©BRIGHTSTARS EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
COC - FINAL EXAM STUDY QUESTIONS
(SET 2) With Verified Answers
A 7 year-old female was seen in the ED after being bit by a dog. The child received treatment for
the bite to her left leg. She also received a rabies vaccine because the dog was known to have
rabies. What are the correct diagnosis codes for this patient encounter? - Answers✔S81.852A,
Z20.3, Z23, W54.0XXA
A 7 year-old is seen in the outpatient clinic. Blisters have appeared on the face, with some of
them bursting open. After examination, the diagnosis is impetigo. What is the correct diagnosis
code for this visit? - Answers✔L01.00
A 7 year-old patient with asthma was experiencing acute exacerbation of his condition. The
parents rushed their son to the emergency department where the ED physician performed a
midlevel E/M service. In addition, an albuterol treatment was performed. When the patient was
stabilized, he was released in good condition to his parents. What modifier is appended to the
E/M service for the facility? - Answers✔25
A 70-year -old female patient presents with a complaint of left knee pain with weight bearing
activities. She is also developing pain at rest. She denies any recent injury. There is pain with
stair climbing and start up pain. AP, lateral and sunrise views of the left knee are ordered and
interpreted. The diagnosis is left knee pain secondary to underlying primary degenerative
arthritis. What ICD-10-CM code(s) is/are reported? - Answers✔M17.12 M17.12,
A 70-year-old woman is evaluated in a clinic for symptoms of increasing claudication. After
noninvasive vascular studies were performed, the decision was made to proceed with diagnostic
angiography and possible angioplasty of the suspected left extern al iliac artery stenosis. After
normal preparation for the angiography procedure, the left common femoral artery is punctured
and the catheter is passed proximally into the left external iliac artery . Images were then taken
and an 85 percent stenosis was noted. The decision was made to perform angioplasty. Using the
Seldinger technique, the angiography catheter was removed and an angioplasty catheter with a
balloon diameter of 8 mm was advanced into the left external iliac artery and into the lesion
without difficulty. After two inflations to 8 mm, the follow-up angiography was performed and
showed good flow across the lesion. Pressures measured confirm the adequacy of -
Answers✔37220, 75710-59, 170.212
1
, ©BRIGHTSTARS EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
A 71 year-old patient presents to the outpatient clinic at the local hospital with COPD, congestive
heart failure, and hypertension. After a comprehensive evaluation, the physician adjusts to the
patient's hypertension medication due to the hypertension being uncontrolled. The patient's other
conditions were stable. The patient is to follow-up in two weeks. What ICD-10-CM codes are
reported? - Answers✔I11.0, I50.9, J44.9
A 72 year-old female sustained a left radius fracture, resulting in volar angulation, radial
shortening and loss of radioulnar inclination. General anesthetic was administered. A standard
dorsal central approach to the wrist was made. The capsule was opened in a T fashion and the
malunion site was identified. A series of osteotomes was utilized to open the fracture site and the
normal distal radial architecture was restored. The pie-plate was placed on the distal radius
utilizing a combination of 2.0 and 1.8 screws and threaded pins for the distal segment and 2.7
screws proximally. Fragments were secured, and Norian SRS was packed into the defect and
allowed to harden. With this completed, the wounds were copiously irrigated with normal saline.
Soft tissue was closed over the plate and distal radius secured with 2-0 Vicryl. What CPT ® code
is reported? - Answers✔25400-LT
A 74 year-old male Medicare patient was admitted to a trauma center ED. The ambulance
personnel notified the trauma center of expected time of arrival and gave pertinent information
on the patient's condition. Upon arrival the patient was examined immediately by the ED
physician. 2 hours and 40 minutes of critical care were provided before the patient was
transferred to another hospital for his head injury. In addition to critical care services the
following services were performed: intubation (31500), EKG (93005), chest X-ray (71045), CT
of cervical spine without contrast (72125), and CT of the head without contrast (70450). The
critical care did not include time for the procedures provided. Report the facility services. -
Answers✔G0390, 99291-25, 99292-25 x 3, 31500, 93005, 71045, 72125, 70450
A 74 year-old man was admitted by ambulance to a rural hospital ED with severe shortness of
breath. Soon after admission the patient went into cardiac arrest. The ED physician intubated the
patient and he was placed on a ventilator. Critical care time was 65 minutes and the intubation
(31500) was not included in the critical care time. EKG (93005), chest X-ray (71045), and blood
gases (82803) were performed. The patient with known congestive heart failure was then
transferred to a cardiac facility for acute hypertensive heart failure with pulmonary edema.
Report the facility ED services and the ICD-10-CM code(s). - Answers✔99291-25, 31500,
93005, 71045, 82803, I11.0, I50.1, 146.2
A 75 year-old male who is five days post-coronary bypass grafting, presents today to the
Emergency Department with an acute MI. He has no prior history of MIs. In the hospital's
cardiac catheterization unit, a cardiac catheterization reveals a fresh thrombus in the saphenous
vein graft. PTCA is performed in addition to removal of the thrombus by aspiration. What are the
correct CPT ® and ICD-10-CM codes for the procedure? - Answers✔92941, T82.868A, I21.3,
Z95.1
2
ALL RIGHTS RESERVED.
