MEDICINE TEST 2 hours

1).Routine ECG with 12 leads, with interpretation and report.

a. 93010 b.93005 c.93000 d.93042

2 ). Retrograde left heart catheterization from the femoral artery.

a.93452 b.93451 c.93453 d.93462

3) Duplex scan of extracranial arteries, left side only.

a. 93005 b.0126T c.0159T d.93882

4). What code should you report for duplex scan of aorta, inferior vena cava, iliac
vasculature, or bypass grafts; unilateral or limited study

a. 93975 b. 93976 c. 93978 d. 93979

5). What code should you report for ambulatory blood pressure monitoring, utilizing a
system such as magnetic tape and/or computer disk, for 24 hours or longer; recording
only?

a. 93784 b. 93786 c. 93790 d. 93788

6).ESRD related service was initiated for a 25 yr old patient. This was performed in the
emergency department regularly. The patient had 10 face to face physician visit per
month?

a. 90960 b. 90967 c. 90951 d. 91010

7) What code should you report for bundle of His recording?

a. 93581 b. 93600 c. 93603 d. 93610

8) Give the correct CPT code for determination of refractive state?

a) 95148 b) 92015 c) 92025 d) 95806

9) An established patient is seen in the outpatient clinic for dehydration. The physician
orders an infusion of D5W with electrolyte supplement. Patient was infused more than
three hours.

a.96360 b.96360,96361x2 c.96361 d.96366

10) 4-year-old is getting over his cold and will be getting three immunizations in the
pediatrician’s office by the nurse. The first vaccination administered is the Polio vaccine
intramuscularly. The next one is the influenza (live) administered in the nose. The last
vaccination is the Varicella (live) by subcutaneous route. What CPT® codes are reported for the
administration and vaccines?

A. 90713, 90658, 90716, 90460, 90461 x 2 B. 90717, 90656, 90716, 90460, 90461 x 1
C. 90713, 90660, 90716, 90471, 90472, 90474 D. 90713, 90658, 90716, 90471, 90472, 90473

11) A patient with chronic renal failure is in the hospital being evaluated by his endocrinologist
after just placing a catheter into the peritoneal cavity for dialysis. The physician is evaluating the
dwell time and running fluid out of the cavity to make sure the volume of dialysate and the
concentration of electrolytes and glucose are correctly prescribed for this patient. What code
should be reported for this service?

A. 90935 B. 90937 C. 90947 D. 90945

12) Percutaneous transluminal ballon angioplasty of the left anterior of the pulmonary artery
performed on two vessels.

A.92997 B.92998 C.92997,92998 D.92933

13) A patient who is a singer has been hoarse for a few months following an upper respiratory
infection. She is in a voice laboratory to have a laryngeal function study performed by an
otolaryngologist. She starts off with the acoustic testing first. Before she moves on to the
aerodynamic testing she complains of throat pain and is rescheduled to come back to have the
other test performed. What CPT® code(s) should be reported?

A. 99211, 92520 B. 92700 C. 92520-52 D. 99211, 92700-52

14) A new patient is having a cardiovascular stress test done in his cardiologist’s office. Before
the test is started the physician documents a comprehensive history and exam and moderate
complexity medical decision making. The physician will be supervising and interpreting the
stress on the patient’s heart during the test. What procedure code should be documented for
this encounter?

A. 93015-26, 99204-25
B. 93016, 93018, 99204-25
C. 93015, 99204-25
D. 93018-26, 99204-25

15) A cancer patient is coming in to have a chemotherapy infusion. The physician notes the
patient is dehydrated and will first administer a hydration infusion. The infusion time was 1 hour
and 30 minutes. Select the code(s) that should be reported for this encounter?

