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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: CPT Coding - Evaluation and Management | 6% | |
| Topic 2: Coding Guidelines | 7% | |
| Topic 3: CPT Coding - Surgery (Respiratory, Cardiovascular, Hemic, Lymphatic Systems) | 6% | |
| Topic 4: CPT Coding - Surgery (Urinary, Reproductive, Endocrine Systems) | 6% | |
| Topic 5: CPT Coding - Surgery (Nervous System) | 6% | |
| Topic 6: Compliance and Regulatory Guidelines | 3% | |
| Topic 7: CPT Coding - Surgery (Digestive System) | 6% | |
| Topic 8: CPT Coding - Surgery (Musculoskeletal System) | 6% | |
| Topic 9: CPT Coding - Surgery (Integumentary System) | 6% | |
| Topic 10: HCPCS Level II Coding | 3% | |
| Topic 11: CPT Coding - Radiology | 6% | |
| Topic 12: Medical Terminology | 4% | |
| Topic 13: CPT Coding - Medicine | 6% | |
| Topic 14: ICD-10-CM Diagnosis Coding | 5% | |
| Topic 15: CPT Coding - Laboratory and Pathology | 6% | |
| Topic 16: CPT Coding - Anesthesia | 4% | |
| Topic 17: Anatomy | 4% | |
| Topic 18: Clinical Case Scenarios | 10% |
1. Which procedure uses a thin tube to examine the abdominal organs through a small incision in the belly?
A) Endoscopy
B) Gastroscopy
C) Laparotomy
D) Laparoscopy
2. A gastroenterologist performs a gastric bypass surgery on an obese patient with a body mass index of 52. During the procedure, the size of the stomach is reduced by 77%; the intestine is bypassed from the duodenum and then attached to the ileum. The pylorus is preserved and left intact. Which CPT code best describes the surgery performed?
A) 43843
B) 43842
C) 43847
D) 43845
3. Assign the appropriate CPT codes for the following surgical note: A 15-year-old patient is being treated for obstructive sleep apnea and adenoid tissue hypertrophy. After being placed under general anesthesia, a dental mirror is placed in the oropharynx to allow visualization of the nasopharynx. Suction electrocautery is used to remove the adenoid tissue that regrew after the initial adenoidectomy. Attention is then turned to the tonsils. The plane of tissue between the tonsillar capsule and the underlying muscles are cauterized, and the tonsils are removed. Bleeding is controlled by silver nitrate and gauze packing. Procedure is completed without complications, and patient is discharged to recovery.
A) 42999, 647.33, 135.2
B) 42821, G47.33, 135.2
C) 42826, 42836-51, 135.2, G47.33
D) 42826, 42831-59, 135.2, G47.33
4. An established 4-year-old patient is seen by her pediatrician with complaints of pain in her left wrist after falling. The pediatrician determines the wrist is sprained and applies a splint that will keep the wrist from being able to move. The patient's mother is told to follow up if symptoms worsen. What code(s) should be reported for this encounter?
A) 99212-25, 29125, S8451
B) 99212-25, 29126, E1805
C) 29126, E1805
D) 29125, S8451
5. Based on the following documentation for an established patient, which CPT code should be reported?
Number and complexity of problems addressed: Moderate
Amount or complexity of data to be reviewed and analyzed: Straightforward Risk of complications, morbidity, or mortality of patient management: Low Total time: 35 minutes
A) 99214
B) 99213
C) 99212
D) 99215
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: A |
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