MEDICINE SAMPLE MODEL QUESTIONS

1. 10-year-old patient had a recent placement of a cochlear implant. She and her family see an audiologist to check the pressure and determine the strength of the magnet. The transmitter, microphone and cable are connected to the external speech processor and maximum loudness levels are determined under programming computer control. Which CPTR code should be used?

A. 92601

B. 92603

C. 92562

D. 92626

2. A patient completed a diagnostic computerized ophthalmic scan of the retina on both eyes. The physician’s interpretation and report included changes to the retina in the right eye from a previous study. The left retina looked stable with no changes noted. The patient is scheduled for a follow-up study in three weeks to assess any new changes and treatment as needed. How should the physician report her services?

a. 92132-50, 92134-26

b. 92132

c. 92134

d. 92134-50

3. A patient underwent a left heart catheterization by transseptal puncture through an intact septum with image supervision and interpretation and intraprocedural injection for left ventriculography. During the procedure, pharmacologic agents were administered and measured. An arm ergometry was employed for exercise study to assess hemodynamics before and after the procedure. How should this procedure be reported?

a. 93458, 93462, 93463, 93464 x 2

b. 93452, 93566, 93462, 93463, 93464 x 2

c. 93452, 93566, 93462, 93463, 93464 x 2

d. 93452, 93462, 93463, 93464

4. A patient suffering from nystagmus completed a basic vestibular function evaluation with testing and recording in five different positions with gaze fixation; optokinetic, bidirectional, foveal, and peripheral stimulation; and oscillation. An additional vertical electrode and vertical axis rotational testing was employed during testing. How should this procedure be reported?

a. 92545, 92541-59, 92542-59, 92540-59

b. 92540, 92545, 92542, 92546, 92547

c. 92540, 92546, 92547

d. 92545, 92547-51

5. Mary, who has food allergies, came to her physician for her weekly allergen immune therapy that consists of two injections prepared and provided by the physician. The correct code is:

A. 95125

B. 95117

C. 95131

D. 95146

6. What codes are not reported in conjunction with the following code descriptor? Comprehensive electrophysiologic evaluations including insertion and repositioning of multiple electrode catheters with indication or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, and His bundle recording

a. 93600, 93602, 93610, 93612, 93618, 93619

b. No codes are restricted from conjunction reporting with 93620

c. 93600-51, 93602-51, 93610-51, 93612-51, 93618-51, 93619

d. Both a & c

7. 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

8. 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

9. In the inpatient setting along with an E & M service, the psychiatrist provides psychotherapy for 30 minutes to affect a change in the patient’s maladaptive behavior. What is the procedure code for psychotheraphy?

A. 90832

B. 90833

C. 90836

D. 90837

10. Left heart catheterization retrograde from the femoral artery with injection procedures for selective coronary angiography and selective left ventriculography, including imaging supervision and interpretation with report, are performed. The cardiologist performed all of the services at the hospital. The CPTR codes are:

A. 93458

B. 93452, 93454

C. 93452, 93563

D. 93458, 93565

11. Photodynamic therapy involving application of light externally to destroy premalignant lesions on the lower lip was provided to a 63-year-old patient. Code the encounter.

A. 96570

B. 96999

C. 96567

D. 96913

12. What code will be reported with 93457 if cardiac catheterization is combined with arm ergometry protocol with specific purpose of repeating hemodynamic measurements to evaluate the response.

a. 93464

b. 93600

c. 93451

d. 93530

13. A two-month-old comes in for a well check up and several shots (Rota, DTaP-IPV/Hib, VAR) with her pediatrician. He offers suggestions to the mom, completes the exam, and counsels her on the vaccinations. How should this be coded?

A. 99391-25, 90471, 90472 x 2, 90680, 90713

B. 99381-25, 90460, 90461 x 2, 90680, 90716, 90707

C. 99381-25, 90471, 90472 x3, 90680, 90698, 90716

D. 99391-25, 90460, 90461 x2, 90680, 90698, 90716

14. A pediatrician is managing the care of a patient who is at home on a ventilator under the care of a home health agency. The patient has cystic fibrosis and is suffering from recurrent pneumonia. The MD did the initial plan of care for the home health agency and now is following this monitor vent management oversight on day 20. The provider has a total 45 minutes for this month how should he code?

A. 94002

B. 94003

C. 94005

D. 94004

15. The patient is admitted to the hospital for an eight channel EEG to determine the focus of her cerebral seizures. The EEG is performed for 24 hours. Select the appropriate code.

A. 95813

B. 95824

C. 95827

D. 95950

16. The correct code for OMT performed on the cervical, thoracic and sacral regions would be:

A. 97110

B. 98941

C. 98926

D. 97124

17. The patient presents to see the nurse for his scheduled vitamin B12 injection. The physician ordered the injection at the patient’s last visit. The physician is in the office seeing other patients. The nurse administers the 1000 mcg of vitamin B12 intramuscularly. She schedules the patient for his next appointment.

A. 99211-25, 96372, J3420

B. 99211-25, J3420

C. 96372, J3420

D. 96401, J3420

18. A patient presents to her oncologist’s office for schedule chemotherapy. The patient is severely dehydrated. The physician decides to schedule the chemotherapy for another day and orders hydration therapy to be performed today instead of the chemotherapy. The therapy is ordered and administered for one hour and 10 minutes. Select the code(s).

A. 96413-53, 96360

B. 96360

C. 96360, 96361

D. 96413, 96361

19. A cardiologist pediatrician sends a four-week-old baby to an outpatient facility to have an echocardiogram. The baby has been having rapid breathing. He is sedated and a probe is placed on the chest wall and images are taken through the chest wall. A report is generated and sent to the pediatrician.The interpretation of the report by the pediatrician reveals the baby has an atrial septal defect. Choose the CPTR code the cardiologist pediatrician should report.

A. 93303

B. 93315-26

C. 93303-26

D. 93315

20. Cameron 17 years old patient, received ESRD related service including monitoring for adequacy of niutrition, assessment of growth and development and counseling of parents with 3 face To face visit by the physician for a month. How would the physician services be reported?

           

a. 90957

b. 90959

c. 90958

d. 90960