CONTAINS 100 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
|AGRADE
Question 1
A 65-year-old established patient is seen in the office for a follow-up of hypertension and new
onset of bilateral knee pain. The provider performs a detailed history and detailed examination,
and medical decision making is of moderate complexity. What is the correct E/M code for this
visit?
A) 99213
B) 99214
C) 99203
D) 99204
E) 99215
Correct Answer: B) 99214
Rationale: For an established patient, a detailed history, detailed exam, and moderate medical
decision making support a 99214 E/M code.
Question 2
A 45-year-old male undergoes a laparoscopic cholecystectomy. The surgeon begins the
procedure laparoscopically but encounters severe adhesions and converts to an open
cholecystectomy. What is the correct CPT® code(s) for the surgeon's service?
A) 47600
B) 47600, 47562-52
C) 47600-22
D) 47562
E) 47562, 47600-59
Correct Answer: A) 47600
Rationale: When a laparoscopic procedure is converted to an open procedure, only the
completed open procedure is coded. The laparoscopic approach is considered the access
method.
Question 3
A patient presents with a laceration to the right forearm measuring 5.0 cm, involving
subcutaneous tissue. The physician performs a single-layer closure. What is the correct CPT®
code?
A) 12002
B) 12032
,C) 12001
D) 12003
E) 12031
Correct Answer: D) 12003
Rationale: Code 12003 is for simple repair of superficial wounds of the extremities, measuring
2.6 cm to 7.5 cm.
Question 4
A patient undergoes a colonoscopy with removal of a single polyp by hot biopsy forceps. What
is the correct CPT® code?
A) 45378
B) 45380
C) 45385
D) 45384
E) 45386
Correct Answer: B) 45380
Rationale: Code 45380 is used for colonoscopy with biopsy, single or multiple. Hot biopsy
forceps removal is a form of biopsy.
Question 5
A 30-year-old female presents for a pregnancy test which is positive. She is experiencing nausea
and vomiting. The provider confirms the pregnancy. What is the correct ICD-10-CM code for the
diagnosis?
A) Z34.00
B) Z33.1
C) O09.90
D) R11.10
E) Z34.90
Correct Answer: B) Z33.1
Rationale: Code Z33.1 is for "Pregnant state, incidental," indicating pregnancy confirmed but
not the reason for the encounter, or the encounter is for confirmation of pregnancy.
Question 6
A patient presents with severe uncontrolled essential hypertension and chronic kidney disease,
Stage 3. What is the correct primary ICD-10-CM code?
, A) I10
B) N18.3
C) I12.9
D) I12.9, N18.3
E) N18.3, I10
Correct Answer: C) I12.9
Rationale: The sequencing guideline for hypertensive chronic kidney disease indicates that the
hypertension code (I12.- for CKD or I13.- for Heart and CKD) is primary, followed by the CKD
stage code. Code I12.9 is for hypertensive chronic kidney disease, unspecified.
Question 7
A surgeon performs an incision and drainage of an abscess of the right hand. What is the correct
CPT® code?
A) 26010
B) 10060
C) 26011
D) 10061
E) 10140
Correct Answer: B) 10060
Rationale: Code 10060 is for incision and drainage of carbuncle, furuncle, cutaneous or
subcutaneous abscess, simple.
Question 8
A patient receives 20 mg of a medication intravenously. The HCPCS Level II code for this
medication specifies "1 mg." How many units should be billed?
A) 1 unit
B) 2 units
C) 10 units
D) 20 units
E) 200 units
Correct Answer: D) 20 units
Rationale: If the HCPCS code specifies 1 mg per unit, and 20 mg were administered, then 20
units should be billed.