Deck 2: Series

Question 1

Dr. Brown, a dermatologist, opened and drained multiple complicated acne pustules and comedones on a 19-year-old patient with severe acne. For one of the more complicated acne pustules, Dr. Brown incised, drained, and marsupial zed the acne cyst by suturing the right and left sides, leaving the cyst open for drainage. What is the correct code for the procedure?

A)10060
B)10061, 10040
C)10040
D)10061

Answer 1

10040

Question 2

Dr. Brown, a dermatologist, is seeing a patient for an acne surgery follow-up that was performed eight months ago. The surgery was successful and the patient's skin condition has rapidly improved due to a strict hygiene regimen and acne medications. Today the patient stated that he would like to reduce acne scarring by having dermabrasion on his entire face. Although the patient requested the entire face, the dermatologist only performed the dermabrasion on the areas on the patient's face that were not currently prone to acne breakouts (his forehead and brow area). What is the correct code for this procedure?

A)15781
B)15780
C)15786
D)15788

Answer 2

15781

Question 3

The physician performed the excision of two 1.5 cm malignant lesions on a patient's upper back. During the surgery, the physician noted four additional lesions, which looked to be pre-malignant. These lesion excisions were 0.3, 0.7, 1.0, and 1.45 cm, respectively. The suspect lesions were sent to pathology lab, where they were determined to be benign. What are the appropriate codes for the service?

A)11400 (X4), 11602 (X2)
B)11400, 11401 (X2), 11402
C)11404, 11603
D)11400, 11401 (X2), 11402, 11602 (X2)

Answer 3

11400, 11401 (X2), 11402, 11602 (X2)

Question 4

A 22-year-old woman with excessive skin of her upper eyelid presented to her physician's office for the revision of her right eyelid. Her physician decided that she would perform a blepharoplasty of the right eyelid, during which she would remove the excessive skin weighing down the lid. When the physician performs this procedure, what code should she report?

A)15822
B)15823
C)15823-50
D)15820

Question 5

Two weeks ago, a 32-year-old male suffered a thumb injury at work. He was using a belt grinder on a small piece of steel when the belt caught the tip of his left thumb in the grinder. His thumb was ground down to the tip, his thumb nail was removed and a small piece of his anterior phalange bone was broken off. The patient has an appointment scheduled today to see if his nail bed on his left thumb can be reconstructed using a graft from his left great toe. What is code for this procedure?

A)11760-LT
B)11765
C)11762-LT
D)11730, 11732

Question 6

A 10-year-old boy was running through his house and ran into a sliding glass door, breaking the glass and suffering severe lacerations on his trunk and arms and minor lacerations on his face and legs. The emergency department physician performed the simple closure of one 2 cm laceration on the boy's cheek and two 2.3 cm lacerations on the boy's left leg. The physician performed the simple closure of one 4 cm laceration on the right arm and the layered closure of two lacerations on the left arm, which were 1.5 and 3 cm, respectively. The physician treated the 5 cm laceration on the boy's chest, which required the removal of particulate glass and a single layer closure. What are the correct codes for the wound repair performed by the emergency department physician?

A)12001, 12002 (X2), 12032 (X2)
B)12005, 12011-51, 12032-51
C)12004, 12011-51, 12032 (X2)
D)12004, 12011-51, 12034-51

Question 7

A 32-year old woman with severe gynecomastia and a prevalent family history of breast cancer elected to have a complete bilateral mastectomy with immediate insertion of breast prosthesis implants. What is/are the correct code(s) for the procedure?

A)19300-50, 19340-50
B)19303, 19357
C)19300-50, 19357-50

Question 8

A 56-year-old male presents to a podiatry office with complaints of recurrent problems with an ingrown toenail on his right great toe. He has been treated multiple times with antibiotics, but the pain and swelling is causing him difficulty wearing his work boots. He currently does not have an infection, although the ingrown toenail is present and painful. The doctor performs a wedge excision of the skin of the nail fold to his right great toe. Which of the following codes should you use?

A)10060
B)11760
C)11765
D)11750

Question 9

A 10-year-old girl comes to her pediatrician's office after smashing the nail of her right 2nd digit in the car door the previous night. This morning, the tip of her finger is edematous, there is a large amount of ecchymosis present, and the pain is worse than when the injury initially occurred. The pediatrician uses a disposable Bovie high-temperature cautery pen to cauterize a hole in the nail to allow the subungual hematoma to drain. A small amount of serosanguineous fluid is removed and pain rapidly decreased. Which of the following codes should you use?

