AAPC CPB - Chapter 5 Review

Patient is seen for destruction of 2 skin lesions that were diagnosed as actinic keratosis (AK). Which of the following is the correct billing for removal of skin lesions?

a. 17000, 17003, 17004-59

b. 17000, 17003-51

c. 17000, 17003

d. 17004, 17003

c. 17000, 17003

Sally is a 45-year-old female, established patient seen for an annual gynecological exam. The physician performs a comprehensive history and a detailed exam. During the exam, a cervical polyp is seen, and the decision is made to remove the polyp with ring forceps. What code(s) are reported?

a. 99214, 57500

b. 99213-25, 57500

c. 57500

d. 99396-25, 57500

d. 99396-25, 57500

What is the CPT® code for an arthrocentesis wrist (intermediate joint)?

a. 20610

b. 20605

c. 20600

d. 20612

b. 20605

The patient is a 58 year-old white male, one month status post pneumonectomy. He had a post pneumonectomy empyema treated with a tunneled cuffed pleural catheter which has been draining the cavity for one month with clear drainage. He has had no evidence of a block or pleural fistula. Therefore, a planned return to surgery results in the removal of the catheter. The correct CPT® code is:

a. 32552-78

b. 32552-76

c. 32552-58

d. 32552-57

c. 32552-58

The patient is a 52-year-old man with a large right inguinal hernia. He is brought to the operating room to have it repaired for the first time. The hernia is reduced, and a mesh is placed over the area. What CPT® code(s) is (are) reported for the surgery?

a. 49505

b. 49505, 49568

c. 49520, 49568

d. 49520

a. 49505

An 18-year-old male is taken to the operating room to resolve a urethral stricture. A cystoscope was passed through the urethra and bladder and a series of urethral dilators up to 20 French were then placed, dilating the stricture. What CPT® code is used for this procedure?

a. 52281

b. 53600

c. 52260

d. 52341

a. 52281

What is the CPT® code for an X-ray of the humerus, 2 views?

a. 73592

b. 73060

c. 73050

d. 73030

b. 73060

What is the full CPT® code description for 00846?

a. Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; radical hysterectomy

b. Radical hysterectomy

c. Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified radical hysterectomy

d. Radical hysterectomy not otherwise specified

c. Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified radical hysterectomy

Colonoscopy performed only to 40 cm, because of the large diverticula and the inflammation seen around it. I did not want to go further. Of note; through one of the large diverticula, I could see some blood vessels and stranding of tissue. Which modifier is added to the procedure code for this case?

a. 51

b. 53

c. 52

d. 50

b. 53

A 68-year-old female with end-stage-renal disease is having a non-tunneled central venous catheter placed. Patient is placed under moderate conscious sedation and needle punctured the internal jugular vein in which a guide wire was inserted. A catheter was inserted over the guidewire and the final catheter tip resided in the superior vena-cava. The patient was monitored by nurse and the patient was under for 30 minutes. The codes reported are 36556, 99152, 99153. Are these codes reported correctly? If not, what code(s) are used for this procedure?

a. Yes, codes are reported correctly

b. No, codes reported are 36558, 99152, 99153

c. No, only code 36556 is reported

d. No, only code 36558 is reported

a. Yes, codes are reported correctly

What is the CPT® code for a diagnostic amniocentesis?

a. 59001

b. 59851

c. 59012

d. 59000

d. 59000

When a patient is seen for evaluation and the decision is made for a minor procedure that is performed on the same day, which modifier is appended to the claim to allow reimbursement for the E/M and the procedure?

a. Modifier 57

b. Modifier 59

c. Modifier 25

d. No modifier is necessary

c. Modifier 25

Codes for surgery include the performance of the surgery as well as:

a. Local anesthesia, including digital nerve blocks

b. Post-operative care for 90 days

c. Post-operative care provided for complications associated with the surgery

d. All E/M codes during the post-operative period.

a. Local anesthesia, including digital nerve blocks

A 68 year-old Medicare patient presented for an annual examination and had no complaints. Her claim, billed as 99387, was denied. Was this billed correctly? If not, what is needed to bill this encounter correctly?

a. This was billed correctly

b. G0101, Q0091

c. G0101-GA, Q0091-GA

d. It will depend on the documentation

d. It will depend on the documentation

A claim is submitted for an assistant surgeon. What modifier would NOT be used for an assistant surgeon?

