Certified Professional Coder EXAMINATION
SET 2026 SOLVED QUESTIONS GRADED A+
● A 15 year-old underwent placement of a cochlear implant 1 year ago.
It now needs to be reprogrammed. What CPT® code is reported for the
reprogramming? Answer: 92604
Rationale: Cochlear implants differ from hearing aids; they bypass the
damaged part of the ear. The use of a cochlear implant involves
relearning how to hear and react to sounds. In the CPT® Index look for
Cochlear Device/Programming which directs you to codes 92602,
92604. The code selection is based on the age of the patient and whether
it is the initial programming or subsequent reprogramming. Code 92604
describes subsequent reprogramming for a patient age 7 or older.
● A 5 year-old fell on broken glass and required suturing of a laceration.
Due to the age and combative behavior of the patient, the provider
utilized moderate sedation while repairing the laceration. The provider
gave the child 50 mg of Ketamine IM. A nurse monitored the patient
during the procedure which took 30 minutes. What CPT® code is
reported for moderate sedation? Answer: 99152, 99153
Rationale: Moderate sedation is often used for pediatric patients in
situations not normally requiring sedation. In this case, the provider
administered sedation with a nurse assisting in monitoring the patient. In
the CPT® Index look for Sedation/Moderate/with Independent
,Observation and you are directed to code range 99151-99153. Code
selection is based on age of the patient and the length of time. Code
99152 describes an encounter using moderate sedation, and the
physician or other qualified health care professional rendering the
diagnostic or therapeutic service also manages the sedation. This code is
specific for the age of the patient and up to 15 minutes of time. Add-on
99153 is for each additional 15 minutes of intraservice time.
● A new patient with cystic fibrosis underwent evaluation of lung
function, including percussion, vibration and cupping to the chest wall to
facilitate his lung function. What CPT® code(s) is/are reported for this
service? Answer: 94667
Rationale: In the CPT® Index look for
Pulmonology/Therapeutic/Manipulation of Chest Wall or Chest
Wall/Manipulation which directs you to 94667-94668. 94667 is the
correct code since it includes the patient's first time, and it includes the
evaluation.
● A patient was brought to the emergency department in cardiac arrest.
The physician immediately initiated CPR. What CPT® code is reported
for CPR? Answer: 92950
Rationale: Medical personnel usually begin cardiopulmonary
resuscitation (CPR) which provides artificial breathing and chest
compressions for a person in cardiac arrest. In the CPT® Index you can
look for either CPR or Cardiopulmonary Resuscitation or
, Resuscitation/Cardiopulmonary. All indexed items direct you to code
92950.
● A patient with hypertensive cardiovascular disease is admitted by his
primary care provider. What is/are the correct ICD-10-CM code(s) for
this encounter? Answer: I11.9
Rationale: In the ICD-10-CM Alphabetic Index look for Hypertension,
hypertensive/cardiovascular/disease (arteriosclerotic) (sclerotic) which
states to see Hypertension, heart. Look for Hypertension/heart (disease)
(conditions in I51.4-I51.9 due to hypertension) directing you to I11.9.
ICD-10-CM guideline, I.C.9.a.1., states code I11- is used when a causal
relationship is stated or implied. Tabular List confirms code I11.9 is
correct as heart failure is not documented.
● A patient with chronic respiratory failure is visited at home by a
certified respiratory therapist to manage his home oxygen therapy. What
CPT® and ICD-10-CM codes are reported? Answer: 99503, J96.10
Rationale: In the CPT® Index look for Home Services/Respiratory
Therapy and you are directed to 99503. In the ICD-10-CM Alphabetic
Index, look for Failure, failed/respiration, respiratory/chronic and you
are directed to J96.10. Verification in the Tabular List confirms code
selection.
SET 2026 SOLVED QUESTIONS GRADED A+
● A 15 year-old underwent placement of a cochlear implant 1 year ago.
It now needs to be reprogrammed. What CPT® code is reported for the
reprogramming? Answer: 92604
Rationale: Cochlear implants differ from hearing aids; they bypass the
damaged part of the ear. The use of a cochlear implant involves
relearning how to hear and react to sounds. In the CPT® Index look for
Cochlear Device/Programming which directs you to codes 92602,
92604. The code selection is based on the age of the patient and whether
it is the initial programming or subsequent reprogramming. Code 92604
describes subsequent reprogramming for a patient age 7 or older.
● A 5 year-old fell on broken glass and required suturing of a laceration.
Due to the age and combative behavior of the patient, the provider
utilized moderate sedation while repairing the laceration. The provider
gave the child 50 mg of Ketamine IM. A nurse monitored the patient
during the procedure which took 30 minutes. What CPT® code is
reported for moderate sedation? Answer: 99152, 99153
Rationale: Moderate sedation is often used for pediatric patients in
situations not normally requiring sedation. In this case, the provider
administered sedation with a nurse assisting in monitoring the patient. In
the CPT® Index look for Sedation/Moderate/with Independent
,Observation and you are directed to code range 99151-99153. Code
selection is based on age of the patient and the length of time. Code
99152 describes an encounter using moderate sedation, and the
physician or other qualified health care professional rendering the
diagnostic or therapeutic service also manages the sedation. This code is
specific for the age of the patient and up to 15 minutes of time. Add-on
99153 is for each additional 15 minutes of intraservice time.
● A new patient with cystic fibrosis underwent evaluation of lung
function, including percussion, vibration and cupping to the chest wall to
facilitate his lung function. What CPT® code(s) is/are reported for this
service? Answer: 94667
Rationale: In the CPT® Index look for
Pulmonology/Therapeutic/Manipulation of Chest Wall or Chest
Wall/Manipulation which directs you to 94667-94668. 94667 is the
correct code since it includes the patient's first time, and it includes the
evaluation.
● A patient was brought to the emergency department in cardiac arrest.
The physician immediately initiated CPR. What CPT® code is reported
for CPR? Answer: 92950
Rationale: Medical personnel usually begin cardiopulmonary
resuscitation (CPR) which provides artificial breathing and chest
compressions for a person in cardiac arrest. In the CPT® Index you can
look for either CPR or Cardiopulmonary Resuscitation or
, Resuscitation/Cardiopulmonary. All indexed items direct you to code
92950.
● A patient with hypertensive cardiovascular disease is admitted by his
primary care provider. What is/are the correct ICD-10-CM code(s) for
this encounter? Answer: I11.9
Rationale: In the ICD-10-CM Alphabetic Index look for Hypertension,
hypertensive/cardiovascular/disease (arteriosclerotic) (sclerotic) which
states to see Hypertension, heart. Look for Hypertension/heart (disease)
(conditions in I51.4-I51.9 due to hypertension) directing you to I11.9.
ICD-10-CM guideline, I.C.9.a.1., states code I11- is used when a causal
relationship is stated or implied. Tabular List confirms code I11.9 is
correct as heart failure is not documented.
● A patient with chronic respiratory failure is visited at home by a
certified respiratory therapist to manage his home oxygen therapy. What
CPT® and ICD-10-CM codes are reported? Answer: 99503, J96.10
Rationale: In the CPT® Index look for Home Services/Respiratory
Therapy and you are directed to 99503. In the ICD-10-CM Alphabetic
Index, look for Failure, failed/respiration, respiratory/chronic and you
are directed to J96.10. Verification in the Tabular List confirms code
selection.
