1.
An MRI is taken to confirm the diagnosis of a
subperiosteal abscess (SPA) between the orbital bones and left periorbital
caused by a staphylococcus infection. The MRI is performed first without
contrast material and then followed by contrast materials and further sections.
An independent radiologist reads the MRI confirming the diagnosis. What are the
CPT and ICD 10 CM codes reported for the radiologist’s services?
A.
70542-26, M90.88, B95.4
B.
70540-26, 70481-26, M90.89, B95.7
C.
70543-26, H05.022, B95.7
D.
70546-26, 70545-26, H05.022, B95.62
2.
A patient with recurrent bladder infection
presents today for a voiding urethrocystogram. The urologist performs the
injection procedure and four views under radiological supervision and
interpretation in his office. What codes are reported by the urologist?
A.
51600, 74430
B.
51605, 74430
C.
51605, 74455
D.
51600, 74455
3.
A surgeon performs a cholecystectomy for a
patient with cholecystitis. The removed organ is sent to the pathologist for
gross and microscopic examination. What CPT code is reported for the surgical
pathologists examining and reporting on the specimen?
A.
88307
B.
88302
C.
88304
D.
88300
4.
A patient presents to the ER with crushing
chest pain radiating down the left arm and up under the chin. There are
elevated S-T segments on EKG. The cardiologist orders three serial CPK enzyme
levels with instructions that the tests are also to be performed with
isoenzymes if the initial tests are elevated on that date of service. The CPK
enzyme levels were elevated; therefore, the lab codes would be :
a)
82550, 82552, 82550-76 x 2 units, 82552-76 x 2
units
b)
82550, 82552, 82552-91*2 units
c)
82550, 82550-91 x 2 units, 82552, 82552-91 x 2
units
d)
82550 x 3 units, 82554 x 3 unit
5.
The MRI shows full- thickness tear of the
right rotator cuff consistent with Mr. John’s acute symptoms. The symptoms
began when he slipped and fell on the ice Thursday?
a)
S46.001A, W00.0XXA
b)
M66.20, W00.0XXA
c)
M75.121, W00.0XXA
d)
S46.011A, W00.0XXA
6.
The patient’s dense breast tissue made the
mammogram unreadable and she is here today for a breast ultrasound. Her mother
and sister both have a history of breast cancer. What codes are reported for
the diagnosis?
A.
N60.89, Z80.3
B.
N12.39, N64.59, Z80.3
C.
Z12.39, R92.2, Z80.3
D.
Z12.31, R92.2, Z83.3
7.
What is the code to report 1 mcg of Aranesp
for a patient on dialysis with ESRD?
A.
J0881
B.
J0882
C.
J0885
D.
J0887
8.
Patient has a torn medial meniscus. An
arthroscope was placed through the anterolateral portal for the diagnostic
procedure. The patellofemoral joint showed some grade 2 chondromalacia on the
patella side of joint only, & this was debrided with 4.0 mm shaver. The medial
compartment was also entered & a complex posterior horn tear of the medial
meniscus was noted. It was probed to define its border. A meniscectomy was
carried out back to a stable rim. The procedure is coded as
a)
29880, 29879-59
b)
29881, 29877-59
c)
29880
d)
29881
9.
A 3 year old is bought into ER. He cannot bend
his left arm after his older brother pulled it while they were playing. X ray
obtained and provider diagnosed dislocated Nursemaid elbow. He reduced the
elbow. Now the patient is able to move his arm. Provider referred to an
orthopedist for F/U. The procedure is coded as
a)
24640-54, S53.032A, Y93.83
b)
24565-54, S53.032A, Y93.83A
c)
24640-54, S51.009A, Y93.83
d)
24600-54, S53.006A, Y93.83A
10. A 2
yrs old presents to ED with Rt upper arm pain. Rthumerus anterior/posterior and
lateral views are obtained and found as no fracture, dislocation or other
abnormality. What CPT & ICD codes to be reported for Physician Service?
a)
73060-26, M79.621
b)
73060-26, R93.8
c)
73090-26, M79.601
d)
73092-26, M86.9
11. A
Provider performs a surgical removal of two skin lesions; one being a pigmented
nodule measuring 2 cm X 2.5 cm on the left upper back; second lesion an
inclusion cyst measuring 2.5 cm X 3 cm in the middle of the back. Both specimen
are placed in individual containers & sent to surgical pathology for gross
and microscopic examination. Select the correct CPT code(s) for this service.
a)
88304 X 2
b)
88305 X 2
c)
88304, 88305
d)
88304 X 2, 88329
12.
