Deck 26: Coding for Radiology, Pathology Laboratory, General Medicine, HCPCS Category II and III, and Practice Management

Question 1

For coding anatomic pathology when the specimen is not viewed using a microscope, which of the following codes would be appropriate?

A) 88305
B) 88302
C) 88309
D) 88300

Answer 1

88300

Question 2

Kiera, an 8-year-old, has received a cochlear implant. She is here today for postoperative analysis and the fitting of this implant, as well as the connection and programming of the stimulator. Select the appropriate CPT code:

A) 92603
B) 92602
C) 92601
D) 92604

Answer 2

92603

Question 3

A 78-year-old male presents to his primary care provider's office with a complaint of urinary retention. Upon examination, the PC documents a smooth enlarged prostate. The physician orders a PSA, direct measurement to rule out prostate cancer and documents the DX as hypertrophy of the prostate. Select the appropriate CPT and ICD-10-CM codes:

A) 84152, N40.1, R33.8
B) 84153, N40.0
C) 84152, N40.0, R33.8
D) 84154, R33.8

Answer 3

84152, N40.1, R33.8

Question 4

A psychiatrist provided psychotherapy for crisis for a patient experiencing a high degree of anxiety. A history of the crisis state, a mental status exam, and a disposition were performed. The provider documented the time spent as 35 minutes. Select the appropriate CPT code(s):

A) 90845
B) 90839, 90791
C) 90832
D) 90839

Question 5

Which of the following is the best description of an Advance Beneficiary Notice?

A) A written notice from Medicare given to a patient before certain services are performed that explains that Medicare may deny payment and, if so, the patient is responsible
B) A written notice that a Medicare patient signs that states that the patient is unable to pay the 20 percent left over after Medicare pays
C) A written notice given to any patients who present at a physician's office that informs them that they will be responsible for all charges
D) A written notice given to a Medicare patient after a denial of a claim is received

Question 6

A 20-year-old female is seen in her OB/GYN clinic. She receives an injection of Depo-Provera, 150 mg, for family planning. Select the correct HCPCS Level II code:

A) L8030
B) J1050
C) J1000
D) J1050 X 150

Question 7

Fred, age 60, has been experiencing abdominal pain and is undergoing testing for Crohn's disease. His physician orders a capsule endoscopy in order to gain visualization of the gastrointestinal tract and esophagus through the ileum with interpretation and report. Select the appropriate CPT code(s):

A) 91110, 91117
B) 91110
C) 91110, 91111
D) 91111

Question 8

The patient is at his physician's office for a routine physical when he suffers cardiac arrest. The physician performs lifesaving measures and stabilizes the patient until the ambulance arrives. The ambulance team continues to administer lifesaving treatment to the patient and transports the patient to the hospital, which is 7 miles away from the physician's office. Select the appropriate HCPCS Level II codes:

A) A0433-SH, A0888 x7
B) A0427-PH, A0425 x7
C) A0433-XH, A0888 x7
D) A0422, A0888

Question 9

Category II codes are:

A) Emerging-technology temporary codes
B) Optional performance measurement codes
C) HCPCS codes
D) Deleted codes

Question 10

The procedure that records the electrical impulses of the brain is called a(n):

A) Transcranial sonogram
B) Electroencephalogram
C) Encephalogram
D) Myelogram

Question 11

A patient who has terminal lung cancer is admitted to the hospice unit for general inpatient care. Select the appropriate HCPCS Level II code:

A) T2042
B) T2043
C) T2045
D) T2044

Question 12

Frank is a 42-year-old ESRD patient. To properly manage his disease this month, as he has had several issues, he has been to his physician three times. Select the appropriate codes:

A) 90961, N18.6, Z99.2.
B) 90960, N18.5
C) 90962, N18.6
D) 90964, N18.6

Question 13

Which of the following is considered an inhalation drug?

A) Ampicillin
B) Phenobarbital
C) Estradiol valerate
D) Albuterol

Question 14

Which route of drug administration is through the arterial system?

