1. A 37-year-old HIVpositivemale with a history of heroin dependence presents to the ED. Today's complaint involves the appearance of a skin lesion on his left thigh and anterior chest. The skin lesions are diagnosed as Kaposi's sarcomadue to HIV. Patient has been given discharge instructions, which include the need for surgical follow-up.

Z21, C46.0, F11.21

C46.0, Z21, F11.21

B20, C46.0, F11.21

C46.0, B20, F11.21

2. While cleaning his swimming pool at home, patient spilled pool acid (hydrochloric acid) on his right wrist suffering from 2nd degree burns (8%).

T54.2x1A, T23.671A, T32.0, Y92.016

T23.671D

T23.271A, T54.2x1A, T31.0, Y93.H9

T23.271A

3.A patient with type 1 diabetes, treated with insulin since the age of five, presents to the office for complications of gastroparesis stage III CKD, and severe proliferative retinopathy.

E10.43, E10.21, E10.3499. Z79.4

E10.43, K31.84, E10.22, E10.3499, Z79.4

E10.43, K31.84, E10.22, N18.3, E10.3599, Z79.4

E10.43, E10.22, N18.3, E10.3599

4. An established patient from a nursing home is seen in the office with difficulty breathing and significant wheezing and rales in the lungs. Chest X-ray and CBC ordered pulse ox is 87%. Physician performs a comprehensive history, detailed exam. Chest X-ray shows infiltrates in the left lung, WBC is elevated. At this point, the decision is made to admit the patient for IV antibiotics and will call respiratory therapy for treatments. What level of office E/M is billed?

99215

99214

99213

None

5. A Selective Catheterization means

One that remains at the puncture site

One that advances to the Aorta/Vena Cava

One that advances into a branch vessel off the Aorta/ Vena Cava or the vessel entered

One that remains at the Origin of a branched vessel

6. A pacemaker or pacing cardioverter-defibrillator that has pacing and sensing functions in three or more chambers of the heart is considered a:

Multiple Lead

Dual Lead

Single Lead

Triple Lead

7. 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?

36416

36415

36410

36406

8. A physician performed a cystourethroscopy with an ejaculatory duct catheterization and irrigation. Duct radiography was also performedby the same physicianto visualize ejaculatory duct system. What CPT codes should be reported?

52000, 52010

52000, 52010, 74440

52010, 74440

52010

9. A patient presents to the physician's office for the first time with nausea and vomiting. The physician performs a detailed history. Also supported by documentation is aneight organsystem comprehensive exam and moderate medical decision making. Physician assesses the patient with acute gastritis. What are the appropriate E/M and ICD-10-CM codes for this service?(1 point)

99205, K29.00, R11.2

99203, K29.00

99202, R11.2

99204, K29.01, R11.2

10. A physician prescribes digoxin to treat a patient with congestive heart failure. After six months, the physician performs a total digoxin blood test to monitor the level of the drug. What lab code(s) should be used for thesix-monthevaluation?(1 point)

80305

80375

80305, 80375

80162

11. 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?

12001, 12002 (X2), 12032 (X2)

12005, 12011-51, 12032-51

12004, 12011-51, 12032 (X2)

12004, 12011-51, 12034-51

12. What is the difference between biopsy codes located in the integumentary section and those found in the musculoskeletal section?

The biopsy codes found in the integumentary section are only for codes related to malignant neoplasms

There are no biopsy codes found in the musculoskeletal section

The codes in the musculoskeletal system include biopsies for bone only, whereas the biopsy codes found in the integumentary section include codes for biopsies of subcutaneous structures including bone

The biopsy codes found in the integumentary section are for biopsies of the skin and subcutaneous structures whereas the biopsy codes found in the musculoskeletal section are for deeper structures

13. A pediatric patient presented to the office with a severe asthma attack. The pediatrician ordered a pulse oximetry to check the patient's blood oxygen saturation level and a spirometry to evaluate her lung capacity. The physician interpreted the results and ordered an albuterol nebulizer treatment and a post-spirometry to check the patient's responsiveness to the albuterol treatment. What are the correct codes for this office visit?

99214, 94060, 94760, 94640, A7015, A4616, J7609

99214, 94010 (X2), 94760, 94640, A7015, A4616, J7609

99214, 94060, 94640, A7015, A4616, J7609

99214, 94010, 94760, 94640, A7015, A4616, J7609

14. 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?

25250

99214

No code would be reported

29799

15. 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 correctcode for the procedure performed by the physician?

38221

38220

38230

38232

16. Jim was at a bonfire when he tripped and fell into the flames. Jim sustained multiple burns. He came to the emergency room via an ambulance and was treated for second and third-degree burns of his face, second-degree burn on his shoulders and forearms, and third-degree burns on the fronts of his thighs.

