CPC Practice Exam Questions And Answers Verified
100% Correct
A 10 month-old child is taken to the operating room for removal of a laryngeal
mass. What is (are) the appropriate anesthesia code(s) to report?
A. 00320
B. 00326
C. 00320, 99100
D. 00326, 99100 --CORRECT ANSWER-- The patient receives general
anesthesia for the removal of a laryngeal mass. Look in the CPT® Index for
Anesthesia/Larynx. You are referred to 00320 and 00326. Review the code
descriptions in the numeric section. Code 00326 is the correct code to indicate the
procedure is performed on a patient younger than one year. 99100 is not reported
because the patient's age range is included in the description of the anesthesia
code. There is a parenthetical note under 00326 that indicates the code should not
be reported with 99100. ANSWER B
A catheter is placed in the left common femoral artery which was directed into the
right the external iliac (antegrade). Dye was injected and a right lower extremity
angiogram was performed which revealed patency of the common femoral and
profunda femoris. The catheter was then manipulated into the superficial femoral
artery (retrograde) in which a lower extremity angiogram was performed which
revealed occlusion from the popliteal to the tibioperoneal artery. What are the
procedure codes that describe this procedure?
A. 36217, 75736-26
B. 36247, 75716-26
C. 36217, 75658-26
D. 36247, 75710-26 --CORRECT ANSWER-- Selecting the correct ANSWER
can be tackled two ways.
(1) A third order selective catheter placement in the brachiocephalic system was
not performed, eliminating multiple choice ANSWERs A and C. Bilateral
angiography of the lower extremities was not performed, eliminating multiple
choice ANSWER B. Arterial access was the left common femoral artery and the
catheter was directed into the right common iliac (36245 - first order) into right
external iliac (36246second order). The catheter was then directed to the common
femoral into the superficial femoral artery (36247-third order). Report only the
,highest level of catheter placement 36247. Angiography for the right extremity is
75710. Modifier 26 denotes the professional service.
OR
(2) A right lower extremity angiogram was performed. Code 75736 is eliminated
because that is for the pelvis. Code 75716 is eliminated because that is if both
extremities had an angiogram. Code 75658 is eliminated because that is for the
brachial artery. Code 75710 is the correct angiography code. ANSWER D
56 year-old female is having a bilateral mammogram with computer aid detection
conducted as a screening because the patient has had a previous cyst in the right
breast. What radiological services are reported?
A. 77065 x 2
B. 77065, 77066
C. 77067
D. 77066 --CORRECT ANSWER-- The radiological service is a screening
mammogram of both breasts eliminating multiple choices A, B and D. Note: If
this was a bilateral diagnostic mammogram you only report code 77066
because the code is specifically for both breasts. You will not report 77065 and
77066, or report 77065 twice or with a modifier 50. Code 77066 also does not
have modifier 50 appended because the code description already indicates that
it is a bilateral code. ANSWER C
63 year-old patient with bilateral ureteral obstruction presents to an outpatient
facility for placement of a right and left ureteral stent along with an interpretation
of a retrograde pyelogram. What codes should be reported?
A. 52332, 74000
B. 52332-50, 74420-26
C. 52005, 74420
D. 52005-50, 74425-26 --CORRECT ANSWER-- The radiological service is a
screening mammogram of both breasts eliminating multiple choices A, B and
D. Note: If this was a bilateral diagnostic mammogram you only report code
77066 because the code is specifically for both breasts. You will not report
77065 and 77066, or report 77065 twice or with a modifier 50. Code 77066
also does not have modifier 50 appended because the code description already
indicates that it is a bilateral code.
,Patient is coming in for a pathological examination for ischemia in the left leg.
The first specimen is 1.5 cm of a single portion of arterial plaque taken from the
left common femoral artery. The second specimen is 8.5 x 2.7 cm across x 1.5 cm
in thickness of a cutaneous ulceration with fibropurulent material on the left leg.
What surgical pathology codes should be reported for the pathologist?
A. 88304-26, 88302-26
B. 88305-26, 88304-26
C. 88307-26, 88305-26
D. 88309-26, 88307-26 --CORRECT ANSWER-- Code 88305 - Skin, other than
cyst/tag/debridement/plastic repair is for the cutaneous ulceration on the left
leg. Code 88304 - Artery, atheromatous plaque is for the arterial plaque taken
from the femoral artery. Modifier 26 is appended to show the pathologist's
service. ANSWER B
During a craniectomy the surgeon asked for a consult and sent a frozen section of
a large piece of tumor and sent it to pathology. The pathologist received a rubbery
pinkish tan tissue measuring in aggregate 3 x 0.8 x 0.8 cm. The entire specimen is
submitted in one block and also a gross and microscopic examination was
performed on the tissue. The frozen section and the pathology report are sent back
to the surgeon indicating that the tumor was a medulloblastoma. What CPT®
code(s) will the pathologist report?
A. 80500
B. 88331-26, 88307-26
C. 80502
D. 88331-26, 88332-26, 88304-26 --CORRECT ANSWER-- The pathology
consultation of the tumor is performed during a surgery guiding you to code
88331. Code 88331 is only reported once because one block is submitted.
Codes 80500 and 80502 are reported according to CPT® guidelines when the
pathologist gives a response to a request from an attending physician in relation
to a test result(s) requiring additional medical interpretive judgment. A gross
and microscopic examination was also performed reporting code 88307.
