1. A surgical pathology, gross and microscopic examination was performed for a colorectal polyp by a CLIA waived lab. How is this coded?
A. 88305
B. 88305QW
C. 88307
D. 88307QW
Read also: When to use CPT code 88305 by medical coders
2. Which illness is not a type of leukemia?
A. BCC
B. AML
C. CML
D. ALL
3. Which statement is correct for coding claims with dates of service on or after Oct. 1, 2023?
A. R40.20, Unspecified coma, should be assigned when the underlying cause of the coma is not known.
B. R40.20, Unspecified coma, may be assigned in conjunction with a code for any medical condition.
C. R40.20, Unspecified coma, may be assigned for a patient with a medically induced coma or a sedated patient.
D. R40.20, Unspecified coma, should not be assigned when the underlying cause of the coma is a traumatic brain injury and the coma scale is not documented in the medical record.
4. On or after Oct. 1, 2023, how should a diagnosis of small intestinal bacterial overgrowth be coded?
A. A04.9
B. K63.8
C. K63.822
D. K63.8219
5. What change was made to CPT code 99417 in 2023?
A. The description was unchanged.
B. The description was limited to include only office visits.
C. The description was expanded to include other outpatient E/M services beyond office visits.
D. The code was deleted.
6. What POA indicator would be assigned if the patient has a history of chronic systolic congestive heart failure and developed an exacerbation on day two in the hospitalization?
A. N
B. Y
C. N and Y
D. U
7. A patient has acute-on-chronic systolic CHF. The patient also has HTN and CKD stage 4. What is the proper sequencing for these conditions?
A. CHF, CKD, HTN
B. HTN, CHF, CKD
C. CKD, CHF, HTN
D. HTN, CKD, CHF
8. A patient presents to the ED on Aug. 1, 2023, with a head injury. He was riding his e-bike on a trail when he collided with a deer. How should you code the encounter?
A. V20.01
B. V20.1
C. V20.21
D. V20.51
9. A patient presents to your radiology practice with lower back pain. The radiologist captures AP, PA, lateral, and oblique views. How is this coded?
A. 71046
B. 72110
C. 72114
D. 72120
10. A surgeon performs a neuroplasty of the median nerve at the carpal tunnel and an open release of the transverse carpal ligament on the patient’s right wrist. How do you code this outpatient procedure?
A. 29848, G56.01
B. 64721-RT, G56.01
C. 64721, 29848, G56.00
D. 64721-RT, 64727-RT, G56.01
11. The physician performs internal neurolysis using an operating microscope during a carpal tunnel release at the median nerve using an open approach. How is this coded?
A. 64727
B. 69990
C. 64721-22
D. 64632
12. A provider spends 15 minutes with an established Medicare patient performing an annual wellness exam. During the same visit, the provider spends another 15 minutes discussing advance care planning with the patient. How do you code the visit?
A. G0438, 99497-33
B. G0439
C. 99497
D. G0439, 99497
13. Per Medicare Part B rules, which modifier should you use when the dose of a drug administered is less than the billing unit of service?
A. Modifier JW
B. Modifier JZ
C. Modifier ZA
D. No modifier is required
14. A patient has a cardiac arrest out of the hospital. CPR is performed for 12 minutes, and the patient is brought to the emergency room intubated and unresponsive. The patient is hypotensive and started on pressors, and cardiogenic shock is documented. The patient expires later the same day. How is this coded in ICD-10-CM?
A. R57.0
B. I46.9
C. I46.9, R57.0
D. None of the above
15. What modifier is used on the E/M code when an unplanned diagnostic minor procedure is performed during the office visit in order to receive payment for both services?
A. 25
B. 57
C. 59
D. None of the above
16. Which of the following CPT codes is used for continuous glucose monitoring by physician-provided equipment?
A. 95249
B. 95250
C. 95251
D. B and C
17. When coding hernia repair, total size is required to report the repair accurately, making which of the following statements true?
A. The hernia measurement needs to be determined as soon as the patient is opened.
B. If documentation concerning hernia size is vague, query the provider.
C. If there are multiple non-contiguous hernia defects separated by greater than or equal to 10 cm of intact tissue, the defect size is the size of the largest individual hernia.
D. None of the above.
18. Which of the following preventive services is not payable by Medicare when conducted via telehealth?
A. Depression screening
B. Diabetes screening
C. Medical nutrition therapy
D. . Annual wellness visit