A) SC
B) IA
C) IM
D) IV

Question 15

A patient has been suffering from sleep apnea, and his physician orders a sleep study to measure his heart rate, O2 saturation, respiration analysis, and sleep time. Select the appropriate code(s) for this test:

A) 95800
B) 95806, 93041
C) 95806
D) 95800, 93041

Question 16

A patient undergoes a left heart catheterization with catheter placement in the bypass graft, and the physicain performs a bypass graft angiography. Code this procedure:

A) 93452, 93459
B) 93454, 93459
C) 93452, 93454
D) 93459

Question 17

Mrs. Tent was sent to the lab following her yearly examination with Dr. Jones. Dr. Jones ordered a general health panel, WBC count, bilirubin analysis, and a qualitative urinalysis for her urinary tract infection (UTI). Select the appropriate CPT and ICD-10-CM codes:

A) 80050, 81005, Z00.00, N39.0
B) 80048, 85007, 82247, 81005, Z00.00, N39.0
C) 80050, 85007, 82247, 81005, Z00.00
D) 80050, 81005, Z00.00

Question 18

A patient is exhibiting symptoms of dysphasia and chest pain. Evaluation to this point has ruled out cardiac origins and GERD. The physician orders a manometric study of the esophagus and gastroesophageal junction with stimulation of gastric acid to rule out achalasia. Select the appropriate CPT code(s):

A) 91010, 91013
B) 91010
C) 91020, 91013
D) 91013, 91010

Question 19

What is the coder instructed to do with category III codes in the CPT?

A) Use a category III code along with a category I unlisted code.
B) If there is a category III code available, it must be used instead of an unlisted category I code.
C) Use of these codes is optional.
D) Never use category III codes for hospital encounters.

Question 20

A patient experiencing nystagmus and dizziness is being seen for vestibular function testing and receives the following test with recording: spontaneous test for nystagmus including gaze and function, testing for nystagmus in three positions, and optokinetic testing. Select the appropriate CPT code(s):

A) 92545
B) 92541, 92542, 92544
C) 92540
D) 92541

Question 21

A patient presents at his primary care provider's office with pain in the left wrist. The physician orders a complete, three view x-ray of the wrist to be done in the outpatient department of the local hospital. The hospital will bill the technical component of the wrist x-ray. How will the radiologist bill for his services?

A) 73110-26
B) 73115-26
C) 73110
D) 73100-26

Question 22

COP is an abbreviation for:

A) Coordination of procedures
B) Coordination of practices
C) Condition of practices
D) Conditions of participation

Question 23

For coding anatomic pathology when the specimen is not viewed using a microscope, which of the following codes would be appropriate?

A) 88300
B) 88305
C) 88302
D) 88309

Question 24

The procedure that records the electrical impulses of the brain is called a(n):

A) Transcranial sonogram
B) Myelogram
C) Electroencephalogram
D) Encephalogram

Question 25

A patient presents at his primary care provider's office with pain in the left wrist. The physician orders a complete, three view x-ray of the wrist to be done in the outpatient department of the local hospital. The hospital will bill the technical component of the wrist x-ray. How will the radiologist bill for his services?

A) 73110
B) 73110-26
C) 73100-26
D) 73115-26

Question 26

Fred, age 60, has been experiencing abdominal pain and is undergoing testing for Crohn's disease. His physician orders a capsule endoscopy in order to gain visualization of the gastrointestinal tract and esophagus through the ileum with interpretation and report. Select the appropriate CPT code(s):

A) 91110
B) 91111
C) 91110, 91111
D) 91110, 91117

Question 27

Kiera, an 8-year-old, has received a cochlear implant. She is here today for postoperative analysis and the fitting of this implant, as well as the connection and programming of the stimulator. Select the appropriate CPT code:

A) 92602
B) 92603
C) 92604
D) 92601

Question 28

A PAR provider is a:

A) Participating provider
B) Preferred provider
C) Physician assistant reporter
D) Physician account receivables

Question 29

Which route of drug administration is through the arterial system?

A) IA
B) IM
C) SC
D) IV

Question 30

Which of the following is considered an inhalation drug?

A) Phenobarbital
B) Estradiol valerate
C) Albuterol
D) Ampicillin

Question 31

A patient experiencing nystagmus and dizziness is being seen for vestibular function testing and receives the following test with recording: spontaneous test for nystagmus including gaze and function, testing for nystagmus in three positions, and optokinetic testing. Select the appropriate CPT code(s):

A) 92541
B) 92541, 92542, 92544
C) 92540
D) 92545

Question 32

What is the portion of payment that patients are responsible for each time they visit a physician's office?

