CPC Practice Exam - 150 Questions
. A 35 year old woman who is pregnant in her 38th week with her first child is admitted
to the hospital. She experiences a prolonged labor during the first stage and eventually
births a healthy baby boy. Which is the correct code(s)? - Answer O63.0, O09.513,
Z37.0
A 2 year-old comes in for an initial WCE, Morn doesn't have the child's immunization
record. She states the child's last shot was when he was 5 months old. Medical review
and documentation of a new patient supports one element of HPI, five-elements of the
ROS, and a complete PFSH. The examination was 8+ organ systems. The physician
orders the immunizations to be given in the office today. Immunizations given
subcutaneously: MMRV. What CPT codes are reported? - Answer 99382-25, 90471,
90710
A 5 year old is brought into the ER after being attacked by a stray dog. The stray was
captured and tested positive for rabies. The patient has a 3cm laceration on his right
cheek that requires simple closure and a 1cm and 4cm laceration on his upper left arm
requiring layered repair. After discussing the benefits and risks with the patient's parents
they decide to have an IM rabies vaccination administered by the physician, due to the
patient's rabies exposure. Which is the correct code(s)? - Answer S41.112A, S01.411A,
Z20.3, 12032, 12013-51, 90460-51, 90675
A 12 year old arrives in his pediatrician's office after colliding with another player during
a soccer game. He is complaining of pain in his right wrist. The physician orders an x-
ray and diagnoses him with a hairline fracture of the distal radius. He has a short arm
fiberglass cast applied and discharges him with follow up instructions. - Answer Q4010
A 13 year old child has his tonsils and adenoids removed due acute tonsillitis and
chronic tonsilitis and adenoiditis. Which is the correct code(s)? - Answer 42821, J03.90,
J35.03
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 on and off 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. Which is the correct
code(s)? - Answer 81025, 84702
A 20 month old child is admitted to the hospital with pneumonia and acute respiratory
distress. The physician spends 3 minutes intubating the child and spends 90 minutes of
Critical Care time stabilizing the patient. Which is the correct code(s)? - Answer 99471;
J80; J18.9
A 25 year-old male is brought in by the EMS to the ER for nausea and vomiting. The
patient has elevated blood sugars per EMS. EMS and the physician are unable to get a
history due to patient's altered mental status. The ED physician performed a
comprehensive eight organ system exam and a high level MDM. Patient was
,CPC Practice Exam - 150 Questions
transferred to ICU in stable condition. Total critical care time 25 minutes. What CPT
code is reported? - Answer 99285
A 26 year old patient who is Gravida 2 Para 1 presents to the ER in her 36th week of
pregnancy with twin gestations who are monochorionic and monoamniotic. She is in
active labor, 6 cm dilated, and her water is intact. Her OBGYN, who provided 12
antepartum visits, admitted her to labor & delivery. Although the patient had a previous
cesarean during her first pregnancy the physician allowed her to attempt a vaginal birth.
