course material

1. CPT Medical Coding Assigment – My Nursing Experts
ANSWER ALL THE QUESTIONS -MAKE SURE THEY ARE ALL CORRECTSEND BACK TO ME
WITHIN 48 HOURS1. ÿÿWhich one of the following requirements is outlined in the
guidelines established in HIPAA’s Privacy Rule?A. Hospital administrators must encrypt
data within older data files.B. Managers must secure medical records immediately following
patient admission.C. Patients must receive notice if their information will be used or
disclosed to third parties.D. Physicians must not disclose patient information to consulting
physicians.2. ÿÿA tethered health record allows patients toA. amend the diagnoses listed in
the health record.B. use a secure portal to access their own records.C. restructure insurance
copayments.D. compare their health records to the records of patients with similar
diagnoses.3. ÿÿA patient sustains a fracture of the femur while playing football in a nearby
park. What ICD-10-CM code would be assigned?A. S72.003AB. S72.001AC. S49.006AD.
S72.009A4. ÿÿWhich one of the following structures is part of the male secondary
genitalia?A. GonadsB. UrethraC. TestesD. Vulva5. ÿÿWhat is the full code description for
25515?A. Open treatment of radial shaft fracture, includes internal fixation, when
performed, and open treatment of distal radioulnar joint dislocation (Galeazzi
fracture/dislocation), includes internal fixation, when performed, includes repair of
triangular fibrocartilage complexB. Open treatment of radial shaft fracture, includes
internal fixation, when performedC. Closed treatment of radial shaft fracture; without
manipulationD. Closed treatment of ulnar shaft fracture; without manipulation6. ÿÿAnother
name for XXY syndrome isA. Turner’s syndrome.B. Huntington’s chorea.C. Cooley’s
anemia.D. Klinefelter syndrome.7. ÿÿThe hammer-shaped bone in the middle ear is called
theA. cochlea.B. stapes.C. malleus.D. incus.8. ÿÿCodes beginning with the letter K are related
to the _______ system.A. circulatoryB. digestiveC. endocrineD. sensory9. ÿÿWhich of the
following statements is true of the olfactory nerve?A. It’s located in the mitral valve and
helps to circulate blood throughout the heart.B. It’s found in the nose and allows the senses
to detect and distinguish odors.C. It’s susceptible to erosion due to Peyronie’s disease.D. It
conveys the fluid from lymph glands to other areas of the body.10. ÿÿA patient has a Foley
catheter inserted prior to a planned surgical procedure. How is this coded?A. 55520B.
52630C. 51702D. 5260111. ÿÿWhat is the CPT code for simple drainage of a finger
abscess?A. 26010B. 26020C. 26034D. 2601112. ÿÿUsually, a comprehensive EHR includesA.
secure standalone cluster controllers for hospitals in rural environments.B. software,
hardware, implementation, and future program upgrades.C. coaxial cable connections
between mainframe servers only.D. customizable XHRLT processes for ambulatory surgery

2. centers.13. ÿÿWhat ICD-10-CM code would be assigned for a patient with acute tubule-
interstitial nephritis?A. Z02.6B. B96.2C. L50.0D. N1014. ÿÿAn echocardiogram shows that
the wall of a patient’s artery has dilated. The dilation has resulted in a saclike swelling. This
swelling is called a/anA. aneurysm.B. cyst.C. mesenteric venous thrombosis.D. benign
tumor.15. ÿÿWhat is Medicare Part D?A. The component of Medicare Part A that covers
outpatient surgeriesB. Supplemental coverage for war veterans and their dependentsC.