An adult patient had the following
immunizations with administration: Yellow fever vaccine, subcutaneous
injection; Hepatitis B (adult dose) vaccine, intramuscular injection; Plague
vaccine, intramuscular injection. How would you report these services?
a)
90460, 90461 x 2, 90717-51, 90746-51,
90749-51
b)
90471, 90472 x 2, 90717, 90746, 90749
c)
90473, 90474 x 2, 90746, 90717, 90749
d)
90471, 90472 x 2, 90746-51, 90717-51,
90749-51
13.
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 one is the influenza (live) administered in the nose. The last
vaccination is the Varicella (live) by subcutaneous route. What CPTR codes are
reported for the administration and vaccines?
a)
90713, 90658, 90716, 90460, 90461 x 2
b)
90713, 90656, 90716, 90460, 90461 x 1
c)
90713, 90660, 90716, 90471, 90472,
90474
d)
90713, 90658, 90716, 90471, 90472,
90473
14. Mae’s physician asked her to wear a glucose
monitoring device to obtain more accurate information about her blood sugars.
She had sensors placed and was then hooked up to a calibrated wearable device.
Once this was complete, the technician provided Mae with training for the
noninvasive ambulatory continuous glucose monitoring device. After wearing the
device for 72 hours, Mae’s physician’s office removed the device, printed
recordings, and downloaded analyses reports to its computer system. Which code
captures this service?
a. 99090
b. 99091
c. 95250
d. 95251
15.
A 19-year-old patient received
immunizations at her health clinic. The immunizations were administered by a
medical assistant at the same clinic. The patient was seen two weeks ago but
was unable to complete the immunizations due to a stomach virus. Today, she is
symptom free and receives an intramuscular H1N1 influenza pandemic formulation,
preservative-free vaccine and an intramuscular hepatitis A immunization. Which
codes capture these services?
a)
99211-25, 90633, 90667, 90473-51,
90474-51
b)
99213-25, 90632-51, 90666-51,
90471-51, 90472-51
c)
90460, 90749, 90632-51
d)
90632, 90749, 90471, 90472
16. A 35
yrs old was diagnosed with Stage I ductal carcinoma insitu in her Rt breast.
She underwent a localized biopsy of sentinel lymph and axillary nodes in her Rt
breast. An incision made with scalpel, once glandular tissue of the breast was
intercepted, dissection was carried down through the skin & subcutaneous
tissue. 1-2 cm of breast tissue was dissected free to the lymph node. The
incision was carried deep to the Rt axilla & two sentinel & non
sentinel lymph nodes were identified and excised. The procedure is coded as
a)
38525
b)
38570
c)
38500
d)
38505
17. A 45
yrs old male with stage III non Hodgkin’s lymphoma showed pathologic cervical
nodes on the PET scan. A biopsy was recommended. A supraclavicular incision was
made, deepened down through the platysmal muscle. Ligation of external jugular
vein was performed and deep to this structure, numerous large nodes appx. 3-3.5
cm in greater dimension, were seen. Once elevated the hilar aspect of one of
the node was serially clipped with hemoclips to remove it. The procedure is
coded as
a)
38720
b)
38520
c)
21550
d)
38510
18. 69
yrs old white female with 10 yr status post dual chamber pacemaker where the
generator is at its end of life. The pacemaker generator is explanted and the
leads are then attached to a new generator. The procedure is coded as
a)
33213
b)
33208
c)
33213, 33233
d)
33228
19. A 38
yrs old’s blood pressure was progressively trending downward and it was
determined that as emergent central venous access was needed for fluid
resuscitation. A non tunneled catheter was used to access the subclavian vein
and secured into place to infuse medication. Due to the patient’s low BP &
anticipated need for vasopressor agents, a radial arterial line was also
desired. The left radial artery pulse was easily palpable and the skin was
punctured by a needle & the angiocatheter was placed in the left wrist.
