CPC Exam 2024
The suffix -ectomy means:
A. To cut
B. Surgical removal
C. A permanent opening
D. Surgical repair
B. Surgical removal
The acronym MMRV stands for:
A. Measles, mumps and rubella vaccine
B. Measles, mumps, and rosella vaccine
C. Measles, mumps, rubella and varicella
D. Measles, mumps, rosella and varicella
C. Measles, mumps, rubella, and varicella
Which of the following describes the removal of fluid from a body cavity?
A. Arthrocentesis
B. Amniocentesis
C. Pericardiocentsis
D. Paracentesis
D. Paracentesis
In the medical term myopathy, the suffix -patchy means disease. What is diseased?
A. Mind
B. Muscle
C. Eye
D. Nervous system
B. Muscle
Which of the following is not part of the small intestine?
A. Duodenum
B. Ileum
C. Jejunum
D. Cecum
D. Cecum
Which of the following is on the right side of the human body?
A. Appendix
B. Sigmoid colon
C. Descending colon
D. Rectum
A. Appendix
The midsagittal plane refers to what portion of the body?
A. Top
B. Middle
C. Bottom
D. Back
B. Middle
One of the six major scapulohumeral muscles:
a. temporalis
b. trapezius
c. teres
d. trigone
C. Teres
cpt codes 22840-22848 are modifier -62 exempt:
A. True
B. False
A. True
Wound exploration codes include the following services
A. Exploration and repair
B. Exploration, including enlargement, removal of foreign bodies, repair
C. Exploration, including enlargement, repair and necessary grafting
D. Exploration, including enlargement, debridement, removal of foreign bodies , minor vessel ligation and repair
D. Exploration, including enlargement, debridement, removal of foreign bodies, minor vessel ligation and repair
The full description of CPT code 24925 is:
A. Secondary closure or scar revision
B. Amputation, secondary closure or scar revision
C. Amputation, arm through humerus; secondary closure or scar revision
D. Amputation, arm through humerus; with primary closure, secondary closure or scar revision
C. Amputation, arm through humorous ; secondary closure or scar revision
What does the term “medical necessity” mean?
A. Without treatment the patient will suffer permanent disability or death
B. The service requires medical treatment
C. The condition of the patient justifies the service provided
D. The care provided med quality standards
C. The condition of the patient justifies the service provided
Which of the following statements is false?
A. External cause codes or morbidity codes are in the range V00-Y99
B. You may assign as many external cause codes as necessary a
C. External cause codes are used only in the initial encounter
D. External cause codes can never be a principle diagnosis
C. External cause codes are used only in the initial encounter
Which of the following codes allow the use of modifier 51?
A. 20975
B. 93600
C. 93616
D. 45392
D. 45392
Catargory III codes are temporary codes for emerging technology, services and procedures. If a category II code exists, it should be used instead of an “unlisted procedure” code in category I
A. True
B. False
A. True
An ABN must be signed when?
A. Once the insurance company had denied payment
B. Before the service or procedure is provided to the patient
C. After services are rendered, but before the claim is filled
D. Once the denied claim has been appealed at the highest level
B. Before the services or procedure is provided to the patient
Which of the following statements is not true regarding Medicare part A?
A. It helps cover home health care charges
B. It helps covers skilled nursing facility charges
C. It helps cover hospice charges
D. It helps cover outpatient charges
D. It helps cover outpatient charges
Which of the following is not one of the three components of HIPAA that is enforced by the office for civil rights?
A. Protecting the privacy of individually identified health information
B. Setting national standards for the security of electronically protected health information
C. Protecting identifiable information being used to analyze patient safety events and improved patient safety
D. Setting national standards regarding the transmission and use of protected health information
D. Setting national standards regarding the transmission and use of protected health information
What is the correct ICD-10-CM codes for malignant hypertension with stage 3 kidney disease?
A. I10, N18.30
B. I12.9
C. I10
D. I12.9, N18.30
D. I12.9, N18.30
Lucy was standing on a chair in her apartment’s kitchen trying to change a light bulb when she slipped and fell. She struck the glass top stove, which shattered. She presents to the ER with a simple laceration to her left forearm that has embedded glass particles. Which is the correct code(s)?
