CPT Coding Final Exam Test Questions and Answers
Graded A
Drainage of simple external ear abscess - - regions involved). No additional codes are
69000 needed as the procedure was only for three body
regions.
NOTE: A code of 69000 should be used for the
drainage of simple external ear abscess
(drainage external ear, abscess; simple). Patient presents to the hospital with a right index
trigger finger. Release of the trigger finger was
performed. - -26055-F6
A D&C is performed for postpartum hemorrhage.
- -59160 NOTE: A code of 26055 is needed for the release
of the patient's trigger finger, specifically the right
NOTE: In order to code a D&C that was index finger (tendon sheath incision for trigger
performed postpartum, a code of 59160 should finger). A modifier of -F6 is used to indicate it was
be used (curettage, postpartum). the second digit on the patient's right hand.
Laparoscopy with multiple biopsies of Patient requires repair of a 6 cm meningocele. -
retroperitoneal lymph nodes - -38570 -63702
NOTE: A code of 38570 is needed for the NOTE: A code of 63702 should be used for the
laparoscopy with multiple biopsies of the repair of the meningocele that is 6 cm in size
retroperitoneal lymph nodes (laparoscopy, (repair of meningocele; larger than 5 cm
surgical; with retroperitoneal lymph node diameter).
sampling). No additional codes are needed.
Code anesthesia for total shoulder replacement. -
Eighty-year-old patient has carcinoma and -01638
presents to the operating room for placement of
a tunneled implantable centrally inserted venous NOTE: A code of 01638 is used for anesthesia
access port. - -36561 provided to the patient for a total shoulder
replacement procedure (procedure on humeral
NOTE: A code of 36561 is needed for the head and neck, sternoclavicular joint,
placement of a tunneled implantable venous acromioclavicular joint, and shoulder joint; total
access port (insertion of tunneled centrally shoulder replacement).
inserted central venous access device, with
subcutaneous port).
The physician punctures the left common femoral
to examine the right common iliac. - -36245
Osteopathic manipulative treatment to three body
regions - -98926 NOTE: A code of 36245 is needed for the
puncture of the common femoral in order to be
NOTE: A code of 98926 is used for osteopathic able to examine the right common iliac (selective
manipulative treatment to three body regions catheter placement, arterial system; each first
(osteopathic manipulative treatment; 3-4 body order abdominal, pelvic, or lower extremity artery
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, CPT Coding Final Exam Test Questions and Answers
Graded A
branch, within a vascular family). needed.
Hysteroscopy with D&C and polypectomy - Patient arrives to the hospital and has a Nissen
-58558 fundoplasty done laparoscopically. - -
43280
NOTE: A code of 58558 should be used for the
hysteroscopy with the D&C and polypectomy NOTE: A code of 43280 is needed for the Nissen
(hysteroscopy, surgical; with polypectomy, with fundoplasty that was performed via laparoscopy
D&C). Only one code is needed to encompass all (laparoscopy, surgical, esophagogastric
procedures performed. fundoplasty). No other codes are needed.
Bronchoscopy with multiple transbronchial right Closure of ureterocutaneous fistula - -
upper and right lower lobe lung biopsy with 50920
fluoroscopic guidance - -31628, 31632
NOTE: A code of 50920 is needed for the closure
NOTE: Code 31632 must be listed in addition to of the ureterocutaneous fistula procedure.
the code 31628 for the primary procedure. A
code of 31628 is used for the bronchoscopy with
the transbronchial right upper lobe lung biopsy Injection snoreplasty for treatment of palatal
(single lobe). An additional code of 31632 was snoring - -42299
used for the bronchoscopy with the
transbronchial left upper lobe lung biopsy NOTE: A code of 42299 is used for the injection
(additional lobe). This code has to be used for snoreplasty in order to treat the patient's palatal
each additional lobe. snoring. Use an unlisted code for the palate uvula
because there is no CPT code for this specific
procedure.
Patient with a deviated nasal septum that was
repaired by septoplasty - -30520
An established patient was seen in her primary
NOTE: A code of 30520 is needed for the physician's office. The patient fell at home and
septoplasty procedure to repair the deviated came to the physician's office for an examination.
septum. Due to a possible concussion, the patient was
sent to the hospital to be admitted as an
observation patient. A detailed history and
A pregnant patient has an incompetent cervix, physical examination were performed, and the
which was repaired using a vaginal cerclage. - medical decision was low complexity. The patient
-59320 stayed overnight and was discharged the next
afternoon. - -99218, 99217
NOTE: In order to code a cervix repair by using a
vaginal cerclage procedure, a code of 59320 NOTE: This scenario is an example of initial
should be used (cerclage of cervix, during observation care for an established patient. Since
pregnancy; vaginal). No additional codes are the physician performed a detailed history and
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Graded A
Drainage of simple external ear abscess - - regions involved). No additional codes are
69000 needed as the procedure was only for three body
regions.