What CPT code to be reported for this encounter?
a)
36555, 36625-51
b)
36556, 36620
c)
36558, 36640-51
d)
36569, 36620
20. A patient underwent single transplant with
cardiopulmonary bypass employed during the procedure.
a) 32852
b) 32854
c) 32853
d) 32851
21.
A 62-year old female with three-vessel disease and
supraventricular tachycardia, which has been refractory to other management.
She previously had pacemaker placement and stenting of the coronary artery
stenosis, which has failed to solve the problem. She will undergo CABG with
autologous saphenous vein and a modified MAZE procedure to treat the
tachycardia. The risks and benefits have been discussed and the patient wishes
to proceed. She is brought to the cardiac OR and placed supine on the OR table.
She is prepped and draped and adequate endotracheal anesthesia is assured. A
median sternotomy incision is made and cardio- pulmonary bypass is initiated.
The endoscope is used to harvest an adequate length of saphenous vein from her
left leg. This is uneventful and bleeding is easily controlled. The vein graft
is prepared and cut to the appropriate lengths for anatomosis. Three bypasses
are performed, one to the LAD, one to the circumflex and another distally on
the circumflex. A modified maze procedure was then performed and the patient
was weaned from bypass. Once the heart was once again beating on its own again,
we attempted to induce an arrhythmia and this could not be done. At this point,
the sternum was closed with wires and the skin reapproximated with staples. The
patient tolerated the procedure without difficulty and was taken to the PACU.
Choose the procedure code(s) for this service.
a)
33519, 33508, 33254-51
b)
33512, 33508, 33999-51
c)
33512, 33508, 33254-51
d)
33512, 33508-51, 33254-51
22.
A 30 year old is brought into the burn unit with burns covering 30
% of his total body. He has third degree burns to his chest wall (10%). Second
degree burns on his arm and both legs (15%), and first degree burns on his face
(5%) What ICD 10 CM codes are reported for the burn?
a)
T21.30XA, T22.239A, T24.231A, T24.232A,
T20.10XA
b)
T30.0, T21.60XA, T30.4
c)
T21.31XA, T22.20XA, T24.201A, T24.202A,
T20.10XA, T31.31
d)
T20.10XA, T22.20XA, T21.31XA, T24.201A, T23.202A, T31.31
23.
Two malignant lesions on the scalp measuring 1.1 cm and one
malignant lesion on the neck measuring 2.2 cm were destroyed. Electrocautery
was used for the first two lesions and laser was used for the third lesion.
What procedure code(s) is/ are reported?
a)
17276
b)
17273, 17272-51
c)
17273, 17272-51, 17272-51
d)
17274, 17273-51
24.
At the patient’s bedside using Xylocaine local anesthesia, aseptic
technique, and ultrasound guidance, a 21- gauge needle was used to aspirate the
right cephalic vein of a 72 year old patient. Ultrasound demonstrated vascular
needle entry and vessel patency of the cephalic and subclavian veins. When
blood was obtained, a 0.018 inch platinum tip guide wire was advanced to the
central venous circulation. A 6 French dual lumen PICC was introduced through a
6 French peel away sheath to the SVA RA junction. After removal of the sheath ,
the catheter was attached to the skin with a STAT-LOCk device and flushed with
500 units of Heparin in each lumen. Permanent ultrasound recordings were placed
in the record. A sterile dressing was applied and the patient was discharged in
improved condition. What CPT codes are reported for the physician?
a)
36569, 76937-26
b)
36568, 76942-26
c)
36569, 76942-26
d)
36556, 76942-26
25.
A patient presents to the Emergency Department suffering from an
acute exacerbation of his asthma. The ED physician performs an expanded problem
focused history. The physician documents a detailed six organ exam. Medical
decision making of moderate complexity is performed and includes ordering a
chest X-Ray and providing a prescription for an inhaler to be used every two
hours. What Emergency Department E/M level is reported?
a)
99282
b)
99283
c)
99284
d)
99285
26.