A. S51.812A, W18.02XA, W25.XXXA, Y92,030
B. S51.822A, W18.02XA, W25.XXXA, Y92.030, Y93.E9
C. S51.812A, Y02.030, W07.XXXA, W25.XXXA
D. S51.822A, W07.XXXA, W25.XXXA, Y93.E9, Y92.030
D. S51.822A, W07.XXXA, W25. XXXA, Y93. E9, Y92.030
Jim was at a bonfire where he tripped and fell into the flames, sustaining multiple burns. He arrived at the emergency room via ambulance and was treated for second degree and third degree burns on his face, second degree burns on his upper arms and forearms and third degree burns on the fronts of his thighs.
A. T20.20XA, T20.30XA, T22.259A, T22.219A, T24.319A, T31.42, X03.0XXA
B. T20.30XA, T24.319A, T22.299A, T31.42, X03.0XXA
C. T20.09XA, T22.099A, T24.099A, T31.64, X03.0XXA
D. T20.30XA, T22.299A, T24.319A, T.31.64, X03.0XXA
B. T20.30XA, T24.319A, T22.299A, T31.42, X03.0XXA
A 35 year old pregnant woman in her 38th week with her first pregnancy is admitted to the hospital. She experiences a prolonged labor during the first stage and eventually gives birth to a healthy baby boy..
A. O63.0,O09.519, Z37.0
B. O80, Z37.0
C. O80, O63.0, O09.519, Z37.0
D. O63, O09.519, Z37.0
D. O63, O09.519, Z37.0
Henry was playing baseball and slid for home base where he collided with another player. He presents to the ER complaining of pain in the distal portion of his right middle finger. It is swollen and deformed. The physician orders an xray and diagnosis Henry with a displaced tuft fracture. He splints the finger, provides narcotics for pain, and instructs Henry to folow up with his orthopedist in 2 weeks.
A. S62.632A, Y93.64, W51.XXXA, Y92.320
B. S62.662A, Y93.64, W03.XXXA, Y92.320
C. S62.392, Y93.64, W51.XXXA, Y92.320
D. S62.632, Y93.67, W03.XXXA, Y92.320
A. S62.632A, Y93.64, W51.XXXA, Y92.320
A patient has a home health aide come to his house to clean and dress a burn his lower leg. The aide uses a special absorptive sterile dressing to cover a 12 sq in area.She then covers a 10 sq in are with a self adhesive sterile gauze pad.
A. A6203,A6402
B. A6251, A6402
C. A6251, A6219
D. A6203, A6219
C. A6251, A6219
A 12 y/o arrives in his pediatricians office after colliding with another player during a soccer game. He complains of pain in his right wrist. The physician orders and X-ray and diagnosis him with a hairline fracture of the distal radius. He has a short arm fiberglass cast applied and discharges him with follow up instructions.
A. Q4009
B. Q4012
C. Q4022
D. Q4010
D. Q4010
A patient with diabetes is fitted for custom- molded shoes. What is the code range for such fitting?
A. L3201-L3649
B. A5500-A5513
C. K0001- K0902
D. E0100-E8002
B.A5500-A5513
A patient comes into her doctors office for her weekly blood sugar check. The LPN on staff draws her blood and the visit takes approximately 5 minutes
A.99202
B.99212
C.99211
D. 93793
C. 99211
A three year old child is brought into the ER after swelling a penny. A detailed history and exam are taken on the child, and medical decision making is of moderate complexity. The child is admitted for observation for three hours and is then discharged home.
A. 99221
B. 99234
C. 99215
D. 99234
D. 99234
A 20 month old child is admitted onto the hospital with pneumonia and acute respiratory distress. The physician spends three minutes intubating the child and 90 minutes of critical care time stabilizing the patient.
A. 99291; 99292-25; 31500; J80; J18.9
B. 99471-25; 31500; R06.89, J18.9
C. 99291-25; 99292-25; 31500;R06.89; J18.0
D. 99471; J80; J18.9
D. 99471; J60; J18.0
At the request of a physician who is delivering for a high risk pregnancy, Dr. Smith, a pediatrician, is present in the delivery room to assist the infant if needed. After thirty minutes the infant is born, but is not breathing. The delivering physician hands the infant to Dr. Smith who provides chest compressions and resuscitates the infant. The pediatrician then performs the initial evaluation and management and admits the healthy newborn to the nursery. What codes should Dr. Smith submit on a claim?
