[Oct 23, 2024] CPC Dumps Full Questions - Exam Study Guide
Certified Professional Coder Free Certification Exam Material from Test4Engine with 102 Questions
NEW QUESTION # 47
A woman at 36-weeks gestation goes into labor with twins. Fetus 1 is an oblique position, and the decision is made to perform a cesarean section to deliver the twins. The obstetrician who delivered the twins, provided the antepartum care, and will provide the postpartum care.
What CPT coding is reported for the twin delivery?
- A. 59510 x 2
- B. 59510, 59515
- C. 0
- D. 59510, 59514, 59515
Answer: D
NEW QUESTION # 48
A Medicare patient that is on dialysis for ESRD is seen by the nurse for a Hep B vaccination. This patient is given a dialysis patient dosage as part of a three-dose schedule. The nurse administers the Hep B vaccine in the right deltoid. The physician reviews the chart and signs off on the nurse's note.
What procedure and diagnosis codes are reported for the scheduled vaccine injection for this Medicare patient?
- A. 90471, 90746, Z23, N18.6, Z99.2
- B. 90471, 90746, Z23, B19.10, N18.6, Z99.2
- C. 99211-25, G0010, 90740, B19.10, N18.6, Z99.2
- D. G0010, 90740, Z23, N18.6, Z99.2
Answer: D
Explanation:
* Procedure: Hepatitis B vaccine administration for a Medicare patient on dialysis.
* CPT and HCPCS Codes:
* G0010: Administration of Hepatitis B vaccine.
* 90740: Hepatitis B vaccine, dialysis or immunosuppressed patient dosage, 3-dose schedule.
* ICD-10-CM Codes:
* Z23: Encounter for immunization.
* N18.6: End-stage renal disease.
* Z99.2: Dependence on renal dialysis.
* Code Selection Justification: G0010 is used for the administration of the vaccine for Medicare patients, and 90740 captures the specific vaccine for dialysis patients. The ICD-10 codes represent the encounter for vaccination and the patient's dialysis status.
References:
* AMA CPT Professional Edition (current year)
* ICD-10-CM (current year)
* HCPCS Level II (current year)
NEW QUESTION # 49
A 60-year-old male has three-vessel disease and supraventricular tachycardia which has been refractory to other management. He previously had pacemaker placement and stenting of LAD coronary artery stenosis, which has failed to solve the problem. He will undergo CABG with autologous saphenous vein and an extensive modified MAZE procedure to treat the tachycardia.
He is brought to the cardiac OR and placed in the supine position on the OR table. He is prepped and draped, and adequate endotracheal anesthesia is assured. A median sternotomy incision is made and cardiopulmonary bypass is initiated. The endoscope is used to harvest an adequate length of saphenous vein from his left leg.
This is uneventful and bleeding is easily controlled. The vein graft is prepared and cut to the appropriate lengths for anastomosis. Two bypasses are performed: one to the circumflex and another to the obtuse marginal. The left internal mammary is then freed up and it is anastomosed to the ramus, the first diagonal, and the LAD. An extensive maze procedure is then performed and the patient is weaned from bypass. At this point, the sternum is closed with wires and the skin is reapproximated with staples. The patient tolerated the procedure without difficulty and was taken to the PACU.
Choose the procedure codes for this surgery.
- A. 33533, 33257, 33519, 33508
- B. 33535, 33259, 33519, 33508
- C. 33535, 33259 51, 33519-51, 33508-51
- D. 33533, 33257-51, 33519-51, 33508-51
Answer: C
Explanation:
The CABG procedure involved multiple bypasses, with the use of autologous saphenous vein grafts and the left internal mammary artery, along with an extensive modified MAZE procedure. CPT code 33535 describes a coronary artery bypass using arterial grafts, including at least three coronary artery bypasses.
CPT code 33259-51 is for the MAZE procedure for supraventricular tachycardia, with the -51 modifier indicating multiple procedures. CPT code 33519-51 is for an additional vein graft, and CPT code 33508-51 describes the endoscopic harvesting of the vein.
