Question 1

Comprehensive electrophysiologic evaluation (EPS) with induction of arrhythmia.

Accepted Answer

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Question 2

Creatinine clearance.

Accepted Answer

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Question 3

Hepatitis C antibody.

Accepted Answer

Code 86803 is used for the detection of hepatitis C antibody, which is indicated by the presence of the specific protein in the blood. Codes 87520 and 87522 are used for hepatitis C viral RNA detection in blood, while code 86804 is used for the confirmatory testing of positive hepatitis C antibody results. Therefore, the best choice for the given scenario is code 86803.

Question 4

Excision of thyroid adenoma

Accepted Answer

CPT code 60200 is the most appropriate code for excision of thyroid adenoma. Code 60210 is used for removal of a portion (lobe) of the thyroid gland, whereas code 60280 is used for resection of the thyroid gland for malignancy or other reasons. Code 60100 is used for diagnostic biopsy of the thyroid gland, which is not the same as excision of a thyroid adenoma.

Question 5

Amniocentesis

Accepted Answer

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Question 6

Laparoscopic submucosal removal of non-plastic lesion of the vocal cord with graft reconstruction. An operating microscope was used.

Accepted Answer

The procedure described is covered by code 31546, which includes the use of an operating microscope. Additional codes for grafting or separate procedures are not necessary.

Question 7

High-energy ESW of the lateral humeral epicondyle using general anesthesia

Accepted Answer

Code 0101T is the appropriate code for Extracorporeal Shock Wave Therapy (ESWT) of the lateral humeral epicondyle using general anesthesia. Codes 0019T and 0102T are not relevant for this specific scenario. Code 28890 is a surgical code for excision of the lateral humeral epicondyle and is not appropriate for this non-surgical procedure.

Question 8

Patient presented to the operating room where an incision was made in the epigastric region for a repair of ureterovisceral fistula.

Accepted Answer

The correct CPT code for repair of ureterovisceral fistula is 50930 (Ureteral anastomosis, uretero-ureterostomy or uretero-neocystostomy with or without ureteral stent; simple). The incision made in the epigastric region is not specifically coded separately as it is included in the main procedure code. Therefore, options A, C and D are incorrect.

Question 9

Injection of anesthesia for nerve block of the brachial plexus

Accepted Answer

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Question 10

Vitamin B12

Accepted Answer

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Question 11

Laparosopic gastric restrictive procedure and placement of adjustable gastric band

Accepted Answer

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Question 12

Spinal tap

Accepted Answer

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Question 13

Closure of traumatic kidney injury.

Accepted Answer

The correct code for closure of traumatic kidney injury is 50550. However, none of the given options match this code exactly. The closest option is C, which has the code 50500. This code is for a different procedure (destruction of lesion of kidney), but it is the only option that has the correct range of numbers (505xx) and is closest to the correct code. None of the other options have any relevance to kidney injury closure.

Question 14

Patient presents to the hospital for a two-view chest x-ray for a cough. The radiology report

Accepted Answer

The diagnosis code for cough is 786.2, and the procedure code for a two-view chest x-ray is 71020. Choice A is incorrect because V72.5 is a screening code and not appropriate for this scenario. Choice C is incorrect because 71035 is the code for a chest x-ray with fluoroscopy and not necessary for a routine two-view chest x-ray. Choice D includes an additional diagnosis code for a chest pain that is not mentioned in the scenario.

Question 15

Litholapaxy, 3.0 cm calculus

Accepted Answer

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Question 16

A 32-year-old patient has a colonoscopy with removal of three polyps by snare. Moderate sedation was used and provided by the physician. The intraservice time was 30 minutes

Accepted Answer

CPT code 45385 is the correct code for a colonoscopy with removal of polyps by snare. The use of moderate sedation and the time spent during the procedure are already included in the code and should not be separately reported. No modifier is needed.

Question 17

Laparoscopic removal and replacement of both a gastric band and the subcutaneous port components

Accepted Answer

The correct code for laparoscopic removal and replacement of both a gastric band and the subcutaneous port components is 43659, which covers the laparoscopic removal and replacement of adjustable gastric band components.

Question 18

Patient presents to the hospital for a three-view x-ray of the right shoulder. The diagnosis shoulder pain and the radiology report states the patient has a dislocated shoulder. What would be the correct codes to report to the insurance company?

Accepted Answer

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Question 19

Placement of double-J stent

Accepted Answer

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Question 20

Repair of retinal detachment with vitrectomy

Accepted Answer

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Exam 1: Registered Health Information Administrator