Page 1 of 190
ROCC FINAL EXAM VERSION 1, 2 AND STUDY GUIDE
COMPLETE 500 QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
ROCC FINAL EXAM VERSION 1
QUESTION: A freestanding center physician is asked to look at a patient who has been admitted
to the nearby hospital. The physician leaves his freestanding center and drives to the hospital to
see the patient. The physician evaluates the patient and decides the patient is a candidate for
radiation oncology. The physician performs a well documented comprehensive history,
comprehensive exam and medical decision making of moderate complexity. What are the
correct evaluation and management code and place of service (POS) code for the encounter?
99212 POSH,
99222 POSH,
99212 POS 21,
99222 POS 21 - ANSWER-99222, POS 21
QUESTION: Which of the following is a false statement?
If a new problem occurs and a new area must be planned, the existing clinical treatment plan
can be modified but a new plan should not be billed.
For weekly management treatments, daily treatment must be reported in consecutive calendar
days. Patients cannot skip days during treatment unless it is for a weekend or holiday.
Each new course of radiation therapy will require a new clinical treatment planning procedure
to be performed.
, Page 2 of 190
Routine boost or cone down is not to be billed with a new clinical treatment planning code. -
ANSWER-For weekly management treatments, daily treatment must be reported in consecutive
calendar days. Patients cannot skip days during treatment unless it is for a weekend or holiday.
QUESTION: G6015 and 77263 cannot be billed on the same date of service for a given course of
therapy. - ANSWER-True
QUESTION: The ____ is ultimately responsible for the clinical interpretation and acceptability of
the patient related physics services and verifies the medical appropriateness of the plan of
treatment as initially developed.
Therapist, Dosimetrist, Physician, or Physicist - ANSWER-Physician
QUESTION: A patient presents for an IMRT course of therapy. The therapy is expected to last 7
weeks for a total of 35 fractions. The total course of therapy ends during the 7^^ week at 32
fractions. The physics checks of the chart are thoroughly documented. How many 77336s can
be billed for this course of therapy?
6, 35, 1, or 7 - ANSWER-6
QUESTION: Which of the following is false regarding 77295?
Dose volume histogram is part of 77295 and is not to be billed separately
77300 can be billed as the dose calcs with this plan
May be billed twice per typical course of treatment
, Page 3 of 190
Not appropriate for two-dimensional or multiple two-dimensional beams eye view plans
without a 3-D computer generated reconstruction - ANSWER-May be billed twice per typical
course of treatment
QUESTION: A clinical simulation for block check verification was performed on an IMRT case.
Only the isocenter was checked for proper placement; there were verification images of all
actual fields taken. What is the correct level of complexity for this type simulation?
Simple (77280)
Intermediate (77285)
Complex (77290)
3D (77295) - ANSWER-77280
QUESTION: During a patient's six week course of therapy (30 fractions total)^ the physician
reviews films, dosimetry, dose delivery, treatment parameters, and review of patient set-up.
The physician physically evaluated the patient (face to face meeting) for the last two of the six
weeks of treatment. During the first four weeks, the physician's assistant evaluated (face to
face meeting) the patient. All of the review and face to face evaluations are thoroughly
documented In the patient's chart. How many times can 77427 be billed for this scenario?
5, 2, 6, or 4 - ANSWER-2
QUESTION: A patient is seen for external beam treatment. A 35 fraction course was planned.
The patient received 2 fractions as the entire course of therapy. What, if any, is the appropriate
coding for treatment management (assuming the chart contains proper
, Page 4 of 190
documentation)?
2x77427
1x77427
77435
77431 - ANSWER-77431
QUESTION: Which of the following courses of therapy includes weekly treatment management:
External Beam (77402-771412)
IMRT (77385-77386, G6015)
Stereotactic Services (77371-77373)
Brachytherapy (77770-77772) - ANSWER-Brachytherapy (77770-77772)
QUESTION: A patient presents for treatment for lung cancer. The physician performs a level 5
evaluation and management service and complex treatment planning. The physician is planning
a 35 fraction course of therapy. The physics and other setup services are performed according
to the physician's treatment plan and are thoroughly documented. The simulation is performed
and documented. After two fractions, the patient cannot tolerate any further radiation
treatment so treatment is stopped. What is the appropriate treatment management code for
the 2 fractions, assuming the physician has not met with the patient to perform the on-
treatment visit?