NOTE: A code of 69000 should be used for the
drainage of simple external ear abscess
(drainage external ear, abscess; simple). Patient presents to the hospital with a right index
trigger finger. Release of the trigger finger was
performed. - -26055-F6
A D&C is performed for postpartum hemorrhage.
- -59160 NOTE: A code of 26055 is needed for the release
of the patient's trigger finger, specifically the right
NOTE: In order to code a D&C that was index finger (tendon sheath incision for trigger
performed postpartum, a code of 59160 should finger). A modifier of -F6 is used to indicate it was
be used (curettage, postpartum). the second digit on the patient's right hand.
Laparoscopy with multiple biopsies of Patient requires repair of a 6 cm meningocele. -
retroperitoneal lymph nodes - -38570 -63702
NOTE: A code of 38570 is needed for the NOTE: A code of 63702 should be used for the
laparoscopy with multiple biopsies of the repair of the meningocele that is 6 cm in size
retroperitoneal lymph nodes (laparoscopy, (repair of meningocele; larger than 5 cm
surgical; with retroperitoneal lymph node diameter).
sampling). No additional codes are needed.
Code anesthesia for total shoulder replacement. -
Eighty-year-old patient has carcinoma and -01638
presents to the operating room for placement of
a tunneled implantable centrally inserted venous NOTE: A code of 01638 is used for anesthesia
access port. - -36561 provided to the patient for a total shoulder
replacement procedure (procedure on humeral
NOTE: A code of 36561 is needed for the head and neck, sternoclavicular joint,
placement of a tunneled implantable venous acromioclavicular joint, and shoulder joint; total
access port (insertion of tunneled centrally shoulder replacement).
inserted central venous access device, with
subcutaneous port).
The physician punctures the left common femoral
to examine the right common iliac. - -36245
Osteopathic manipulative treatment to three body
regions - -98926 NOTE: A code of 36245 is needed for the
puncture of the common femoral in order to be
NOTE: A code of 98926 is used for osteopathic able to examine the right common iliac (selective
manipulative treatment to three body regions catheter placement, arterial system; each first
(osteopathic manipulative treatment; 3-4 body order abdominal, pelvic, or lower extremity artery
1/7
, CPT Coding Final Exam Test Questions and Answers
Graded A
branch, within a vascular family). needed.
Hysteroscopy with D&C and polypectomy - Patient arrives to the hospital and has a Nissen
-58558 fundoplasty done laparoscopically. - -
43280
NOTE: A code of 58558 should be used for the
hysteroscopy with the D&C and polypectomy NOTE: A code of 43280 is needed for the Nissen
(hysteroscopy, surgical; with polypectomy, with fundoplasty that was performed via laparoscopy
D&C). Only one code is needed to encompass all (laparoscopy, surgical, esophagogastric
procedures performed. fundoplasty). No other codes are needed.
Bronchoscopy with multiple transbronchial right Closure of ureterocutaneous fistula - -
upper and right lower lobe lung biopsy with 50920
fluoroscopic guidance - -31628, 31632
NOTE: A code of 50920 is needed for the closure
NOTE: Code 31632 must be listed in addition to of the ureterocutaneous fistula procedure.
the code 31628 for the primary procedure. A
code of 31628 is used for the bronchoscopy with
the transbronchial right upper lobe lung biopsy Injection snoreplasty for treatment of palatal
(single lobe). An additional code of 31632 was snoring - -42299
used for the bronchoscopy with the
transbronchial left upper lobe lung biopsy NOTE: A code of 42299 is used for the injection
(additional lobe). This code has to be used for snoreplasty in order to treat the patient's palatal
each additional lobe. snoring. Use an unlisted code for the palate uvula
because there is no CPT code for this specific
procedure.
Patient with a deviated nasal septum that was
repaired by septoplasty - -30520
An established patient was seen in her primary
NOTE: A code of 30520 is needed for the physician's office. The patient fell at home and
septoplasty procedure to repair the deviated came to the physician's office for an examination.
septum. Due to a possible concussion, the patient was
sent to the hospital to be admitted as an
observation patient. A detailed history and
A pregnant patient has an incompetent cervix, physical examination were performed, and the
which was repaired using a vaginal cerclage. - medical decision was low complexity. The patient
-59320 stayed overnight and was discharged the next
afternoon. - -99218, 99217
NOTE: In order to code a cervix repair by using a
vaginal cerclage procedure, a code of 59320 NOTE: This scenario is an example of initial
should be used (cerclage of cervix, during observation care for an established patient. Since
pregnancy; vaginal). No additional codes are the physician performed a detailed history and
2/7