COC - FINAL EXAM STUDY QUESTIONS
(SET 2) With Verified Answers
A 7 year-old female was seen in the ED after being bit by a dog. The child received treatment for
the bite to her left leg. She also received a rabies vaccine because the dog was known to have
rabies. What are the correct diagnosis codes for this patient encounter? - Answers✔S81.852A,
Z20.3, Z23, W54.0XXA
A 7 year-old is seen in the outpatient clinic. Blisters have appeared on the face, with some of
them bursting open. After examination, the diagnosis is impetigo. What is the correct diagnosis
code for this visit? - Answers✔L01.00
A 7 year-old patient with asthma was experiencing acute exacerbation of his condition. The
parents rushed their son to the emergency department where the ED physician performed a
midlevel E/M service. In addition, an albuterol treatment was performed. When the patient was
stabilized, he was released in good condition to his parents. What modifier is appended to the
E/M service for the facility? - Answers✔25
A 70-year -old female patient presents with a complaint of left knee pain with weight bearing
activities. She is also developing pain at rest. She denies any recent injury. There is pain with
stair climbing and start up pain. AP, lateral and sunrise views of the left knee are ordered and
interpreted. The diagnosis is left knee pain secondary to underlying primary degenerative
arthritis. What ICD-10-CM code(s) is/are reported? - Answers✔M17.12 M17.12,
A 70-year-old woman is evaluated in a clinic for symptoms of increasing claudication. After
noninvasive vascular studies were performed, the decision was made to proceed with diagnostic
angiography and possible angioplasty of the suspected left extern al iliac artery stenosis. After
normal preparation for the angiography procedure, the left common femoral artery is punctured
and the catheter is passed proximally into the left external iliac artery . Images were then taken
and an 85 percent stenosis was noted. The decision was made to perform angioplasty. Using the
Seldinger technique, the angiography catheter was removed and an angioplasty catheter with a
balloon diameter of 8 mm was advanced into the left external iliac artery and into the lesion
without difficulty. After two inflations to 8 mm, the follow-up angiography was performed and
showed good flow across the lesion. Pressures measured confirm the adequacy of -
Answers✔37220, 75710-59, 170.212
1
, ©BRIGHTSTARS EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
A 71 year-old patient presents to the outpatient clinic at the local hospital with COPD, congestive
heart failure, and hypertension. After a comprehensive evaluation, the physician adjusts to the
patient's hypertension medication due to the hypertension being uncontrolled. The patient's other
conditions were stable. The patient is to follow-up in two weeks. What ICD-10-CM codes are
reported? - Answers✔I11.0, I50.9, J44.9
A 72 year-old female sustained a left radius fracture, resulting in volar angulation, radial
shortening and loss of radioulnar inclination. General anesthetic was administered. A standard
dorsal central approach to the wrist was made. The capsule was opened in a T fashion and the
malunion site was identified. A series of osteotomes was utilized to open the fracture site and the
normal distal radial architecture was restored. The pie-plate was placed on the distal radius
utilizing a combination of 2.0 and 1.8 screws and threaded pins for the distal segment and 2.7
screws proximally. Fragments were secured, and Norian SRS was packed into the defect and
allowed to harden. With this completed, the wounds were copiously irrigated with normal saline.
Soft tissue was closed over the plate and distal radius secured with 2-0 Vicryl. What CPT ® code
is reported? - Answers✔25400-LT
A 74 year-old male Medicare patient was admitted to a trauma center ED. The ambulance
personnel notified the trauma center of expected time of arrival and gave pertinent information
on the patient's condition. Upon arrival the patient was examined immediately by the ED
physician. 2 hours and 40 minutes of critical care were provided before the patient was
transferred to another hospital for his head injury. In addition to critical care services the
following services were performed: intubation (31500), EKG (93005), chest X-ray (71045), CT
of cervical spine without contrast (72125), and CT of the head without contrast (70450). The
critical care did not include time for the procedures provided. Report the facility services. -
Answers✔G0390, 99291-25, 99292-25 x 3, 31500, 93005, 71045, 72125, 70450
A 74 year-old man was admitted by ambulance to a rural hospital ED with severe shortness of
breath. Soon after admission the patient went into cardiac arrest. The ED physician intubated the
patient and he was placed on a ventilator. Critical care time was 65 minutes and the intubation
(31500) was not included in the critical care time. EKG (93005), chest X-ray (71045), and blood
gases (82803) were performed. The patient with known congestive heart failure was then
transferred to a cardiac facility for acute hypertensive heart failure with pulmonary edema.
Report the facility ED services and the ICD-10-CM code(s). - Answers✔99291-25, 31500,
93005, 71045, 82803, I11.0, I50.1, 146.2
A 75 year-old male who is five days post-coronary bypass grafting, presents today to the
Emergency Department with an acute MI. He has no prior history of MIs. In the hospital's
cardiac catheterization unit, a cardiac catheterization reveals a fresh thrombus in the saphenous
vein graft. PTCA is performed in addition to removal of the thrombus by aspiration. What are the
correct CPT ® and ICD-10-CM codes for the procedure? - Answers✔92941, T82.868A, I21.3,
Z95.1
2
