SOLUTIONS
Placement of ventilation tube, left ear, with local anesthesia
69433-LT
69436-LT, 69424-RT
69433
69436 Correct Answer: 69433-LT
Left renal stone was seen, which was right next to the stent placed previously. Stone was targeted
in both AP and lateral views. Starting at an energy of 2 Kv and going to 9 Kv, the stone was
fragmented utilizing ESWL. Additional 500 shocks were required for total pulverization of the
stone.
52317
52353
50590-LT
52353, 52310-51 Correct Answer: 50590-LT
Extracorpeal shock wave lithotripsy or ESWL was performed. Code as 50590-LT.
Electrocardiogram, interpretation and report only
93015
93000
93000-26
93010 Correct Answer: 93010
Laceration repairs as follows: 1.5 cm arm, simple; 2.5 cm arm, simple; 1.5 cm arm, intermediate
12001, 12001-51, 12031-51
12001 x 2, 12031
12002, 12031-51
12031, 12002-51 Correct Answer: 12031, 12002-51
Tachycardia refers to
sick sinus syndrome.
irregular heartbeat.
rapid heartbeat.
slow heartbeat. Correct Answer: rapid heartbeat.
Patient presents for follow-up for her hypertension. She is seen by another physician in the same
practice. BP, pulse, and temp are taken. Chest is clear. Cardiac normal sinus rhythm. There are
no new problems and her hypertension appears to be stable. MDM is straightforward. What E/M
service would be assigned?
99202
99212
99201
,99213 Correct Answer: 99212
In addition to the usual information submitted on each claim, what additional information must
be reported when submitting ancillary services?
NPI number, name, and address of requesting/referring physician
referring/requesting physician and NPI number
referring/requesting physician
provider number of requesting/referring physician Correct Answer: referring/requesting
physician and NPI number
A 17-year-old presents for his initial visit with complaints of left knee pain after playing football.
An expanded problem-focused history and exam were performed with straightforward MDM.
99201
99202
99213
99212 Correct Answer: 99202
Bilateral microscopic ear examination and removal of bilateral cerumen impactions. Utilizing the
ear speculum and surgical forceps, the external canal was cleared of impacted cerumen by
surgical forceps.
69210-50
69209-50
69200-50
69209 Correct Answer: 69210-50
Modifier -26 indicates
only utilized in E/M section.
codes in CPT for supervision/interpretation.
radiology codes for supervision/interpretation.
may be used in all sections of CPT. Correct Answer: codes in CPT for
supervision/interpretation.
Nerve conduction studies, two studies
95905
95907
95907 X2
95908-52 Correct Answer: 95907
Patient admitted to observation care at 11:00 PM for chest pain. Detailed history, comprehensive
exam, and low MDM are performed. Patient is discharged at 11:00 AM the following day.
99219, 99217
99218
99238
99218, 99217 Correct Answer: 99218, 99217
, Cystoscopy was introduced into the bladder. Tumor measuring 2 cm was located on the bladder.
Using cutting current, this was resected and particles removed through the evacuator. Tumor
measuring 1 cm was located on the bladder base, which was also resected along with a third
tumor, 2 cm, located on the upper portion of the bladder.
52235
52235 x3
52235, 52235-59, 52235-55
52235, 52234-51 Correct Answer: 52235
A superficial burn, characterized by pain, redness, and swelling is classified as a
first-degree burn.
fourth-degree burn.
second-degree burn.
third-degree burn. Correct Answer: first-degree burn.
Basic metabolic panel with ionized calcium
80050
80048
80047
80053 Correct Answer: 80047
The diaphysis of a long bone is also referred to as the
end.
distal end.
shaft.
proximal end. Correct Answer: shaft.
Anesthesia services for cardiac radiofrequency ablation, 63-year-old with severe atrial
fibrillation
00537-P1
00537
00530
00537-P3 Correct Answer: 00537-P3
The old tracheostomy site was palpated for signs of a tracheal defect; none was noted. A vertical
incision was made through the old scar until the trachea was reached. There were significant
calcifications of the tracheal rings, making identification of the individual rings difficult. A
number 11 blade was used to create a vertical incision, and scar tissue over the previous
tracheostoma was excised until the endotracheal tube could be visualized. A number 8
nonfenestrated, cuffed tracheostomy tube was easily inserted into the tracheostomy.
31603-22
31600
31603
31603, 31830 Correct Answer: 31600