ANSWER B
Physician orders a basic (80047) and comprehensive metabolic (80053) panels.
Select the code(s) on how this is reported.
A. 80053, 80047
, B. 80053
C. 80047, 82040, 82247, 82310, 84075, 84155, 84460, 84450
D. 80053, 82330 --CORRECT ANSWER-- Subsection guidelines in the CPT®
codebook under Organ or Disease-Oriented Panels state: "Do not report two or
more panel codes that include any of the same constituent tests performed from
the same patient collection. If a group of tests overlaps two or more panels,
report the panel that incorporates the greater number of tests to fulfill the code
definition and report the remaining tests using individual test codes." The
comprehensive metabolic panel has the greater number of tests than the basic
metabolic panel, eliminating multiple choice ANSWERs A and C. Code 82330
(Calcium, ionized) is not listed under panel code 80053, and because that is the
remaining test in the basic metabolic panel that is not included in the
comprehensive metabolic panel it is also reported, eliminating multiple choice
ANSWER B. ANSWER D
A 4 year-old is getting over his cold and will be getting three immunizations in the
pediatrician's office by the nurse. The first vaccination administered is the Polio
vaccine intramuscularly. The next vaccination is the live influenza (LAIV3)
administered in the nose. The last vaccination is the Varicella (live) by
subcutaneous route. What CPT® codes are reported for the administration and
vaccines?
A. 90713, 90658, 90716, 90460, 90461 x 2
B. 90713, 90660, 90716, 90460, 90461 x 1
C. 90713, 90660, 90716, 90471, 90472, 90474
D. 90713, 90658, 90716, 90471, 90472, 90473 --CORRECT ANSWER-- The
young child was administered the Poliovirus vaccine by intramuscular route
guiding you to code 90713. The influenza vaccine was for intranasal route is
code 90660 eliminating multiple choices A and D. For the administration codes
the vaccines were administered without face-to-face counseling eliminating
multiple choice ANSWER B. The first vaccination was administered by the
intramuscular route guiding you to code 90471. The second vaccine (additional
vaccine) was administered by the intranasal route guiding you to code 90474.
The third vaccine (additional vaccine) is given by the subcutaneous route
guiding you to code 90472. ANSWER C
A patient with chronic renal failure is in the hospital being evaluated by his
endocrinologist after just placing a catheter into the peritoneal cavity for dialysis.
100% Correct
A 10 month-old child is taken to the operating room for removal of a laryngeal
mass. What is (are) the appropriate anesthesia code(s) to report?
A. 00320
B. 00326
C. 00320, 99100
D. 00326, 99100 --CORRECT ANSWER-- The patient receives general
anesthesia for the removal of a laryngeal mass. Look in the CPT® Index for
Anesthesia/Larynx. You are referred to 00320 and 00326. Review the code
descriptions in the numeric section. Code 00326 is the correct code to indicate the
procedure is performed on a patient younger than one year. 99100 is not reported
because the patient's age range is included in the description of the anesthesia
code. There is a parenthetical note under 00326 that indicates the code should not
be reported with 99100. ANSWER B
A catheter is placed in the left common femoral artery which was directed into the
right the external iliac (antegrade). Dye was injected and a right lower extremity
angiogram was performed which revealed patency of the common femoral and
profunda femoris. The catheter was then manipulated into the superficial femoral
artery (retrograde) in which a lower extremity angiogram was performed which
revealed occlusion from the popliteal to the tibioperoneal artery. What are the
procedure codes that describe this procedure?
A. 36217, 75736-26
B. 36247, 75716-26
C. 36217, 75658-26
D. 36247, 75710-26 --CORRECT ANSWER-- Selecting the correct ANSWER
can be tackled two ways.
(1) A third order selective catheter placement in the brachiocephalic system was
not performed, eliminating multiple choice ANSWERs A and C. Bilateral
angiography of the lower extremities was not performed, eliminating multiple
choice ANSWER B. Arterial access was the left common femoral artery and the
catheter was directed into the right common iliac (36245 - first order) into right
external iliac (36246second order). The catheter was then directed to the common
femoral into the superficial femoral artery (36247-third order). Report only the
,highest level of catheter placement 36247. Angiography for the right extremity is
75710. Modifier 26 denotes the professional service.
OR
(2) A right lower extremity angiogram was performed. Code 75736 is eliminated
because that is for the pelvis. Code 75716 is eliminated because that is if both
extremities had an angiogram. Code 75658 is eliminated because that is for the
brachial artery. Code 75710 is the correct angiography code. ANSWER D
56 year-old female is having a bilateral mammogram with computer aid detection
conducted as a screening because the patient has had a previous cyst in the right
breast. What radiological services are reported?
