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CPT questions about medical coding

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CPT Comprehensive

1. An anesthesiologist provides general anesthesia for a 72-year-old patient with mild systemic disease
who is undergoing a ventral hernia repair. How would you report the anesthesia service?

a. 00834-P2, 99100
b. 00832-P2, 99100
c. 49560, 00834, 91000-P2
d. 00832

2. Dr. Member performed a transesophageal echocardiography for a congenital cardiac condition on a
16-year-old patient. Prior to the probe placement, moderate conscious sedation was administered. The
probe was placed, images acquired, interpretation and reports were completed in the provider’s office.
This procedure lasted 45 minutes. What code(s) capture the services performed by Dr. Member?
a. 93315, 99152, 99153
b. 00320, 99151, 99152
c. 93315, 99156, 99157
d. 93315-P1, 99151, 99152

3. Which service is not included with anesthesia services?
a. Swan-Ganz monitoring
b. Administration of blood
c. Blood pressure
d. Mass spectrometry

4. The anesthesiologist performs an axillary block for postoperative pain management. The patient
receives general anesthesia for a carpal tunnel release. What are the appropriate codes?
a. 01810
b. 01810, 64417
c. 01810, 64417-59
d. 01830, 64417-59

5. A patient undergoing a cervical surgery received general anesthesia for a procedure performed in a
sitting position. The patient is 54 years old and healthy, aside from the current cervical problem. How
should the anesthesiologist report his services?

a. 00604
b. 00600-P1
c. 00604-P1
d. 00620

6. The physician is called in to perform repairs for a 17-year-old girl involved in a motor vehicle accident.
She sustained an 8.6 cm laceration to her forehead, a 5.5 cm laceration to her right cheek, a 4 cm
laceration to her left cheek, a 4 cm laceration across her chin, and a 12.5 cm laceration to her chest. The
wound on her chin required a layered closure. All other wounds required complex closure.

a) 13132, 13133 x 4, 13101, 12052
b) 13132, 13133 x 3, 13133-52, 13101, 13102, 12052

, c) 13132, 13133 x 3, 13101, 13102, 12052
d) 13131, 13132, 13133 x 3, 13101, 13102, 12052



7. The left breast was prepped and draped in a sterile fashion. An incision from the 3 around to the 9
o’clock position on the areolar border on its inferior aspect was made in the skin and extended to the
subcutaneous tissue. The breast mass was excised by sharp dissection. The mass was found to be
approximately 1.5 – 2 cm in maximum dimension. Frozen section revealed clear margins. Hemostasis
was made adequate using electrocautery and the Argon beam coagulator. After this was accomplished,
the skin margins were reapproximated with running inverted 3-0 Vicryl subcuticular suture. Select the
procedure and diagnosis codes.

A. 19120

B. 19301

C. 19125

D. 19101

8. Pre-Procedure Diagnosis: Basal cell carcinoma, left chin. Procedure: Wide local excision of 3.0 cm with
0.3 cm margin basal cell carcinoma of the left chin with a 4 cm closure. Procedure: The patient’s left chin
was examined. The site of intended excision was marked out. The site was then prepped. The patient
was then prepped and draped in the usual fashion. A 15 blade scalpel was then used to make an incision
in the previously marked site. It was carried down to the subcuticular fat. The lesion was then sharply
dissected off underlying tissue bed using a 15-blade scalpel. It was tagged for pathologic orientation. The
hyfrecator was used for hemostasis. The wound edges were then undermined. The wound was then
closed by advancing the tissue surrounding the lesion and closing in layers with 3-0 Vicryl for the deep
layer, followed by 5-0 Prolene for the skin. The skin closure was in a running subcuticular fashion. Steri-
Strips were then applied. What are the procedure and diagnosis codes?

A. 11644, 12052-51

B. 11643, 12013-51

C. 11444, 12052-51

D. 11443, 12013-51

9. The physician removes a tumor from the patient’s neck using the Mohs micrographic surgery
technique. During the first stage, the physician takes four tissue blocks and reviews them under a
microscope. The exam of the tissue blocks reveals a second stage is necessary to remove areas where
the tumor is still present. The physician removes two additional tissue blocks. What are the appropriate
CPT® codes for reporting the procedure?

A. 17311, 17312, 17315

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