Jean Inman Domain 2 Exam (2024/25)
A patient has carcinoma of multiple overlapping sites of the bladder. A diagnostic
cystoscopy and transurethral fulguration of the bladder lesion (1.9cm, 6.0cm) are
undertaken. Which of the following CPT code(s) would be most appropriate?
52000 Cystourethroscopy
52224 Cystourethroscopy with fulguration (including cryosurgery or treatment of) minor
(less than 0.5cm) tumor(s) with or without a biopsy
52234 Cystourethroscopy with fulguration (including cryosurgery or treatment of) small (
0.5cm to 2.0cm) tumor(s) with or without a biopsy
52235 Cystourethroscopy with fulguration (including cryosurgery or treatment of)
medium (2.0cm to 5.0cm) tumor(s) with or without a biopsy
52240 Cystourethroscopy with fulguration (including cryosurgery or treatment of) large
bladder tumors with or without a biopsy
52234, 52240
52235
52240
52200, 52234, 52240 - CORRECT ANSWER 52240
In most instances, the "owner" of the Charge Description Master (CDM) in a healthcare
facility is the:
HIM department
Information technology department
Finance department
Patient accounts department - CORRECT ANSWER Finance department
The APC payment system is based on what coding system?
CPT/HCPCS codes
ICD-9-CM diagnosis and procedure codes
CPT and ICD-9-CM procedure codes
Only CPT codes - CORRECT ANSWER CPT/HCPCS codes
The amount charged for a medical insurance policy is which of the following?
Fee schedule
, Premium
Claim
Deductible - CORRECT ANSWER Premium
The first step in an inpatient record review is to verify the correct assignment of the:
Record sample
Coding procedures
Principal diagnosis
DRG - CORRECT ANSWER Principal diagnosis
A patient is admitted with nausea, vomiting, and abdominal pain. The physician
documents on the discharge summary; acute cholecystitis, nausea, vomiting, and
abdominal pain. Which of the following would be the correct coding sequence for this
case?
Acute cholecystitis, nausea vomiting, abdominal pain
Abdominal pain, vomiting, nausea, acute cholecystitis
Nausea, vomiting, abdominal pain
Acute cholecystitis - CORRECT ANSWER Acute cholecystitis
A 60 yo male is admitted with a history of prostate cancer and with mental confusion.
The patient completed radiation therapy three years ago is status post a radical
resection of the prostate. A CT scan of the brain during the current admission reveals
metastatic. Which of the following is the correct coding and sequencing for the current
hospital stay?
Metastatic carcinoma of the brain; carcinoma of the prostate; mental confusion
Mental confusion; history of carcinoma of the prostate; admission for chemotherapy
Metastatic carcinoma of the brain; history of carcinoma of the prostate
Carcinoma of the prostate; metastatic carcinoma of the prostate - CORRECT ANSWER
Metastatic carcinoma of the brain; history of carcinoma of the prostate
A 7yo female is admitted to the emergency department for shortness of breath and
wheezing. The patient is treated with epinephrine and nebulizer treatments without relief
of the symptoms. What diagnosis should be suspected:
Acute bronchitis
Acute bronchitis with chronic obstructive pulmonary disease
Asthma with status asthmaticus
Chronic obstructive asthma - CORRECT ANSWER Asthma with status asthmaticus
The practice of using a code that results in a higher payment to the provider than the
code that actually reflects the service or item provided is known as: (Points : 5)
Unbundling
Upcoding
Medically unnecessary services
Billing for services not provided - CORRECT ANSWER Upcoding
A 75 year old male is admitted with fever, lethargy, hypotension, tachycardia, oliguria,
and elevated WBC. The patient has more than 100,000 organisms of Escherichia coli
A patient has carcinoma of multiple overlapping sites of the bladder. A diagnostic
cystoscopy and transurethral fulguration of the bladder lesion (1.9cm, 6.0cm) are
undertaken. Which of the following CPT code(s) would be most appropriate?
52000 Cystourethroscopy
52224 Cystourethroscopy with fulguration (including cryosurgery or treatment of) minor
(less than 0.5cm) tumor(s) with or without a biopsy
52234 Cystourethroscopy with fulguration (including cryosurgery or treatment of) small (
0.5cm to 2.0cm) tumor(s) with or without a biopsy
52235 Cystourethroscopy with fulguration (including cryosurgery or treatment of)
medium (2.0cm to 5.0cm) tumor(s) with or without a biopsy
52240 Cystourethroscopy with fulguration (including cryosurgery or treatment of) large
bladder tumors with or without a biopsy
52234, 52240
52235
52240
52200, 52234, 52240 - CORRECT ANSWER 52240
In most instances, the "owner" of the Charge Description Master (CDM) in a healthcare
facility is the:
HIM department
Information technology department
Finance department
Patient accounts department - CORRECT ANSWER Finance department
The APC payment system is based on what coding system?
CPT/HCPCS codes
ICD-9-CM diagnosis and procedure codes
CPT and ICD-9-CM procedure codes
Only CPT codes - CORRECT ANSWER CPT/HCPCS codes
The amount charged for a medical insurance policy is which of the following?
Fee schedule
, Premium
Claim
Deductible - CORRECT ANSWER Premium
The first step in an inpatient record review is to verify the correct assignment of the:
Record sample
Coding procedures
Principal diagnosis
DRG - CORRECT ANSWER Principal diagnosis
A patient is admitted with nausea, vomiting, and abdominal pain. The physician
documents on the discharge summary; acute cholecystitis, nausea, vomiting, and
abdominal pain. Which of the following would be the correct coding sequence for this
case?
Acute cholecystitis, nausea vomiting, abdominal pain
Abdominal pain, vomiting, nausea, acute cholecystitis
Nausea, vomiting, abdominal pain
Acute cholecystitis - CORRECT ANSWER Acute cholecystitis
A 60 yo male is admitted with a history of prostate cancer and with mental confusion.
The patient completed radiation therapy three years ago is status post a radical
resection of the prostate. A CT scan of the brain during the current admission reveals
metastatic. Which of the following is the correct coding and sequencing for the current
hospital stay?
Metastatic carcinoma of the brain; carcinoma of the prostate; mental confusion
Mental confusion; history of carcinoma of the prostate; admission for chemotherapy
Metastatic carcinoma of the brain; history of carcinoma of the prostate
Carcinoma of the prostate; metastatic carcinoma of the prostate - CORRECT ANSWER
Metastatic carcinoma of the brain; history of carcinoma of the prostate
A 7yo female is admitted to the emergency department for shortness of breath and
wheezing. The patient is treated with epinephrine and nebulizer treatments without relief
of the symptoms. What diagnosis should be suspected:
Acute bronchitis
Acute bronchitis with chronic obstructive pulmonary disease
Asthma with status asthmaticus
Chronic obstructive asthma - CORRECT ANSWER Asthma with status asthmaticus
The practice of using a code that results in a higher payment to the provider than the
code that actually reflects the service or item provided is known as: (Points : 5)
Unbundling
Upcoding
Medically unnecessary services
Billing for services not provided - CORRECT ANSWER Upcoding
A 75 year old male is admitted with fever, lethargy, hypotension, tachycardia, oliguria,
and elevated WBC. The patient has more than 100,000 organisms of Escherichia coli