A primary care provider admitted a 96 year old patient to the
nursing facility last week. He returns to the nursing home for follow up. The
physician performs an expanded problem
focused interval history, a detailed examination, and documents the findings of
the patients lungs, hearts, skin, cranial nerves/sensations, ears, nose,
throat, and eyes, and bowel sounds throughout the abdomen. Medical decision
making is of low complexity. What E/M level is reported?
a)
99304
b)
99305
c)
99307
d)
99308
27.
The physician inserted a ventriculo-peritoneal shunt for the
purpose of draining cerebrospinal fluid shunt in a 10 year old male patient
with secondary hydrocephaluas resulting from bacterial meningitis. Anesthesia
was started at 11 AM and ended at 11.50 AM. The procedure was performed from
11.05 AM to 11.45 AM. What CPT code is reported for the anesthesia and what
anesthesia time is reported?
a) 00211;
40 Minutes
b) 00210;
45 Minutes
c) 00220;
50 Minutes
d) 00215;
50 Minute
28.
A patient has six wounds repaired. Three wounds 2 cm of the scalp,
3.5 cm on the leg and 1.5 cm on the face require simple repairs. Two more
wounds 1 cm on the foot and 3 cm on the hand require layered closures. The
final procedure is a complex repair 5 cm on the ear. Code these repairs and
list them according to complexity.
a) 13152,
12042-51, 12002-51, 12011-51
b) 12052,
12041-51, 12042-51, 12001-51, 12011-51, 12002-51
c) 12052, 12002-51,
12041-51, 12011-51, 12002-51, 12001-51
d) 12042,
12002-51, 12011-51, 13152-51
29.
Dr. Alexis completed Mohs surgery on Ralph’s left arm. She
reported routine stains on all slides, mapping, and color coding of specimens.
The procedure was accomplished in three stages with a total of seven blocks in
the second stage. How would you report Dr. Alexis’ services?
a. 17313,
17314-58, 17315-59, 88314-59
b. 17311, 17312 x
7
c. 17313, 17314 x
2, 17315 x 2
d. 17311, 88302,
17314 x 3, 17312 x 7
30.
What is the CPT code(s) for a segmentectomy of the right lung and
a wedge resection of the left lung due to bacterial infection?
a) 32484-50
b) 32505-LT,
32484-RT
c) 32440-RT,
32484-LT
d) 32486-RT,
32505-LT
31.
When a wedge resection of the RUL is done along with a lobectomy
of the RLL, this should be coded as,
a) 32505
b) 32666
c) 32480,
32505-59
d)32505, 32480-59
32.
Postoperative Diagnosis: Calculi of the gallbladder Procedure:
Removal of gallbladder Indications: The patient is a 40-year-old woman who has
a six month history of RUQ pain, which ultrasound revealed to be multiple
gallstones. She presents for removal of her gallbladder. Procedure: The patient
was brought to the OR and prepped and draped in a normal sterile fashion. After
adequate general endotracheal anesthesia
was obtained, a
trocar was placed and CO2 was insufflated into the abdomen until an adequate
pneumoperitoneum was achieved. A camera was placed at the umbilicus and the
gallbladder and liver bed were visualized. The gallbladder was enlarged and
thickened, and there was evidence of chronic inflammatory changes. Two
additional ports were placed and graspers were used to free the gallbladder
from the liver bed with a combination of sharp dissection and electrocautery.
Several attempts were made
before it was
decided that additional exposure was needed and I converted to an open
approach. The trocars were removed and a midline incision was made. At this
time, it was clear that there were multiple adhesions in the area, and once
these were carefully taken down, we were able to grasp the gallbladder. The
cystic duct was carefully ligated and the gallbladder carefully removed from
the field. The area was copiously irrigated, and a needle biopsy of the liver
was taken. Then the skin was reapproximated in layers. Sponges and needle
counts were correct, and the patient was taken to the recovery room in good
condition.
a. 47600-22
b. 47600-22,
47001
c. 47562,
47600-22, 47001
d. 47562-22,
47000
33.
A patient with right lower quadrant pain underwent emergent
diagnostic laparoscopy. The surgeon found severe appendicitis on laparoscopic
examination and did laparoscopic appendectomy. What codes the surgeon should
bill for:
a) 44970
b) 44950, 44955
c) 44970, 44320
d) 44950, 49320
34.