After pushing for three hours the patient was exhausted and taken to the OR for a
cesarean delivery with a transverse incision. Two healthy newborns were born 15
minutes later. During the hospital stay and afterward the same physician provided the
postpartum care to the mother. Which is the correct code(s)? - Answer 59618, 59620-
51, O75.81, O30.013, O60.14X0, O66.41, O82, Z37.2, Z3A.36
A 35 year old mother carrying twin gestations, who has a three year old child with Down
syndrome, comes in for a prenatal screening. She is in her 12th week of pregnancy and
the physician requests that the amount of fluid behind the necks of the fetuses be
measured. A transabdominal approach was used. Which is the correct code(s)? -
Answer 76813, 76814
A 45 year old patient with end stage renal disease has in home dialysis services
initiated on the 15th of the month. The physician provides dialysis every day. On the
19th the patient was admitted to the hospital and discharged on the 24th. The physician
and patient began in-home dialysis again on the 25th and continued every day until the
31st. Which is the correct code(s)? - Answer 90970 x11
A 50-year-old gentleman with severe respiratory failure is mechanically ventilated and is
currently requiring multiple intravenous drips. With the patient in his Intensive Care Unit
bed, mechanically ventilated in the Trendelenburg position, the right neck was prepped
and draped with Betadine in a sterile fashion. A single needle stick aspiration of the right
subclavian vein was accomplished without difficulty and the guide wire was advanced
and a dilator was advanced over the wire. The triple lumen catheter was cannulated
over the wire and the wire was then removed. No PVCs were encountered during the
procedure. All three ports to the catheter were aspirated and flushed blood easily and
they were all flushed with normal saline. The catheter was anchored to the chest wall
with butterfly phalange using 3-0 silk suture. Betadine ointment and a sterile Op-Site
dressing were applied. Stat upright chest x-ray was obtained at the completion of the
procedure to ensure proper placement of the tip in the subclavian vein. Which is the
correct code(s)? - Answer 36556
A 52 year old male is in the emergency department complaining of dizziness and states
he passed out prior to arrival. The physician evaluates him, orders that a 12 lead EKG
be performed, and has the nurse infuse 2 liters of NS over a 1 hour and 45 minute time
period under his supervision. The EKG results were reviewed by the physician and were
normal. A report was written and the patient was diagnosed with syncope due to
, CPC Practice Exam - 150 Questions
dehydration and released. In addition to the EM service what should the physician code
for? - Answer 93010, 96360, 96361
A 60 year old male is admitted for detoxification and rehabilitation. He has continuously
abused amphetamines to the point that he cannot voluntarily stop on his own and has
become dependent upon them. He also has a long documented history of alcohol abuse
and alcoholism. He experiences high levels of anxiety due to PTSD, which causes him
to use and abuse substances. Which is the correct code(s)? - Answer F15.20, F10.20,
F41.1, F43.10
A 72 year old male with a history of severe asthma is placed under anesthesia to have a
long tendon in his upper arm repaired. Which is the correct code(s)? - Answer 01714-
P3, 99100
A 73 year old group home resident with end stage renal disease has a nurse come in on
Mondays, Wednesdays, and Fridays to perform peritoneal dialysis. Each dialysis
session lasts three hours. Once a week, (on Friday), the nurse also assists the patient
with his meals, cleaning, and grocery shopping. What should the nurse charge for a
month (30 days) of services if the 1st of the month landed on a Monday? - Answer
99601 x13, 99602 x13, 99509 x4
A 74 year old male with a weak urinary stream had his PSA tested. Results read 12.5
and he was scheduled for a biopsy to determine whether he had a malignancy or BPH.
He arrived for surgery and was placed in the left lateral decubitus position and he was
sedated. The surgeon used ultrasonic guidance to percutaneously retrieve 3 biopsies,
using the transperineal approach. The biopsies were examined and the patient was
diagnosed with secondary prostate cancer with the primary site unknown. He was
directed to schedule a PET scan and discharged in good condition. - Answer 55700,
76942
A 300lb. paraplegic needs a special sized wheelchair with fixed arm rests and elevating
leg rests. Which is the correct code(s)? - Answer E1222
A cardiologist manipulates a catheter through the patient's atrial system, starting in the
femoral artery and manipulating to the third order, using intravascular ultrasound. The
cardiologist performs radiological supervision and interpretation. Which is the correct
code(s)? - Answer 36247, 37252, 37253 X2
A CBC does not include which of the following: - Answer hCG
A child is brought into the emergency department after having her fingers on her right
hand closed in a car door. The physician evaluates the patient and diagnosis her with a
3cm laceration to her second finger and a subungual hematoma to her third finger. The
physician then proceeds to cleanse the fingers with an iodine scrub and injects both
digits with 2 mL of 1% lidocaine with epinephrine. The wound on the second finger was
then irrigated with 500 cc of NS and explored for foreign bodies or structural damage.
