1. A patient had a semi-quantitative
urinalysis for infectious agent detection. How should you report this test?
a. 81050
b. 81005
c. 81099
d. 81005, 83518
2. Code 3011F describes which diagnostic
or screening process?
a. Lipid panel results including total
cholesterol, HDL-C, triglycerides, calculated LDL-C
b. Lipid panel results including total
cholesterol
c. Lipid panel results including
cholesterol, triglycerides, lipoprotein
d. Lipid panel results including
cholesterol, triglycerides, carbon dioxide, glucose, potassium
3. A 58-year-old male patient with
abdominal pain and episodes of bright red blood in his stool reports to his
physician’s office for a check-up. His physician performs a digital rectal exam
and tests for occult
blood. Dr. Smith documents this blood
occult test was done for purposes other than colorectal cancer
screening. How would you report the
occult blood test?
a. 82270
b. 82274
c. 82271
d. 82272
4. Kathy has had intermittent abdominal
pain, occasional diarrhea, stool frequency, and bloating. Her
symptoms have worsened over the past two
months. Her physician orders a fecal Calprotectin test to
check for Crohn’s disease. How should
you report the lab test?
a. 82270
b. 82272, 83993
c. 83993
d. 82271, 82272
5. Cells were taken from amniotic fluid
for analyzation of the chromosomes for possible Down’s
syndrome. The geneticist performs the
analysis with two G-banded karyotypes analyzing 30 cells. Select
the lab codes for reporting this
service.
A. 88248
B. 88267, 88280, 88285
C. 88273, 88280, 88291
D. 88262, 88285
6. A pathologist performs a
comprehensive consultation and report after reviewing a patient’s records
and specimens from another facility. The
correct CPT® code to report this service is:
A. 88325
B. 99244
C. 80502
D. 88329
7. Dr. Monday provided a comprehensive
clinical pathology consultation at the request of Dr. Adams.
This request was regarding a patient
with various infections, drug allergies, skin rash, and Down’s
syndrome. The patient is in the hospital
intensive care unit being treated with intravenous antibiotics. Dr. Monday did
not see the patient but he reviewed the patient’s history, complex medical
records, and
provided a written report back to Dr.
Adams regarding his findings and recommendations for further
treatment. How would Dr. Monday report
his services?
a. 80502
b. 99244
c. 99244-25, 80502
d. 99255-25, 80500
8. Report the global service.
CLINICAL HISTORY: Mass, left atrium.
SPECIMEN RECEIVED: Left atrium.
GROSS DESCRIPTION: The specimen is
labeled with patient’s name and “left atrial myxoma” and
consists of a 4 × 4 × 2-cm ovoid mass
with a partially calcified hemorrhagic white-tan tissue.
INTRAOPERATIVE FROZEN SECTION DIAGNOSIS:
Myxoma.
MICROSCOPIC DESCRIPTION: Sections show a
well-circumscribed mass consisting of fibromyxoid
tissue showing numerous vascular
channels. Areas of superficial ulceration and chronic inflammatory
infiltrate are noted. Areas of
calcification are also present.
DIAGNOSIS: Myxoma, benign, left atrium.
A. 88305
B. 88307, 88331
C. 88307-26, 88331-26
D. 88309
9. This patient is in for a kidney
biopsy (50200) because a mass was identified by ultrasound. The
specimen is sent to pathology for gross
and microscopic examination. Report the technical and
professional components for this
service. The results were inconclusive.
A. 88305-26
B. 88307-26
C. 88307
D. 88305
10. During an ambulatory surgery
encounter, two procedures were performed on a patient. The physician excised a
lipoma on the abdomen and excised a lump in the left breast (margins were not
microscopically examined). The specimens were submitted to the pathology
laboratory for microscopic examination. Select the CPT code(s) for this
surgical pathology.
a.88304 x 2
b.88304, 88307
c.88305 x 2
d.88305, 88304
11. A specimen consisting of a uterus,
tubes, but no ovaries was received in the pathology department.
