CPC Practice Exam 1

A patient is being treated for third-degree burns to her left leg and left arm, covering 18 sq cm. The burns are scrubbed clean, anesthetized and three incisions are made with a #11 scalpel. The burns are then re-dressed in sterile gauze.

What CPT code(s) should the physician utilize?

A patient has been complaining of pain since his surgery 4 months ago. The physician explores the shoulder and discovers a metal clamp that had been left from the prior surgery. The physician refers him to an outpatient surgeon for an arthroscopy. The surgeon removes the clamp and closes the opening.

What CPT code(s) should the physician utilize?

A 22-year-old female in the hospital, with AIDS, has been placed on a ventilator for dyspnea. The physician biopsies a lung nodule or mass through a rigid or flexible fiberoptic endoscope, with general anesthesia. The physician performs a thoracoscopy to determine whether she has pneumonia. After the test results were read, the physician diagnosed the patient with Pneumocystis Carinii Pneumonia.

What CPT and ICD-10-CM code(s) are reported?

A 35-year-old male has internal hemorrhoids and presents to the physician for hemorrhoid removal. The ligator and alligator forceps have been inserted through an anoscope. The physician identifies the most prominent hemorrhoid and ligates it at the base with a rubber band.

Which CPT code should be used?

A 38-year-old woman presents to the physician with vaginal bleeding for 17 days. The physician found a mass and measure it at 3 x 4 cm. The mass was firm and irregular on the right vaginal mucosa. A biopsy was performed and a small amount of tissue from the mass was extracted and sent to the laboratory.

Which CPT code should be used?

A procedure is conducted in which the patient’s damaged or severely diseased cornea is replaced with an artificial cornea to restore sight.

What CPT code does this describe?

A man at his annual physical is shown to have a BMI of 29.8. The physician provides counseling on risk factors for obesity for 10 minutes.

Which CPT code is reported?

A female who is 17 weeks pregnant is rushed into the OR due to a ruptured tubal pregnancy. She has a severe hemorrhage and has an emergency laparoscopic tubal ligation, which requires anesthesia.

What CPT code(s) should the physician utilize?

A physician performed a deep needle bone biopsy of the femur. The trocar was visualized and guided using a CT scan and interpretation was provided.

What CPT code(s) should the physician utilize?

A 17-year-old female presents in her family physician’s office complaining of nausea, vomiting, and weight gain. She has been experiencing these symptoms intermittently for two weeks. An analysis of the urine reveals a positive pregnancy test and hCG levels of 12500 mIU/ml confirm she is in her sixth week of pregnancy.

What CPT code(s) should the physician utilize?

Due to suspected gastric outlet obstruction, a manometric study is performed. Using nuclear medicine, the physician monitors the time it takes for food to move through the patient’s stomach, the time it takes the patient’s stomach to empty into the small intestine, and how fully it empties.

Which CPT code(s) should be used?

12. The Midsagittal plane refers to what portion of the body

The spleen belongs to what organ system

One of the six major scapulohumeral muscles

Which Z code can only be reported as a first listed code?

Which of the following is an observation Z code category for an encounter for medical observation for suspected diseases and conditions ruled out?

When a service having both a technical and professional component is performed in the hospital, which modifier can the physician use?

When coding procedures, how should certain conditions with an underlying etiology and multiple body system manifestations due to the underlying etiology be coded. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be

Which act applies to situations where health privacy and employer/employee relationships intersect?

An 81-year-old female patient with a history of well-controlled type 2 diabetes and a mild history of asthma presents to the Emergency Room with an injured forearm. After x-rays are taken, she is sent to the operating room for an open reduction with internal fixation for a displaced fracture of the right distal radius.

Procedure: Internal fixation for a displaced fracture of the right distal radius.

Operative Procedure: The patient was laid in the supine position on the operating table. The right arm was prepped and draped in the normal sterile fashion. Before the surgery, the patient was given 1g of cefazolin intravenously. A tourniquet was placed on the upper arm and inflated to 250 mmHg. An incision was made along the dorsal aspect of the forearm and subcutaneous tissue was dissected to reveal the fractured radius. A curette was used to remove the splintered ends of the radius on each side of the fracture and a K-wire was then introduced along the radius to stabilize it.

A guide pin was then placed down the central axis of the radius. A 20mm hole was then drilled and a screw was introduced. The K-wire was then removed, and the wound was thoroughly irrigated with normal saline. The fascia layer was closed with absorbable sutures and the epidermis was closed with Monocryl. The wound was dressed with Vaseline gauze, 4x4s, and sterile Sof-Rol. A long arm Velcro splint was then placed over this and placed in a sling. The tourniquet was deflated after a total time of 60 minutes. The patient was awakened, placed in his hospital bed, and taken to the recovery room in fair condition.

Estimated blood loss was 15cc. Sponge and needle counts were correct.

What CPT and ICD-10 codes should the physician utilize?