A. 77065 x 2
B. 77065, 77066
C. 77067
D. 77066 --CORRECT ANSWER-- The radiological service is a screening
mammogram of both breasts eliminating multiple choices A, B and D. Note: If
this was a bilateral diagnostic mammogram you only report code 77066
because the code is specifically for both breasts. You will not report 77065 and
77066, or report 77065 twice or with a modifier 50. Code 77066 also does not
have modifier 50 appended because the code description already indicates that
it is a bilateral code. ANSWER C
63 year-old patient with bilateral ureteral obstruction presents to an outpatient
facility for placement of a right and left ureteral stent along with an interpretation
of a retrograde pyelogram. What codes should be reported?
A. 52332, 74000
B. 52332-50, 74420-26
C. 52005, 74420
D. 52005-50, 74425-26 --CORRECT ANSWER-- The radiological service is a
screening mammogram of both breasts eliminating multiple choices A, B and
D. Note: If this was a bilateral diagnostic mammogram you only report code
77066 because the code is specifically for both breasts. You will not report
77065 and 77066, or report 77065 twice or with a modifier 50. Code 77066
also does not have modifier 50 appended because the code description already
indicates that it is a bilateral code.
,Patient is coming in for a pathological examination for ischemia in the left leg.
The first specimen is 1.5 cm of a single portion of arterial plaque taken from the
left common femoral artery. The second specimen is 8.5 x 2.7 cm across x 1.5 cm
in thickness of a cutaneous ulceration with fibropurulent material on the left leg.
What surgical pathology codes should be reported for the pathologist?
A. 88304-26, 88302-26
B. 88305-26, 88304-26
C. 88307-26, 88305-26
D. 88309-26, 88307-26 --CORRECT ANSWER-- Code 88305 - Skin, other than
cyst/tag/debridement/plastic repair is for the cutaneous ulceration on the left
leg. Code 88304 - Artery, atheromatous plaque is for the arterial plaque taken
from the femoral artery. Modifier 26 is appended to show the pathologist's
service. ANSWER B
During a craniectomy the surgeon asked for a consult and sent a frozen section of
a large piece of tumor and sent it to pathology. The pathologist received a rubbery
pinkish tan tissue measuring in aggregate 3 x 0.8 x 0.8 cm. The entire specimen is
submitted in one block and also a gross and microscopic examination was
performed on the tissue. The frozen section and the pathology report are sent back
to the surgeon indicating that the tumor was a medulloblastoma. What CPT®
code(s) will the pathologist report?
A. 80500
B. 88331-26, 88307-26
C. 80502
D. 88331-26, 88332-26, 88304-26 --CORRECT ANSWER-- The pathology
consultation of the tumor is performed during a surgery guiding you to code
88331. Code 88331 is only reported once because one block is submitted.
Codes 80500 and 80502 are reported according to CPT® guidelines when the
pathologist gives a response to a request from an attending physician in relation
to a test result(s) requiring additional medical interpretive judgment. A gross
and microscopic examination was also performed reporting code 88307.
ANSWER B
Physician orders a basic (80047) and comprehensive metabolic (80053) panels.
Select the code(s) on how this is reported.
A. 80053, 80047
, B. 80053
C. 80047, 82040, 82247, 82310, 84075, 84155, 84460, 84450
D. 80053, 82330 --CORRECT ANSWER-- Subsection guidelines in the CPT®
codebook under Organ or Disease-Oriented Panels state: "Do not report two or
more panel codes that include any of the same constituent tests performed from
the same patient collection. If a group of tests overlaps two or more panels,
report the panel that incorporates the greater number of tests to fulfill the code
definition and report the remaining tests using individual test codes." The
comprehensive metabolic panel has the greater number of tests than the basic
metabolic panel, eliminating multiple choice ANSWERs A and C. Code 82330
(Calcium, ionized) is not listed under panel code 80053, and because that is the
remaining test in the basic metabolic panel that is not included in the
comprehensive metabolic panel it is also reported, eliminating multiple choice
ANSWER B. ANSWER D
A 4 year-old is getting over his cold and will be getting three immunizations in the
pediatrician's office by the nurse. The first vaccination administered is the Polio
vaccine intramuscularly. The next vaccination is the live influenza (LAIV3)
administered in the nose. The last vaccination is the Varicella (live) by
subcutaneous route. What CPT® codes are reported for the administration and
vaccines?
A. 90713, 90658, 90716, 90460, 90461 x 2
B. 90713, 90660, 90716, 90460, 90461 x 1
C. 90713, 90660, 90716, 90471, 90472, 90474
D. 90713, 90658, 90716, 90471, 90472, 90473 --CORRECT ANSWER-- The
young child was administered the Poliovirus vaccine by intramuscular route
guiding you to code 90713. The influenza vaccine was for intranasal route is
code 90660 eliminating multiple choices A and D. For the administration codes
the vaccines were administered without face-to-face counseling eliminating
multiple choice ANSWER B. The first vaccination was administered by the
intramuscular route guiding you to code 90471. The second vaccine (additional
vaccine) was administered by the intranasal route guiding you to code 90474.
The third vaccine (additional vaccine) is given by the subcutaneous route
guiding you to code 90472. ANSWER C
A patient with chronic renal failure is in the hospital being evaluated by his
endocrinologist after just placing a catheter into the peritoneal cavity for dialysis.