. A 35 year old woman who is pregnant in her 38th week with her first child is admitted
to the hospital. She experiences a prolonged labor during the first stage and eventually
births a healthy baby boy. Which is the correct code(s)? - Answer O63.0, O09.513,
Z37.0
A 2 year-old comes in for an initial WCE, Morn doesn't have the child's immunization
record. She states the child's last shot was when he was 5 months old. Medical review
and documentation of a new patient supports one element of HPI, five-elements of the
ROS, and a complete PFSH. The examination was 8+ organ systems. The physician
orders the immunizations to be given in the office today. Immunizations given
subcutaneously: MMRV. What CPT codes are reported? - Answer 99382-25, 90471,
90710
A 5 year old is brought into the ER after being attacked by a stray dog. The stray was
captured and tested positive for rabies. The patient has a 3cm laceration on his right
cheek that requires simple closure and a 1cm and 4cm laceration on his upper left arm
requiring layered repair. After discussing the benefits and risks with the patient's parents
they decide to have an IM rabies vaccination administered by the physician, due to the
patient's rabies exposure. Which is the correct code(s)? - Answer S41.112A, S01.411A,
Z20.3, 12032, 12013-51, 90460-51, 90675
A 12 year old arrives in his pediatrician's office after colliding with another player during
a soccer game. He is complaining of pain in his right wrist. The physician orders an x-
ray and diagnoses him with a hairline fracture of the distal radius. He has a short arm
fiberglass cast applied and discharges him with follow up instructions. - Answer Q4010
A 13 year old child has his tonsils and adenoids removed due acute tonsillitis and
chronic tonsilitis and adenoiditis. Which is the correct code(s)? - Answer 42821, J03.90,
J35.03
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 on and off 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. Which is the correct
code(s)? - Answer 81025, 84702
A 20 month old child is admitted to the hospital with pneumonia and acute respiratory
distress. The physician spends 3 minutes intubating the child and spends 90 minutes of
Critical Care time stabilizing the patient. Which is the correct code(s)? - Answer 99471;
J80; J18.9
A 25 year-old male is brought in by the EMS to the ER for nausea and vomiting. The
patient has elevated blood sugars per EMS. EMS and the physician are unable to get a
history due to patient's altered mental status. The ED physician performed a
comprehensive eight organ system exam and a high level MDM. Patient was
,CPC Practice Exam - 150 Questions
transferred to ICU in stable condition. Total critical care time 25 minutes. What CPT
code is reported? - Answer 99285
A 26 year old patient who is Gravida 2 Para 1 presents to the ER in her 36th week of
pregnancy with twin gestations who are monochorionic and monoamniotic. She is in
active labor, 6 cm dilated, and her water is intact. Her OBGYN, who provided 12
antepartum visits, admitted her to labor & delivery. Although the patient had a previous
cesarean during her first pregnancy the physician allowed her to attempt a vaginal birth.
