Question 1

Radiologist provides fluoroscopic guidance for facet joint injection.

Accepted Answer

77003 is the correct code for fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures, which includes facet joint injections.

Question 2

Patient undergoes x-ray of the foot with three views.

Accepted Answer

The correct code for an x-ray of the foot with three views is 73630. This code includes all three views and is the most specific option listed. The other options either do not specify the number of views or do not include all three views. Option D includes a separate code for one of the views but not all three, so it is not the best choice.

Question 3

Obstetric patient comes in for a pelvimetery with placental placement.

Accepted Answer

74710 is the correct code for obstetric pelvimetry with placental placement.

Question 4

Administration of initial oral radionuclide therapy for hyperthyroidism

Accepted Answer

The answer of Administration of initial oral radionuclide therapy for...

Question 5

Ultrasonic guidance for the needle biopsy of the liver. Code the complete procedure.

Accepted Answer

The correct codes are 47000 for the liver biopsy and 76942 for ultrasonic guidance for needle placement.

Question 6

Pathologist bills for gross and microscopic examination of medial meniscus.

Accepted Answer

The code 88304 is used for the gross and microscopic examination of the medial meniscus, which is considered a level III surgical pathology specimen.

Question 7

Drainage of simple external ear abscess

Accepted Answer

Drainage of simple external ear abscess is coded with 69000.

Question 8

What code is used for a culture of embryos less than 4 days?

Accepted Answer

Code 89250 is used for culture of embryos less than 4 days. Codes 89251, 89268 and 89272 are for other services related to embryology and assisted reproductive technology but not specifically for culture of embryos less than 4 days.

Question 9

Patient has carcinoma of the breast and undergoes proton beam delivery of radiation to the breast with a single port.

Accepted Answer

CPT code 77520 is used for proton beam delivery of radiation therapy, which is appropriate for the scenario described.

Question 10

Huhner test and semen analysis

Accepted Answer

The answer of Huhner test and semen analysis
...

Question 11

Pregnant female comes in for a complete fetal and maternal evaluation via ultrasound.

Accepted Answer

76811 is the code for a detailed fetal and maternal evaluation via ultrasound, which is what is being requested in this scenario.

Question 12

Chlamydia culture

Accepted Answer

The correct code for a Chlamydia culture is 87110, which is used for the culture of Chlamydia species.

Question 13

CT scan of the head with contrast

Accepted Answer

CT scan of the head with contrast is reported with code 70460.

Question 14

Patient with Bell's palsy requiring a total facial nerve decompression

Accepted Answer

The answer of Patient with Bell's palsy requiring a total...

Question 15

Insertion of cochlear device innet ear

Accepted Answer

The CPT code for insertion of cochlear device in inner ear is 69930. This is the specific code for this procedure and should be the only code billed for it.

Question 16

Patient comes into his physician's office complaining of wrist pain. Physician sends the patient to the hospital for an arthrography. Code the complete procedure.

Accepted Answer

Arthrography of the wrist is coded with 73115. The injection procedure is coded separately with 25246.

Question 17

Patient comes into the outpatient department at.the local hospital for an MRI of the cervical spine with contrast. Patient is status post automobile accident.

Accepted Answer

The correct code for MRI of the cervical spine with contrast for a patient who is status post automobile accident is 72142. This code includes contrast administration and is specific to imaging of the cervical spine. Code 72156 is used for MRI of the cervical and thoracic spine without contrast, code 72149 is used for MRI of the thoracic spine with contrast, and code 72126 is used for MRI of the thoracic spine without contrast.

Question 18

Partial thromboplastin time utilizing whole blood

Accepted Answer

Code 85730 is the correct code for the partial thromboplastin time test (PTT) using whole blood. Code 85732 is for PTT using platelet-poor plasma. Codes 85245 and 85246 are for other coagulation tests and are not applicable for PTT with whole blood.

Question 19

Myringoplasty

Accepted Answer

Myringoplasty is a surgical procedure to repair a perforated eardrum, and the correct CPT code for myringoplasty is 69620.

Question 20

Basic metabolic panel (calcium, total) and total bilirubin

Accepted Answer

The correct codes for a basic metabolic panel (calcium, total) and total bilirubin are 80048 for the basic metabolic panel and 82247 for total bilirubin.

Exam 1: Registered Health Information Administrator