A)11720
B)11730
C)11740
D)11750

Question 10

A 31-year-old male arrives at general surgery for a pilonidal cyst that has been unresponsive to antibiotic therapy at his primary care physician's (PCP) office. There is a large amount of tenderness and edema at the site and the area is erythematic and warm to the touch. The patient's pain has been increasing and, on palpation, the surgeon notes that the cyst is larger than six cm in diameter and appears to be deep. After discussion with the patient, it is decided to perform an incision and drainage (I&D) at the surgeon's office, with \ no sedation other than local use of Lidocaine. The area was prepped and numbed with Lidocaine and an incision was made, allowing a large amount of purulent drainage to be expressed. The area was packed with gauze and the procedure was completed without any complications. The patient will follow up in the office in one week for recheck and is to continue on the antibiotic prescribed by his PCP. Which of the following codes should you use?

A)10060
B)10061
C)10080
D)10081

Question 11

A 35-year-old male returns to the general surgeon's office with recurrent episodes of infected pilonidal cysts. He has had the cyst incised and drained (I&D) once at his primary care physician's office and once at the surgeon's office. The last I&D was approximately four months ago. He returns to the office today to discuss further treatment. It is decided that he will undergo outpatient surgery so he can be sedated and the cyst will be excised with the base curetted. During surgery, it was noted that there was an extensive sinus tract. The wound will be packed open, requiring daily dressing changes and he will return to the postop clinic for a recheck in one week. Which of the following codes should you use?

A)11771
B)11772
C)11770
D)10080

Question 12

A surgeon is doing a pilonidal cyst incision and drainage with excision in the operating room. What he initially thought was an uncomplicated but deep pilonidal cyst developed into an extensively complicated cyst excision with a z-plasty required to repair the incision. How would you code this procedure?

A)11770
B)11772
C)10081
D)11771

Question 13

A 22-year-old male was chopping wood with his friends and accidently slashed his right lower leg with the axe. Upon assessment at the emergency room, it was determined that he had sliced through all layers of skin and the wound was down to muscle, but no arteries were involved. He required layered sutured closure including the deeper layers of subcutaneous tissue, and superficial fascia as well as the epidermis and dermis. His wound was measured at approximately 25 cm. How would you code this procedure?

A)12035
B)12036
C)12045
D)12046

Question 14

A 6-year-old boy was bitten by a dog and sustained multiple lacerations as a result. He has a 5 cm laceration on his right lower arm, a 2 cm laceration on his left hand, and a 2.6 cm laceration to the right side of his lower cheek. While in the ER, the wounds were flushed, then the patient was sedated and the arm and hand lacerations were repaired. Intermediate repair was necessary for the facial laceration due to the depth of the wound and layered closure was performed. The patient was also given a tetanus shot and started on antibiotics. What CPT codes would you use for the laceration repairs of this child and what order is correct?

A)12002, 12013
B)12002, 12013 -59
C)12032, 12002 -59
D)12032, 12002

Question 15

A 78-year-old male arrives at a dermatology office with multiple skin tags on his arms, neck, and torso. There are a total of 14 lesions that need to be removed and the dermatologist removes all 14 tags within the office. What is the correct code for this procedure?

A)11101
B)11200
C)11201
D)11300

Question 16

A 60-year-old woman presents to her dermatologists office with a reddish brown lesion on her right upper arm. It is approximately 0.8 cm in diameter and is raised. The patient and provider decide to proceed with a shave excision and will send this to pathology for confirmation. The dermatologist suspects this is a benign angiofibroma. The patient receives local anesthetics at the site and the area is excised with a sharp razor. What is the correct code for this procedure?

A)11300
B)11301
C)11302
D)11305

Question 17

A 12-year-old boy presents to his pediatrician's office with multiple molluscumcontagiosum on his face, neck and upper right shoulder. They have been present for about 15 months and are getting larger. His parents are concerned about his appearance and that he keeps scratching them. He was treated once for a local infection on his neck, about three months ago. His parents would like to have these removed or be referred to dermatology. The pediatrician discusses options and the parents opt to use cryotherapy with Histofreeze that the pediatrician has in his office. In total, there are six lesions on his right shoulder, eight on his neck and five on his cheek. What CPT code would you use?

