1.
This patient presented to the
laboratory yesterday for a creatine measurement. The results came back at
higher than normal levels; therefore, the patient was asked to return to the
laboratory today for a repeat creatine test before the nephrologist is consulted.
Report the second day of test only.
a)
82540 × 2
b)
82550
c)
82550, 82550-91
d)
82540
2.
Code a pregnancy test, urine.
a)
81005
b)
81000
c)
81025
d)
84702 × 2
3.
What CPT code would you use to code a
bilirubin, total (transcutaneous)?
a)
82252
b)
82247
c)
82248
d)
88720
4.
Chlamydia antibody
a)
87270
b)
86631
c)
86255
d)
86256
5.
ABO and Rh blood typing
a)
86910
b)
86905
c)
86901
d)
86900, 86901
6.
A qualitative test found traces of
benzodiazepines. The hospital did a quantitative examination to find out the
quantity for benzodiazepines in the specimen. Code for the quantitative
examination.
a)
80305
b)
80375
c)
80346
d)
80150
7.
The specimen is taken from the
prostate. The procedure was a transurethral resection of the prostate. Code the
surgical pathology.
a)
88309
b)
88302
c)
88307
d)
88305
8.
A patient presented to her hospital
clinic physician for a routine general physical examination. The physician
ordered the following test: an automated hemogram and platelet count; an
automated complete differential WBC count (CBC); glucose; urea nitrogen (BUN);
carbon dioxide; creatinine; uric acid; calcium; potassium; sodium; chloride;
transferase, aspartate amino (AST) (SGOT); phosphatase, alkaline; total
bilirubin; total protein; albumin; TSH; and transferase, alanine amino
transferase (ALT) (SGPT). What are the procedure and diagnostic codes?
a)
80050
b)
80050, 80053, 84550
c)
80050, 84550
d)
82040, 82247, 82310, 82435, 82565,
82947, 84075, 84132, 84155, 84295, 84443, 84450, 84460, 84520
9.
Code an automated urinalysis without
microscopy.
a)
81001
b)
81003
c)
81025
d)
81005
10.
A patient being treated for essential
hypertension has a basic metabolic panel drawn (calcium, ionized). Tests in the
panel include: calcium, ionized carbon dioxide, chloride, creatinine, glucose, potassium,
sodium, and BUN. Code this procedure and diagnosis.
a)
80047
b)
80048
c)
82310, 82374, 82435, 82565, 82947,
84132, 84295
d)
80051
11.
An established patient comes in the
outpatient hospital clinic for a follow-up visist for chronic hepatitis. After
being examined, the physician ordered the patient to have a hepatic function
panel drawn. The panel includes the following elements: bilirubin, total and
direct; SGPT; and SGOT. Code for the procedures and diagnosis.
a)
80076
b)
80074
c)
86709, 86705, 87340, 86803
d)
84460, 84450, 82247, 82248
12.
Dr. Ross, a pathologist, completed both
gross and microscopic surgical pathology after a lung wedge biopsy. Dr. Miles,
the surgeon, sent a single specimen to the laboratory after the completion of a
limited biopsy by thoracotomy. How would Dr. Ross report her services?
a)
88300, 88307
b)
32151, 88305-26
c)
88307
d)
32095, 88307-26
13.
Give the CPT for quantitative high performance
liquid chromatography (HPLC) using multiple analytes with single stationery and
mobile phase.
a)
84999
b)
82542
c)
82542 x 2
d)
80377
14.
After obtaining capillary blood, a
glucose screening by Dextrostix method (reagent strip)was
performed. Select the CPT code for the
service.
a)
82962
b)
82962, 36415
c)
82948, 36416
d)
82948, 36410
15.
During an ambulatory surgery encounter,
the surgeon excises a lipoma on the abdomen and a lump in the left breast. The
specimens are submitted to the pathology for microscopic examination select the
CPT codes for the surgical pathology service.
a)
88304 x 2
b)
88307, 88304
c)
88300 x 2
d)
88305 x 2
16.
A patient undergoes a bone marrow
procedure for suspected malignancy. The doctor performs aspiration of his bone
marrow from the hip, evaluates the aspirate smear, and provides interpretation.
Give the appropriate CPT code(s) for it.
a)
85097
b)
38221, 85097
c)
38220, 85097
d)
38220, 85060
17.
A person with haemophilia comes in for
clotting study. The pathologist conducts tests for factor V and VIII. What CPT
code with the pathologist bill for?
a)
85220, 85240
b)
85244
c)
85245
d)
85246
18.