a. Modifier 82

b. Modifier 80

c. Modifier AS

d. Modifier 62

d. Modifier 62

A 67 year-old female has CAD, atrial fibrillation, claudication and several chronic conditions that have been marginally controlled with medication. The doctor decided that the benefits outweigh the risks for her having a single vessel cardiopulmonary bypass using an arterial graft. Her medication Heparin had been stopped for several days. She was admitted in the hospital a day before the surgery. In the operating room, general anesthesia was administered. After the chest is opened the patient begins to hemorrhage and drops in blood pressure. The decision is made to stop the procedure and close the chest. How is this service coded?

a. 33533-52

b. 33533-53

c. 33533-78

d. Service is not coded due to not completing the procedure

b. 33533-53

The patient is a female with a long history of chronic intractable pain secondary to myofascial pain syndrome, scoliosis, and has four back surgeries. She also has piriformis muscle syndrome. The patient was injected with five trigger points using a total of 33 cc. of 0.25% Marcaine and 40 mg. The muscles injected were two muscles in her lumbar paraspinous and two muscles in her piriformis. Select the appropriate CPT® code(s) for the procedure?

a. 20610 x 5

b. 20553 x 5

c. 20552

d. 20553

d. 20553

Laparoscopic cholecystectomy is performed for a patient with RUQ pain and abnormal ultrasound. Which code is used for this procedure?

a. 47562

b. 47600

c. 47570

d. 47620

a. 47562

The patient is 15 weeks pregnant with twins and is coming back to her obstetrician to have a transabdominal ultrasound performed to reassess anatomic abnormalities of both fetuses that were previously demonstrated in the last ultrasound a week ago. The physician bills 76816, 76816-51. Is this correctly billed? If not, how is the ultrasound billed?

a. Yes, the codes are billed correctly

b. No, code 76816 is billed one time

c. No, code 76815 is billed one time

d. No, it is billed 76816, 76816-59

d. No, it is billed 76816, 76816-59

A 23 year-old with her first pregnancy at 39 weeks and 3 days is presenting for a low transverse cesarean section. Healthy baby boy was delivered with no problems. What delivery code and diagnosis code are billed for this delivery?

a. 59620, Z37.0, Z3A.39

b. 59514, O32.2XX1, Z37.0, Z3A.39

c. 59430, O32.2XX1, Z37.0, Z3A.39

d. 59514, O32.2XX0, Z37.0, Z3A.39

d. 59514, O32.2XX0, Z37.0, Z3A.39

Claim is denied for a hernia repair for a 4-year-old male billed with 49585. Is this code correct? If not, what is the reason for the denial?

a. The code reported is correct

b. The hernia was recurrent

c. CPT® code 49585 is used for greater than age 5

d. CPT® code 49587 is used

c. CPT® code 49585 is used for greater than age 5

A claim is reported for bilateral knee injections with Kenalog 40 mg per joint with CPT® codes 20610, 20610. Is this correct and if not, how is it coded?

a. Yes, coding is correct

b. 20610

c. 20610, 20610-50

d. 20610-50

d. 20610-50

What is the CPT® code for a diagnostic laryngoscopy?

a. 31505

b. 31510

c. 31526

d. 31520

a. 31505

A commercial insurance claim was filed and denied using 99213 with M25.519 for DOS 9/12. The patient had an arthroscopy of the left knee on 8/16 (90 day global surgery) that is unrelated to the visit on 9/12. What error is identified for the claim for DOS 9/12?

a. This E/M is not a billable service and should not be reported

b. Modifier 24 is appended to identify this as not related to the surgery

c. Modifier 25 is appended to identify this as separately identified

d. No modifier is required and contact is made with the payer to review the claim

b. Modifier 24 is appended to identify this as not related to the surgery

An AP and lateral chest films were performed on a patient with X-ray equipment owned by his physician in the office to rule out right pleural effusion. The physician interprets the chest films and documents the finding in the patient's chart. The physician bills 71046 for the X-ray. Is this billed correctly? If not, what is billed?

a. Yes, the physician reports the code correctly

b. No, the physician needs to report 71046-26

c. No, the physician needs to report 71046-TC

d. No, the physician needs to report 71046-26-TC

a. Yes, the physician reports the code correctly