The following 20 questions were developed by Lisa Rae Roper, MHA, PCS, CPC, CPC-I, CCS-Camp, for preparation of the Certified Professional Coder (CPC) exam.
Unless the question states otherwise, assume that a physician documented all the information provided.You have two minutes to complete each question.You may not use any outside materials for this exam other than the 2011 CPT, ICD-9-CM, and HCPCS Level II manuals.
JustCoding Platinum members have access to a 150-question practice
A 74-year-old patient underwent an esophagotomy via cervical approach with removal of a foreign body.The patient was placed under preoperative note indicated that this was the first visit with this patient.She dictated a detailed history, detailed examination, and low-complexity decision-making due to mild hypertension, controlled diabetes, and several medications.
How should the anesthesiologist report her services? a.00500-AA-P2, 99100 b.
43020, 99100 c.99143, 00500-AA-P2, 99100 d.
2.A 52-year-old patient had a right breast reconstruction with free flap.
The surgeon used a microsurgical technique requiring an operating microscope.How would you report this procedure?
b.19357 c.19361, 69990 d.19364-RT
Baby Smith was delivered by cesarean in the hospital.She was premature, weighing 1200 grams at 27.5 weeks gestation.She was also treated for wet lung syndrome.How would the diagnoses be reported for this newborn?
5.Dr.Aaron, an oncologist, completed a consult for Sarah, who has metastatic malignant melanoma in the anterior stomach wall.At this time, the primary site is unknown and testing will continue during treatment.Today, Sarah started chemotherapy treatments.What
V58.0, 151.8, 197.8 b.
151.8, 197.8, V58.0 c.199.1, 197.8, V58.11 d.
V58.11, 197.8, 199.1
6.A 75-year-old patient with a history of malignant neoplasm of the lower gastrointestinal tract presents for his follow-up colorectal cancer screening.He was instructed to complete the 24-hour prep and be ready to undergo the screening colonoscopy.Which HCPCS Level II code describes this colonoscopy procedure?
a.G0104 b.G0105 c.G0120 d.G0121
Dr.Gavin, a pediatrician, continues to follow Baby Girl Laura, who is not critically ill but requires intensive observation for lung function and respiratory and oxygen monitoring.
Laura is 14 days old with a current weight of 1,200 grams.Dr.Gavin initially provided care on Monday.He continued to see her on Tuesday and Wednesday.How should Dr.Gavin report all three days of care?
a.99468 x 3 b.99460, 99479 x 2 c.
99477 x 3 d.99477, 99478 x 2
8.Three individual tissue specimens from a partial left breast mastectomy were submitted for surgical pathology gross and microscopic evaluation.The reason for surgery was lesions in the breast.Each specimen required an independent comprehensive examination, report, and decalcification.
Which code(s) should be reported for the laboratory services?
a.88307 x 3, 88311 b.88307, 88331, 88323 x 3 c.88305 d.88305, 88331, 88323 x 3
A foreign body was removed during an excisional debridement Robert suffered an open dislocation to this site.How should the physician code this procedure?
Which modifier would be attached to the code for a surgical salpingostomy if the surgeon provided regional anesthesia and completed the procedure?
47 c.25 d.
Which of the following best describes the location of the cerebrum of the brain?
a.Below the corpus callosum b.Above the corpus callosum c.
Beside the brain stem d.Beside the cerebellum
12.If the starting point is catheterization of the aorta, which order branch in vascular family reporting would the left internal carotid belong to?
First b.Second c.Third d.
13.A patient had somatosensory testing completed on the upper right limb.How should this procedure be coded?
95928-RT b.95928 c.
14.Which code should you report for the injection procedure with a unilateral selective pulmonary angiography?
a.93568 b.93567 c.
A physician designed and prepared a prosthesis for palatal lift prosthesis.How sfor this process?
21083-26 c.L9900 d.L8699-26
A _____________ is a concise statement describing the symptom, problem, condition, diagnosis, or other factor that is the reason for the e
a.special report b.
key component c.family history d.chief complaint
a.-pnea b.-lysis c.
18.What is the crackling sound heard when bone or irregular cartilage surfaces rub together?
Bruit c.Crepitation d.Croupous
19.How could a hiatal hernia be described?
a.A protrusion of part of the stomach through the diaphragm b.A protrusion of part of the esophagus through the larynx
A protrusion of part of the stomach through the rectum d.A protrusion
Sample test questions for the CPC exam
The following 20 questions were developed by Lisa Rae Roper, MHA, CPC, CCS-P, aninstructor for HCProsCertified Coder Boot Camp, for preparation of the Certified Professional Coder (CPC) exam.
Unless the question states otherwise, assume that a physician documented all the information provided.You have two minutes to complete each question.You may not use any outside materials for this exam other than the CPT, ICD-9-CM, and HCPCS Level II manuals.
