256-50-51) and right
Maxillary sinusitis ethmoidectomy (31254-51-RT). All subsequent procedures
Postoperative should have modifier -51 appended.) WRONG
Diagnosis: Same
Procedure(s)
Performed:
Endoscopic right anterior
ethmoidectomy, bilateral
maxillary antrostomy, bilateral
frontal sinus exploration
Signed
Surgeon Signature
Repair prosthetic device L7510
19300-LT, 11200-59
Since two (2) procedures were performed, two (2) code
Left mastectomy for left
assignments are appropriate. Since the skin tag removal was
gynecomastia, skin tag
"distinct and separate" from the mastectomy, modifier
removal. Areola was
-59 would be assigned for the skin tag removal. CPT code
elevated off the breast and
19300-LT would be assigned for the left mastectomy,
breast tissue was excised.
specified as performed for gynecomastia. Skin tag removal is
Following completion of the
assigned CPT code 11200-59. Two (2) codes will be
breast procedure, right groin
necessary as two (2) separate procedures were performed.
was exposed and draped, and
Since 2 of the selections do not contain a code for the skin
skin tag was excised by shave
tag removal, they are not correct. The remaining selection
excision.
contains a code for a simple mastectomy rather than
mastectomy for gynecomastia, and therefore is also
incorrect in this instance.
HCPCS code A4233 is the only selection for alkaline batteries
(except J cells) for a blood glucose monitor. Read the
Replacement batteries (except
selections carefully as many of the HCPCS descriptors are
J cell) for medically
similar; therefore, pay particular attention to the additional
necessary alkaline blood
specification for each selection before selecting the
glucose machine owned by
most correct answer. Code A4235 is for lithium batteries,
patient
A4234 is for alkaline, J cell batteries, and A4236 is for silver
oxide batteries.
Percutaneous cystostomy Assign code 51040 for cystostomy. Code found in
insertion. A small stab incision surgery of bladder, incision section.The remaining codes
was made in the lower midline are for removal of a calculus, transvesical
abdomen for the ureterolithotomy and insertion of catheter/stent none of
cystostomy catheter which were performed in this instance.
insertion. Cystostomy trocar
