CPC Practice Exam 2

A 10-year-old male presents to his primary physician with two dark lesions. The physician determines the patient needs a punch biopsy.

What CPT code should the provider document?

How do you report Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace?

What code should a physician report if a Bronchoplasty; graft repair is performed with an excision stenosis and anastomosis are performed with this procedure?

A patient presents to her doctor’s office for a plastic repair of salivary duct, sialodochoplasty; primary or simple. The physician determines she does not need anesthesia for the procedure.

Which CPT code should be reported?

A 61-year-old male has issue with urinary incontinence, which cause uncontrollable leakage. Three months ago, the patient had a procedure to correct this is issue. The physician placed a sling across the muscles surrounding the urethra and closed the incision with layered sutures. The patient returns to have the sling removed.

Which CPT code should be reported?

A physician has a case in which the patient needs a suture of facial nerve; extracranial. However, the procedure must be completed through an operating microscope.

How should the physician report this procedure?

Evaluation and Management code 99447 is for Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report to the patient’s treating/requesting physician or other qualified health care professional; 11–20 minutes of medical consultative discussion and review.

In which case should 99447 be utilized?

Which anesthesia code is reported when a procedure is performed for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar?

A patient has been diagnosed with a malignant neoplasm of oropharynx, unspecified and the physician recommends the patient undergo radiation treatment for 5 sessions.

Which ICD-10 and CPT code be utilized?

An employer requires all employees to take random drug test to maintain employment. The employer requests the drug testing company facilitate a drug screening to identify illegal drug usage of 7 analytes.

Which CPT should be used?

If a 5-year-old reports to the Emergency Room and requires sedation. The patient can breathe without assistance. The physician recommends sedating the patient for 30 minutes.

How should the CPT codes be reported?

What does the suffix -centesis mean?

Based on the anatomic position, what directional term refers to towards the side of the body?

Hemiplegia is a disorder caused by a defect in which anatomic system?

Where is the rope like structure called the tunica vaginalis located?

• A. Intestines
• B. Urinary
• C. Male reproductive
• A. Female reproductive

What code(s) should be assigned for individuals who had contact with and (Suspected) exposure to COVID-19?

Which is the correct HCPCS Level II Code for: Speech language pathology MIPS specialty set:

Which ICD-10-CM code should be reported for COVID-19?

What document should providers review every year to identify potential problems areas?

Operative Report #1:

Preoperative Diagnosis: Angina

Postoperative Diagnosis: Sick Sinus syndrome with Tachycardia-bradycardia syndrome

Procedure: Permanent Pacemaker Insertion

Anesthesia: Local with conscious sedation

Complications: None

Procedure Notes: In a sterile manner, the left subclavian artery was prepped and drained. The patient was administered 0.5% Xylocaine anesthesia. An 18-guage thin wall needle was inserted into the left subclavian vein and a J-wire was inserted. A Medtronic bipolar lead was placed in the right ventricle apex. The was screwed into the proper position. The pocket was irrigated, and the leads were connected to the Medtronic. The device was placed in the pocket. The subcutaneous tissue was closed. A sterile dressing was applied. The patient tolerated the procedure very well.

What CPT and ICD-10-CM codes are needed for this procedure?