A. 96360
B. 96360, 96361
C. 96365, 96366
D. 96422

16) A patient that has multiple sclerosis has been seeing a therapist for four visits. Today’s visit
the therapist will be performing a comprehensive reevaluation to determine the extent of
progress in parameters and if the patient is reaching his goals for common impairments
associated with this neurologic condition, which includes performing activities of daily living,
movement, muscle strength and reasoning abilities for independent living. What CPT® and ICD-
10-CM codes should be reported?

A. 97168, Z51.89, G35

B. 97165, Z51.7, G35
C. 97166, Z51.81, G35
D. 97167, Z51.11, G35

17) Patient with hemiparesis on the right dominant side due to having a CVA lives at home
alone and has a therapist at his home site to evaluate meal preparation. The therapist observes
the patient’s functional level of performing kitchen management activities within safe limits. The
therapist then teaches meal preparation using one handed techniques along with adaptive
equipment to handle different kitchen appliances. The total time spent on this visit was 45
minutes. Report the CPT® and ICD-9-CM codes for this encounter.

A. 97530 x 3, I69.951, G81.90

B. 97535 x 3, G81.951, I69.951
C. 97530 x 3, I69.951, G81.951
D. 97535 x 3, I69.951

18) 10-year-old patient had a recent placement of a chochlear implant. She and her family see
an audiologist to check the pressure and determine the strength of the magnet. The transmitter,
microphone and cable are connected to the external speech processor and maximum loudness
levels are determined under programming computer control. Which CPT® code should be used?

A. 92601
B. 92603
C. 92562
D. 92626

19) Sharp selective debridement of a sacral pressure ulcer having black eschar surrounded by
chronic inflammation with dark pigmentation. The total wound surface area selectively debrided
is 25 sq cm in the hospital outpatient wound care center. The service was provided by the RN
under direct physician supervision on a 68-year-old diabetic patient.
A.11040 B.11042 C.11005 D.97597,97598

20 ) Dr. Member performed a transesophageal echocardiography for a congenital cardiac

condition on a 16-year-old patient. Prior to the probe placement, moderate conscious sedation
was administered. The probe was placed, images acquired, interpretation and reports were
completed in the provider’s office. This procedure lasted 45 minutes. What code(s) capture the
services performed by Dr. Member?
a. 93315, 99151, 99152
b. 00320, 99151, 99152
c. 93315
d. 93315-P1

21) Colin had a comprehensive audiometry threshold evaluation and speech recognition testing
to the left ear. What code(s) capture this procedure?
a. 92557-52
b. 92553, 92556
c. 92557
d. 92700-59

22) An adult patient had the following immunizations with administration:

 Yellow fever vaccine, subcutaneous injection
 Hepatitis B (adult dose) vaccine, intramuscular injection
How would you report these services?
a. 90460, 90461 x 2, 90717-51, 90746-51,
b. 90471, 90472 x 2, 90717, 90746,
c. 90473, 90474 x 2, 90746, 90717
d. 90471, 90472 x 2, 90746-51, 90717-51

23) Sally suffered from dehydration after running a marathon. She was taken into her primary
care doctor’s office. Dr. Small checked Sally and ordered hydration therapy with normal saline.
The hydration lasted 45 minutes. How would you report this service?
a. 96365, 96361
b. 96369
c. 96360
d. 96360, 96361

24) A patient had a bronchoscopy with destruction for relief of stenosis by laser therapy. During
this procedure photodynamic therapy by endoscopic application of light was used to ablate
abnormal tissue via activation of photosensitive drugs. The photodynamic therapy lasted 60
minutes. How would you report this procedure?
a. 31645, 96567
b. 96567 x 2
c. 31643, 96570-51, 96571-51
d. 31641, 96570, 96571 x 2

25) Dr. George asked the local pharmacist to review Ann’s new medications with her when she
picked them up. Ann is a new patient who just moved into the area and required several new
medications. Ann is hard of hearing and had a difficult time understanding Dr. George when he
called her. The pharmacist spent 35 minutes with Ann and documented a review of her history,
recommendations for improving health outcomes, and treatment compliance. The pharmacist
faxed this note back to Dr. George’s office. How would the pharmacist report his services?
a. 99605, 99607x2
b. 99605, 99607
c. 99607 x 3
d. 99213