Add-on coverage for dental proceduresD. Add-on coverage for prescription drugs provided
through insurance companies approved by Medicare16. ÿÿThe suffix ?stasis meansA. flow.B.
stopping and controlling.C. breakdown.D. kinetic.17. ÿÿThe outcome of delivery code should
beA. omitted from the maternal record for stillborn delivery.B. assigned to the newborn
record only.C. assigned to both the maternal and newborn records.D. assigned to the
maternal record when a delivery occurs.18. ÿÿA patient who was involved in a motor
vehicle accident is taken to the hospital by ambulance and admitted to the hospital in
critical care. The physician sees the patient for 74 minutes in critical care. The physician
leaves to attend to other patients in the ICU and the NICU of the same hospital. Five hours
later, the physician returns to the patient and continues to treat the patient in critical care
for an additional 30 minutes. The patient spends a total of 104 minutes in critical care. What
codes are assigned?A. 99292, 99292, 99293B. 99291, 99291C. 99291, 99292D. 99292,
9929319. ÿÿThe root word OBSTETR/O meansA. cesarean.B. pregnancy.C. birth.D.
midwife.20. ÿÿCoders can use the Microsoft Office suite to create spreadsheets inA. Excel.B.
Lotus 1-2-3.C. PowerPoint.D. Word.21. ÿÿA patient undergoes an appendectomy and later
returns to the operating room for a related procedure the same day. Which modifier should
be assigned to the CPT code?A. -51B. -AAC. -76D. -7822. ÿÿThe concept of meaningful use
pertains toA. categorization of patient information.B. medical office protocol and document
organization.C. resource management in the inpatient setting.D. electronic health record
implementation.23. ÿÿThe study of disease is calledA. pathology.B. urology.C. physiology.D.
neurology.24. ÿÿModifier -23 indicates thatA. a procedure was performed bilaterally.B. the
patient received general anesthesia for a procedure that would ordinarily be performed
with local or no anesthesia.C. a physician reviewed and interpreted a radiology procedure.D.
two surgeons performed a procedure.25. ÿÿReleasing genetic information is forbidden
under the terms of HIPAA because it mayA. indicate susceptibility to a future illness,
without the patient actually being diagnosed with the condition.B. allow immediate family
members to have access to a patient’s medical records.C. not be successfully transmitted to
all health care facilities.D. require physicians to fulfill contractual obligations for treatments
provided in ambulatory surgery centers.26. ÿÿProvision of security against a hurt, loss, or
damage with specific cash payments is calledA. protection.B. secured loss.C. copayment.D.
indemnity.27. ÿÿPhysicians typically refer to anatomical locations using directional terms,
which are oftenA. used primarily by chiropractors.B. used to describe surgical incisions.C.
referenced horizontally.D. paired in opposites.28. ÿÿThe code for an ESWL would be found
in theA. Digestive System of CPT.B. Urinary and Male Genital Systems of CPT.C.
Chemotherapy section of HCPCS.D. Cardiovascular System of CPT.29. ÿÿWhat code would be
assigned for a tube pericardiostomy?A. 33015B. 33050C. 33026D. 3321030. ÿÿHCPCS
modifier ?E2 indicates that the patient had a surgical procedure performed on theA. upper

3. left eyelid.B. upper right eyelid.C. lower left eyelid.D. lower right eyelid.31. ÿÿProviders that
receive reimbursement after health care services have been provided are being
compensated under the _______ system.A. UCRB. capitationC. retrospective paymentD.
prospective payment32. ÿÿWhat happens when HIPAA rules conflict with state law?A. The
interpretation of HIPAA rules is left to the physician’s discretion.B. The Supreme Court’s
decision becomes final in binding arbitration.C. Conflicting state rules are overridden by
federal law.D. State laws overrule federal law.33. ÿÿThe method that physicians use to bill
for each service or visit individually rather than on a pre-paid basis is calledA. pre-paid
care.B. managed care.C. fee-for-service.D. capitation.34. ÿÿThe suffix -sis meansA. process.B.
