This assignment requires Ambulatory Care Coding experience. You CAN NOT google these questions for the answers. Must be CPC, CCS, or RHIT certified coder. Please check 40 that are answered, 40 that are unanswered. Need by 09.16.2015 Ambulatory Care Coding Patient had a left femoral hemiorraphy for a recurrent hernia, what is the correct code assignment? C. 49555 A patient was taken to the endoscopy suite. The endoscopy was passed into the esophagus and continued into the duodenal bulb. Based on this documentation, what CPT code would be selected to represent this procedure? 43200 43234 43235 43260 Which of the following is not coded separately from the coronary artery bypass procedure? Upper extremity artery Upper extremity vein Saphenous vein Femoropoplitear segment of a vein Which of the following CPT codes should be used for an emergency curettage due to retained placenta after normal vaginal delivery? 58120 59160 49320 59840 How do you code a retropubic subtotal prostatectomy? B. 55831 Treatment of a missed abortion, completed surgically a 22 weeks is coded as? C. 59821 Which of the following CPT codes describes the surgical removal of kidney stones through an incision in the body of the kidney. D.50060 The patient undergoes the closure of a nephrocutaneous fistula, how is this coded? B. 50520 The patient provides a kidney to a sibling who has renal failure. An open procedure is performed. How is this coded? B. 50320 10. Principles of ICD-9-CM coding for ambulatory care encounters includes. A. Ambulatory care diagnoses should be coded to the highest of certainly at the conclusion of the encounter. B. Code suspected diagnoses as if the disease or injury existed. C. conditions previously treated and no longer existing are coded. D.Only the most significant diagnosis should be coded. Level 2 codes of the HCPCS coding system are maintained by the: D.Center for medicare and Medicaid services. J1020 injection methylprednisolone acetate, 20 mg is an example of a C. Level 2 code Level one of HCPCS consists of CPT codes The inclusion of a code in COT indicates that the procedure is: Commonly performed across the country Endorsed by the AMA Reimbursed by third party payers The three key components used in defining the levels of E/M services are: History, examination, medical decision making. The differences between a new patient and an established patient is whether the patient received professional services from the physician or another physician of the same specialty who belongs to the same group of practice Within the past three years Mary Cole, who is recovering from pneumonia, returns to her physicians for follow up. Dr. Small reviews a recent x-ray, performs a problem focus examination followed by a short discussion of findings. CPT code assigned. 99212 Refer to the medical decision making table in your CPT book. Given the following information determine the type of medical decisi.

1. This assignment requires Ambulatory Care Coding experience.
You CAN NOT google these questions for the answers.
Must be CPC, CCS, or RHIT certified coder.
Please check 40 that are answered, 40 that are unanswered.
Need by 09.16.2015
Ambulatory Care Coding
Patient had a left femoral hemiorraphy for a recurrent hernia,
what is the correct code assignment?
C. 49555
A patient was taken to the endoscopy suite. The endoscopy was
passed into the esophagus and continued into the duodenal bulb.
Based on this documentation, what CPT code would be selected
to represent this procedure?
43200
43234
43235
43260
Which of the following is not coded separately from the
coronary artery bypass procedure?
Upper extremity artery
Upper extremity vein
Saphenous vein
Femoropoplitear segment of a vein
Which of the following CPT codes should be used for an

2. emergency curettage due to retained placenta after normal
vaginal delivery?
58120
59160
49320
59840
How do you code a retropubic subtotal prostatectomy?
B. 55831
Treatment of a missed abortion, completed surgically a 22
weeks is coded as?
C. 59821
Which of the following CPT codes describes the surgical
removal of kidney stones through an incision in the body of the
kidney.
D.50060
The patient undergoes the closure of a nephrocutaneous fistula,
how is this coded?
B. 50520
The patient provides a kidney to a sibling who has renal failure.