A) Coinsurance
B) Premium
C) Co-pay
D) Deductible

Question 33

Mrs. Tent was sent to the lab following her yearly examination with Dr. Jones. Dr. Jones ordered a general health panel, WBC count, bilirubin analysis, and a qualitative urinalysis for her urinary tract infection (UTI). Select the appropriate CPT and ICD-10-CM codes:

A) 80048, 85007, 82247, 81005, Z00.00, N39.0
B) 80050, 85007, 82247, 81005, Z00.00
C) 80050, 81005, Z00.00
D) 80050, 81005, Z00.00, N39.0

Question 34

A 78-year-old male presents to his primary care provider's office with a complaint of urinary retention. Upon examination, the PC documents a smooth enlarged prostate. The physician orders a PSA, direct measurement to rule out prostate cancer and documents the DX as hypertrophy of the prostate. Select the appropriate CPT and ICD-10-CM codes:

A) 84153, N40.0
B) 84154, R33.8
C) 84152, N40.1, R33.8
D) 84152, N40.0, R33.8

Question 35

Category II codes are:

A) HCPCS codes
B) Emerging-technology temporary codes
C) Optional performance measurement codes
D) Deleted codes

Question 36

Which of the following is the best description of an Advance Beneficiary Notice?

A) A written notice given to any patients who present at a physician's office that informs them that they will be responsible for all charges
B) A written notice that a Medicare patient signs that states that the patient is unable to pay the 20 percent left over after Medicare pays
C) A written notice from Medicare given to a patient before certain services are performed that explains that Medicare may deny payment and, if so, the patient is responsible
D) A written notice given to a Medicare patient after a denial of a claim is received

Question 37

What is the coder instructed to do with category III codes in the CPT?

A) Never use category III codes for hospital encounters.
B) Use of these codes is optional.
C) Use a category III code along with a category I unlisted code.
D) If there is a category III code available, it must be used instead of an unlisted category I code.

Question 38

Frank is a 42-year-old ESRD patient. To properly manage his disease this month, as he has had several issues, he has been to his physician three times. Select the appropriate codes:

A) 90962, N18.6
B) 90960, N18.5
C) 90964, N18.6
D) 90961, N18.6, Z99.2.

Question 39

A psychiatrist provided psychotherapy for crisis for a patient experiencing a high degree of anxiety. A history of the crisis state, a mental status exam, and a disposition were performed. The provider documented the time spent as 35 minutes. Select the appropriate CPT code(s):

A) 90832
B) 90845
C) 90839, 90791
D) 90839

Question 40

A patient is exhibiting symptoms of dysphasia and chest pain. Evaluation to this point has ruled out cardiac origins and GERD. The physician orders a manometric study of the esophagus and gastroesophageal junction with stimulation of gastric acid to rule out achalasia. Select the appropriate CPT code(s):

A) 91010
B) 91013, 91010
C) 91020, 91013
D) 91010, 91013

Question 41

A patient who has terminal lung cancer is admitted to the hospice unit for general inpatient care. Select the appropriate HCPCS Level II code:

A) T2043
B) T2044
C) T2042
D) T2045

Question 42

A patient undergoes a left heart catheterization with catheter placement in the bypass graft, and the physicain performs a bypass graft angiography. Code this procedure:

A) 93452, 93454
B) 93454, 93459
C) 93452, 93459
D) 93459

Question 43

A patient has been suffering from sleep apnea, and his physician orders a sleep study to measure his heart rate, O2 saturation, respiration analysis, and sleep time. Select the appropriate code(s) for this test:

A) 95806
B) 95800, 93041
C) 95800
D) 95806, 93041

Question 44

A patient comes in with a 2-day history of sore throat, fever, and chills. The physician performs a rapid-strep test and prescribes a 10-day course of penicillin. Code the lab test:

A) 87880
B) 87081
C) 87899
D) None of these

Question 45

The patient is at his physician's office for a routine physical when he suffers cardiac arrest. The physician performs lifesaving measures and stabilizes the patient until the ambulance arrives. The ambulance team continues to administer lifesaving treatment to the patient and transports the patient to the hospital, which is 7 miles away from the physician's office. Select the appropriate HCPCS Level II codes:

A) A0427-PH, A0425 x7
B) A0433-SH, A0888 x7
C) A0433-XH, A0888 x7
D) A0422, A0888

Question 46

A patient has been suffering from sleep apnea, and his physician orders a sleep study to measure his heart rate, O2 saturation, respiration analysis, and sleep time. Select the appropriate code(s) for this test:

A) 95800, 93041
B) 95806
C) 95800
D) 95806, 93041

Question 47

Kiera, an 8-year-old, has received a cochlear implant. She is here today for postoperative analysis and the fitting of this implant, as well as the connection and programming of the stimulator. Select the appropriate CPT code:

A) 92602
B) 92601
C) 92604
D) 92603

Question 48

Fred, age 60, has been experiencing abdominal pain and is undergoing testing for Crohn's disease. His physician orders a capsule endoscopy in order to gain visualization of the gastrointestinal tract and esophagus through the ileum with interpretation and report. Select the appropriate CPT code(s):