drooping.C. inflammation.D. condition.35. ÿÿA new patient is seen in a clinic for complaints
of shortness of breath, fever, difficulty swallowing, runny nose, and cough. The physician
performs a detailed history, detailed examination, and medical decision making of low
complexity. The physician also obtains a chest x-ray and lab workup. Based on the results of
the diagnostic tests, the physician renders a diagnosis of upper respiratory tract infection
and lymphadenopathy. What ICD-10 and CPT codes are assigned?A. 99215, M19.011,
R13.10B. 99203, J06.9, R59.0C. 99213, R06.82, F10.229D. 99202, D63.1, J45.90936. ÿÿA
physician is called to the intensive care unit for a patient with second-degree burns
sustained on 55% of his body while cooking in the kitchen where he works. The physician
sees the patient in the critical care unit for two hours, leaves the unit, and returns later the
same day to provide an additional hour of critical care. What ICD-10-CM and CPT codes
would be assigned?A. L91.8, 99291 ? 2, 99292 ? 4B. T31.50, 99291, 99292 ? 4C. Z30.09,
99293, 99294 ? 2D. R53.81, 99291, 99293 ? 537. ÿÿA physician who cares for a patient
throughout an entire pregnancy, from beginning to end, is providingA. comprehensive
prenatal management.B. routine global obstetric care.C. puerperal obstetric care.D.
antenatal global supervision.38. ÿÿA patient is seen in the emergency room complaining of
abdominal pain in the left lower quadrant. It’s determined that the patient is experiencing
inflammation of the pancreas, which is also calledA. pancreaticoduodonal arcade.B.
pancreatonia.C. pancreatolysis.D. pancreatitis.39. ÿÿThe covering on the brain and spinal
cord in the dorsal cavity is called theA. sheath.B. peritoneum.C. ganglia.D. meninges.40.
ÿÿThe regulations in HIPAA apply to three groups of individual and corporate entities, each
involved in electronic medical records transfer. These groups are collectively referred to
asA. health care administrators.B. protected personnel.C. provisional health care data
collectors.D. covered entities.41. ÿÿThe retention period is the amount of time thatA.
insurance billing documents must be retained in filing cabinets.B. medications must be kept
in the medical office.C. records must be kept.D. HIM employee files must be retained upon
termination or resignation.42. ÿÿA physician has a meeting with a pharmaceutical sales
representative. During the course of the conversation, the physician reveals the diagnosis
and past family, medical, and social history of a patient currently being treated with one of
the medications that the sales representative is selling. In this situation, the doctor could be
sued forA. invasion of privacy.B. undue harm and fraud.C. malice.D. malfeasance.43.
ÿÿEpithelial tissue that secretes its products directly into the bloodstream is made ofA.
endoplasmic reticulum.B. endocrine gland cells.C. extracellular matrix.D. columnar
epithelial cells.44. ÿÿA physician obtains cells from the bone marrow cavity using a needle

4. and a syringe. How would this procedure be coded?A. 38220B. 36575C. 35092D. 3732845.
ÿÿThe vitreous humor can be found in theA. eye.B. nose.C. tongue.D. ear.46. ÿÿThe study of
tissue disease using macroscopic or microscopic analysis is calledA. microbiology.B.
histopathology.C. immunology.D. cytopathology.47. ÿÿPlacing a catheter into the aorta or
directly into an artery or vein is calledA. selective catheter placement.B. brachiocephalic
manipulation.C. third order placement.D. nonselective catheter placement.48. ÿÿA patient is
diagnosed with acne. What ICD-10-CM code would be assigned?A. L74.2B. L70.0C. L72.3D.
L73.149. ÿÿMembers of the uniformed services, their families and survivors, and retired
members and their families qualify forA. OIG Recovery.B. Medicaid.C. Medicare.D.
TRICARE.50. ÿÿA 35-year-old male is brought to the emergency department with memory
disturbance after being accidentally exposed to lead paint. What ICD-10-CM codes should be
assigned?A. T42.4X1A, R40.0B. T23.009A, R23.8C. T56.0X1A, R41.3D. T57.0X1A, R10.951.
ÿÿHealth care practitioners who submit fraudulent bills to increase reimbursement mayA.
be listed in the Coding Directory of Fraudulent Billing published annually by the
Department of Health and Human Services.B. be reported to the Office of the Attorney
General.C. be blacklisted according to geographic location.D. face financial penalties or, in
some cases, imprisonment.52. ÿÿA patient comes to the ambulatory surgery center for a
fusion of the cervical spine. Prior to the beginning of the surgery, the patient suffers an
allergic reaction to the anesthesia shortly after it’s administered. Because of this reaction,
the surgery is not performed. What code would be assigned as the first-listed diagnosis?A.
