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Question: 372
The CPT® code book provides full descriptions of medical procedures, although some descriptions require the use of
a semicolon (;) to distinguish among closely related procedures.
What is the full description of CPT® code 69644?
A. Tympanoplasty with mastoidectomy (including canalplasty. middle ear surgery, tympanic membrane repair); with
intact or reconstructed canal wall, with ossicular chain reconstruction
B. Without ossicular chain reconstruction with intact or reconstructed canal wall, with ossicular chain reconstruction
C. With intact or reconstructed canal wall with ossicular chain reconstruction
D. Tympanoplasty with mastoidectomy (including canalplasty. middle ear surgery, tympanic membrane repair);
without ossicular chain reconstruction with intact or reconstructed canal wall, with ossicular chain reconstruction
Answer: A
Question: 373
Which statement regarding lesion excision is TRUE?
A. Lesion excision codes include removal of a lesion, with margins, and simple (nonlayered) closure when performed
B. Lesion excision codes are selected by measuring the greatest clinical diameter of a lesion excluding the margins
required to complete the excision
C. Lesion excision codes include removal of a lesion, with margins, and intermediate closure when performed
D. Lesion excision codes include removal of a lesion with margins, and complex closure when performed
Answer: A
Question: 374
Which one of the following is an example of a case in which a diabetes-related problem exists and the code for
diabetes is never sequenced first?
A. If the patient has hyperglycemia that Is not responding to medication
B. If the patient has an underdose of insulin due to an insulin pump malfunction
C. If the patient is being treated for secondary diabetes
D. If the patient is being treated for type 2 diabetes
Answer: B
Question: 375
A patient suffering from idiopathic dystonia is seen today and receives the following Botulinum injections: three
muscle injections in both upper extremities and seven injections in six paraspinal muscles.
How are these injections reported according to the CPT® guidelines?
A. 64644, 64647 x 7
B. 64642-50, 64643-50, 64647
C. 64642, 64643, 64647
D. 64642 x 3, 64642 x 3, 64647 x 7
Answer: C
Question: 376
According to the Application of Cast and Strapping CPT® guidelines, what is reported when an orthopedic provider
performs initial fracture care treatment for a closed scaphoid fracture of the wrist, applies a short arm cast, and the
patient will be returning for subsequent fracture care?
A. 25622
B. 29075
C. 25622, 29075
D. 29075-22
Answer: B
Question: 377
A patient is diagnosed with diabetic polyneuropathy.
Using ICD-10-CM coding guidelines, what ICD-10-CM coding is reported?
A. E10.42
B. E11.9, G62.9
C. E10.9, G62.9
D. E11.42
Answer: D
Question: 378
An elderly patient comes into the emergency department (ED) with shortness of breath. An ECG is performed. The
final diagnosis at discharge is impending myocardial infarction.
According to ICD-10-CM guidelines, how is this reported?
A. I20.0
B. R06.02
C. I20.0, R06.02
D. I21.3, R06.02
Answer: B
Question: 379
Patient had polyps removed on a previous colonoscopy. The patient returns three months later for a follow-up
examination for another colonoscopy. No new polyps are seen.
What diagnosis coding is reported for the second colonoscopy?
A. Z09, Z86.010
B. K63.5
C. Z86.010, K63.5
D. Z09, K63.5
Answer: D
Question: 380
A patient is diagnosed with sepsis and associated acute respiratory failure.
What ICD-10-CM code selection is reported?
A. A41.9, R65.20, J96.00
B. A41.9
C. A41.9, R65.21, J96.00
D. A41.9, J96.00
Answer: D
Question: 381
A 44-year-old female patient with chest pains had a CT of her chest that identified a mass in her left lower lung. The
patient currently has ovarian cancer with metastases to the liver. The radiologist suspects the cancer has spread to her
lungs. The physician performed an outpatient bronchoscopic biopsy and the pathology report documents the mass as a
tumor of uncertain behavior.
What ICD-10-CM codes are reported for this patient?
A. R91.8, C56.9, C78.7
B. C56.9, C78.7, C78.02
C. C78.02, C22.9, C79.82
D. D38.1, C56.9, C78.7
Answer: A
Question: 382
A 35-year-old female has cancer in her left breast. The surgeon performs a mastectomy, removing the breast tissue,
skin, pectoral muscles, and surrounding tissue, including the axillary and internal mammary lymph nodes.
Which mastectomy code is reported?
A. 19303
B. 19305
C. 19306
D. 19307
Answer: C
Question: 383
A 30-year-old patient with a scalp defect is having plastic surgery to insert tissue expanders. The provider inserts the
implants, closes the skin, and increases the volume of the expanders by injecting saline solution. Tissue is expanded
until a satisfactory aesthetic outcome is obtained to repair the scalp defect.
What CPT® code is reported?
A. 11960
B. 11970
C. 15777
D. 19357
Answer: A
Question: 384
A 5-year-old is brought to the QuickCare in the ED to repair two lacerations: a 3 cm laceration on her right arm and 2
cm laceration on her nose. Her arm is repaired with a simple one-layer closure with sutures. Her nose is repaired with
a simple repair using tissue adhesive, 2-cyanoacrylate.