A) 91110, 91117
B) 91110
C) 91111
D) 91110, 91111

Question 49

A patient comes in with a 2-day history of sore throat, fever, and chills. The physician performs a rapid-strep test and prescribes a 10-day course of penicillin. Code the lab test:

A) None of these
B) 87081
C) 87880
D) 87899

Question 50

A patient undergoes a left heart catheterization with catheter placement in the bypass graft, and the physicain performs a bypass graft angiography. Code this procedure:

A) 93454, 93459
B) 93452, 93459
C) 93452, 93454
D) 93459

Question 51

Mrs. Tent was sent to the lab following her yearly examination with Dr. Jones. Dr. Jones ordered a general health panel, WBC count, bilirubin analysis, and a qualitative urinalysis for her urinary tract infection (UTI). Select the appropriate CPT and ICD-10-CM codes:

A) 80050, 85007, 82247, 81005, Z00.00
B) 80050, 81005, Z00.00, N39.0
C) 80048, 85007, 82247, 81005, Z00.00, N39.0
D) 80050, 81005, Z00.00

Question 52

What is the portion of payment that patients are responsible for each time they visit a physician's office?

A) Coinsurance
B) Deductible
C) Co-pay
D) Premium

Question 53

A patient is exhibiting symptoms of dysphasia and chest pain. Evaluation to this point has ruled out cardiac origins and GERD. The physician orders a manometric study of the esophagus and gastroesophageal junction with stimulation of gastric acid to rule out achalasia. Select the appropriate CPT code(s):

A) 91020, 91013
B) 91010, 91013
C) 91010
D) 91013, 91010

Question 54

A patient experiencing nystagmus and dizziness is being seen for vestibular function testing and receives the following test with recording: spontaneous test for nystagmus including gaze and function, testing for nystagmus in three positions, and optokinetic testing. Select the appropriate CPT code(s):

A) 92541, 92542, 92544
B) 92541
C) 92545
D) 92540

Question 55

A psychiatrist provided psychotherapy for crisis for a patient experiencing a high degree of anxiety. A history of the crisis state, a mental status exam, and a disposition were performed. The provider documented the time spent as 35 minutes. Select the appropriate CPT code(s):

A) 90839, 90791
B) 90832
C) 90839
D) 90845

Question 56

Which route of drug administration is through the arterial system?

A) IM
B) SC
C) IA
D) IV

Question 57

For coding anatomic pathology when the specimen is not viewed using a microscope, which of the following codes would be appropriate?

A) 88302
B) 88300
C) 88305
D) 88309

Question 58

A PAR provider is a:

A) Preferred provider
B) Participating provider
C) Physician assistant reporter
D) Physician account receivables

Question 59

A 78-year-old male presents to his primary care provider's office with a complaint of urinary retention. Upon examination, the PC documents a smooth enlarged prostate. The physician orders a PSA, direct measurement to rule out prostate cancer and documents the DX as hypertrophy of the prostate. Select the appropriate CPT and ICD-10-CM codes:

A) 84152, N40.0, R33.8
B) 84153, N40.0
C) 84152, N40.1, R33.8
D) 84154, R33.8

Question 60

Frank is a 42-year-old ESRD patient. To properly manage his disease this month, as he has had several issues, he has been to his physician three times. Select the appropriate codes:

A) 90960, N18.5
B) 90961, N18.6, Z99.2.
C) 90964, N18.6
D) 90962, N18.6

Question 61

Which of the following is the best description of an Advance Beneficiary Notice?

A) A written notice from Medicare given to a patient before certain services are performed that explains that Medicare may deny payment and, if so, the patient is responsible
B) A written notice given to any patients who present at a physician's office that informs them that they will be responsible for all charges
C) A written notice that a Medicare patient signs that states that the patient is unable to pay the 20 percent left over after Medicare pays
D) A written notice given to a Medicare patient after a denial of a claim is received

Question 62

COP is an abbreviation for:

A) Coordination of procedures
B) Condition of practices
C) Conditions of participation
D) Coordination of practices

Question 63

A patient who has terminal lung cancer is admitted to the hospice unit for general inpatient care. Select the appropriate HCPCS Level II code:

A) T2044
B) T2045
C) T2042
D) T2043

Question 64

Category II codes are:

A) HCPCS codes
B) Emerging-technology temporary codes
C) Optional performance measurement codes
D) Deleted codes

Question 65

A patient presents at his primary care provider's office with pain in the left wrist. The physician orders a complete, three view x-ray of the wrist to be done in the outpatient department of the local hospital. The hospital will bill the technical component of the wrist x-ray. How will the radiologist bill for his services?