The anesthesia administrationB. The allergy codeC. The reason that the surgery was
scheduled to be performedD. The observation code53. ÿÿThe root word ENTER/O meansA.
secretion.B. intestine.C. stomach.D. tooth.54. ÿÿWhen coding burns, coders shouldA. assign
separate codes for each burn site.B. assign the code for chronic burns.C. classify all burns as
acute burns.D. assign the code for third-degree burns.55. ÿÿWhich of the following forms is
used to bill outpatient charges?A. CMS-1500 or UCF-1500.B. AMA-14 or UCF-1250C. HCFA-
1400 or CMS-1540D. HCFA-1350 or CMS-65056. ÿÿA significant, separately identifiable E/M
service performed by the same physician in conjunction with another service performed on
the same day would be reported using what modifier?A. -TCB. -47C. -90D. -2557. ÿÿWhich
of the following modifiers would be assigned for a moribund patient?A. P5B. P1C. P4D.
P358. ÿÿTaking certain steps to protect PHI from being accidentally released to individuals
who don’t need to know the information is called theA. minimum necessary standard.B.
information provision standard.C. privacy management statute.D. health information
guardianship guideline.59. ÿÿCodes for plastic repair of the perineum are found in which
code range?A. 57000?57426B. 57000?57010C. 57150?57180D. 56800?5681060. ÿÿA coder
overhears a confidential statement made outside of the court, and then, when called to
testify, repeats the statement as being truth. This is an example ofA. speculation.B.
hearsay.C. a direct quote.D. cross-examination.61. ÿÿA nurse sustains an accidental needle
pinprick to the right third finger while administering an injection. If an employee has an
occupational exposure, what must happen?A. An in-service meeting should be held for all
employees who may potentially be exposed to the same occupational hazard.B. The
employee should contact the proper authorities.C. Hospital administrators must maintain
the nurse’s medical record for the remainder of her employment plus an additional 30

5. years.D. The guidelines for OSHA should be included in the employment file.62. ÿÿAnother
name for third-party contractors who have access to medical information isA. healthcare
vendors.B. insurance administrators.C. covered entities.D. business associates.63. ÿÿA
patient receives two venous pressure clamps for hemodialysis. What HCPCS Level II code is
assigned?A. A4751B. A4918 ? 2C. A4751 ? 2D. A491864. ÿÿThe anatomical location of the
calyx is theA. arm.B. kidney.C. spine.D. brain.65. ÿÿA patient comes to the clinic complaining
of ongoing headaches. The headaches began one week prior and have persisted ever since.
A lumbar spinal tap is performed to pinpoint the source of the patient’s headaches. What
CPT and ICD-10-CM codes are assigned?A. 62270, G74.3B. 62270, G44.1C. 62141, G46.8D.
62272, G46.966. ÿÿA coder assigns a HCPCS Level II code to a patient’s medical record. The
code description reads as follows: Enteral feeding supply kit; syringe fed, per day, includes
but not limited to feeding/flushing syringe, administration set tubing, dressings, tape. Based
on this description, which HCPCS Level II code was assigned?A. B4278B. B4125C. B4072D.
B403467. ÿÿTo conform to the HIPAA Privacy Rule, which of the following safeguards must
be maintained in health care facilities?A. ICD-7 provisional safeguardsB. Immunization and
injection safeguardsC. Reasonable administrative, technical, and physical safeguardsD.
Hazardous waste protection safeguards68. ÿÿA patient receives a blood glucose monitor.
What HCPCS Level II code would be assigned?A. E0976B. E0562C. E4752D. E060769.
ÿÿAlternative dispute resolution (ADR) allowsA. lawyer-to-lawyer mediation during trial
recess.B. mediating disputes with a judge in the presence of the bailiff.C. resolving medical
malpractice suits by submitting pretrial depositions.D. litigants to resolve disputes prior to
or after the start of litigation.70. ÿÿA 65-year-old patient is admitted to the hospital for 48
hours to receive treatment from her physician. This patient would be covered underA.
