course material

1. Advanced Coding: Integumentary/Cardiovascular/Sensory
Please answer all questions CORRECTLY, and return back to me. 1. A 38-year-old patient is
admitted to the hospital due to a lesion in her right breast, and a painful lump and nipple
discharge from the left breast. The physician places a percutaneous needle localization
device in the right breast under ultrasound guidance, excises the right breast lesion, and
then excises the lactiferous duct fistula in the left breast. What CPT codes should be
assigned? A. 19129-RT, 19284-RT, 19122-LT B. 19125-RT, 19285-RT, 19112-LT C.
19127-RT, 19283-RT, 19132-LT D. 19122-RT, 19275-RT, 19142-LT 2. A 92-year-old
female patient experiences difficulty hearing in her left ear. She is prescribed a BICROS
hearing aid that she can wear behind the ear. What HCPCS code is assigned? A. V5250 B.
V5320 C. V5220 D. V5240 3. A 57-year-old patient is admitted to the hospital for a hip
arthroscopy procedure. The patient is a normal healthy patient with no systemic disease.
What CPT code should be assigned? A. 01612-P1 B. 01402-P1 C. 01202-P1 D. 01312-
P1 4. An 80-year-old patient is admitted to the hospital with congestive heart failure. What
ICD-10-CM code should be assigned? A. K15.0 B. L50.5 C. K52.9 D. I50.9 5. A 44-year-
old female patient comes to the hospital for removal of a 4 cm malignant lesion from the
arm. During the course of the procedure, the patient undergoes a 14 sq. cm adjacent tissue
transfer from the right leg, as well as a 20 sq. cm split-thickness skin graft from the left arm.
What CPT codes are assigned? A. 14021, 15100-51 B. 14045, 15400 C. 14032, 15207 D.
14044, 15350 6. A patient has a breast localization device placed through the skin using
stereotactic guidance in order to treat two lesions. What codes would be assigned? A.
19285, 19286 B. 19287, 19288 C. 19283, 19284 D. 19296, 19297 7. A 19-year-old
patient is diagnosed with acne vulgaris. The physician performs laser dermabrasion of the
facial skin. What codes are assigned? A. L50.5, 0HB1XZZ B. L70.0, 0HD1XZZ C. L70.5,
0HA1XZZ D. L70.6, 0HQ1XZZ 8. Implantation of a patient-activated cardiac event
recorder is assigned to code A. 33286. B. 33282. C. 33285. D. 33284. 9. A 27-year-old
patient is diagnosed with a chalazion on the upper left eyelid, which is excised using an
external approach. What ICD-10 diagnosis and procedure codes are assigned? A. H04.16,
08BQXZZ B. H02.14, 08BTXZZ C. H00.14, 08BPXZZ D. H07.19, 08BRXZZ 10. A 77-year-
old patient is diagnosed with an ear infection. She receives an injection of 40 mg of
gentamicin sulfate. What HCPCS code should be assigned? A. J1452 B. J1472 C. J1675 D.
J1580 11. A patient undergoes a transcanal labyrinthectomy. What code would be
assigned? A. 69930 B. 69915 C. 69955 D. 69905 12. A 92-year-old patient is diagnosed
with senile cataracts and bilateral sensorineural hearing loss. The physician performs a

2. bilateral cataract extraction. What ICD-10 codes are reported? A. H27.9, H90.3, 08KJ3ZZ,
08MK3ZZ B. H26.9, H90.3, 08EJ3ZZ, 08LK3ZZ C. H25.9, H90.3, 08DJ3ZZ, 08DK3ZZ D.
H21.9, H90.3, 08PJ3ZZ, 08NK3ZZ 13. Mr. Oliver is an elderly gentleman who has been
having problems with his vision for the previous three weeks. He is diagnosed with
keratoconus, as well as hypertension with stage III chronic kidney disease, and diabetes
mellitus, for which he takes long-term insulin. The anesthesiologist provided general
anesthesia for this patient with severe systemic disease. After the administration of
anesthesia, the surgeon performs an endothelial keratoplasty. Prior to performing the
endothelial keratoplasty, the surgeon performs backbench preparation of the allograft. Code
this scenario (including the anesthesiology service). A. 65756, 65757, 00144-P3; H18.609,
E11.65, R46.89, Z79.4 B. 65754, 65727, 00134-P1; H18.609, E11.40, I12.9, N18.4,
Z79.899 C. 65756, 65757, 00144-P3; H18.609, E11.9, I12.9, N18.3, Z79.4 D. 65757, 65787,
00142-P2; H18.229, E11.51, I12.0, N18.9 14. A 47-year-old female patient is seen for a
worrisome lesion on the back of her hand. What ICD-10-CM code should be assigned? A.
L94.9 B. L98.9 C. L91.5 D. L97.4 15. Breast reconstruction with transverse rectus with a
TRAM flap would be assigned to code A. 19370. B. 19342. C. 19369. D. 19316. 16. Ms.
Nelson comes to the emergency room due to sustaining multiple lacerations after being
pushed into a glass door during a physical altercation with her husband at a hotel. She
sustained a 5 cm laceration on her right hand and a 7 cm cut on her neck. She also has a 5.0
benign lesion removed from her left arm. The physician performs a simple repair on the
lacerations on her hand and neck. Code this scenario. A. 11443, 12008-59; S61.209A,
S31.652A, Y04.0XXA, W45.8XXA, V97.29XA B. 11422, 12007-59; S51.809A, S61.351A,
W86.8XXA, Y04.0XXA C. 11409, 12005-59; S58.119A, S11.22XA, X19.XXXA, V95.13XA D.
11406, 12004-59; S61.401A, S11.90XA, Y04.0XXA, W45.8XXA, Y92.29 17. Biopsy of the
lacrimal gland is assigned to code A. 68520. B. 68811. C. 68815. D. 68510. 18. A patient
comes to the emergency room complaining of lightheadedness and difficulty hearing. The
physician examines her and determines that she has Ménière’s disease. The physician
performs an endolymphatic sac decompression (excision of the right inner ear using an
open approach). What ICD-10 diagnosis and procedure codes are assigned? A. H81.03,
09BF0ZZ B. H83.03, 09BK0ZZ C. H81.03, 09BD0ZZ D. H82.03, 09BG0ZZ 19. A physician
performs a biopsy of the cornea. What code should be assigned? A. 65420 B. 65410 C.
65419 D. 65415 20. Injection of contrast medium for dacryocystography is assigned to
code A. 68853. B. 68854. C. 68850. D. 68851.