A)17111
B)17110
C)17000
D)17004

Question 18

A 24-year-old woman found a lump in her right breast during a routine exam. She had a mammogram, which confirmed the lump, and then met with a surgeon for a needle biopsy without imaging. What code would you use for this procedure?

A)19085
B)19100
C)19101
D)19086

Question 19

A 22-year-old female is concerned about her inverted nipples. She would like them to be corrected and sees a plastic surgeon for a consult. She is self-conscious about this issue and wants to fix it. The plastic surgeon explains her options and they decide to correct this complaint. What code would you use for this procedure?

A)19350
B)19357
C)19355
D)19499

Question 20

A physician took an impression of a 47-year-old woman's left orbital socket and created a custom prosthesis. What is the correct code for this service?

A)21076
B)21089 -LT
C)21088 -LT
D)21077 -LT

Question 21

The physician performed an arthroscopy of TMJ with biopsy of soft tissue. What is the appropriate CPT code?

A)29800
B)29804
C)2970
D)21010

Question 22

PROCEDURAL NOTE PATIENT: Trohoske, Janine
AGE: 62
DATE: 01/13/2017
PREOPERATIVE DIAGNOSIS: Degenerative Disc Disease
POSTOPERATIVE DIAGNOSIS: Degenerative Disc Disease
PROCEDURE: Arthrodesis of L4-L2 utilizing autogenous bone graft
An anesthetized patient was placed in the prone position on the operating table and draped in the usual manner. An incision was made along the spinal column, from the area of the L1 to L5, and skin and subcutaneous tissues were pinned back to allow access to the L4-L2 vertebral spaces. A separate fascial incision was made to obtain morselized bone graft segments for arthrodesis procedure. Posterior arthrodesis was then performed along the L4-L2 vertebrae. No additional fixation or instrumentation was placed. Incision was then closed, stapled together, and dressed with a sterile dressing. What is the appropriate code for this procedure?

A)22612, 20937
B)22612, 22614
C)22612, 22614 (X2), 20937
D)22612, 22614 (X2), 20936

Question 23

A physician performed the following trigger point injections: Two injections into the flexor carpi muscle
One injection into the extensor carpi muscle
Three injections into the triceps brachii
One injection into the biceps brachii
What is the correct code for these injections?

A)20553 (X7)
B)20553
C)20552 (X2), 20553 (X5)
D)20552, 77021

Question 24

A patient suffered a comminuted fracture of the right arm due to a crush injury. The physician implanted three pins in a single plane above the fracture and two pins and one wire along the same plane under the fracture location on the humerus of the right arm. What is the correct code for this service?

A)20690
B)20962
C)20690 (X6)
D)20692 (X6)

Question 25

PROGRESS NOTE PATIENT: FINKE, ISABEL
AGE: 15
DATE: 3/14/2015
NOTE: The patient states that she was riding her bicycle on the side of the road when a large dog ran out in front of her and forced her to crash into a drainage ditch. The patient hit her left arm on a cement drain pipe, suffering an oblique fracture to her left radius. The fracture was set with manipulation of the radial shaft. The arm was then casted in the usual fashion. The patient tolerated the procedure well and was asked to return to the office in one month for follow up x-ray and removal of the cast. How should you code for this fracture repair?

A)25505
B)25500
C)25515
D)25535

Question 26

The patient returned to the office one month later for removal of cast on her left lower arm. The original attending physician removed the cast. The physician also examined the arm and determined that no further casting or follow-up was necessary. What is the appropriate code for this service?

A)25250
B)99214
C)No code would be reported
D)29799

Question 27

What code would you use to report the enlargement and exploration of a penetrating 5 cm stab wound to the upper thigh, with ligation of minor muscular blood vessel, and appropriate intermediate closure?

A)12032
B)20103, 12032
C)20103
D)12031

Question 28

A patient was suffering from severe hallux valgus of the right foot. The physician excised extraneous bone from the lateral end of the proximal phalanx and the medial eminence of the metatarsal bone. The physician inserted the implant in the lateral end of the proximal phalanx. What is the correct CPT code for this procedure?

A)28290
B)28292
C)28293
D)28296

Question 29

A 15-year-old boy was pushed during a basketball game and landed face down, hitting the bottom bleacher with his nose. There was immediate swelling and bruising and the nose was displaced to the left. In the ER, the left nasal passage was not patent and the septum was deviated. The patient was taken to the operating room and closed treatment of the nasal fracture with stabilization was performed. Which code is correct for this procedure?