A pathologist performs a test for the
following elements: Calcium, carbon dioxide, chloride,
creatinine, glucose, potassium, sodium,
urea nitrogen, and blood typing (both ABO and D). Give the CPT for these procedures.
a)
82310, 82374, 82435, 82565, 82947,
84132, 84295, 84250, 86850, 86900
b)
80048, 86850, 86906
c)
80048, 86900, 86901
d)
82310, 82374, 82435, 82565, 82947,
84132, 84295, 84250, 86910, 86901
19.
What is the CPT for an autopsy ordered
by a coroner to investigate in the murder of a person.
a)
88020
b)
88036
c)
88099
d)
88045
20.
Patient with history of
hypertriglyceridemia but with normal cholesterol levels has triglyceride level drawn.
a)
82465
b)
84478
c)
84487
d)
83718
21.
Patient with symptoms of toxic metal
poisoning underwent screening for the presence of arsenic.
a)
82175
b)
82157
c)
83015
d)
83018
22.
A patient with deep vein thrombosis
requires heparin to maintain therapeutic anticoagulation levels. He has regular
PTTs drawn to monitor his level of anticoagulation. What codes describes this
testing?
a)
85730
b)
85520
c)
80299
d)
None of these
23.
What is the code and any required
modifier(s) for dipstick analysis, non-automated without
microscopy performed in a physician
office for a Medicare patient?
a)
81025-26-QW
b)
81002-26-QW
c)
81000
d)
81002
24.
A patient present with right upper quadrant
pain, nausea, and other symptoms of liver disease as well as complaints of
decreased urination. Her physician orders an albumin, bilirubin, both total and
direct,alkaline phosphatase, total protein, alanine amino transferase,
aspartate amino tranferase and creatinine. How should this be coded?
a)
82040, 82247, 82248, 84075, 841555,
84460, 84450, 82565
b)
80076, 82565
c)
80076
d)
80076-22
25.
A 27 year old male dies of a gunshot
wound. An autopsy is performed to gain evidence for the police investigation
and any subsequent trial. What codes describes this service?
a)
88005
b)
88025
c)
88040
d)
88045
26.
A patient with AIDS presents for
follow-up care. The total T-cell count is ordered to evaluate
progression of the disease. Choose the
code(s) for this study.
a)
86703
b)
86360
c)
86361, 86359
d)
86359
27.
The word pathology refers to the study
of:
a)
deterioration
b)
direction
c)
disease
d)
distress
28.
Which word described the study of small
life forms?
a)
hematology
b)
immunology
c)
in vivo
d)
Microbiology
29.
Which term is used with the word
pathologist to describe someone specializing in legal or
investigational studies?
a)
in vivo
b)
forensic
c)
laboratory
d)
none of the above
30.
A test determining the presence of
absence of a substance is considered what type of test?
a)
qualitative
b)
quantitative
c)
forensic
d)
Hematologic
31.
If a patient has a test result
indicating a blood alcohol level of .05, what type of test was performed to
determine this information?
a)
Microbiology
b)
qualitative
c)
quantitative
d)
urine dip test
32.
A 24-year-old runner presented to the
emergency department with dizziness, malaise, and fatigue. The ED physician
performed a history, did a physical examination, and ordered carbon dioxide,
chloride, potassium, sodium, and glucose tests from the hospital laboratory to
check for dehydration and/or hypoglycemia. Select the appropriate laboratory code(s)
for this visit.
a)
80048
b)
80051
c)
82374, 82435, 84295, 82947
d)
80051, 82947
33.
Urine pregnancy test is performed by
the office staff using the Hybritech ICON (qualitative visual color comparison
test). What are the procedure code(s) for this service?
a)
84703
b)
84702
c)
81025
d)
81025, 36415
34.
A liver transplant patient receives
daily tests for cyclosporine levels to manage her
immunosuppression. Choose the CPT code
for this testing.
a)
80408
b)
82607
c)
86021
d)
80158
35.
A pathologist is requested to review,
evaluate, and provide a written report on data that indicates detection of a
possible irregular blood grouping antibody. Code this procedure.
a)
86077
b)
80500
c)
88300
d)
86870
36.
A lab offers a hepatic function panel
with the following components: albumin, bilirubin (total and direct), alkaline
phosphatase, total protein, SGOT, SGPT, and GGT. Select the CPT code(s) for
these tests.
a)
80076
b)
80076, 82977
c)
82040, 82247, 82248, 82977, 84075,
84155, 84450, 84460
d)
82977, 82043, 80076
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