Question 1
How would you bill for a DEXA scan performed on the hips, pelvis, and spine?
A. 77080
B. 77080 x 3 units
C. 77080, 770080-59, 77080-59
D. 77081
Question 2
How would you bill for a DEXA scan of the wrist and a DEXA scan of the hips with an included vertebral fracture assessment on the same visit?
A. 77080, 77081, 77085
B. 77081, 77085-59
C. 77080, 77081, 77086
D. 77081, 77086
Question 3
A patient has a suspicious lesion of the left jaw line. Clinical diagnosis of this lesion is unknown, but due to the appearance, malignancy is a realistic concern. The lesion is excised into the subcutaneous fat measuring 0.8 cm and margins of 0.1 cm on each side. Hemostasis is achieved using light pressure. The wound is closed in layers using 5.0 Monocryl and 6.0 Prolene. Pathology revealed a nevus with clear margins. What CPT® and ICD-10-CM codes are reported?
A. 13131, 11441-51, C44.309
B. 13131, 11441-51, D49.2
C. 12051, 11441-51, D22.39
D. 12051, 11641-51, D22.39
Question 4
A patient presents to the physician for removal of a squamous cell carcinoma of the right cheek. After the area is prepped and draped in a sterile fashion, the surgeon measures the lesion and documents the size of the lesion as 2.3 cm at its largest diameter. Additionally, the physician takes margins of 2 mm on each side of the lesion. Single layer closure is performed. What CPT code(s) is/are reported?
A. 11642, 12013
B. 11643
C. 11643, 12013
D. 11442
Question 5
If the documentation does not make it clear why a cutaneous lesion found to be benign by pathology was excised as a malignant lesion by the surgeon, how should you code the service?
A. The service cannot be coded
B. 2xxxx
C. 114xx
D. 116xx
Question 6
An RBT sees a patient from 1 pm to 3 pm and the BCBA observes the RBT and makes modifications to the protocol during their observation. The documented clocked time for the BCBA is 1:30 pm to 2:30 pm. Based on the fact that a payer does not allow concurrent billing for ABA therapy, how would this scenario be coded?
A. 97153 x 4 and 97155 x 4
B. 97153 x 8 and 97155 x 4
C. 97153 x 8 and 97155 x 8
D. 97155 x 4
Question 7
What CPT code should be reported for administering allergy shots that were prepared by a physician and given to the patient who will receive two injections every week at another healthcare facility?
A. 95115
B. 95117
C. 95117 x 2
D. 96372
Question 8
What is the base procedure code when the procedure performed is a diagnostic sigmoidoscopy with biopsy and control of bleeding?
A. 45330
B. 45331
C. 45332
D. 45334
Question 9
A patient comes in for administration of asparginase (J9020) for 92 minutes, vincristine (J9370) for 5 minutes, cytarabine (J9100) for 2 minutes, and fosaprepitant (J1453) for 35 minutes into the IV located in their arm. How is this infusion administration coded?
A. 96413, 96409, 96411, 96365
B. 96413, 96415, 96411, 96367
C. 96413, 96415, 96411 x 2, 96367
D. 96413, 96415, 96411, 96365
Question 10
What is the CDT code for a comprehensive oral dental evaluation?
A. D0120
B. D0140
C. D0150
D. D0160