A)21310
B)21315
C)21320
D)21325

Question 30

A 67-year-old male has an intramuscular tumor of his right scalp over the parietal bone that is approximately 3 cm in diameter. It is getting larger and is causing him pain. He elects to have it removed and will have this excised in the OR as an outpatient procedure. Which procedure code is correct?

A)21011
B)21012
C)21013
D)21014

Question 31

A 76-year-old woman has noticed a growth along the left side of her neck that is increasing in size. Initially it looked like a mosquito bite, but has increased over the last three months to a dime size, approximately 1.8 cm. Her PCP believes it is a lipoma and sends her to surgery for assessment. It was removed in the office using local anesthesia. Which code is correct?

A)21550
B)21555
C)21552
D)21556

Question 32

A 25-year-old obese male has had right-sided flank pain for about two months and noticed a lump during work one day. He initially thought it was a muscle spasm and ignored it, but it has increased in size and has gotten more painful. He went through a CT scan, which showed an intramuscular mass consistent to the physical exam that is approximately 6 cm in diameter. Due to the size and presentation, it was decided to excise the tumor. What is the correct code to use for this procedure?

A)21931
B)21932
C)21933
D)21935

Question 33

A 35-year-old patient has a lipoma on her upper back over her scapula, which causes increased discomfort when her bra strap rubs against it. She has already met with her surgeon and this procedure will be performed in his office because it is only 2.75 cm in diameter and only involves the subcutaneous layer. What CPT code would you use for this procedure?

A)21920
B)21930
C)21931
D)21932

Question 34

There is a large mass noted on a 56-year-old man's right flank. Due to the size and asymptomatic characteristics, a CT scan was performed and biopsy was recommended. This is a deeply rooted tumor and the patient will be sedated during this procedure. What code should you use for a deep tissue biopsy?

A)21920
B)21925
C)21935
D)21936

Question 35

A 54-year-old female with degenerative disc disease at L4-L5 undergoes surgical repair with anterior approach for discectomy and fusion to try to prevent further discomfort. What CPT code would you use for this procedure?

A)22554
B)22556
C)22558
D)22585

Question 36

A 56-year-old man undergoes percutaneous vertebroplasty with vertebral augmentation to L2-L3 with unilateral injection. What is the correct CPT code for this procedure?

A)22510
B)22511
C)22513
D)22526

Question 37

A 37-year-old woman notices a lump in her left lower abdominal wall. A large, 6 cm tumor was found on CT scan along the musculature of the abdominal wall. This was removed and found to be a desmoid tumor. What is the code for this procedure?

A)22900
B)22901
C)22902
D)22903

Question 38

A 27-year-old woman began complaining about right lower-quadrant pain, was noted to have rebound discomfort, and positive pain over McBurney's point. A CT scan was ordered due to suspicion of appendicitis. The CT ruled out appendicitis but noted a 2.5 cm subcutaneous soft tissue mass in the right upper pelvis. She undergoes surgery to have this excised. What is the correct code for this procedure?

A)22900
B)22901
C)22902
D)22903

Question 39

A 52-year-old man presents to the ER with severe abdominal pain. He has had abdominal pain for about six months, which has been coming and going. The pain increased one week ago, and today the patient was unable to bend without becoming short of breath due to the pain. A CT scan was performed and patient was noted to have a large, 7.5 cm soft tissue tumor attached to his abdominal wall. The patient underwent surgery to have it removed and it was found to be a sarcoma. During surgery, the patient also had a large margin removed from around the tumor site. What is the correct code for this procedure?

A)22902
B)22903
C)22904
D)22905

Question 40

A 78-year-old woman fell going up her steps and landed on her outstretched right hand. She fractured her proximal humerus. Unfortunately, this was a displaced fracture requiring open reduction and fixation. What is the correct code for this procedure?

A)23600
B)23605
C)23615
D)23616

Question 41

A 48-year-old woman fell off her horse, tearing her rotator cuff. This required open surgery to repair the right rotator cuff. What is the CPT code for this procedure?

A)23410
B)23412
C)23415
D)23420

Question 42

A 12-year-old boy arrives to his pediatrician's office complaining of right arm pain around the elbow. Two days prior, he fell during football practice. An x-ray was obtained and it was noted that he had a displaced fracture of the capitellum at the radial head. This was a closed fracture requiring manipulation. Which CPT code is correct?