References:
* AMA's CPT Professional Edition (current year), Codes 33535, 33259-51, 33519-51, 33508-51
NEW QUESTION # 50
A patient suffers a ruptured infrarenal abdominal aortic aneurysm requiring emergent endovascular repair. An aorto-aortic tube endograft is positioned in the aorta and a balloon dilation is performed at the proximal and distal seal zones of the endograft. The balloon angioplasty is performed for endoleak treatment.
What CPT code does the vascular surgeon use to report the procedure?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: D
Explanation:
The emergent endovascular repair of an infrarenal abdominal aortic aneurysm with an aorto-aortic tube endograft is coded with CPT 34702. This code includes the deployment of the endograft and the necessary balloon angioplasty for sealing the proximal and distal attachment zones.
References:
* AMA's CPT Professional Edition (current year)
NEW QUESTION # 51
Where is a Warthin's tumor found?
- A. Back of eye
- B. Ovary
- C. Salivary gland
- D. Bone
Answer: C
Explanation:
Warthin's tumor, also known as papillary cystadenoma lymphomatosum, is a benign tumor of the salivary glands, most commonly affecting the parotid gland. It typically presents as a painless, slow-growing mass near the angle of the jaw.References: ICD-10-CM, medical dictionaries, and oncology textbooks
NEW QUESTION # 52
A diagnostic mammogram is performed on the left and right breasts. Computer-aided detection is also used to further analyze the image for possible lesions.
What CPT coding is reported for this radiology service?
- A. 77065-LT, 77065-RT
- B. 77066-50
- C. 77067-50
- D. 0
Answer: D
NEW QUESTION # 53
A 60-year-old male suffering from degenerative disc disease at the L3-L4 and L5-S1 levels was placed under general anesthesia. Using an anterior approach, the L3-L4 disc space was exposed. Using blunt dissection, the disc space was cleaned. The disc space was then sized and trialed. Excellent placement and insertion of the artificial disc at L3-L4 was noted. The area was inspected and there was no compression of any nerve roots. Same procedure was performed on L5-S1 level. Peritoneum was then allowed to return to normal anatomic position and entire area was copiously irrigated. The wound was closed in a layered fashion. The patient tolerated the discectomy and arthroplasty well and was returned to recovery in good condition. What CPT coding is reported for this procedure?
- A. 0
- B. 1
- C. 22857, 22860
- D. 22857 x 2
Answer: C
NEW QUESTION # 54
Patient has esotropia of the right eye and presents to operating suite for strabismus surgery. The physician resects the medial rectus horizontal and lateral rectus muscles of the eye and secures them with adjustable sutures. Extensive scar tissue is noted, due to a previous surgery involving an extraocular muscle. Extraocular muscle is isolated, and the muscle is freed from surrounding scar tissues.
What CPT codes are reported for this surgery?
- A. 67311, 67334
- B. 67312, 67335
- C. 67316, 67335
- D. 67314, 67334
Answer: D
Explanation:
* Esotropia of the right eye: Indicates strabismus surgery is required.
* Resection of medial rectus horizontal and lateral rectus muscles: Specific muscles addressed during the surgery.
* Adjustable sutures: Used in securing the muscles, indicating specific techniques.
* Extensive scar tissue from previous surgery: Requires additional work and isolation.
CPT codes 67314 and 67334 are used to report the resection of two muscles with adjustable sutures (67314) and surgery on an extraocular muscle involving extensive scar tissue (67334).
References: AMA's CPT Professional Edition (current year)
NEW QUESTION # 55
A 65-year-old man had a right axillary block by the anesthesiologist. When the arm was totally numb, the arm was prepped and draped, and the surgeon performed tendon repairs of the right first, second, and third fingers. The anesthesiologist monitored the patient throughout the case.
What anesthesia code is reported?