In a patient suffering from parotid gland tumour, the doctor
needed to removal the whole parotid along with unilateral radical neck
dissection. During the surgery the facial nerve was sacrificed and had to be
sutured back extracranially. What CPT(s) will the doctor bill for?
a) 42426, 64864
b) 42426,
64864-51
c) 42426,
69990-26
d) 42425
35.
DIAGNOSIS: 1. Primary adenocarcinoma descending colon 2.
Hydronephrosis, bilateral
OPERATION: 1.
Cystoscopy 2. Bilateral insertion of Double J stents
FINDINGS AT
OPERATION: Endoscopic examination of the urinary bladder showed no significant
abnormalities. Double-J stent insertion as accomplished bilaterally with
minimal difficulty in the patient’s left side.
PROCEDURE: With
the patient in the lithotomy position and under satisfactory general
anesthesia, the genitalia were prepped and draped in a routine sterile manner.
The McCarthy panendoscope was inserted, and 24-cm, 6-French, silastic, Double J
stents inserted bilaterally with ease. The patient was then sent to the
recovery room in satisfactory condition.
a) 52332
b) 52332, 50575
c) 52000,
52332-51
d) 52332,
52332-51, 50575
36.
A 30-year-old disabled Medicare patient is scheduled for surgery
due to the finding of what looks like an ovarian mass on the right ovary. On
entering the abdomen, the surgeon finds an enlarged ovarian cyst on the right,
but the ovary is otherwise normal. The left ovary is necrotic looking. The
decision is made, based on the patient’s age, to remove the cyst from the right
ovary, but performs a left salpingooophorectomy. Code this encounter.
A. 58720-RT,
58925-LT
B. 58925-RT,
58720-51-LT
C. 58925,
58720-50
D. 58720,
58925-51
37.
A 37-year-old female has menorrhagia and wants permanent
sterilization. The patient was placed in Allen stirrups in the operating room.
Under anesthesia the cervix was dilated and the hysteroscope was advanced to
the endometrium into the uterine cavity. No polyps or fibroids were seen. The
Novasure was used for endometrial ablation. A knife was then used to make an
incision in the right lower quadrant and
left lower
quadrant with 5-mm trocars inserted under direct visualization with no injury
to any abdominal contents. Laparoscopic findings revealed the uterus, ovaries
and fallopian tubes to be normal. The appendix was normal as were the upper
quadrants. Because of the patient’s history of breast cancer and desire for no
further children, it was decided to take out both the tubes and ovaries. This
had been discussed with the patient prior to surgery. What are the codes for
these procedures?
A. 58660, 58353
B. 58661,
58563-51
C. 58661, 58558
D. 58662,
58563-51
38.
A 42-year-old patient returns to the hospital neurology clinic for
follow-up. He was checked three days prior to this visit where a lumbar
puncture was done to find the etiology of the patient’s headaches. The
headaches have increased in intensity over the past three days. The neurologist
examines the patient and finds a CSF leak from the lumbar puncture. A blood
patch by epidural injection is performed to repair the leak. Code the services
for today’s visit.
A. 62272
B. 62273
C. 62270, 62273
D. 62270, 62287
39.
A 63-year-old woman presented to the eye clinic as a new patient
with symptoms of flashing lights and floaters in the right eye for two days
duration. The ophthalmologist does a general evaluation of the complete visual
system, including dilating her eyes and checking her with the indirect ophthalmoscope,
revealing peripheral retinal tear. The physician explains to the patient that
if left untreated, there is a high likelihood of retinal detachment. The
patient agrees to the procedure. The physician lasers the retinal tear and
tells the patient to come back in 24 hours for follow-up. Code this visit.
A. 67210,
92004-25
B. 67145,
92004-25
C. 66821
D. 67145
40.
The patient is a 64-year-old female who is undergoing a removal of
a previously implanted Medtronic pain pump and catheter due to a possible
infection. The back was incised; dissection was carried down to the previously
placed catheter. There was evidence of infection with some fat necrosis in
which cultures were taken. The intrathecal portion of the catheter was removed.
Next the pump pocket was opened with evidence of seroma. The pump was dissected
from the anterior fascia. A 7-mm Blake drain was placed in the pump pocket
through a stab incision and secured to the skin with interrupted Prolene. The
pump pocket was copiously irrigated with saline and closed in two layers. What
are the CPT and ICD-10-CM codes for this procedure?