3. An open procedure is performed. How is this coded?
B. 50320
10. Principles of ICD-9-CM coding for ambulatory care
encounters includes.
A. Ambulatory care diagnoses should be coded to the highest of
certainly at the conclusion of the encounter.
B. Code suspected diagnoses as if the disease or injury existed.
C. conditions previously treated and no longer existing are
coded.
D.Only the most significant diagnosis should be coded.
Level
2 codes of the HCPCS coding system are maintained by the:
D.Center for medicare and Medicaid services.
J1020 injection methylprednisolone acetate, 20 mg is an
example of a
C. Level 2 code
Level one of HCPCS consists of
CPT codes

4. The inclusion of a code in COT indicates that the procedure is:
Commonly performed across the country
Endorsed by the AMA
Reimbursed by third party payers
The three key components used in defining the levels of E/M
services are:
History, examination, medical decision making.
The differences between a new patient and an established
patient is whether the patient received professional services
from the physician or another physician of the same specialty
who belongs to the same group of practice
Within the past three years
Mary Cole, who is recovering from pneumonia, returns to her
physicians for follow up. Dr. Small reviews a recent x-ray,
performs a problem focus examination followed by a short
discussion of findings. CPT code assigned.
99212
Refer to the medical decision making table in your CPT book.
Given the following information determine the type of medical
decision making involved. Number of diagnoses/management
options _ limited, amount and/ or complexity of data reviewed _
moderate risk of complications and / or morbidity or mortality

5. high.
High complexity
Low complexity
Moderate complexity
Straightforward
Joan Harrington is required by required by her insurance
company to obtain a second opinion consultation prior to
undergoing a hysterectomy, she presents to Dr. Marks who
conducts a comprehensive history and physical examination
medical decision making is moderate. Dr. Marks concurs that
the surgery is necessary. Dr. Marks assigns the following CPT
code for the visit.
B. 99244
Which code is used to report anesthesia services for a Medicare
patient undergoing a tranurethal resection of the prostate?
00914
Cystourethroscopy with fulguration of bladder tumor (2.5 cm
inside) is coded.
52235
A biopsy of skin and subcutaneous tissue (3 lesions) would be
coded.
C.11643

6. A debridement of the skin, subcutaneous tissue and muscle is
coded.
C.11043
24. Bisch of procedure
63170
25. Open reduction of fracture of the distal fibula with internal
fixation
27792
26. Transurethral resection of prostate following urethral
dilation.
52601
27. Repeat cry cautery of the cervix.
57510
57511
57511, 57511
5713
28. Two facial lacerations are repaired with layer closure. One
is 10 cm and the other is 3 cm.
12016
12035
12052, 12054
12055
29. Esophagoscopy for removal of foreign, body is coded.

7. 43045
43200, 43215
43215
43247
30. Simple hemorrhoidectomy, internal and external with
fistulectomy.
46255
43255, 46270
46257
46258
31. Arthroscopy of knew with synovial biopsy.
01382
27330
29870
29875
32. A patient develops difficulty during surgery and the
physician discontinues the procedure, identify the modifier that
may be reported by the physician to indicate that the procedure
was discontinued.
-52
-53
-73
-74
33. EGD with laser destruction of a pedunculated polyp in the
duodenum.
43250
43234, 43258

8. 43239
43258
34. What is the correct code assignment for ligation of four
hemorrhoids?
A. 46945, 46946
B. 46946
C. 46900, 46910
D. 46924
35. Which of the following is vital for determing why an
insurance company paid less than expected?
CPT code book
The explanation of benefits
Knowledge of the insurance regulation
Talking to the patient
36. To properly link the diagnosis to the service what should be
listed in box 24 of the CMS_1500 claim form?
The place of service code
One linking reference number from box 21
The CPT code number
The ICD_9-CM code number
37. Which set of percentages is correct for initial hospital
services, 99221 65, 99222 296, 99223 362, 99231 261, 99232
410, 99233 174
4%, 19%, 23%
13%, 45%, 42%

9. 9%, 41%, 50%
36%, 57%, 24%
38. A claim is denied because the CPT code and place of service
code do not match. Where would the coder look to solve this
problem for the future?
B. Fee schedule database
39. A patient presents with a closed fracture of the
supracondylar humerus and receives open treatment with
intercondylar: How should this be coded?
D.24546
40. Red blood cell count, differential white blood cell count,
and platelet count automated, is coded as?
C. 85041, 85004, 85049
41. An asthmatic patient is treated with two nebulizer inhalation
treatment on the same day by the same physician, using
prefilled vials of 0.5 mg of albuterol and 2.5 mg normal saline.
How is this coded?
94640, 94640-76, J7611, J7611
94664-76
94664, 94664-22, J7611x6
94640, 94640
42. A catheter is placed into the renal pelvis for injection. The
same physician perfors both the injections and the supervision
and interpretation. How is this coded?

