2026-2027 NEWEST EXAM | ALL QUESTIONS AND
CORRECT ANSWERS WITH EXPLANATIONS | GRADED A+
| VERIFIED ANSWERS | JUST RELEASED
The patient is a 67 year-old gentleman with metastatic colon cancer recently
operated on for a brain metastasis, now for placement of an Infuse-A-Port for
continued chemotherapy. The left subclavian vein was located with a needle and
a guide wire placed. This was confirmed to be in the proper position
fluoroscopically. A transverse incision was made just inferior to this and a
subcutaneous pocket created just inferior to this. After tunneling, the introducer
was placed over the guide wire and the power port line was placed with the
introducer and the introducer was peeled away. The tip was placed in the
appropriate position under fluoroscopic guidance and the catheter trimmed to
the appropriate length and secured to the power port device. The locking
mechanism was fully engaged. The port was placed in the subcutaneous pocket
and everything sat very nicely fluoroscopically. It was secured to the underlying
soft tissue with 2-0 silk stitch. What CPT® code(s) is (are) reported for this
procedure?
A. 36556, 77001-26
B. 36558
C. 36561, 77001-26
D. 36571
Patient is having an Infuse-A-Port put in his chest to receive chemotherapy. The
subclavian vein (central venous) is being tunneled for the access device,
eliminating multiple choices A and D. The patient had a subcutaneous pocket
created to insert the power port, eliminating multiple choice answer B. Code
77001 reports fluoroscopic guidance for a central venous access device.
Modifier 26 denotes the professional service. Answer C
,A CT scan identified moderate-sized right pleural effusion in a 50 year-old male.
This was estimated to be 800 cc in size and had an appearance of fluid on the CT
Scan. A needle is used to puncture through the chest tissues and enter the
pleural cavity to insert a guidewire under ultrasound guidance. A pigtail catheter
is then inserted at the length of the guidewire and secured by stitches. The
catheter will remain in the chest and is connected to drainage system to drain the
accumulated fluid. The CPT® code is:
A. 32557
B. 32555
C. 32556
D. 32550
The drainage of fluid from the pleural cavity was performed via needle
(percutaneous) with insertion of an indwelling catheter to drain the fluid,
eliminating multiple choice answers B and D. The procedure was performed
under ultrasound guidance, eliminating multiple choice answer C. Answer A
,The patient is a 59 year-old white male who underwent carotid endarterectomy
for symptomatic left carotid stenosis a year ago. A carotid CT angiogram showed
a recurrent 90% left internal carotid artery stenosis extending into the common
carotid artery. He is taken to the operating room for re-do left carotid
endarterectomy. The left neck was prepped and the previous incision was
carefully reopened. Using sharp dissection, the common carotid artery and its
branches were dissected free. The patient was systematically heparinized and
after a few minutes, clamps were applied to the common carotid artery and its
branches. A longitudinal arteriotomy was carried out with findings of extensive
layering of intimal hyperplasia with no evidence of recurrent atherosclerosis. A
silastic balloon-tip shunt was inserted first proximally and then distally, with
restoration of flow. Several layers of intima were removed and the
endarterectomized surfaces irrigated with heparinized saline. An oval Dacron
patch was then sewn into place with running 6-0 Prolene. Which CPT® code(s)
is/are reported?
A. 35301
B. 35301, 35390
C. 35302
D. 35311, 35390
The procedure involved removing plaque and the vessel lining from the carotid
artery through a neck incision, eliminating multiple choice answers C and D. This
was a re-operation (35390), as the original surgery was performed a year ago.
Answer B
, A 52 year-old patient is admitted to the hospital for chronic cholecystitis for
which a laparoscopic cholecystectomy will be performed. A transverse
infraumbilical incision was made sharply dissecting to the subcutaneous tissue
down to the fascia using access under direct vision with a Vesi-Port and a scope
was placed into the abdomen. Three other ports were inserted under direct
vision. The fundus of the gallbladder was grasped through the lateral port, where
multiple adhesions to the gallbladder were taken down sharply and bluntly: The
gallbladder appeared chronically inflamed. Dissection was carried out to the
right of this identifying a small cystic duct and artery, was clipped twice
proximally, once distally and transected. The gallbladder was then taken down
from the bed using electrocautery, delivering it into an endo-bag and removing
it from the abdominal cavity with the umbilical port. What CPT® and ICD-10-CM
codes are reported?
A. 47564, K81.2
B. 47562, K81.1
C. 47610, K81.2
D. 47600, K81.1
One way to narrow down your choices is by the diagnosis. The patient has
chronic cholecystitis. In the ICD-10-CM Alphabetic Index, look for
Cholecystitis/chronic, referring you to code K81.1. Verify code in the Tabular List
for accuracy. This eliminates multiple choice A and C. The patient had a
laparoscopic cholecystectomy, eliminating multiple choice answer D. Answer B