Medicare Part B.B. Medicare Part A.C. Medicare Part D.D. Medicare Part C.71. ÿÿAnother
term for disease evolution isA. remission.B. pathogenesis.C. morphology.D. exacerbation.72.
ÿÿIn relation to HIPAA regulations regarding the manner in which information can be
disclosed, which of the following statements is true?A. Protected health information must be
disclosed only when the patient is unable to testify in a court proceeding.B. Protected health
information may never be disclosed.C. Protected health information may be disclosed in a
judicial or administrative proceeding if the request is made through an order from a court
or administrative tribunal.D. Protected health information may be disclosed only within a
deposition.73. ÿÿThe gatekeeper concept refers to the operation ofA. ambulatory payment
surgery centers.B. prospective payment organizations.C. retrospective payment
organizations.D. health maintenance organizations.74. ÿÿWhich of the following procedures
would be performed to treat prostate cancer?A. Transurethral resection of the prostate
(TURP)B. MeniscectomyC. VasoconstrictionD. Arthroscopy75. ÿÿWhat diagnosis code would
be assigned for a patient diagnosed with Type 2 diabetes mellitus with diabetic
nephropathy?A. E11.21B. E11.01C. E11.22D. E11.976. ÿÿAnother name for Medicare
Advantage isA. Medicare Part A.B. Medicare Part C.C. Medicare Part B.D. Medicare Part D.77.
ÿÿThe codes for pacemakers and implantable defibrillators would be found in what section
of CPT?A. 33200?33205B. 33437?33537C. 33202?33273D. 33533?3379978. ÿÿA patient
comes to the emergency room complaining of abdominal pain. She was previously
diagnosed with type I diabetes. She also complains of watery eyes, congestion, pressure in

6. the sinuses, and difficulty breathing. Her final diagnoses are right lower quadrant
abdominal pain, type I diabetes, acute sinusitis, and asthma. What CPT and ICD-10-CM
codes are assigned?A. 99222, R18.91, E16.9, J01.91, J45.919B. 99221, R17.41, E17.9, J01.90,
J45.909C. 99223, R14.31, E15.9, J01.90, J45.929D. 99221, R10.31, E10.9, J01.90, J45.90979.
ÿÿWhat is considered to be protected health information (PHI)?A. Any health information
that can identify the individual to whom it refersB. Records pertaining to ancestryC.
Statistical data compiled for research purposes onlyD. Census data80. ÿÿIn what CPT code
range is Surgical Pathology found?A. 88515?88598B. 88300?88309C. 88400?80499D.
88000?8029981. ÿÿThe federal law that requires a patient’s written consent prior to
disclosure of certain medical information by government agencies is called theA. Health
Care Amendment of 1976.B. Privacy Act of 1974.C. Health Information Law of 2002.D.
Medical Consent Act of 1965.82. ÿÿData stored in a health care facility mustA. be organized
in accordance with state standards for electronic data interchange.B. adhere to OIG policies
and procedures.C. conform to the physician’s expectations for data storage.D. comply with
HIPAA rules and must be maintained securely.83. ÿÿUnder HIPAA, health care facilities
mustA. maintain a clean, safe working environment.B. choose a privacy officer in
accordance with HIPAA policies and procedures.C. keep records of patients who refill
prescriptions more than once within a three-month timeframe.D. follow up with patients
who repeatedly miss scheduled appointments for mandatory services.84. ÿÿWhat CPT code
would be assigned for a colpocentesis?A. 57135B. 57859C. 57600D. 5702085. ÿÿA patient is
prescribed a medication that narrows the blood vessels and raises her blood pressure. The
medication is most likely aA. tranquilizer.B. vasoconstrictor.C. cardiotonic.D. cardiogenic.86.
ÿÿIf patients choose to obtain copies of their medical records, under the terms of HIPAA,
providers canA. complete employee paperwork.B. charge a reasonable fee for providing
copies of those records.C. reschedule office visits to allow time to update medical records.D.
also fulfill requests for prescription data.87. ÿÿAccording to the CMS National Physician Fee
Schedule, what is the conversion factor for basic life mileage?A. $34.5741B. $32.4726C.