T20.30XA, T22.299A, T24.319A, T31.64, X03.0XXA

T20.20XA, T20.30XA, T22.259A, T22.219A, T24.319A, T31.42, X03.0XXA

T20.09XA, T22.099A, T24.099A, T31.64, X03.0XXA

T20.30XA, T24.319A, T22.299A, T31.42, X03.0XXA

17. The definition of a chronic condition does not include:

A condition lasting 3 months or longer

Resolves spontaneously

May have a slow progressive course of indefinite duration

Marked by long duration

18. Unspecified" codes are for use when:

The information in the medical record provides detail for which a specific code does not exist

The information in the medical record is insufficient to assign a more specific code.

The information in the record is specifically documented with the word "unspecified"

The information in the record states "insufficient information"

19. What is the definition of a medically necessary service

The cost of the service

A level of service provided

Services which are reasonable and necessary to treat an illness, injury or improve the functioning of a malformed body member

None of the above

20. Which modifier would NOT be used on Evaluation and Management services?

(1 Point)

25

22

24

57

21. Who can furnish an Annual Wellness Visit?

Physician

Physician Assistant

Nurse practitioner/Clinical Nurse Specialist

All the above

22. For a presenting problem with an established diagnosis the record should reflect (if appropriate) this about the problem:

That it is worsening

That it is failing to change as expected

That it is inadequately controlled

All the above

23. Patients admitted for 6 hours and released. According to CMS what Category of E/M is billed?

Consult

Outpatient Services

Discharge

Initial Hospital Care

24. What words are used in CPT to describe code 99233?

Improving

Inadequate response

Unstable

Developed minor complication

25. Who can write an admit order for the Physician of Record?

Covering physician

ER physician

Attending surgeon

All of the Above

26. Subsequent hospital care requires what concepts to be documented?

3 of 3 key components

Status of the patient

Response to treatment

Review of any diagnostic tests performed

27. What modifier is used for a Medicare patient for Initial Hospital care when the patient is seen at the request of the admitting physician?

25

No Modifier

AI

A1

28. If a diagnostic test is performed and the physician has interpreted the results and confirmed a diagnosis, you should code:

Signs and symptoms

Confirmed diagnosis

Both A & B

Neither A or B

29. To help support the medical necessity of a diagnostic test in a doctor's order, include:

Physician's legible signature on the order

The specific test(s) being ordered

Clinical indication for the test

All of the above

30. Codes in R10 abdominal and pelvic pain category do not include detail about:

Upper and lower quadrant pain

Upper and lower hemisphere pain

Upper and lower epigastric pain

Upper and lower periumbilic pain

31. Cancer history codes are for use:

When treatment to the site is ongoing

When the patient is cancer free for 1 year

When the patient is cancer free for 5 years

When treatment is no longer directed at the site

32. Which of the following statements regarding a Low-Dose CT Screening for Lung Cancer is correct?

G0297 can be reported more than once a year if the patient is symptomatic

Patients must pay their Medicare deductible

Diagnosis code Z87.891 (personal history of tobacco use/personal history of nicotine dependence) must be used on the claim

All of the above

33.Which of the following is not considered routine foot care by CMS?

The cutting or removal of corns and calluses

The trimming, cutting, clipping, or debridement of nails

Excision of a bunion

Other hygienic and preventative maintenance care of the foot

34. A Medicare patient has intra-articular joint injections in the left shoulder and right knee. Which of the following would be the preferred method for billing?

20610 X 2

20610-RT, 20610-LT

20610, 20605

20610, 20610-XS

35. A Physician punctures the Right Femoral Artery for Access, advances a catheter and places the tip into the Inferior Vena Cava. After the Cather placement, an IVC Filter is placed and the Catheter isretracted,and Pressure is applied for Hemostasis at the Access site. What code(s) are to be applied?

36140, 36010, 37191

36010, 37191

37191

36140, 36010

36. Patient is here today for debridement of a non-pressure ulcer of his right big toe which needs debridement for necrosis into the muscle. John also suffers from diabetes type I.

E10.621, L97.513

L97.503, E10.621

E11.621, L97.504

L97.504, E11.621

37. Volume of Data determines the E/M level of service to bill CMS:

True

False

38. Non-face-to-face time for office services- also called pre- and post- encounter time- is not included in the time component described in the E/M codes. However, the pre-and post- non-face-to-face work associated with an encounter was included in calculating the total work of typical services in physician surveys

True

False

39. HCPCS level II codes are maintained by the HCPCS National panel, consisting of representatives of CMS, the Health Insurance Association of America, and the Blue Cross/ Blue Shield Association.

True

False