(77432, 77427, 77431, or None of the above) - ANSWER-None of the Above
ROCC FINAL EXAM VERSION 1, 2 AND STUDY GUIDE
COMPLETE 500 QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
ROCC FINAL EXAM VERSION 1
QUESTION: A freestanding center physician is asked to look at a patient who has been admitted
to the nearby hospital. The physician leaves his freestanding center and drives to the hospital to
see the patient. The physician evaluates the patient and decides the patient is a candidate for
radiation oncology. The physician performs a well documented comprehensive history,
comprehensive exam and medical decision making of moderate complexity. What are the
correct evaluation and management code and place of service (POS) code for the encounter?
99212 POSH,
99222 POSH,
99212 POS 21,
99222 POS 21 - ANSWER-99222, POS 21
QUESTION: Which of the following is a false statement?
If a new problem occurs and a new area must be planned, the existing clinical treatment plan
can be modified but a new plan should not be billed.
For weekly management treatments, daily treatment must be reported in consecutive calendar
days. Patients cannot skip days during treatment unless it is for a weekend or holiday.
Each new course of radiation therapy will require a new clinical treatment planning procedure
to be performed.
, Page 2 of 190
Routine boost or cone down is not to be billed with a new clinical treatment planning code. -
ANSWER-For weekly management treatments, daily treatment must be reported in consecutive
calendar days. Patients cannot skip days during treatment unless it is for a weekend or holiday.
QUESTION: G6015 and 77263 cannot be billed on the same date of service for a given course of
therapy. - ANSWER-True
QUESTION: The ____ is ultimately responsible for the clinical interpretation and acceptability of
the patient related physics services and verifies the medical appropriateness of the plan of
treatment as initially developed.
Therapist, Dosimetrist, Physician, or Physicist - ANSWER-Physician
QUESTION: A patient presents for an IMRT course of therapy. The therapy is expected to last 7
weeks for a total of 35 fractions. The total course of therapy ends during the 7^^ week at 32
fractions. The physics checks of the chart are thoroughly documented. How many 77336s can
be billed for this course of therapy?
6, 35, 1, or 7 - ANSWER-6
QUESTION: Which of the following is false regarding 77295?
Dose volume histogram is part of 77295 and is not to be billed separately
77300 can be billed as the dose calcs with this plan
May be billed twice per typical course of treatment
, Page 3 of 190
Not appropriate for two-dimensional or multiple two-dimensional beams eye view plans
without a 3-D computer generated reconstruction - ANSWER-May be billed twice per typical
course of treatment
QUESTION: A clinical simulation for block check verification was performed on an IMRT case.
Only the isocenter was checked for proper placement; there were verification images of all
actual fields taken. What is the correct level of complexity for this type simulation?
Simple (77280)
Intermediate (77285)
Complex (77290)
3D (77295) - ANSWER-77280
QUESTION: During a patient's six week course of therapy (30 fractions total)^ the physician
reviews films, dosimetry, dose delivery, treatment parameters, and review of patient set-up.
The physician physically evaluated the patient (face to face meeting) for the last two of the six
weeks of treatment. During the first four weeks, the physician's assistant evaluated (face to
face meeting) the patient. All of the review and face to face evaluations are thoroughly
documented In the patient's chart. How many times can 77427 be billed for this scenario?
5, 2, 6, or 4 - ANSWER-2
QUESTION: A patient is seen for external beam treatment. A 35 fraction course was planned.
The patient received 2 fractions as the entire course of therapy. What, if any, is the appropriate
coding for treatment management (assuming the chart contains proper
, Page 4 of 190
documentation)?
2x77427
1x77427
77435
77431 - ANSWER-77431
QUESTION: Which of the following courses of therapy includes weekly treatment management:
External Beam (77402-771412)
IMRT (77385-77386, G6015)
Stereotactic Services (77371-77373)
Brachytherapy (77770-77772) - ANSWER-Brachytherapy (77770-77772)
QUESTION: A patient presents for treatment for lung cancer. The physician performs a level 5
evaluation and management service and complex treatment planning. The physician is planning
a 35 fraction course of therapy. The physics and other setup services are performed according
to the physician's treatment plan and are thoroughly documented. The simulation is performed
and documented. After two fractions, the patient cannot tolerate any further radiation
treatment so treatment is stopped. What is the appropriate treatment management code for
the 2 fractions, assuming the physician has not met with the patient to perform the on-
treatment visit?
(77432, 77427, 77431, or None of the above) - ANSWER-None of the Above