A. 99360; 99465
B. 99465, 99460
C. 99360; 99460
D. 99360; 99465, 99460
D. 99360, 99465, 99460
Mr. Johnson is a 79 year old established male patient that is seen by Dr. Anderson for his annual physical exam. During the examination Dr. Anderson notices a suspicious mole on Mr. Johnson’s back. The Doctor completes the annual exam and documents a detailed history and exam and the time discussing the patient’s need to quit smoking. Dr. Anderson then turns his attention to the mole and does a complete work up. He documents a comprehensive history and examination and medical decision making of moderate complexity. He also called a local dermatologist and made an appointment for Mr. Johnson to see him the next day for an evaluation and biopsy. Which is the correct code(s)?
A. 99387, 99205
B. 99387, 99215-25
C. 99397, 99205-25
D. 99397, 99215-25
D. 99397, 99215-25
An E/M is made up of seven components six of which are used in defining the levels of E/M services. The seven components include History, Exam, Medical Decision Making, Counseling, Coordination of Care, Nature of Presenting Problem, and Time. Which six of these seven parts help define the level of the E/M service?
A. History, exam, medical decision making, coordination of care, nature of presenting problem and time
B. History, exam, medical decision making,counseling, nature of presenting problem, and time
C. History, exam, medical decision making, counseling, coordination of care, and nature of presenting problem
D. History, exam, medical decision making, counseling, coordination of care and time
C. History, exam, medical decision making, counseling, coordination of care, and nature of presenting problem
A patient is placed under anesthesia to have an exploratory surgery performed on her wrist. The surgeon utilizes a small fiber optic scope and investigates the radius, ulna and surrounding wrist bones. What should the anesthesiologist code for?
A. 01829
B. 01820
C. 01820
D. 29840
A. 01829
When does anesthesia time begin?
A. After the induction of anesthesia is complete
B. During the preoperative exam prior to entering the OR
C. When the anesthesiologist begins preparing the patient for the induction of anesthesia
D. Once the supervising physician signs over the patients care to the anesthesiologist
C. When the anesthesiologist begins preparing the patient for the induction of anesthesia
A five month old is brought into the operating room for open heart surgery. The surgeon performs a repair f a small hole that was found in the lining surround the patients heart. Anesthesia was provided as well as the assistance of an oxygenator pump.
A. 00560, 99100
B. 00561
C. 00567, 99100
D. 00561, 99100
B. 00561
A 72 year old male with a history of severe asthma is placed under anesthesia to have a long tendon in his upper arm repaired.
A. 01712-P4, 99100
B. 01716-P3
C. 01714-P3, 99100
D. 01714-P4
C0171-P3, 99100
John was involved in a fight at a bar and presents to the ER with multiple lacerations. The physician performs an evaluation, and determines that John has a 2.5 cm gash on him left forearm and a 4 cm gash on his right shoulder. Both wounds require layered closure. He also had a simple 3 cm laceration on his forehead that requires simple closure. What are the codes for the laceration repairs?
A. 12032-RT, 12031-LT, 12031-59, S51.822A, S41.021A, S01.81X
B. 12032, 12013-59, S51.802A, S41.001A,S01.81XA
C. 13121, 12052-59, S41.009A, S01.81XA
D. 12032-RT-LT, 12013-59, S51.802A, S41.001A, S01.81XA
B. 12032, 12013-59, S51.802A, S41.001A,S01.81XA
A patient presents to her dermatologists office with three suspicious looking lesions. The dermatologist evaluates them and determines the the 1.3 cm lesion on the scalp is benign and the 1.5 cm lesion on the neck is premalignant. A 2.5 cm lesion on the dorsal surface of the patients hand is also evaluated and is determined to be malignant. The dermatologist chooses to ablate all three lesions using electrosurgery.
A. 17273, 17003, 17110-59
B. 17273, 17000, 17003
C. 17273, 17000-59, 17110-59
D. 17273, 17003
C. 17273, 17000-59, 17110-59
An 18 year old female presents with a. Cyst on her left breast and her physician performs a puncture aspiration.