A. 62365,
62350-51, T85.890A, Z45.49
B. 62360, 62355,
T81.4xxA
C. 62365,
62355-51, T85.738 A
D. 36590,
T85.890A, G97.63
41.
A plastic surgeon is called to the ED at the request of the
emergency department physician to evaluate a patient that arrived with multiple
facial fractures after being in an automobile accident for her opinion on the
need for reconstructive surgery. The plastic surgeon arrives at the ED, obtains
a history of present illness including an extended history of present illness;
a system review, including constitutional, musculoskeletal, integumentary,
neurologic, and EENMT; and the patient’s social history and past medical
history. The plastic surgeon then performs a physical exam including
respiratory, cardiovascular, and an extended examination of the skin and bony
structures of the patient’s face. The plastic surgeon performs moderate medical
decision making, including deciding the patient needs major surgery to repair
the injuries. The plastic surgeon schedules the patient for surgery the next
day and documents her full note with findings in the ED chart.
A. 99284-57
B. 99244
C. 99243-57
D. 99221
42. A
patient presents for epicardial lead placement via median sternotomy to the
right atrium and right ventricle. A dual pacemaker generator is then inserted
subcutaneously. The patient has bundle branch block and sinoatrial node
dysfunction. What CPT® and ICD-10-CM codes are reported?
a.
33203, 33213-51, I45.10, I49.5
b.
33202, 33213-51, I45.4, I49.5
c.
33208, 33213-51, I45.4, I49.5
d. 33214,
I45.2, I49.8
43. Preoperative
Diagnosis: Aortic valve stenosis with coronary artery disease associated with
congestive heart failure
Postoperative Diagnosis: Same
Anesthesia: General endotracheal
Incision: Median sternotomy
Description of Procedure: The patient was
brought to the operating room and placed in supine position. After the patient
was prepared, median sternotomy incision was carried out and conduits were taken
from the left arm as well as the right thigh. She was cannulated after the
aorta and atrium were exposed and after full heparinization. She went on
cardiopulmonary bypass, and the aortic cross-clamp was applied. Cardioplegia
was delivered through the coronary sinuses in a retrograde manner. The patient
was cooled to 32 degrees. Iced slush was applied to the heart. The aortic valve
was then exposed through the aortic root by transverse incision. The valve
leaflets were removed, and the 23 St. Jude mechanical valve was secured into
position by circumferential pledgeted sutures. At this point, aortotomy was
closed.
Attention
was turned to the coronary arteries. The first obtuse marginal artery was a
very large target and the vein graft to this target indeed produced an
excellent amount of flow. Proximal anastomosis was then carried out to the foot
of the aorta. The radial artery was anastomosed to the left anterior descending
artery target in an end-to-side manner. The proximal anastomosis was then
carried out to the root of the aorta.
The
patient came off cardiopulmonary bypass after aortic cross-clamp was released.
She was adequately warmed. Protamine was given without adverse effect. Sternal
closure was then done using wires. The subcutaneous layers were closed using
Vicryl suture. The skin was approximated using staples. What are the CPT®
codes?
a.
33405, 33533-51, 33510, 35500
b.
33390, 33533-51, 33510
c.
33405, 33533-51, 33517, 35600
d.
33411, 33533-51, 33517, 35600
44. Preoperative
Diagnosis: Coronary artery disease associated with congestive heart failure. In
addition, the patient has diabetes and massive obesity.
Postoperative
Diagnosis: Same
Anesthesia:
General endotracheal
Incision:
Median sternotomy
Indications:
The patient had presented with severe congestive heart failure associated with
her severe diabetes. She had significant coronary artery disease, consisting of
a chronically occluded right coronary artery but a very important large obtuse
marginal artery coming off as the main circumflex system. She also has a left anterior descending
artery which has moderate disease and this supplies quite a bit of collateral
to her right system. The decision was therefore made to perform a coronary
artery bypass grafting procedure particularly because she is so symptomatic.
The patient was brought to the operating room.