$28.8457D. $36.066688. ÿÿAccording to HIPAA, a patient’s information may be released
forA. determining premiums based on a patient’s past medical history.B. paternity testing.C.
research.D. transferring electronic medical records to remote locations.89. ÿÿA patient
comes to the clinic complaining of fever, diarrhea, nausea, and vomiting. The patient is
diagnosed with salmonella meningitis. What ICD-10-CM code would be assigned?A.
A07.21B. A02.21C. A05.26D. A23.2490. ÿÿWhich of the following anatomical locations
would contain the diaphysis?A. MetatarsalB. TibiaC. SeptumD. Diaphragm91. ÿÿA patient
comes to the clinic complaining of nausea, vomiting, fever, dizziness, and intermittent
confusion. The physician conducts a detailed history and examination and reviews the
patient’s lab results. The patient is diagnosed with pyelonephritis and is scheduled for an
ultrasound to review the state of the kidneys and other organs. What CPT and ICD-10-CM
codes are assigned?A. 76775-TC, N15B. 71010-26, B12C. 76775-26, N10D. 73256-TC,
M1192. ÿÿA female patient is diagnosed with breast cancer of the lower-inner quadrant of
the right breast. The patient undergoes a modified radical mastectomy of the right breast in
an attempt to circumvent the spread of the cancer to any secondary anatomical sites. The
procedure was performed in three stages. In addition to the radical mastectomy, the

7. physician also performed a right breast biopsy to treat the breast tumor in the lower-inner
quadrant. What ICD-10-CM and CPT codes are assigned?A. 15852-58, Z48.01B. 19307-58-
RT, 19101-59-RT, C50.311C. 19307-RT, 19101-RT, C50.211D. 11602, 15240, C50.31293.
ÿÿThe concept of confidentiality can be substantiated based on the right ofA. easement.B.
constitutionality.C. totality.D. privacy.94. ÿÿThe abbreviation INH indicates what route of
drug administration?A. Inhaled and intrathecal administrationB. Intrathecal injectionC.
Inhalant solutionD. Inhaled and intravenous administration95. ÿÿA patient is seen in the
physician’s office after the results of an earlier mammogram demonstrated
microcalcification in the right breast as well as a breast lesion. The lesion is excised using
needle localization. The patient’s final diagnosis is fibrosclerosis of the right breast. What
CPT and ICD-10-CM codes are assigned?A. 19123-RT, H16.11B. 19126-LT, M25.1C. 19125-
RT, N60.31D. 19120-RT, L10.1196. ÿÿWhat is the code description for 65101-LT?A.
Removal of ocular implant performed laterallyB. Biopsy of cornea performed on the lower
third of the corneaC. Enucleation of eye, without implant, performed on the left side of the
bodyD. Fine needle aspiration of orbital contents on the left third of the orbit97. ÿÿThe
foramen ovale is found in which anatomical location?A. FibulaB. HeartC. LiverD.
Pancreas98. ÿÿDuring a routine examination, a patient indicates that she is taking an
antihypertensive medication that causes her kidneys to excrete more urine. These
antihypertensive medications are calledA. calcium-channel blockers.B. anticoagulants.C.
diuretics.D. beta blockers.99. ÿÿCode range 99231?99233 pertains toA. initial hospital
care.B. hospital discharge services.C. consultation services.D. subsequent hospital care.100.
ÿÿA 7-year-old patient is seen in follow-up after an earlier diagnosis of excessive daytime
sleepiness. The physician obtains a sleep study and then reviews and interprets the results.
What CPT and ICD-10-CM codes are assigned?A. 95810-26, R40.0B. 95811-TC, J14.0C.