How are the repairs reported?
A. 12013
B. 12032, 12041-59
C. 12002
D. 12002, 12011-59
Answer: C
Question: 385
A 25-year-old woman underwent percutaneous breast biopsy on the right breast with placement of a Gelmark clip. The
procedure was performed using stereotactic imaging.
What CPT® codes will be reported?
A. 19081
B. 19100, 76098
C. 19101, 19283
D. 19081, 19283
Answer: D
Question: 386
A patient with three thyroid nodules is seen for an FNA biopsy. Using ultrasonic guidance, the provider inserts a 25-
gauge needle into each nodule. Nodular tissue is aspirated and sent to pathology.
What CPT® coding reported?
A. 10005, 10006 x 2, 76942
B. 10006 x 3
C. 10005, 10006 x 2
D. 10021, 10004 x 2, 76942
Answer: C
Question: 387
Mr. Woolridge has had a suspicious lesion on his left shoulder for approximately eight weeks that is not healing. On
the dermatologist's exam of left shoulder blade, there is excoriation and scabbing and the lesion not healing. Patient
agrees and wishes to proceed with a punch biopsy of the lesion. A punch biopsy is taken of the lesion and sent to
pathology. A simple repair is performed at the biopsy site.
What CPT® and ICD-10-CM codes are reported?
A. 11102, 12001-51, D49.2
B. 11102, L98.9
C. 11104, D49.2
D. 11104,12001-51, L98.9
Answer: C
Question: 388
A surgeon performs midface LeFort I reconstruction on a patient�s facial bones to correct a congenital deformity. The
reconstruction is performed in two pieces in moving the upper jawbone forward and repositioning the teeth of the
maxilla of the mid face.
What CPT® code is reported?
A. 21146
B. 21141
C. 21142
D. 21145
Answer: C
Question: 389
A patient had surgery a year ago to repair two flexor tendons in his forearm. He is in surgery for a
secondary repair for the same two tendons.
Which CPT® coding is reported?
A. 25263
B. 25272 x 2
C. 25272
D. 25263 x 2
Answer: D
Question: 390
A 45-year-old has a dislocated patella in the left knee after a car accident. She taken to the hospital by EMS for
surgical treatment. In the surgery suite, the patient is placed under general anesthesia. After being prepped and draped,
the surgeon makes an incision above the knee joint in front of the patella. Dissection is carried through soft tissue and
reaching the patella in attempt to reduce the dislocation. When the patella is exposed, it is severely damaged due to
cartilage breakdown. The tendon is dissected and using a saw the entire patella is freed and removed. The tendon
sheath is closed with sutures.
What procedure code is reported for this surgery?
A. 27562-LT
B. 27552-LT
C. 27556-LT
D. 27566-LT
Answer: D
Question: 391
A 42-year-old with chronic left trochanteric bursitis is scheduled to receive an injection at the Pain Clinic. A 22-gauge
spinal needle is introduced into the trochanteric bursa under ultrasonic guidance, and a total volume of 8 cc of normal
saline and 40 mg of Kenalog was injected.
What CPT® code should be reported for the surgical procedure?
A. 20610-LT
B. 20611-LT, 76942
C. 20611-LT
D. 20610-LT, 76942
Answer: C
Question: 392
A 60-year-old male suffering from degenerative disc disease at the L3-L4 and L5-S1 levels was placed under general
anesthesia. Using an anterior approach, the L3-L4 disc space was exposed. Using blunt dissection, the disc space was
cleaned. The disc space was then sized and trialed. Excellent placement and insertion of the artificial disc at L3-L4 was
noted. The area was inspected and there was no compression of any nerve roots. Same procedure was performed on
L5-S1 level. Peritoneum was then allowed to return to normal anatomic position and entire area was copiously
irrigated. The wound was closed in a layered fashion. The patient tolerated the discectomy and arthroplasty well and
was returned to recovery in good condition.
What CPT® coding is reported for this procedure?
A. 22857 x 2
B. 22857, 22860
C. 22857
D. 22899
Answer: B
Question: 393
A 67-year-old male presents with DJD and spondylolisthesis at L4-L5 The patient is placed prone on the operating
table and, after induction of general anesthesia, the lower back is sterilely prepped and draped. One incision was made
over L1-L5. This was confirmed with a probe under fluoroscopy. Laminectomies are done at vertebral segments L4
and L5 with facetectomies to relieve pressure to the nerve roots. Allograft was packed in the gutters from L1-L5 for a
posterior arthrodesis. Pedicle screws were placed at L2, L3, and L4. The construct was copiously irrigated and muscle;
fascia and skin were closed in layers.
Select the procedure codes for this scenario.
A. 63005 x 2, 22612, 22614 x 3, 22842
B. 63042, 63043, 22808, 22841 x 3
C. 63047, 63048, 22612, 22614 x 3, 22842
D. 63017, 63048, 22612, 22808, 22842 x 3
Answer: C

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