A)24600
B)24620
C)24640
D)24655

Question 43

An 85-year-old woman fell directly on her elbow resulting in a complex fracture. It was recommended to have a total elbow arthroplasty performed to give her range of motion and use of this joint. Which code is correct?

A)24360
B)24361
C)24362
D)24363

Question 44

A 54-year-old woman has noticed a pea sized lesion on the top of her left wrist. Her PCP diagnosed it as a ganglion cyst, approximately 1 cm in diameter. He referred her to surgery for removal, as it was becoming painful. What is the correct code for surgical removal of this cyst?

A)25111
B)25112
C)25115
D)25130

Question 45

A 25-year-old construction worker has been diagnosed with trigger finger of his right 2nd digit. He has received three steroid injections over the last year, but it continues to flare. He is referred to surgery for further evaluation. The surgeon recommends a tendon sheath incision and this is scheduled as an outpatient. What is the correct CPT code for this procedure?

A)26055
B)26060
C)26160
D)26170

Question 46

A 3-year-old girl was born with two polydactylous digits on her right hand. One digit was soft tissue only and was able to be tied off at birth. The second digit included bone and skin and was unable to be treated at birth. Because she is now three years old, this extra digit will be removed, leaving her with five digits total. What is the correct code for this procedure?

A)26560
B)26561
C)26587
D)26590

Question 47

A 27-year-old male was cutting wood, using a circular saw, when he accidentally cut off the end of his 3rd digit. On x-ray it showed that he cut the distal phalange and partially cut the middle phalange of the 3rd digit. Due to bone splinters and need for debridement, the 3rd digit middle phalange was amputated back to the proximal phalange, leaving a wide border of healthy bone and tissue. What is the correct CPT code for this procedure?

A)26910
B)26951
C)26952
D)26989

Question 48

A 56-year-old man with severe osteoarthritis in his hips follows up with orthopedics for worsening pain in his right hip. At this time, he opts for a total hip replacement on the right hip and begins the process for surgery and rehab afterwards. What code would you use for a total hip replacement?

A)27125
B)27130
C)27134
D)27236

Question 49

A 27-year-old female fell off the tailgate of a truck, landing on her coccyx. She sustained a compound fracture and needs surgery for it to be removed. Which code is correct?

A)27070
B)27200
C)27080
D)27202

Question 50

A 24-year-old college football player injured his knee during practice. The MRI shows a torn medial and lateral meniscus. The orthopedist reviewed the films and decides to proceed with an arthroscopy with meniscectomy to remove the torn pieces of the meniscus from the knee. What is the best code for this procedure?

A)29879
B)29880
C)29881
D)29882
E)29883

Question 51

An 18-year-old soccer player falls while running and dislocates his knee. He was taken to the ER with significant edema. He is found to have a significant patellar dislocation, which will be reduced in the ER with conscious sedation. Which code is the best code for this procedure?

A)27550
B)27552
C)27560
D)27562

Question 52

A ballet dancer completely ruptured her left Achilles tendon during a production. She requires open repair without grafting. What is the best code for this procedure?

A)27650
B)27652
C)27654
D)27658

Question 53

A 56-year-old type 2 diabetic has been battling diabetic ulcers and poor perfusion in his feet and toes. Due to an infection that was not quickly treated he developed gangrene in the tip of his right 3rd digit and the metatarsal had to be amputated to leave healthy tissue and promote healing. It was amputated up to the proximal phalange. What is the correct code for this procedure?

A)28805
B)28810
C)28820
D)28825

Question 54

A 52-year-old woman who has rheumatoid arthritis is suffering with her right second toe bending upward in the middle. It is causing her to not be able to wear her shoes and she is having pain when walking. Her rheumatologist referred her to orthopedics to have the hammertoe looked at and possibly corrected. She is going to have surgery to correct the hammertoe by doing an interphalangeal fusion. What is the correct code for this procedure?

A)28280
B)28285
C)28286
D)28290

Question 55

A 3-year-old male presented to the pediatrician's office after the patient's mother discovered that the boy had inserted a jelly bean into his nose. The mother, when trying to remove the jelly bean, ended up pushing the bean further into the patient's nose to the point that it is no longer visible. Upon presentation, the patient was extremely agitated and anxious, and was experiencing pain and swelling in the left nasal sinus. The pediatrician determined that due to the patient's emotional state and the depth of the jelly bean, the patient would have to be anesthetized in order to remove it. The pediatrician admitted the patient into the hospital and performed the removal of the foreign body under general anesthesia. At one point, a lateral rhinotomy was considered but ruled out, as the physician was finally able to grasp the foreign body. How should the pediatrician code for this service?