95815-TC, G45.0D. 95812-26, H40.0101. ÿÿIf a physician provides preoperative
management only to a patient prior to surgery, which modifier would be added to the
surgery code?A. -56B. -44C. -32D. -91102. ÿÿThe HIPAA Privacy Rule indicates thatA.
restrictions on information disclosure exist only for patients with life-threatening
illnesses.B. the level of information disclosure permitted is based on the nature of the
procedure.C. practitioners should disclose only the minimum amount of health information
necessary for the purpose of the disclosure.D. physicians may release medical information
at their own discretion.103. ÿÿThe atrioventricular (tricuspid) valve is located in theA.
fibula.B. lung.C. heart.D. brain.104. ÿÿA physician is analyzing specific organs in a particular
region of the patient’s body. In her notes, she refers to the transverse or cross-sectional
plane, which divides the bodyA. horizontally.B. vertically.C. inferiorly.D. bilaterally.105. ÿÿA
health care practitioner who knowingly submits false statements to obtain federal health
care reimbursement is guilty ofA. Medicare fraud.B. DHS claim misrepresentation.C. Health
Insurance Privacy and Portability misuse.D. Medicaid omission.106. ÿÿAccording to the
guidelines for medical records outlined in the Health Insurance Portability and
Accountability Act (HIPAA), patientsA. have the right to have errors reviewed by a hospital
administrator.B. do not have the right to have errors corrected, as the data has been
previously verified by the physician.C. have the right to have errors in their medical records
corrected.D. have the right to correct errors in identification data only.107. ÿÿThe Health

8. Insurance Portability and Accountability Act (HIPAA) standards were developed toA. ensure
that coders could easily access each medical record.B. determine the structure of insurance
carrier payments for health care practitioners.C. protect patient confidentiality when health
information is transferred electronically.D. define XLTM standards for health records
management.108. ÿÿA coder would assign modifier -53 to reportA. procedures cancelled
due to the patient’s condition.B. anesthesia administration.C. dental procedures.D. repeat
procedures.109. ÿÿA patient is diagnosed with breast cancer and undergoes a partial
mastectomy. What CPT code would be assigned?A. 19305B. 19301C. 19304D. 19307110.
ÿÿWhich of the following anesthesia modifiers indicates a normal, healthy patient?A. P1B.
P4C. P3D. P2111. ÿÿA coder searching for codes pertaining to tissue expanders would find
them in what section of CPT?A. 16200?16799B. 12000?12300C. 11960?11971D.
15000?15999112. ÿÿA patient comes to the emergency room complaining of abdominal
pain, nausea, and intractable vomiting. Unable to pinpoint the source of the patient’s
complaints, the physician decides to admit the patient to the hospital. After conducting a
complete history and examination, the patient’s final diagnosis is determined to be chronic
duodenal ulcer. The patient remains hospitalized for three days. The physician sees the
patient on the day of discharge. What ICD-10 and CPT codes are assigned?A. 99223, I48.91B.
99238, K26.7C. 99234, N17.9D. 99291, D63.1113. ÿÿWhat is the code for excision of
Meckel’s diverticulum?A. 44820B. 44700C. 44800D. 44850114. ÿÿThe Health Insurance
Portability and Accountability Act (HIPAA) was created for the purpose ofA. modifying legal
and ethical issues surrounding medical records retention.B. stabilizing administrative costs
and productivity.C. decreasing employee turnover and reducing the volume of new hire
paperwork.D. streamlining claims processing and reducing paperwork through electronic
transmission.115. ÿÿThe voluntary program that’s financed through a combination of
payments from general federal revenues and premiums paid by beneficiaries who elect to
participate is calledA. CHAMPVA.B. Medicare Part B.C. Medicaid.D. TRICARE.116. ÿÿThe I-10
helps coders classify patientA. management information.B. morbidity and mortality.C.
evaluation files.D. reimbursement data.117. ÿÿA patient recently became eligible for health
insurance through her employer. Her health insurance is considered to be an 80-20 policy.