- A. 01830
- B. 01840
- C. 01810
- D. 01820
Answer: C
NEW QUESTION # 56
A 44-year-old female patient with chest pains had a CT of her chest that identified a mass in her left lower lung. The patient currently has ovarian cancer with metastases to the liver. The radiologist suspects the cancer has spread to her lungs. The physician performed an outpatient bronchoscopic biopsy and the pathology report documents the mass as a tumor of uncertain behavior.
What ICD-10-CM codes are reported for this patient?
- A. C78.02, C22.9, C79.82
- B. C56.9, C78.7, C78.02
- C. D38.1, C56.9, C78.7
- D. R91.8, C56.9, C78.7
Answer: C
Explanation:
For a patient with a mass in the left lower lung suspected to be cancer that is currently documented as a tumor of uncertain behavior, with existing ovarian cancer with metastases to the liver, the ICD-10-CM codes are:
* D38.1: Neoplasm of uncertain behavior of bronchus and lung.
* C56.9: Malignant neoplasm of unspecified ovary.
* C78.7: Secondary malignant neoplasm of liver and intrahepatic bile duct.
D38.1 is used because the behavior of the lung tumor is uncertain, and C56.9 and C78.7 are used to document the known primary and metastatic cancers.
References:
* ICD-10-CM guidelines
* AMA's CPT Professional Edition (current year)
NEW QUESTION # 57
A mother brings her 2-year-old son to the pediatrician's office because he stuck a bead up his left nostril. The pediatrician uses a nasal decongestant to open the blocked nostril and removes the bead with nasal forceps.
What CPT coding is reported?
- A. 0
- B. 30300-50
- C. 30210-50
- D. 1
Answer: D
Explanation:
Removal of a foreign body from the nose using forceps or other instrumentation is coded with CPT 30300.
This code includes the use of local anesthesia, which aligns with the scenario where a nasal decongestant was used.
References:
* AMA's CPT Professional Edition (current year)
NEW QUESTION # 58
The human shoulder is made of which three bones?
- A. Metatarsal, tibia, navicular
- B. Carpal, radius, humerus
- C. Olecranon, radius, ulna
- D. Clavicle, scapula, humerus
Answer: D
NEW QUESTION # 59
A Medicare patient that is on dialysis for ESRD is seen by the nurse for a Hep B vaccination. This patient is given a dialysis patient dosage as part of a three-dose schedule. The nurse administers the Hep B vaccine in the right deltoid. The physician reviews the chart and signs off on the nurse's note.
What procedure and diagnosis codes are reported for the scheduled vaccine injection for this Medicare patient?
- A. 90471, 90746, Z23, N18.6, Z99.2
- B. 90471, 90746, Z23, B19.10, N18.6, Z99.2
- C. 99211-25, G0010, 90740, B19.10, N18.6, Z99.2
- D. G0010, 90740, Z23, N18.6, Z99.2
Answer: D
NEW QUESTION # 60
A 42-year-old male is diagnosed with a left renal mass. Patient is placed under general anesthesia and in prone position. A periumbilical incision is made and a trocar inserted. A laparoscope is inserted and advanced to the operative site. The left kidney is removed, along with part of the left ureter. What CPT code is reported for this procedure?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: B
Explanation:
* Laparoscopic nephrectomy: A minimally invasive surgical procedure to remove a kidney.
* Part of the ureter: Removal includes part of the ureter.
* 50220: Nephrectomy (open procedure), which doesn't apply since the procedure was laparoscopic.
* 50548: Nephrectomy, partial, laparoscopic, which doesn't match the full nephrectomy performed.
* 50543: Laparoscopy, surgical; nephrectomy with total ureterectomy.
50543 is the correct CPT code for the laparoscopic removal of the kidney along with part of the ureter, fitting the scenario described.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year), HCPCS Level II (current year)
NEW QUESTION # 61
Which one of the following is a commercial or private payer?