A)99214 -57, 30310
B)99392 -57, 30310
C)30310
D)99214 -57, 30320

Question 56

A patient with chronic sinus pain and swelling presented to the office for a diagnostic endoscopy of the nasal sinuses. During the procedure, the surgeon excised two polyps on the left sphenoid sinus. What is the correct code for this procedure?

A)31231, 31235
B)31231, 31237
C)31235
D)31237

Question 57

A 2-month-old male with diphtheria presented to the hospital with severe respiratory distress. The emergency department physician performed a pulse oximetry and discovered that the patient's blood oxygen level was in the 60's. The on-call physician ordered an emergency endotracheal intubation to restore oxygen flow to the infant. Once the airflow was established, care was transferred to the on-call pediatrician. What is the appropriate code for the emergency department procedure(s)?

A)31500, 94760-51
B)31500, 94761
C)31603, 94761
D)31603, 94760 -51

Question 58

A 47-year-old male patient with advanced cancer of the lower left mandible presented to the hospital for surgical removal of the lower left jawbone with secondary insertion of mandibular prosthesis. In order to perform surgery, the patient had to be intubated through a tracheostomy. After anesthesia, the surgeon performed the tracheostomy by incising the cricothyroid membrane horizontally along the trachea and inserting the intubation device. The surgeon completed the primary surgical procedure on the patient's mandible. What is the correct code for the intubation?

A)31605
B)31600
C)No code would be used for the intubation
D)31603

Question 59

What term is used for the two-layered protective membrane that surrounds the heart and the roots of the great vessels?

A)Pleura
B)Pericardium
C)Atrium

Question 60

A cardiovascular surgeon implanted a temporary pacemaker system in a patient with cardiac arrhythmia. The implanted system contained transvenous dual chamber pacing electrodes. What is the correct code for the procedure?

A)33210
B)33211
C)33216
D)33217

Question 61

A physician removed a 54-year-old male's old pulse generator on a dual lead system cardioverter-defibrillator and replaced it with a new one. During the procedure, the surgeon determined that the electrodes needed to be replaced as well and removed the old electrodes, replacing them with new ones. What are the correct codes for this surgical procedure?

A)33262, 33243 -51, 33249 -51
B)33263, 33241 -51, 33244 -51
C)33263, 33243 -51, 33249 -51
D)33262, 33241 -51, 33249 -51

Question 62

What is the difference between arteriosclerosis and arteriostenosis?

A)-sclerosis is the enlargement of an artery and -stenosis is the narrowing of an artery
B) -sclerosis is the blocking of an artery and -stenosis is the hardening of an artery
C)-sclerosis is the hardening of an artery and -stenosis is the narrowing of an artery
D)-sclerosis is the enlargement of an artery and -stenosis is the hardening of an artery

Question 63

A physician performed a thromboendarterectomy with a patch graft on the common femoral artery of a 63-year-old female with advanced lower arterial plaque. What is the correct code for this procedure?

A)35301
B)35302
C)35355
D)35371

Question 64

A 14-year-old patient with an abscessed tooth presented to the physician's office with possible sepsis. The tooth had gone untreated for two weeks, and now the patient is experiencing a high fever, severe headaches and toothaches and malaise and fatigue. The physician suspects that the bacteria from the tooth has spread to the patient's blood and is now a systemic infection. As part of the office procedure, the physician orders a CBC in order to examine the bacterial levels in the patient's blood. After the physician writes the orders, the nurse performs a venipuncture on the patient in order to obtain a blood sample. What is the correct code for the collection of the blood only?

A)36416
B)36415
C)36410
D)36406

Question 65

A 48-year-old patient was brought to the Emergency Department following a horseback riding injury. The patient was riding in the woods when the horse spooked at the sight of a snake and bucked the patient, who was subsequently kicked by the horse in the abdomen. The patient was suffering severe internal pain, and upon presentation to the ED, the abdomen was stiff and distended. Suspecting an internal splenic injury, the physician ordered emergency surgery. During the surgery, the physician performed a partial lateral splenectomy with a splenorrhaphy on the anterior face of the spleen. Upon gross inspection, the remaining organs were all intact. The physician then sutured the abdominal cavity and admitted the patient to the ICU for observation. What is the correct procedure code for this service?