JustCoding Platinum members have access to a 150-question practice exam.To learn how to become a Platinum member, click on the link About JustCoding.1.Jill is a 29-year-old patient of Dr.
Marks.She is seen by Dr.Marks for a cough with wheezing and yellow-colored mucus of three days duration, as well as four days of external bleeding hemorrhoids and diarrhea.
Dr.Marks gives Jill Amoxicillin for acute viral bronchitis, instructions for care of external hemorrhoids, and a diet plan to assist with the diarrhea.What diagnoses should Dr.Marks use for this encounter? a.
466.0, 455.5, 787.91 b.787.91, 466.11, 455.5 c.466.11, 787.91, 455.2 d.
466.0, 455.8, 787.91 2.What HCPCS Level II code describes Ensure HN therapy with an enteral infusion pump with alarm? a.B4150, B9002 b.B4152, B9000 c.B4150 d.None of the above 3.Which types of joints are considered synovial? a.Suture joint, medial joint, and articulation joint b.Ball-and-socket joint, hinge joint, and saddle joint c.Pivot joint, talus joint, and cranial joint d.Ball-and socket joint, nasal joint, and elevation joint 4.A physician applied a cast and also provided all of the subsequent fracture care.The same physician may report the application of the cast separately from the fracture care.
b.False 5.Immediately prior to inserting a permanent pacemaker and placing an electrode in the ventricle, the same physician surgically created a pocket to hold the pulse generator.How should the physician report the creation of the pocket? a.Skin pocket is included b.33222 c.33222, 33215-51 d.33233 6.What modifier should be used for an incomplete colonoscopy when the patient was prepared for a full colonoscopy?
a.78 b.52 c.24 d.
None of the above 7.A physician inserts a single temporary transvenous pacing catheter into the right atrium and connects the electrode to an external pulse generator.How should the physician report these services? a.33214 b.33206 c.33210 d.33211-52 8.A surgeon performs a diagnostic laparoscopy followed by a laparoscopic nephrectomy (including partial ureterectomy).
How should the physician report these services?
49320, 50546-51 c.49320 d.
50549 9.It is appropriate to separately report a visceral repair when a closure of an ureterovisceral fistula is performed during the same surgical session.
a.True b.False 10.A dermatologist excises a 3.5 cm benign lesion from a patients back.
After the lesion is successfully removed, the dermatologist performs an intermediate 3.5 cm layered closure.How should you report these services?
a.11404, 12031 b.11404, 12032-51 c.11404 d.11404, 12032-57 11.How would a physician report a bilateral diagnostic nasal endoscopy followed by endoscopic debridement of the nasal cavity during the same operative session? a.31240, 31237 b.31254 c.31237-50 d.31237 12.What is the name of a procedure that involves the passage of an endoscope down through the esophagus? a.Septoplasty b.Sinusotomy c.Laryngoscopy d.Esophagoscopy 13.A physician excises a lesion from the iris of the right eye.
How should the physician report
these services? a.66761-50 b.66770-RT c.66635-52 d.66600-RT 14.A patient presents to have corns removed from his foot.The physician performs paring to successfully remove four lesions.How should the physician report these services?
a.11056 b.11056, 12000 c.11056 x 4 d.11704 15.The subsection microbiology in the Pathology and Laboratory section of the CPT Manual includes codes for bacteriology, mycology, parasitology, and virology.
a.True b.False 16.A 13-year-old patient suffering from end-stage renal disease received a full month of services, including growth and development assessment, parent counseling, and monitoring of adequate nutrition.These services were completed in an outpatient facility.How would the physician report these services? a.90999 b.97803, 90924 c.90920 d.90924 17.A patient is admitted to the hospital for insertion of 15 interstitial radiation ribbons.How would the facility report the radiology services? a.77778 b.99222, 77763 c.77777-TC d.77762 x 15 18.Mrs.
Smith was seen by her family physician, Dr.Marks.Mrs.Smith complains she has had a sore throat, breathing problems, and a fever for five days.
She is a diabetic patient and has been taking over-the-counter medications that have interfered with her insulin medication.Dr.Marks documented a detailed history, detailed examination, and moderately complex decision-making.Dr.
Marks spent 35 minutes with the patient during the examination.How should the physician report this service? a.99215 b.99204 c.99205 d.99214 19.Pediatric critical care patient transport codes include vascular access procedures, blood gases, and review of information data stored in computer.a.True b.False 20.An anesthesiologist administers anesthesia for a male patient prior to the surgeon performing a total hip replacement.The patient is 75 years old and suffers from mild hypertension.How should you code the anesthesia services?
a.01214, 99100-59 b.01214-47 c.01214-P2, 99100 d.01214-P3 Answers to sample test questions for the CPC exam
1.a Hemorrhoids are external with bleeding and the bronchitis is not specific to the type of virus.2.a Report both the supplement and the pump.
3.b There are six types of freely moving or synovial joints: ball-and-sock
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