Page 1 of 226
CPC EXAM PREP (LATEST UPDATE )
QUESTIONS AND ANSWERS | GRADE A | 100%
CORRECT (VERIFIED SOLUTIONS)
Abnormal chest x-ray
Z00.00
R90.0
R91.8
Z00.01
.....ANSWER.....R91.8
Since the chest x-ray was only stated as "abnormal," a code for
nonspecific abnormal findings of lung field, code R91.8
A patient with severe mental retardation and cerumen impactions
in both ears was unable to be cleared in the office. Using
,Page 2 of 226
surgical instrumentation, the canal was cleared of impacted
cerumen bilaterally.
69200
69210
69210-50
69205-50
.....ANSWER.....69210-50
Assign code 69210-50 for bilateral removal of impacted
cerumen. Cerumen was cleared with surgical instrumentation and,
therefore, was assigned code 69210. The remaining selections
are for removal of a foreign body of the external ear and,
therefore, not appropriate.
Gastroscope was introduced through the mouth and passed into
the stomach, through the pylorus and into the second portion of
the duodenum. Just inferior to the Z-line, a small polyp was
,Page 3 of 226
identified and cold biopsied. Rectal exam was performed, and
colonoscope was advanced to the cecum. Multiple sessile polyps
were removed utilizing snare and cauterized. There were two
other tiny polyps that were ablated due to their size.
45385, 43239
45388, 45385-51, 43239
45385, 45384-51, 43235
45385, 45388-51, 43239
.....ANSWER.....45388, 45385-51, 43239
A total of three (3) procedures were performed, therefore, three
(3) CPT codes would be assigned. Both colonoscopy and
esophagogastroduodenoscopy (EGD) were performed. The
colonoscopy involved fulgurating polyps (45388) and
polypectomy by snare (45385-51). The cauterization of the
snared polypectomy is not separately reportable to control
, Page 4 of 226
bleeding created by the excision. An EGD was also performed
with biopsy, which would be assigned 43239.
The remaining selections did not include the fulguration of polyps
and, therefore, would not be correct.
A 67-year-old patient with known CAD and a history of MI was
admitted for CABG. A portion of the right radial vein was
procured for bypass grafting, and then proceeded to perform
two coronary venous bypass grafts.
33511, 35500
33511
33510, 33534
33510, 35500 .....ANSWER.....33511, 35500
CPC EXAM PREP (LATEST UPDATE )
QUESTIONS AND ANSWERS | GRADE A | 100%
CORRECT (VERIFIED SOLUTIONS)
Abnormal chest x-ray
Z00.00
R90.0
R91.8
Z00.01
.....ANSWER.....R91.8
Since the chest x-ray was only stated as "abnormal," a code for
nonspecific abnormal findings of lung field, code R91.8
A patient with severe mental retardation and cerumen impactions
in both ears was unable to be cleared in the office. Using
,Page 2 of 226
surgical instrumentation, the canal was cleared of impacted
cerumen bilaterally.
69200
69210
69210-50
69205-50
.....ANSWER.....69210-50
Assign code 69210-50 for bilateral removal of impacted
cerumen. Cerumen was cleared with surgical instrumentation and,
therefore, was assigned code 69210. The remaining selections
are for removal of a foreign body of the external ear and,
therefore, not appropriate.
Gastroscope was introduced through the mouth and passed into
the stomach, through the pylorus and into the second portion of
the duodenum. Just inferior to the Z-line, a small polyp was
,Page 3 of 226
identified and cold biopsied. Rectal exam was performed, and
colonoscope was advanced to the cecum. Multiple sessile polyps
were removed utilizing snare and cauterized. There were two
other tiny polyps that were ablated due to their size.
45385, 43239
45388, 45385-51, 43239
45385, 45384-51, 43235
45385, 45388-51, 43239
.....ANSWER.....45388, 45385-51, 43239
A total of three (3) procedures were performed, therefore, three
(3) CPT codes would be assigned. Both colonoscopy and
esophagogastroduodenoscopy (EGD) were performed. The
colonoscopy involved fulgurating polyps (45388) and
polypectomy by snare (45385-51). The cauterization of the
snared polypectomy is not separately reportable to control
, Page 4 of 226
bleeding created by the excision. An EGD was also performed
with biopsy, which would be assigned 43239.
The remaining selections did not include the fulguration of polyps
and, therefore, would not be correct.
A 67-year-old patient with known CAD and a history of MI was
admitted for CABG. A portion of the right radial vein was
procured for bypass grafting, and then proceeded to perform
two coronary venous bypass grafts.
33511, 35500
33511
33510, 33534
33510, 35500 .....ANSWER.....33511, 35500