The procedure was an abdominal
hysterectomy for ovarian cancer. Select the CPT code for the surgical
pathology.
a.88305
b.88300
c.88399
d.88309
12. Patient is coming in for a
pathological examination for ischemia in the left leg. The first specimen is
1.5 cm of a single portion of arterial
plaque taken from the left common femoral artery. The second
specimen is 8.5 x 2.7 cm across x 1.5 cm
in thickness of a cutaneous ulceration with fibropurulent
material on the left leg. What surgical
pathology codes should be reported for the pathologist?
A. 88302, 88304
B. 88304-26, 88305-26
C. 88305-26, 88307-26
D. 88307, 88309
13. During a craniectomy the surgeon
performed a frozen section of a large piece of tumor and sent it to
pathology. The pathologist received a
rubbery pinkish tan tissue measuring in aggregate 3 x 0.8 x 0.8 cm.
The entire specimen is submitted in one
block and a microscope was used to examine the tissue. The
frozen section and the pathology report
are sent back to the surgeon indicating that the tumor was a
medulloblastoma. What CPT® code(s) will
the pathologist report?
A. 80500
B. 88331-26
C. 80502
D. 88331-26, 88304-26
14. Physician orders a comprehensive
metabolic panel but also wants blood work on calcium ions and
also orders a basic metabolic panel.
Select the code(s) on how this is reported.
A. 80053, 80047
B. 80053
C. 80047, 82040, 82247, 82310, 84075,
84155, 84460, 84450
D. 80053, 82330
15. This 69-year-old female presents to
the laboratory after her physician ordered quantitative and
qualitative assays for troponin to
assist in the diagnosis of her chief complaint of acute onset of chest
pain.
A. 84484, 80299
B. 84512, 84484, 80299
C. 84484, 84512
D. 84484, 84510
16. This 34-year-old established female
patient is in for her yearly physical and lab. The physician orders
a comprehensive metabolic panel,
hemogram automated and manual differential WBC count (CBC), and
a thyroid-stimulating hormone. Code the
lab only.
A.
99395, 80050
B.
80050-52
C.
80069, 80050
D.
80050
17. This is a patient with atrial
fibrillation who comes to the clinic laboratory routinely for a quantitative
digoxin level.
A.
80305
B.
80306
C.
80162, 80305
D.
80162
18. A lab performs two separate special
stains to exclude the presence of acid-fast bacilli and trichrome
during the examination of a specimen
from a lung resection. Select the CPT code(s) for this procedure.
a.88309
b.88307, 88312
c.88309, 88313 x 2
d.88309, 88312, 88313
19. 18-year-old female with a history of
depression comes into the ER in a coma. The ER physician
Orders a drug screen on antidepressants,
phenothiazine’s, and benzodiazepines. The lab performs a
screening for each single drug class
using an immunoassay in a random access analyzer. Presence of
antidepressants is found and a drug
confirmation is performed to identify the particular antidepressant.
What correct CPT® codes are reported?
A. 80307, 80338
B. 80306, 80338
C. 80307 x 3, 80338
D. 80305, 80338 x 3
20. A patient uses Topiramate to control
his seizures. He comes in every two months to have a therapeutic drug testing performed to assess serum plasma
levels of this medication. What lab code is reported for this testing?
A. 80306
B. 80305
C. 80201
D. 80305, 80201
21. Patient that is a borderline
diabetic has been sent to the laboratory to have an oral glucose tolerance
test. Patient drank the glucose and five
blood specimens were taken every 30 to 60 minutes up to three
hours to determine how quickly the
glucose is cleared from the blood. What code(s) should be reported
for this test?
A. 82947 x 5
B. 82946
C. 80422
D. 82951, 82952 x 2
22. A patient with severe asthma
exacerbation has been admitted. The admitting physician orders a bloodglass for
oxygen saturation only. The admitting physician performs the arterial puncture
drawing bloodfor a blood gas reading on oxygen saturation only. The physician
draws it again in an hour to measurehow much oxygen the blood is carrying.
Select the codes for reporting this service.