After pushing for three hours the patient was exhausted and taken to the OR for a
cesarean delivery with a transverse incision. Two healthy newborns were born 15
minutes later. During the hospital stay and afterward the same physician provided the
postpartum care to the mother. Which is the correct code(s)? - Answer 59618, 59620-
51, O75.81, O30.013, O60.14X0, O66.41, O82, Z37.2, Z3A.36
A 35 year old mother carrying twin gestations, who has a three year old child with Down
syndrome, comes in for a prenatal screening. She is in her 12th week of pregnancy and
the physician requests that the amount of fluid behind the necks of the fetuses be
measured. A transabdominal approach was used. Which is the correct code(s)? -
Answer 76813, 76814
A 45 year old patient with end stage renal disease has in home dialysis services
initiated on the 15th of the month. The physician provides dialysis every day. On the
19th the patient was admitted to the hospital and discharged on the 24th. The physician
and patient began in-home dialysis again on the 25th and continued every day until the
31st. Which is the correct code(s)? - Answer 90970 x11
A 50-year-old gentleman with severe respiratory failure is mechanically ventilated and is
currently requiring multiple intravenous drips. With the patient in his Intensive Care Unit
bed, mechanically ventilated in the Trendelenburg position, the right neck was prepped
and draped with Betadine in a sterile fashion. A single needle stick aspiration of the right
subclavian vein was accomplished without difficulty and the guide wire was advanced
and a dilator was advanced over the wire. The triple lumen catheter was cannulated
over the wire and the wire was then removed. No PVCs were encountered during the
procedure. All three ports to the catheter were aspirated and flushed blood easily and
they were all flushed with normal saline. The catheter was anchored to the chest wall
with butterfly phalange using 3-0 silk suture. Betadine ointment and a sterile Op-Site
dressing were applied. Stat upright chest x-ray was obtained at the completion of the
procedure to ensure proper placement of the tip in the subclavian vein. Which is the
correct code(s)? - Answer 36556
A 52 year old male is in the emergency department complaining of dizziness and states
he passed out prior to arrival. The physician evaluates him, orders that a 12 lead EKG
be performed, and has the nurse infuse 2 liters of NS over a 1 hour and 45 minute time
period under his supervision. The EKG results were reviewed by the physician and were
normal. A report was written and the patient was diagnosed with syncope due to
, CPC Practice Exam - 150 Questions
dehydration and released. In addition to the EM service what should the physician code
for? - Answer 93010, 96360, 96361
A 60 year old male is admitted for detoxification and rehabilitation. He has continuously
abused amphetamines to the point that he cannot voluntarily stop on his own and has
become dependent upon them. He also has a long documented history of alcohol abuse
and alcoholism. He experiences high levels of anxiety due to PTSD, which causes him
to use and abuse substances. Which is the correct code(s)? - Answer F15.20, F10.20,
F41.1, F43.10
A 72 year old male with a history of severe asthma is placed under anesthesia to have a
long tendon in his upper arm repaired. Which is the correct code(s)? - Answer 01714-
P3, 99100
A 73 year old group home resident with end stage renal disease has a nurse come in on
Mondays, Wednesdays, and Fridays to perform peritoneal dialysis. Each dialysis
session lasts three hours. Once a week, (on Friday), the nurse also assists the patient
with his meals, cleaning, and grocery shopping. What should the nurse charge for a
month (30 days) of services if the 1st of the month landed on a Monday? - Answer
99601 x13, 99602 x13, 99509 x4
A 74 year old male with a weak urinary stream had his PSA tested. Results read 12.5
and he was scheduled for a biopsy to determine whether he had a malignancy or BPH.
He arrived for surgery and was placed in the left lateral decubitus position and he was
sedated. The surgeon used ultrasonic guidance to percutaneously retrieve 3 biopsies,
using the transperineal approach. The biopsies were examined and the patient was
diagnosed with secondary prostate cancer with the primary site unknown. He was
directed to schedule a PET scan and discharged in good condition. - Answer 55700,
76942
A 300lb. paraplegic needs a special sized wheelchair with fixed arm rests and elevating
leg rests. Which is the correct code(s)? - Answer E1222
A cardiologist manipulates a catheter through the patient's atrial system, starting in the
femoral artery and manipulating to the third order, using intravascular ultrasound. The
cardiologist performs radiological supervision and interpretation. Which is the correct
code(s)? - Answer 36247, 37252, 37253 X2
A CBC does not include which of the following: - Answer hCG
A child is brought into the emergency department after having her fingers on her right
hand closed in a car door. The physician evaluates the patient and diagnosis her with a
3cm laceration to her second finger and a subungual hematoma to her third finger. The
physician then proceeds to cleanse the fingers with an iodine scrub and injects both
digits with 2 mL of 1% lidocaine with epinephrine. The wound on the second finger was
then irrigated with 500 cc of NS and explored for foreign bodies or structural damage.