Under the terms of an 80-20 policy, the insurer pays 80 percent and the insured pays 20
percent of expenses. This 80-20 policy is an example ofA. coinsurance.B. capitation.C.
prospective payment.D. case management.118. ÿÿPerforming a daily check for viruses and
malware is one of theA. requirements of the Help Desk.B. routine aspects of software
maintenance.C. sensible guidelines for Internet use in health care facilities.D. functions of
HIM encoders.119. ÿÿBones inside the nose are calledA. septal mucosa.B. maxillae.C.
turbinates.D. ethmoids.120. ÿÿA group of doctors who belong to the same network and
provide discounted services to enrollees is called a/anA. Managed Care Organization
(MCO).B. Individual Practice Association (IPA).C. Health Maintenance Organization
(HMO).D. Preferred Provider Organization (PPO).121. ÿÿA female patient is seen for her
annual gynecological examination. During the examination, the physician performs a test to
detect cervical cancer. This test is called a/anA. Pap smear.B. carcinoembryonic antigen
test.C. mycobacterial culture.D. immunoassay test.122. ÿÿBusinesses that provide services,
like administration, to individual physicians are calledA. integrated provider

9. organizations.B. medical foundations.C. management services organizations.D. physician-
hospital organizations123. ÿÿWhat is the full code description for 33536?A. Repair of
double outlet right ventricle with intraventricular tunnel repairB. Repair of postinfarction
ventricular septal defect, with or without myocardial resectionC. Closure of atrioventricular
valve (mitral or tricuspid) by suture or patchD. Coronary artery bypass, using arterial
graft(s); 4 or more coronary arterial grafts124. ÿÿThe CPT code for thrombolysis isA.
93000.B. 92920.C. 93797.D. 92975.125. ÿÿWhich of the following statements is true of the
Affordable Care Act?A. It offers parents supplementary coverage for dependents with
chronic illness.B. It makes it mandatory for patients to carry health insurance.C. It includes a
provision for military service members who served in Afghanistan.D. It requires health care
facilities to maintain health records for at least 10 years.126. ÿÿA qualifying circumstance
indicates aA. situation that makes anesthesia administration more difficult.B. condition that
reduces the average recovery time for a particular type of surgery.C. situation that may
extend a patient’s length of stay in the hospital setting.D. condition that impacts the
outcome of surgery.127. ÿÿThe portion of health insurance that an insured pays before he
or she is entitled to receive benefits from an insurance plan is called theA. capitation.B.
OPPS reimbursement.C. coinsurance.D. deductible.128. ÿÿA good compliance program in
the health care setting includesA. regular audit consultations with trustees of the AAPC.B.
HHS surveillance.C. meetings with compliance officers.D. regular tracking and monitoring of
coding activities.129. ÿÿA 55-year-old patient was injured while working as a carpenter on a
construction site. While framing the roof of a two-story house, he fell and hit his head. He
was diagnosed with a concussion to the left side of his head, and underwent a right frontal
parietal craniotomy with removal of a subdural hematoma. During the patient’s period of
recovery, he was given a medication that resulted in a rash on his abdomen. The physician
conducted an expanded problem focused history and exam, with straightforward medical
decision making. What CPT code(s) should be assigned?A. 99253B. 99252C. 99292, 99291D.
99251130. ÿÿDuring a routine examination, a male patient is diagnosed with an elevated
PSA. The physician performs a biopsy of the prostate with a rectal ultrasound to pinpoint
the source of the problem. Which CPT and ICD-10-CM codes would be assigned?A. 55720,
74000-26, R97.3B. 55700, 76872-26, R97.2C. 55734, 73200-26, R97.2D. 55725, 76000-26,
R93.6131. ÿÿWhen is code 58120 assigned?A. The code is assigned for a patient undergoing
dilatation and curettage.B. The code has been deleted and cannot be assigned.C. The code is
assigned for permanent pacemaker insertion.D. The code is assigned as an add-on code.132.
ÿÿA patient is seen for 167 minutes of critical care. What CPT codes would be assigned?A.
99291, 99292 ? 4B. 99291, 99292 ? 2C. 99291, 99292 ? 3D. 99291, 99292 ? 5133. ÿÿThe
prefix endo- meansA. outside of.B. within.C. beneath.D. adjacent to.134. ÿÿA patient comes
to the emergency room after having dinner at a restaurant, where she began to experience
chest tightness during the meal. She is seen for a cardiology consultation in the out Do you
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