26) What code would report an internet assessment and management service provided by a
qualified non-physician healthcare professional to an established patient not originating from a
related assessment and management service provided within the previous seven days?
a. 96150
b. 99500
c. 98969
d. 96151

27) Code 95904 could describe studies to which of the following nerves?
a. Lateral antebrachial cutaneous sensory nerve and posterior femoral cutaneous sensory nerve
b. Medial calcaneal sensory nerve and radial sensory nerve to digit one
c. Both A and B
d. None of the above

28) PTCA with stent placement of right coronary artery.

a. 92920
b. 92920, 92921
c. 92924
d. 92925

29) What services can you report in addition to the general ophthalmological services or
evaluation and management services?
a. Intermediate ophthalmological services
b. Special ophthalmological services
c. Only new patient general ophthalmological services
d. Only established patient general ophthalmoligical services

30) Jim underwent a percutaneous transluminal coronary arthrectomy with a balloon to the left
main coronary artery. During the same session his physician placed three drug coated stents in
the left coronary artery. What code(s) should you use to report these services?
a. 92933 x 3
b. 92984
c. 92933,92934
d. 92924, 92925

31) A patient presents to her oncologist’s office for schedule chemotherapy. The patient is
severely dehydrated. The physician decides to schedule the chemotherapy for another day and
orders hydration therapy to be performed today instead of the chemotherapy. The therapy is
ordered and administered for one hour and 10 minutes. Select the code(s).
A. 96413-53, 96360 B. 96360
C. 96360, 96361 D. 96413, 96361

32) Left heart catheterization retrograde from the femoral artery with injection procedures for
selective coronary angiography and selective left ventriculography, including imaging
supervision and interpretation with report, are performed. The cardiologist performed all of the
services at the hospital. The CPT® codes are:
A. 93458 C. 93452, 93454
C. 93452, 93563 D. 93458, 93565

33) The correct code for OMT performed on the cervical, thoracic and sacral regions would be:
A. 97163 B. 98941
C. 98926 D. 97161

34) The patient is admitted to the hospital for an eight channel EEG to determine the focus of
her cerebral seizures. The EEG is performed for 24 hours. Select the appropriate code.
A. 95813 B. 95824
C. 95827 D. 95950

35) A pediatrician is managing the care of a patient who is at home on a ventilator under the
care of a home health agency. The patient has cystic fibrosis and is suffering from recurrent
pneumonia. The MD did the initial plan of care for the home health agency and now is following
this monitor vent management oversight on day 20. The provider has a total 45 minutes for this
month how should he code?
A. 94002 B. 94003
C. 94005 D. 94004

36) A spectral Doppler ECHO, complete transthoracic with color flow-velocity mapping was
performed in the outpatient hospital radiology department.
A.93307 B.93306 C.93308 D.93312

37) Mary, who has food allergies, came to her physician for her weekly allergen immune therapy
that consists of two injections prepared and provided by the physician. The correct code is:
A. 95125 B. 95117
C. 95131 D. 95146

38) Photodynamic therapy involving application of light externally to destroy premalignant

lesions on the lower lip was provided to a 63-year-old patient. Code the encounter.
A. 96570 B. 96999
C. 96567 D. 96913

39) The patient presents to see the nurse for his scheduled vitamin B12 injection. The physician
ordered the injection at the patient’s last visit. The physician is in the office seeing other
patients. The nurse administers the 1000 mcg of vitamin B12 intramuscularly. She schedules the
patient for his next appointment.
A. 99211-25, 96372, J3420 B. 99211-25, J3420
C. 96372, J3420 D. 96401, J3420

40) Right and Left heart catheterization with injection procedures for coronary angiography
and left venticulography, including imaging supervision, interpretation, and report.
A.93458,93568 B.93460 C.93568 D.93452