Test Paper 6,1,2
Test Paper 6,1,2
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Q:1-Which gland not only produces thymosin, but also stimulates T-cells to produce the hormones
needed to regulate immune system function? This gland is composed of two lobes that are identical.
This gland usually shrinks after puberty when it is replaced by fat, but still continues to produce T-
cells.
Thymus
Thyroid
Parathyroid
Adrenal
Q:2-The physician performed a partial Nissen Fundoplasty via a lower thoracic incision. What is the
correct code for this procedure?
43327
43328
43325
43331
Q:4-A 17 year-old patient presented to the orthopedist office after having fallen off his skateboard.
He suffered a closed fracture to the left tibia and fibula as well as a severe sprain to the right wrist.
The patient was in severe pain so an anesthesiologist administered anesthesia to him, while the
physician manipulated the fractures back into place and applied the cast to the lower left leg. What
are the appropriate anesthesia code(s)?
01820, 01490
01462
01480, 01820
01490
Q:5-When a CPT code has the words “separate procedure” in parenthesis after the code description,
you:
Code for all other elements of the procedure except this one
Only code for this procedure if it was the only thing performed
Q:6-The patient presents to the gynecologist's office complaining of stress incontinence. The GYN
decides to perform a sling operation using synthetic materials to reinforce the patient's muscles and
allow for additional urinary control. This procedure is performed laparoscopically in order to be less
invasive. What is the correct code for this procedure?
57288
57287
51990
51992
Q:7-When you see the symbol # in front of a CPT code, what does it mean?
Q:8-What is the correct code for the endocrinology service located in the medicine section that
allows for the ambulatory continuous glucose monitoring of interstitial tissue fluid (includes the
physician’s reading and interpretation of the report's findings over a 72-hour period)?
95251, 99091
95251
95250, 99091
Q:9-The patient is actively being treated for bladder cancer. The patient presented to the office
today for bladder instillation treatment. The patient was catheterized and his bladder was emptied
of all contents. An anticarcinogenic agent was introduced into the bladder at 0100 hours. The
patient was instructed to lie in supine position for 45 minutes. The physician returned at 0145 hours
and emptied the bladder of the anticarcinogenic agent. The patient tolerated the procedure well.
The patient was instructed to return to office in one week for the next treatment and a follow-up
examination. What is the correct code for the instillation treatment only?
51715
51701
51702
51720
Q:10-What is the purpose of temporary national codes in the HCPCS Level II manual?
They allow the establishment of codes prior to the January 1st annual update
They allow the deletion of codes prior to the January 1st annual update
Q:1-During the surgical session, the pathologist received and performed analyses on three separate
biopsies from the vaginal wall and one from the cervix. How should the surgical pathologist code for
this service?
88305, 88307
88305 (X3)
88305 (X4)
90968 (X14)
90960
90967 (X14)
90964
Q:3-A 32-year-old woman with repeat urinary tract infections presented to the office with painful
urination. Suspecting another UTI, the physician sent a urine sample to the lab to identify the
bacteria causing the infection. The physician's office billed for the laboratory service themselves,
even though they sent the sample to an outside lab for the test. What modifier is appropriate in this
case?
Modifier -99
Modifier -90
Modifier -52
Q:4-A physician took an impression of a 47-year-old woman's left orbital socket and created a
custom prosthesis. What is the correct code for this service?
21076
21089 -LT
21088 -LT
21077 -LT
Q:5-An forensic pathologist performed a gross post-mortem examination on a stillborn infant. The
exam included the infant's brain, but did not include the infant's spinal cord. How should the
pathologist code for this service?
Mark one answer:
88005
88012
88025
88014
Q:6-The physician ordered tests to evaluate a three-year-old patient for cystic fibrosis. The test
results came back as suspicious so the physician ordered additional tests to confirm the diagnosis.
The physician ordered his nurse to call the patient's parents to discuss the patient's results and any
other recommended tests. The phone conversation lasted 20 minutes during which time the nurse
scheduled a follow-up appointment for the next morning at 10:00 AM. How should you report the
telephone services for this phone call?
98967
98968
99442
Q:8-A physician performed a lymphangiography with insertion of radioactive tracer for identification
of sentinel node. What is the correct code for this procedure?
38790, 75801
38792, 75801
Q:10-Dr. Brown, a dermatologist, opened and drained multiple complicated acne pustules and
comedones on a 19-year-old patient with severe acne. For one of the more complicated acne
pustules, Dr. Brown incised, drained, and marsupialized the acne cyst by suturing the right and left
sides, leaving the cyst open for drainage. What is the correct code for the procedure?
10060
10061, 10040
10040
10061
Q:1-A 10-year-old boy was running through his house and ran into a sliding glass door, breaking the
glass and suffering severe lacerations on his trunk and arms and minor lacerations on his face and
legs. The emergency department physician performed the simple closure of one 2 cm laceration on
the boy's cheek and two 2.3 cm lacerations on the boy's left leg. The physician performed the simple
closure of one 4 cm laceration on the right arm and the layered closure of two lacerations on the left
arm, which were 1.5 and 3 cm, respectively. The physician treated the 5 cm laceration on the boy's
chest, which required the removal of particulate glass and a single layer closure. What are the
correct codes for the wound repair performed by the emergency department physician?
Q:3-What is the difference between biopsy codes located in the integumentary section and those
found in the musculoskeletal section?
The biopsy codes found in the integumentary section are only for codes related to malignant
neoplasms
The codes in the musculoskeletal system include biopsies for bone only, whereas the biopsy codes
found in the integumentary section include codes for biopsies of subcutaneous structures including
bone
The biopsy codes found in the integumentary section are for biopsies of the skin and subcutaneous
structures whereas the biopsy codes found in the musculoskeletal section are for deeper structures
Q:4-The physician performed the excision of two 1.5 cm malignant lesions on a patient's upper back.
During the surgery, the physician noted four additional lesions, which looked to be pre-malignant.
These lesion excisions were 0.3, 0.7, 1.0, and 1.45 cm, respectively. The suspect lesions were sent to
pathology lab, where they were determined to be benign. What are the appropriate codes for the
service?
11404, 11603
Q:6-A pediatric patient presented to the office with a severe asthma attack. The pediatrician ordered
a pulse oximetry to check the patient's blood oxygen saturation level and a spirometry to evaluate
her lung capacity. The physician interpreted the results and ordered an albuterol nebulizer
treatment and a post-spirometry to check the patient's responsiveness to the albuterol treatment.
What are the correct codes for this office visit?
Q:7-The patient returned to the office one month later for removal of cast on her left lower arm. The
original attending physician removed the cast. The physician also examined the arm and determined
that no further casting or follow-up was necessary. What is the appropriate code for this service?
25250
99214
29799
Q:8-The respiratory system subsection in the CPT manual contains, but is not limited to procedure
codes for the following body areas:
Q:9-After careful selection and testing of bone marrow donors, a potential candidate was found for
a patient with severe leukemia. The physician collected a small sample of the potential donor's bone
marrow via aspiration technique. This sample was then sent to pathology to determine whether or
not it would be a match for the patient's bone marrow. What is the correct code for the procedure
performed by the physician?
38221
38220
38230
38232