A. 82805, 82805-51
B. 82810, 82810-91
C. 82803, 82803-51
D. 82805, 82805-90
23. A forensic examination was performed
on a 17-year-old who died due to stab wounds. Select the CPT code for the
services.
a)
88099
b)
88040
c)
88045
d)
88000
24. In the Pathology and Laboratory
section, what additional items may be included with special reports?
a. Adequate definition or description of
the nature, extent, and need for the procedure and the time,
effort, and equipment necessary to
provide the service.
b. Signs and symptoms, final diagnosis,
follow-up care, concurrent problems, drug testing, pathology
findings
c. Complexity of symptoms, final
diagnosis, pathology findings, pertinent physical findings, diagnostic
and therapeutic procedures, concurrent
problems, follow-up care
d. Complexity of symptoms, final
diagnosis, testing time, consultations notes, follow-up car
25. Patient is undergoing in vitro
fertilization to get pregnant. Following the retrieval of follicular fluid
from the patient, the physician uses a
microscope to examine the fluid to identify the ooctyes. What is the code for
the laboratory service?
A. 89250
B. 89254
C. 89255
D. 89258
26. A patient has an iliac crest bone
marrow biopsy. The physician suspects the patient has myelofibrosis. The bone
marrow specimen is sent to pathology for gross and microscopic exam. What is
the appropriatecode for the pathologist’s service?
A. 88304
B. 88305
C. 88309
D. 88307
27. Marvin had a breath alcohol test
completed at the hospital after the police arrested him for racing his four-wheeler
past a McDonald’s drive through window. Marvin’s breath alcohol test was mathematically
calculated. How would you report the calculation on this test?
a. 82075
b. 82075 x 2
c. 82075, 82355
d. 82355
28. A surgical specimen was removed from
the proximal jejunum during a resection for adenocarcinoma
and was submitted to surgical pathology
for gross and microscopic examination. The correct code for this service is:
A. 88300
B. 88309
C. 88304
D. 88305
29. Brent had the following lab tests:
Calcium, ionized, Carbon dioxide,
Chloride, Creatinine, Glucose, Potassium, Sodium, Urea Nitrogen
(BUN)How should you report Brent’s lab
work?
a. 80048
b. 80047-52
c. 82310, 82374, 82435, 82565, 82947,
84132, 84295, 84520
d. 80047
30. Dr. Lee performed an intra-operative
consultation on a bile duct tumor requiring frozen section and
Cytological evaluation to a bladder
tumor. How would you report his professional services?
a. 88329
b. 88331-26, 88334-26
c. 88331, 88332 x 2
d. 88331-26, 88333-26
31. The patient presents with burning
urination and frequency. The physician performs a UA dipstick,
which shows elevated WBC. He orders a
urine culture with identification for each isolate to determine
which antibiotic to give to the patient
for the infection. What are the appropriate lab codes?
A. 81000, 81007
B. 81002, 87088
C. 81001, 87086
D. 87086, 87088
32. The physician performs the following
tests on her automated equipment: HDL, total serum
cholesterol, triglycerides and a
quantitative glucose. The correct codes for these procedures are:
A. 83718, 82465, 84478, 82947
B. 83721, 82465, 82951
C. 80061, 82947
D. 80061, 82950
33. Which of the following panels does
NOT include chloride?
A. 80061
B. 80050
C. 80053
D. 80047
34. A pregnant patient is tested for
serologic blood type and Rh factor. What
CPT® code(s) are reported?
a. 86900
b. 86920, 86906
c. 86900, 86901
d. 85060
35. A patient with rheumatoid arthritis
is being treated with gold. The physician orders a therapeutic drug test to
measure the level of gold. What is the correct code?
A. 80375
B. 80305
C. 80306
D. 80307
36. A patient presents to the ED with
crushing chest pain radiating down the left arm and up under the
chin. There are elevated S-T segments on
EKG. The cardiologist sees and admits the patient to CCU. He
orders three serial CPK enzymes levels
with instructions that the tests are also to be done with isoenzymes if the
initial tests are elevated for that date of service. The CPK enzyme levels were
elevated, the lab codes would be:
A. 82550, 82552, 82550-76 x 2, 82552-76
x 2
B. 82550, 82552, 82552-91 x 2
C. 82550, 82550-91 x 2, 82552, 82552-91
x 2
D. 82550 x 3, 82554 x 3
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