Description
of Procedure: The patient was brought to the operating room and placed in
supine position. Myself, the operating surgeon was scrubbed throughout the
entire operation. After the patient was prepared, median sternotomy incision
was carried out and conduits were taken from the left arm as well as the right
thigh. The patient weighs almost three hundred pounds and with her obesity
there was some concern as to taking down the left internal mammary artery.
Because the radial artery appeared to be a good conduit, she should have an
arterial graft to the left anterior descending artery territory. She was
cannulated after the aorta and atrium were exposed and after full
heparinization. Attention was turned to the coronary arteries. The first obtuse
marginal artery was a very large target and the vein graft to this target
indeed produced an excellent amount of flow. Proximal anastomosis was then
carried out to the foot of the aorta. The left anterior descending artery does
not have severe disease but is also a very good target, and the radial artery
was anastomosed to this target, and the proximal anastomosis was then carried
out to the root of the aorta. Sternal closure was then done using wires. The subcutaneous
layers were closed using Vicryl suture. The skin was approximated using
staples.
a.
33511
b.
33533, 33517
c.
33533, 33510
d.
33533, 33517, 35600
45. A
patient had a temporary transvenous pacemaker system inserted with electrodes
placed in the right atrial and ventricular chambers. How should you report this
service?
a.
33211
b.
33208
c.
33213, 33208-51
d.
33211,
33208-51
46. A
catheter is placed in the left common femoral artery in retrograde fashion
which was directed into the right iliac system advancing it to the external iliac.
Dye was injected and a select right lower extremity angiogram was performed
which revealed patency of the common femoral and profundafemoris. The catheter
was then manipulated into the femoral artery in which a select lower extremity
angiogram was performed which revealed occlusion from the popliteal to the
peroneal artery. What are the procedure codes that describe this procedure?
a.
36217, 75736-26, 75774-26
b.
36247, 75716-26
c.
36217, 75658-26
d. 36247,
75710-26
47. A
patient suffering from an abdominal aortic aneurysm involving a renal artery
undergoes endovascular repair deploying a fenestrated visceral autograft using
two visceral artery endoprostheses. Radiological supervision and interpretation
was performed. Select the CPT® code for this procedure.
a.
34703
b.
34841
c.
34842
d. 34702
48. A 82
year-old female with a right leg medial malleolar non-healing ulcer elected to
proceed with peripheral angiography. Using a RIM catheter, from a left femoral
artery access, the contralateral right iliac artery was accessed and the
catheter was gradually advanced to the right common femoral artery. The right
lower extremity angiography was performed with both C02 injection and
subsequently localized pictures of femoral distal bypass grafts were performed
using contrast injections. This revealed the right superficial femoral artery
is 100% occluded at its origin. Decision for angioplasty was made and
intervention was performed through this area with a 7 mm x 20 mm balloon
inflated up to 7 atmospheres. The gradual inflation resulted in enlarging the
artery to a more normal flow of blood. What CPT codes is/are reported?
a.
36902, 36246
b.
37220, 75710-26-59
c.
37224, 75716-26-59
d.
37224, 75710-26-59
49. After
being called to the emergency room to treat one of his patients suffering from
multiple injuries, a provider is asked to examine another one of his patients
already registered in the ER, presenting with acute respiratory distress
symptoms including a productive cough. The ER is very busy, therefore the ER
provider has the patient’s provider see and treat this patient. The provider
ordered a CBC and chest x-ray. An expanded history of the present illness was
taken, an expanded problem focused examination performed and medical decision
making was of moderate complexity. Overall level of medical decision making was
moderate. The patient was given a prescription and written instructions for
continued home care and told to make an appointment in the office if the
symptoms persist. Code the provider’s service for the second patient.
a) 99212
b) 99283
c) 99284
d) 99243
50. Andrea, a 52-year-old patient, had
a hysterectomy on Monday morning. That afternoon, after returning to her
hospital room, she suffered a cardiac arrest. A cardiologist responded to the
call and delivered one hour and 35 minutes of critical care. During this time
the cardiologist ordered a single view chest x-ray and provided ventilation
management. How should you report the cardiologist’s services?
a. 99291, 99292
b. 99291, 99292, 71045, 94002
c. 71045, 94002, 99231
d. 99291, 99292, 99292-52
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