A)38115
B)38101, 38115
C)38101
D)38120

Question 66

A physician performed an X-ray of the spleen and portal system. Assign the appropriate CPT code(s).

A)38200, 75810-26
B)38200
C)75810
D)38200, 75810

Question 67

After careful selection and testing of bone marrow donors, a potential candidate was found for a patient with severe leukemia. The physician collected a small sample of the potential donor's bone marrow via aspiration technique. This sample was then sent to pathology to determine whether or not it would be a match for the patient's bone marrow. What is the correct code for the procedure performed by the physician?

A)38221
B)38220
C)38230
D)38232

Question 68

A physician performed a lymphangiography with insertion of radioactive tracer for identification of sentinel node. What is the correct code for this procedure?

A)38790 -50, 75803
B)38790, 75801
C)38792 -50, 75803
D)38792, 75801

Question 69

A physician performed a resection of the diaphragm utilizing an autogenous free muscle flap. What is the correct CPT code?

A)39561
B)39560
C)39540
D)39541

Question 70

How are mediastinotomy codes divided?

A)Based on the age of the patient
B)Based on the site of the mediastinotomy
C)Based on the approach to the mediastinotomy
D)Based on whether it was surgical or diagnostic

Question 71

A physician performed a mediastinotomy on a 54-year-old female via cervical approach. Once access was gained, the physician removed the foreign body from a shrapnel injury ten years prior and biopsied a suspicious polyp near the foreign body site. What is the correct code for this mediastinotomy?

A)39000
B)39010
C)39400
D)39499

Question 72

A physician performed a repair of the diaphragmatic hernia on a 15-day-old female with the creation of a ventral hernia. What is the correct code for this service?

A)39501
B)39503
C)39540
D)39541

Question 73

PREOPERATIVE DIAGNOSIS: Cyst of Mediastinal Wall
POSTOPERATIVE DIAGNOSIS: Tumor of Mediastinal Wall
A physician removed 1.5 cm mass from mediastinal wall, along with appropriate margins. The tumor was sent to pathology to determine the malignancy status.
What is the correct code for this procedure?

A)39200
B)39220
C)39000
D)39010

Question 74

A physician performed an imbrication of diaphragm to treat an abnormal elevation of the dome of the diaphragm. The eventration was reduced significantly by the procedure and the patient's condition improved greatly. What is the correct code for this procedure?

A)39545
B)39560
C)39561
D)39501

Question 75

A 23-year-old male has been having recurrent epistaxis of the right naris. The last nose bleed was prolonged, lasting more than 10 minutes. He sees his otolaryngologist and is offered cautery in the office to stop the nose bleeds from recurring. He agrees to the procedure and cautery is performed in the office of the anterior right nares. This was considered a simple procedure. What is the correct CPT code for this procedure?

A)30901
B)30901, -50
C)30903
D)30903, -50

Question 76

A 72-year-old woman began to have excessive tears and it was found that she had a blockage of her nasolacrimal duct on the left side. She elected to have a nasal endoscopic dacryocystorhinostomy to create a passage from the nose directly to the lacrimal sac, allowing easy drainage. What is the correct code for this procedure?

A)31237
B)31238
C)31239
D)31240

Question 77

A 26-year-old is undergoing transnasal endoscopy of the frontal sinus with balloon dilation. This is performed as an outpatient and he tolerated the procedure well. Which CPT code should you use?

A)31233
B)31256
C)31276
D)31295

Question 78

A 3-year-old boy swallowed a small rounded block, which became lodged in the larynx causing difficulty breathing. The foreign body has to be removed immediately and the patient is prepped for a laryngoscopy with removal of the foreign body. What is the code for this procedure?

A)31505
B)31510
C)31511
D)31512

Question 79

A 4-month-old boy with recurrent episodes of apnea and hoarseness was diagnosed with congenital laryngeal web. Due to symptomatic presentation, surgery is proposed by performing a laryngoplasty with silastic keel to correct the anomaly.

A)31535
B)31575
C)31580
D)31588

Question 80

A patient in cardiac arrest had to be intubated with an endotracheal tube (ET) during advanced cardiac life support treatment. What procedure code would you use for an emergency ET tube intubation?

A)31420
B)31500
C)31502
D)31505