CPC EXAM COMPREHENSIVE
QUESTIONS AND SOLUTIONS
◉D
Answer: A patient is admitted for a simple primary examination of
the gastrointestinal system to rule out GI cancer. An
Esophagogastroduodenoscopy (EGD) is performed, which
includes examination of the esophagus, stomach and portions of
the small intestine. During the examination, a stricture of the
esophagus is identified and subsequently dilated via balloon
dilation (20 mm). What CPT® and ICD-10-CM codes are reported?
A) 43235, K22.2
B) 43235, C15.9
C) 43248, Q39.3
D) 43249, K22.2
◉D
Answer: A screening colonoscopy is performed on a 50 year-old
patient with a family history of colon cancer. Multiple polyps were
found during the procedure. Two polyps in the transverse colon
were removed with hot forceps cautery. Three polyps in the
ascending colon were removed via snare. Portions of all polyp
tissues were to be sent to pathology. What are the correct CPT®
and ICD-10-CM codes for this patient encounter?
A) 48584 x2, 45385 x3, K63.5
B) 45384, 45385-59, K63.5, Z12.11, Z80.0
,C) 45384 x2, 45385 x3, Z80.0, K63.5, Z12.11
D) 45384, 45385-59, Z12.11, D12.3, D12.2, Z80.0
◉B
Answer: A 33 year-old male patient presents to the endoscopy
suite to determine if he has an ulcer. The physician performs a
diagnostic scope through the esophagus, stomach and into the
duodenum and jejunum. During the scope the patient has a severe
drop in blood pressure and the physician discontinues the
procedure, but not before observing and diagnosing a bleeding
ulcer on the stomach lining as well a perforated ulcer in the
jejunum. A repeat examination is planned.
What CPT® and ICD-10-CM codes are reported?
A) 43235-52, K25.4, K28.5
B) 43235-53, K25.4, K28.5
C) 43200-52, K25.5, K28.5
D) 43235-53, K25.4, K28.1
◉A
Answer: A patient presents for esophageal dilation. The physician
begins dilation by using a bougie. This attempt was unsuccessful.
The physician then dilates the esophagus transendoscopically
using a balloon (25mm). What CPT® code(s) is/are reported?
A) 43220
B) 43450-53, 43220
,C) 43450, 43220
D) 43220, 43450-52
◉D
Answer: How do you report a screening colonoscopy performed
on a 65 year-old Medicare patient with a family history of colon
cancer? The physician was able to pass the scope to the cecum.
What CPT® and ICD-10-CM codes are reported?
A) 45330, Z13.818, Z80.0
B) 45378, Z12.11, Z85.038
C) G0104, Z13.818, Z85.038
D) G0105, Z12.11, Z80.0
◉A
Answer: A patient presents with a 2 cm benign lip lesion. The
provider decides to remove the lesion along with a portion of the
lip by performing a wedge excision. Single-layer suture repair is
performed. What CPT® code(s) is/are reported for this service?
A) 40510
B) 11442, 12011-51
C) 40510, 12011-51
D) 11442, 40510
◉A
, Answer: What is the correct ICD-10-CM code for a patient with
IBS?
A) K58.9
B) K59.2
C) K58.0
D) K59.8
◉A
Answer: What is the correct CPT® coding for a partial distal
gastrectomy with Roux-en-Y reconstruction with vagotomy?
A) 43633, 43635
B) 43634, 43635
C) 43621, 43635
D) 43633, 43640-51
◉D
Answer: What CPT® and ICD-10-CM codes are reported for
diagnosis of a recurrent unilateral reducible femoral hernia
repair?
A) 49550, K41.91
B) 49555, K41.21
C) 49505, K41.31
D) 49555, K41.91
QUESTIONS AND SOLUTIONS
◉D
Answer: A patient is admitted for a simple primary examination of
the gastrointestinal system to rule out GI cancer. An
Esophagogastroduodenoscopy (EGD) is performed, which
includes examination of the esophagus, stomach and portions of
the small intestine. During the examination, a stricture of the
esophagus is identified and subsequently dilated via balloon
dilation (20 mm). What CPT® and ICD-10-CM codes are reported?
A) 43235, K22.2
B) 43235, C15.9
C) 43248, Q39.3
D) 43249, K22.2
◉D
Answer: A screening colonoscopy is performed on a 50 year-old
patient with a family history of colon cancer. Multiple polyps were
found during the procedure. Two polyps in the transverse colon
were removed with hot forceps cautery. Three polyps in the
ascending colon were removed via snare. Portions of all polyp
tissues were to be sent to pathology. What are the correct CPT®
and ICD-10-CM codes for this patient encounter?
A) 48584 x2, 45385 x3, K63.5
B) 45384, 45385-59, K63.5, Z12.11, Z80.0
,C) 45384 x2, 45385 x3, Z80.0, K63.5, Z12.11
D) 45384, 45385-59, Z12.11, D12.3, D12.2, Z80.0
◉B
Answer: A 33 year-old male patient presents to the endoscopy
suite to determine if he has an ulcer. The physician performs a
diagnostic scope through the esophagus, stomach and into the
duodenum and jejunum. During the scope the patient has a severe
drop in blood pressure and the physician discontinues the
procedure, but not before observing and diagnosing a bleeding
ulcer on the stomach lining as well a perforated ulcer in the
jejunum. A repeat examination is planned.
What CPT® and ICD-10-CM codes are reported?
A) 43235-52, K25.4, K28.5
B) 43235-53, K25.4, K28.5
C) 43200-52, K25.5, K28.5
D) 43235-53, K25.4, K28.1
◉A
Answer: A patient presents for esophageal dilation. The physician
begins dilation by using a bougie. This attempt was unsuccessful.
The physician then dilates the esophagus transendoscopically
using a balloon (25mm). What CPT® code(s) is/are reported?
A) 43220
B) 43450-53, 43220
,C) 43450, 43220
D) 43220, 43450-52
◉D
Answer: How do you report a screening colonoscopy performed
on a 65 year-old Medicare patient with a family history of colon
cancer? The physician was able to pass the scope to the cecum.
What CPT® and ICD-10-CM codes are reported?
A) 45330, Z13.818, Z80.0
B) 45378, Z12.11, Z85.038
C) G0104, Z13.818, Z85.038
D) G0105, Z12.11, Z80.0
◉A
Answer: A patient presents with a 2 cm benign lip lesion. The
provider decides to remove the lesion along with a portion of the
lip by performing a wedge excision. Single-layer suture repair is
performed. What CPT® code(s) is/are reported for this service?
A) 40510
B) 11442, 12011-51
C) 40510, 12011-51
D) 11442, 40510
◉A
, Answer: What is the correct ICD-10-CM code for a patient with
IBS?
A) K58.9
B) K59.2
C) K58.0
D) K59.8
◉A
Answer: What is the correct CPT® coding for a partial distal
gastrectomy with Roux-en-Y reconstruction with vagotomy?
A) 43633, 43635
B) 43634, 43635
C) 43621, 43635
D) 43633, 43640-51
◉D
Answer: What CPT® and ICD-10-CM codes are reported for
diagnosis of a recurrent unilateral reducible femoral hernia
repair?
A) 49550, K41.91
B) 49555, K41.21
C) 49505, K41.31
D) 49555, K41.91