10. 50392, 74475-26
50392, 74475
74475-26
74475
43. Magnetic resonanceimagaing cholangiopancreatograpy on a
25 year old male
74185
76498
58037
58042
44. A rapid influenza test is performed with a commercial test
kit. When complete, the technician visually reads the results as
positive, how is this procedure coded?
87275
87276
87400
87804
45. Some reconstructive plastic surgical procedures are
performed in multiple stages. What modifier should the surgeon
report when the patient is returned to sugery for a planned stage
procedure?
C. 58
46. Accu-check home blood glucose monitor
A4258
E0607
A4253
E0607, A4253

11. 47. CT of maxillofacial area, with and without contrast.
70488
70487
70450
70486, 70487
48. Two- view x-ray of sacrum and cocoyy
D. 82607, J3420
49. What is the correct code for a nonabsorption vitamin B_12
level?
82608
82607
J3420
82607, J3420
50. RS&I of bilateral extremity angiograph
75716
51. When clinical laboratory tests are reported on the same day,
what modifier should be assigned?
B. 91
52. In addition to the claim submitted by the surgeon, the
assistant surgeon bills for his or her services. What modifier

12. does the assistant surgeon attach to the procedure code?
62
52
81
80
53. A female patient about undergo chemo, decided to harvest
and store eggs for later attempts at pregnancy. How is the
laboratory service of storage coded?
89342
89346
89343
89528
54. Visual acuity screening
99173
55. Comprehensive opthalmology evaluation for a new patient.
99204
92012
92004
92002
56. Binaural hearing aid check
92539
92591
92590
92591, 92539
57. Individual interactive psychotherapy, outpatient, 50

13. minutes.
D. 90834, 90784
58. EEG, awake and sleep
B. 95819
59. With the use of imaging, the patient had a percutaneous
needle core biopsy of the left brest.
D. LT
60. Barium enema with KUB
C. 74270
61. Planned sigmoidoscopy with removal of foreign body under
conscious sedation, procedure not completed due to
hypotension. How would the physician report this?
C. 53
62. Comprehensive oral examination
D0150
D0145
D0502
D0121

14. 63. A radiologist interprest x-ray for a community hospital. The
equipment belongs to the hospital. What modifier should the
radiologist append to his CPT code?
26
TC
59
52
64. Replacement of a nonprogrammable epidural drug infusion
pump
62360
62362
62360, 62361
62361
65. Initiation and management of continuous positive airway
pressure ventilation
94660
66. Removal of foreign body from cornea using a slit lamp
65205
65222
65205, 65222
65220
67. Cervical collar, foam, un-adjustable
L0150
L0180
E0856
L0120

15. 68. Hearing aid, monaural, behind the ear.
V5241
V5298
V5160
V5060
69. The physician provides a patient covered by commercial
insurance with a peak flow meter to use at home.
D.
58096
70. The physician performs an arthroscopic debridement of the
shoulder, extensive, with chondroplasty and abrasion,
arthroplasty. An arthroscopic mumford procedure is also
performed. How is this coded?
11044-RT, 23120-RT
29823-RT, 29824-RT
11044-RT, 29824-RT
29823-RT, 23120-RT
71. The modifier used to report therapeutic interventional
procedures on the right coronary artery is.
RT
RC
50

16. LC
72. The physician performs an open repair of the medical
meniscus of right knee: How is this coded.
C. 27403-RT
73. Modified radical mastectomy
19307
74. The physician treats a patient who has osteomyelitis of the
left scapula following a past injury. A piece of dead bone is
removed from the body of the scapula. How is this coded?
A. 23172-LT
75. The physician performed a partial avulsion of the nail plate
of the left thumb.
A. FA
76. Surgical sinus endoscopy with spenoidotomy
C. 31287
77. Percutaneous thrombectomy of AV Fistual Graft
36870
35331
92973
35363

17. 78. Prosthetic aortic value placement, using CP bypass
C. 33405
79. Diagnostic lumber puncture
A. 62270
80. Catheterization of Eustachian tubes, tympanic approach
69631
69405
69405-50
69400