A.10160-LT
B.10060
C.10021
D.19000-LT
D.19000-LT
A patient with a non healing burn wound on her right cheek is admitted to the OR for surgery. The physician has the patient prepped with Bernadine scrub and draped in the normal sterile fashion. The cheek was anesthetized with 1% Lidocaine with 1:800,00 epinephrine (6cc), and septicare was applied. A skin graft of the epidermis and a small portion of the dermis were taken with a Giuliano week blade with a six- thousands of an inch thick shim on the blade. The 25 sq cm graft was flipped and sewn to the adjacent defect with running 5-0 vicryl. The wound was then dressed with Xeroform and the patient was taken to recovery.
A.14041
B.15115
C.15120
D.15758
C. 15120
A child is brought into the emergency department after having a car door closed on the fingers of her right hand. The physician evaluates the patient and diagnoses her with a 3 cm laceration to her second finger and a subungual hematoma to her third finger. The physician then cleans the fingers with iodine scrub and injects both digits with 2mL of 1% lidocaine with epinephrine.
The wound on the second finger was then irritated with 500 cc of NS and explored for foreign bodies or structural damage. No foreign bodies were found, and tendons and vessels were intact. The would was then reapproximated. Three 5-0 absorbable mattress sutures were used to close the subcutaneous tissue, and six 6-0 nylon interrupted stures used to close the epidermis. The finger was then wrapped in sterile gauze ad placed in an aluminum finger splint. The physician checked to see that the digital block performed on the third finger was still effective. After ensuring the patients finger was still numb, he then used and electrocautery unit to create a small hole in the nail. Pressing lightly on the nail, he evacuated the hematoma. The hole was then irrigated with 500 cc of NS and the finger was wrapped in sterile gauze. The patient tolerated both procedures well without complaint.
A. 12042-F6, 11740-59, F7
B. 64400 (X2), 20103-51, 12042-51, 11740-51, 59
C. 20103, 12042-F6, 11740-F7
D. 20103, 12042-51, F6, 11740-51, F7
A. 12042-F6, 11740-59, F7
A patient is being treated for third degree burns to his left leg and left arm, covering an area of 18 sq cm. The burns are scrubbed clean, anesthetized, and three incisions are made with a #11 scalpel, through the dead tissue, in order to expose the fatty tissue below and avoid compartment syndrome. The burns are redressed with sterile gauze.
A.97597
B. 97602
C.16035, 16036 x2
D. 16030, 16035, 16036 x2
C. 16035, 16036 x2
Case Study 1
Operative report
Preoperative diagnosis: Basal Cell Carcinoma
Postoperative diagnosis: Basal Cell Carcinoma
Location: Mid Parietal Scalp
Procedure:
Prior to each surgical stage, the surgical site was tested for anesthesia and re-anesthetized as needed, after which was prepped and draped in the normal sterile fashion.
The clinically apparent tumor was carefully define and debulked prior to the first stage in order to determine the extent of the surgical excision. With each stage, a thin layer of tumor- laden tissue was excited with a narrow margin of normal appearing skin, using the Mohs fresh tissue technique. A map was prepared to correspond to the are of skin from which it was excised, the tissue was prepared for the cryostat and and sectioned. Each section was coded, cut and stained for microscopic examination. The surgeon examined the entire base and margins of the excised piece of tissue. Area notes to be positive on the previous stage ( if applicable) were removed with the Mohs technique and processed for analysis.
No tumor was identified after the final stage of microscopicallycontrolled surgery. The patient tolerated the procedure well without any complication. After discussion with the patient regarding the various options, the best closure option for each defect was selected for optimal functional and cosmetic results.
Preoperative Size: 1.5 x 2.9 cm
Postoperative Size: 2.7 x 2.9 cm
Closure: Simple Linear Closure, 3.5 cm, Scalp
Total # of Mohs Stages: 2
Stage- 1, Sections-6, Positive-1
Stage-2, sections-2, Positive-2
A. 17311, 17315, 17312, 12002
B. 17311, 17312, 12002
C. 17311, 17315, 17312
D. 17311, 17312
A. 17311, 17315, 17312, 12002
Medical and lateral meniscus repair performed arthroscopically
A. 27447
B. 29868
C. 29882
D. 29883
D. 29883
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