A) 73115-26
B) 73100-26
C) 73110-26
D) 73110

Question 66

The procedure that records the electrical impulses of the brain is called a(n):

A) Transcranial sonogram
B) Electroencephalogram
C) Myelogram
D) Encephalogram

Question 67

What is the coder instructed to do with category III codes in the CPT?

A) Use of these codes is optional.
B) Never use category III codes for hospital encounters.
C) Use a category III code along with a category I unlisted code.
D) If there is a category III code available, it must be used instead of an unlisted category I code.

Question 68

The patient is at his physician's office for a routine physical when he suffers cardiac arrest. The physician performs lifesaving measures and stabilizes the patient until the ambulance arrives. The ambulance team continues to administer lifesaving treatment to the patient and transports the patient to the hospital, which is 7 miles away from the physician's office. Select the appropriate HCPCS Level II codes:

A) A0422, A0888
B) A0427-PH, A0425 x7
C) A0433-SH, A0888 x7
D) A0433-XH, A0888 x7

Question 69

A 20-year-old female is seen in her OB/GYN clinic. She receives an injection of Depo-Provera, 150 mg, for family planning. Select the correct HCPCS Level II code:

A) J1050 X 150
B) J1050
C) J1000
D) L8030

Question 70

A patient who has terminal lung cancer is admitted to the hospice unit for general inpatient care. Select the appropriate HCPCS Level II code:

A) T2043
B) T2045
C) T2042
D) T2044

Question 71

A patient has been suffering from sleep apnea, and his physician orders a sleep study to measure his heart rate, O2 saturation, respiration analysis, and sleep time. Select the appropriate code(s) for this test:

A) 95806, 93041
B) 95800, 93041
C) 95800
D) 95806

Question 72

A patient presents at his primary care provider's office with pain in the left wrist. The physician orders a complete, three view x-ray of the wrist to be done in the outpatient department of the local hospital. The hospital will bill the technical component of the wrist x-ray. How will the radiologist bill for his services?

A) 73110-26
B) 73115-26
C) 73110
D) 73100-26

Question 73

Which route of drug administration is through the arterial system?

A) IV
B) SC
C) IA
D) IM

Question 74

Frank is a 42-year-old ESRD patient. To properly manage his disease this month, as he has had several issues, he has been to his physician three times. Select the appropriate codes:

A) 90964, N18.6
B) 90961, N18.6, Z99.2.
C) 90960, N18.5
D) 90962, N18.6

Question 75

A patient experiencing nystagmus and dizziness is being seen for vestibular function testing and receives the following test with recording: spontaneous test for nystagmus including gaze and function, testing for nystagmus in three positions, and optokinetic testing. Select the appropriate CPT code(s):

A) 92541
B) 92541, 92542, 92544
C) 92540
D) 92545

Question 76

For coding anatomic pathology when the specimen is not viewed using a microscope, which of the following codes would be appropriate?

A) 88305
B) 88300
C) 88309
D) 88302

Question 77

A 20-year-old female is seen in her OB/GYN clinic. She receives an injection of Depo-Provera, 150 mg, for family planning. Select the correct HCPCS Level II code:

A) J1000
B) J1050 X 150
C) J1050
D) L8030

Question 78

The patient is at his physician's office for a routine physical when he suffers cardiac arrest. The physician performs lifesaving measures and stabilizes the patient until the ambulance arrives. The ambulance team continues to administer lifesaving treatment to the patient and transports the patient to the hospital, which is 7 miles away from the physician's office. Select the appropriate HCPCS Level II codes:

A) A0433-SH, A0888 x7
B) A0427-PH, A0425 x7
C) A0433-XH, A0888 x7
D) A0422, A0888

Question 79

A patient is exhibiting symptoms of dysphasia and chest pain. Evaluation to this point has ruled out cardiac origins and GERD. The physician orders a manometric study of the esophagus and gastroesophageal junction with stimulation of gastric acid to rule out achalasia. Select the appropriate CPT code(s):

A) 91020, 91013
B) 91013, 91010
C) 91010, 91013
D) 91010

Question 80

A psychiatrist provided psychotherapy for crisis for a patient experiencing a high degree of anxiety. A history of the crisis state, a mental status exam, and a disposition were performed. The provider documented the time spent as 35 minutes. Select the appropriate CPT code(s):

A) 90839
B) 90839, 90791
C) 90832
D) 90845