1|Page
ROCC FINAL EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE 150 CURRENTLY TESTING EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) ALREADY GRADED A+
A clinical simulation for block check verification was performed on an
IMRT case. Only the isocenter was checked for proper placement; there
were verification images of all actual fields taken. What is the correct
level of complexity for this type simulation?
Simple (77280)
Intermediate (77285)
Complex (77290)
3D (77295) - ANSWER - 77280
During a patient's six week course of therapy (30 fractions total)^ the
physician reviews films, dosimetry, dose delivery, treatment parameters,
and review of patient set-up. The physician physically evaluated the
patient (face to face meeting) for the last two of the six weeks of
treatment. During the first four weeks, the physician's assistant evaluated
(face to face meeting) the patient. All of the review and face to face
evaluations are thoroughly documented In the patient's chart. How many
times can 77427 be billed for this scenario?
5, 2, 6, or 4 - ANSWER - 2
A patient is seen for external beam treatment. A 35 fraction course was
planned. The patient received 2 fractions as the entire course of therapy.
pg. 1
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What, if any, is the appropriate coding for treatment management
(assuming the chart contains proper
documentation)?
2x77427
1x77427
77435
77431 - ANSWER - 77431
Which of the following courses of therapy includes weekly treatment
management:
External Beam (77402-771412)
IMRT (77385-77386, G6015)
Stereotactic Services (77371-77373)
Brachytherapy (77770-77772) - ANSWER - Brachytherapy (77770-
77772)
A patient is treated for prostate cancer using IMRT. The patient is seen
over a period of 5 weeks and receives 22 treatments. Assuming that all
treatments were properly documented and that the elements of radiation
treatment management were performed and appropriately documented,
how many treatment management codes (77427) may be billed?
22, 1, 4, or 5 - ANSWER - 4
Which of the following is not part of the respiratory system?
Larynx, Epiglottis, Gall bladder, or Trachea - ANSWER - Gall bladder
pg. 2
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Which of the following pieces of demographics would result in a denial
for a diagnosis of C50.322?
State: Florida
Sex: Female
Insurance: Medicaid
Age: 32 - ANSWER - Sex: Female
A patient presents with prostate cancer, is treated and released from care.
The patientreturns 8 months later with a secondary malignant neoplasm
of the spinal column. What is the proper diagnosis coding when the
patient presents for the secondary malignant neoplasm of the spinal
cord?
C79.51 C61,
C63.ll C79.51,
€61 C79.49,
C79.49 C61 - ANSWER - C79.49 C61
Diagnosis code D14.0 excludes which of the following:
Cartilage of the ear
Nasal concha
Septum of the nose
Cartilage of the nose - ANSWER - Cartilage of the ear
77336 is a ____ code.
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Professional only, Technical only, Global, or Ambulatory surgical center
only - ANSWER - Technical only
Which of the following diagnosis codes would provide the medical
necessity for billing the CPT® code 19296?
C61, C22.0, C34.00, or C50.311 - ANSWER - C50.311
Which of the following releases of Protected Health Information
requires a disclosure to the patient?
Two doctors conferring over treatment options for a patient
Patient files released as part of a physician's involvement in a research
project
A nurse calls an insurance company to get a preauthorization for a
patient
A chart audited by an external auditor hired by a hospital - ANSWER -
Patient files released as part of a physician's involvement in a research
project
A patient presents for treatment for lung cancer. The physician performs
a level 5 evaluation and management service and complex treatment
planning. The physician is planning a 35 fraction course of therapy. The
physics and other setup services are performed according to the
physician's treatment plan and are thoroughly documented. The
simulation is performed and documented. After two fractions, the patient
cannot tolerate any further radiation treatment so treatment is stopped.
What is the appropriate treatment management code for the 2 fractions,
assuming the physician has not met with the patient to perform the on-
treatment visit?
pg. 4
ROCC FINAL EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE 150 CURRENTLY TESTING EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) ALREADY GRADED A+
A clinical simulation for block check verification was performed on an
IMRT case. Only the isocenter was checked for proper placement; there
were verification images of all actual fields taken. What is the correct
level of complexity for this type simulation?
Simple (77280)
Intermediate (77285)
Complex (77290)
3D (77295) - ANSWER - 77280
During a patient's six week course of therapy (30 fractions total)^ the
physician reviews films, dosimetry, dose delivery, treatment parameters,
and review of patient set-up. The physician physically evaluated the
patient (face to face meeting) for the last two of the six weeks of
treatment. During the first four weeks, the physician's assistant evaluated
(face to face meeting) the patient. All of the review and face to face
evaluations are thoroughly documented In the patient's chart. How many
times can 77427 be billed for this scenario?
5, 2, 6, or 4 - ANSWER - 2
A patient is seen for external beam treatment. A 35 fraction course was
planned. The patient received 2 fractions as the entire course of therapy.
pg. 1
,2|Page
What, if any, is the appropriate coding for treatment management
(assuming the chart contains proper
documentation)?
2x77427
1x77427
77435
77431 - ANSWER - 77431
Which of the following courses of therapy includes weekly treatment
management:
External Beam (77402-771412)
IMRT (77385-77386, G6015)
Stereotactic Services (77371-77373)
Brachytherapy (77770-77772) - ANSWER - Brachytherapy (77770-
77772)
A patient is treated for prostate cancer using IMRT. The patient is seen
over a period of 5 weeks and receives 22 treatments. Assuming that all
treatments were properly documented and that the elements of radiation
treatment management were performed and appropriately documented,
how many treatment management codes (77427) may be billed?
22, 1, 4, or 5 - ANSWER - 4
Which of the following is not part of the respiratory system?
Larynx, Epiglottis, Gall bladder, or Trachea - ANSWER - Gall bladder
pg. 2
,3|Page
Which of the following pieces of demographics would result in a denial
for a diagnosis of C50.322?
State: Florida
Sex: Female
Insurance: Medicaid
Age: 32 - ANSWER - Sex: Female
A patient presents with prostate cancer, is treated and released from care.
The patientreturns 8 months later with a secondary malignant neoplasm
of the spinal column. What is the proper diagnosis coding when the
patient presents for the secondary malignant neoplasm of the spinal
cord?
C79.51 C61,
C63.ll C79.51,
€61 C79.49,
C79.49 C61 - ANSWER - C79.49 C61
Diagnosis code D14.0 excludes which of the following:
Cartilage of the ear
Nasal concha
Septum of the nose
Cartilage of the nose - ANSWER - Cartilage of the ear
77336 is a ____ code.
pg. 3
, 4|Page
Professional only, Technical only, Global, or Ambulatory surgical center
only - ANSWER - Technical only
Which of the following diagnosis codes would provide the medical
necessity for billing the CPT® code 19296?
C61, C22.0, C34.00, or C50.311 - ANSWER - C50.311
Which of the following releases of Protected Health Information
requires a disclosure to the patient?
Two doctors conferring over treatment options for a patient
Patient files released as part of a physician's involvement in a research
project
A nurse calls an insurance company to get a preauthorization for a
patient
A chart audited by an external auditor hired by a hospital - ANSWER -
Patient files released as part of a physician's involvement in a research
project
A patient presents for treatment for lung cancer. The physician performs
a level 5 evaluation and management service and complex treatment
planning. The physician is planning a 35 fraction course of therapy. The
physics and other setup services are performed according to the
physician's treatment plan and are thoroughly documented. The
simulation is performed and documented. After two fractions, the patient
cannot tolerate any further radiation treatment so treatment is stopped.
What is the appropriate treatment management code for the 2 fractions,
assuming the physician has not met with the patient to perform the on-
treatment visit?
pg. 4
