1.
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
2.
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
3.
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,
84155, 84460, 84450, 82565
b)
80076, 82565
c)
80076
d)
80076-22
4.
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
5.
The word pathology refers
to the study of:
a)
deterioration
b)
direction
c)
disease
d)
distress
6.
Which word described the
study of small life forms?
a)
hematology
b)
immunology
c)
in vivo
d)
Microbiology
7.
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
8.
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
9.
A test determining the
presence of absence of a substance is considered what type of test?
a)
qualitative
b)
quantitative
c)
forensic
d)
Hematologic
10.
Patient with symptoms of
toxic metal poisoning underwent screening for the presence of arsenic.
a)
82175
b)
82157
c)
83015
d)
83018
11.
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
12.
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
13.
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
14.
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
15.
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
16.
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
17.
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
18.
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
19.
ABO and Rh blood typing
a)
86910
b)
86905
c)
86901
d)
86900, 86901
20.
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
21.
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
22.
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
23.
Code an automated
urinalysis without microscopy.
a)
81001
b)
81003
c)
81025
d)
81005
24.
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
25.
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
26.
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)
32096, 88307-26
27.
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
28.
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
29.
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
30.
Code a pregnancy test,
urine.
a)
81005
b)
81000
c)
81025
d)
84702 × 2
31.
What CPT code would you use
to code a bilirubin, total (transcutaneous)?
a)
82252
b)
82247
c)
82248
d)
88720
32.
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
33.
Patient with history of
hypertriglyceridemia but with normal cholesterol levels has triglyceride level
drawn.
a)
82465
b)
84478
c)
84488
d)
83718
34.
Chlamydia antibody
a)
87270
b)
86631
c)
86255
d)
86256
35.
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
36.
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
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