- A. Medicaid
- B. Veterans Health Administration (VHA)
- C. Blue Cross Blue Shield
- D. Medicare
Answer: C
Explanation:
Blue Cross Blue Shield is a commercial or private payer, which means it is an insurance company that provides health insurance plans to individuals and groups. In contrast, Medicare and Medicaid are government programs, and the Veterans Health Administration (VHA) is a federal healthcare system for military veterans.References: AMA's CPT Professional Edition (current year), Appendix B: Payers and Reimbursement.
NEW QUESTION # 62
A 30-year-old patient with a scalp defect is having plastic surgery to insert tissue expanders. The provider inserts the implants, closes the skin, and increases the volume of the expanders by injecting saline solution.
Tissue is expanded until a satisfactory aesthetic outcome is obtained to repair the scalp defect.
What CPT code is reported?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: B
Explanation:
The CPT code 11960 is used for the insertion of tissue expanders for other than breast, which includes the scalp in this case. The procedure involves inserting the tissue expanders, closing the skin, and gradually increasing the volume of the expanders until a satisfactory outcome is achieved for repairing the scalp defect.
The other options do not accurately describe the procedure performed on the scalp.References: AMA's CPT Professional Edition (current year)
NEW QUESTION # 63
The surgeon performs Roux-en-Y anastomosis of the extrahepatic biliary duct to the gastrointestinal tract on a
45-year-old patient.
What CPT code is reported?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: C
Explanation:
The Roux-en-Y anastomosis of the extrahepatic biliary duct to the gastrointestinal tract is a specific surgical procedure that involves connecting the biliary duct to the gastrointestinal tract.
* Procedure Description: Roux-en-Y anastomosis of the extrahepatic biliary duct involves creating a direct connection between the biliary duct and the gastrointestinal tract.
* Procedure Specificity: The procedure is complex and involves extensive surgical technique and anastomosis.
Coding Decision:
* CPT 47780 specifically describes the Roux-en-Y anastomosis of the extrahepatic biliary duct to the gastrointestinal tract.
References:
* AMA's CPT Professional Edition (current year).
* CPT Assistant for detailed coding guidelines on biliary and gastrointestinal procedures.
NEW QUESTION # 64
A 65-year-old man had a right axillary block by the anesthesiologist. When the arm was totally numb, the arm was prepped and draped, and the surgeon performed tendon repairs of the right first, second, and third fingers.
The anesthesiologist monitored the patient throughout the case.
What anesthesia code is reported?
- A. 01810
- B. 01840
- C. 01830
- D. 01820
Answer: C
Explanation:
* The anesthesia code for an axillary block for procedures on the upper arm and elbow, which includes the monitoring by the anesthesiologist throughout the procedure, is 01830. This code is appropriate for anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of the shoulder and axilla.
References:
* CPT Professional Edition, AMA
* Anesthesia Coding Guidelines
NEW QUESTION # 65
A surgeon removes the right and left fallopian tubes and the left ovary via an abdominal incision. How is this reported?
- A. 58720-50
- B. 58700-50
- C. 0
- D. 1
Answer: C
Explanation:
* Bilateral salpingo-oophorectomy: This involves the removal of both fallopian tubes and ovaries.
* Right and left fallopian tubes: Both fallopian tubes are removed.
* Left ovary: Only the left ovary is removed.
* Abdominal incision: The procedure is performed via an abdominal approach.
* 58720: Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure).
The procedure involves the removal of both fallopian tubes and one ovary, making 58720 the appropriate code.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year), HCPCS Level II (current year)
NEW QUESTION # 66
A physician prescribes carbamazepine to treat a patient with epileptic seizures. After six months, the physician performs a therapeutic drug test to monitor the total level of the drug in the patient.
What CPT and ICD-10-CM coding is used for the six month-evaluation?
- A. 80156, G40.909
- B. 80156, R56.9
- C. 80157, R56.9
- D. 80157, G40.909
Answer: A
Explanation:
The correct CPT code for a therapeutic drug test to monitor the total level of carbamazepine is 80156. The ICD-10-CM code G40.909 is used for epileptic seizures, not otherwise specified, which aligns with the patient's condition being treated for seizures.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year)
NEW QUESTION # 67
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