Exam Questions for CPT Name Directions: Use the appropriate coding manual to determine the correct choice for each situation. 1. Patient underwent nerve grafting of the right foot, 3 cm. 64885 64890 64891 64901 2. Patient underwent thyroidectomy for removal of remaining thyroid tissue after previous right lobectomy for suspected malignancy. 60225 60240 60260 60270 3. Established nursing facility resident was seen for annual assessment. 99201 99310 99318 99336 4. An 81-year-old patient receives anesthesia prior to undergoing cardioversion for persistent arrhythmia. Include physical status modifier with code. 00400-P2 + 99100 00410-P2 00410-P2 + 99100 00410-P4 5. Surgeon performs a sphenoid sinusotomy for removal of polyps, including biopsy. 31020 31050 31051 31070 6. Physician performs a surgical biopsy of the right temporal artery. 37200 37605 37609 37799 7. A 67-year-old patient underwent contact laser vaporization of the prostate. 52450 52601 52647 52648 8. Patient underwent total abdominal hysterectomy, sparing the tubes and ovaries. 58150 58152 58200 58210 9. Radiologist directs and interprets the placement of a long gastrostomy tube in a patient who is status post cerebrovascular accident. 43246-26 74340 74355 74363 10. Nursing home patient was admitted for management of pneumonia which is now resolved. The physician came by the facility to discharge the patient to home, spending 20 minutes with the patient and family. 99217 99238 99315 99339 Current Procedural Terminology 2007 American Medical Association. All Rights Reserved. 117
11. The physician conducted an initial office consultation for a 44-year-old patient, 6 years status post lumbar laminectomy, with intractable sciatic pain, depression, and history of narcotic dependency/abuse, high complexity. 99241 99243 99244 99245 12. A 16-year-old patient undergoes excision of an aneurysmal bone cyst of the proximal right humerus, with allograft. 23155 23156 23184 23220 13. A 15-year-old, otherwise healthy patient receives anesthesia for electroconvulsive therapy. Include physical status modifier with code. 00104-P1 00104-P2 00190-P1 00210-P1 14. Patient who is status post cochlear implant has visit for group rehabilitation, treatment of speech, and a processing disorder. 92506 92508 92520 92557 15. Healthcare employee receives first of three Hepatitis B vaccination, intramuscular injection. 90371 + 90772 90746 90746 + 90772 90740 + 90471 16. Patient underwent cervical conization with loop electrical excision of the transitional zone. 57460 57500 57520 57522 17. Patient underwent stereotactic biopsy of intracranial lesion under MR guidance. 61720 61750 61751 61770 18. Dr. Harris counsels a group of teenagers regarding sexually transmitted diseases and prevention. Session lasts 30 minutes. 99401 99402 99411 99411-21 19. Dr. Nuri examines an 18-year-old in the emergency department for recurrent, severe menstrual migraine headache. 99241 99281 99282 99284 20. Patient underwent in-office simple incision and drainage of a pilonidal cyst. 10060 10061 10080 10081 118 Current Procedural Terminology 2007 American Medical Association. All Rights Reserved.
21. Surgeon removes a Harrington rod in a patient with chronic irritation in the region of insertion. 22849 22850 22852 22899 22. Patient with congenital cleft palate underwent rhinoplasty with columellar lengthening, including the septum and tip. 30410 30430 30460 30462 23. Patient with suspected apnea underwent sleep study with recording of ventilation, respiratory effort, heart rate, and oxygen saturation. Technologist was in attendance. 95805 95806 95807 95811 24. Surgeon performed excision of pterygium with grafting, left eye. 65400 65420-LT 65426-LT 67800 25. The neonatologist was asked to be on standby for 35 minutes for cesarean delivery of baby in distress. 99360 99360-22 99436 99440 26. Physician performed complex repair of a 3.2 cm. scalp laceration. 13120 13120 + 13122 13121 13121 + 13122 27. A 65-year-old patient receives anesthesia for repair of inguinal hernia. The patient has controlled hypertension. Include physical status modifier with code. 00830-P1 00830-P2 00832-P1 00832-P2 28. The patient underwent creation of burr holes of the skull with evacuation of subdural hematoma. 61105 61140 61154 61156 29. Five-year-old patient, status post eardrum rupture, undergoes tympanic membrane repair with patch. 69433 69610 69620 69631 Current Procedural Terminology 2007 American Medical Association. All Rights Reserved. 119
30. David was scheduled to see Dr. Bronson for his six-month checkup and to have lab work done two weeks before his appointment on the 15th. As directed, the lab work was done on the first of the month. David called Dr. Bronson s office on the 3rd and talked to Dr. Bronson for 15 minutes about the tests. The doctor ordered two more tests done by the 5th so that the findings would be in the office for David's appointment on the 15th. What code would be reported for the service on the 3rd of the month? 99441 99442 99443 99444 31. Anesthesia was administered to patient for gastric bypass procedure performed due to patient s morbid obesity. Include physical status modifier with code. 00700-P3 00790-P2 00790-P3 00797-P3 32. Physician performed excision of inguinal hidradenitis with complex repair. 11450 11451 11462 11463 33. Patient was scheduled to undergo extensive internal and external hemorrhoidectomy with fistulectomy. Ten minutes prior to the start of the procedure, after anesthesia had been administered, the patient experienced a rapid decrease in heart rate and the physician canceled the procedure. 46260 46260-52 46260-53 46262-53 34. Patient underwent cystourethroscopy and laser ablation of two bladder tumors, each approximately 2.7 cm. in size. 52204 52214 52234 52235 35. Patient underwent excision of Peyronie plaque, 4.0 cm., with graft. 54060 54065 54110 54111 36. Hand specialist performs neuroplasty of the ulnar nerve of the left wrist. 64704-LT 64718-LT 64719-LT 64721-LT 37. Patient, age 15, is seen by his new doctor for a comprehensive physical examination and immunizations. Patient also has moderate acne on face and chest. 99394 99394-25 99384 99384-25 38. Patient underwent replantation of thumb after complete amputation from the distal tip to the MP joint. 20816 20822 20824 20827 120 Current Procedural Terminology 2007 American Medical Association. All Rights Reserved.
39. Patient underwent operative laryngoscopy for removal of chicken bone fragment. 31511 31525 31530 31531 40. Patient with history of hypertriglyceridemia but with normal cholesterol levels has triglyceride level determined. 82465 83718 84478 84485 41. Asthma patient receives initial evaluation and first IPPB treatment. 94640 94645 94660 94664 42. Dr. Ladwig performs an independent medical examination for patient Mr. Smith to determine Worker s Compensation impairment rating. 99450 99455 99456 99499 43. Patient receives anesthesia for extracorporeal shock wave lithotripsy with water bath. Patient has mild asthma. Include physical status modifier with code. 00872-P1 00872-P2 00873-P1 00873-P2 44. Patient underwent single-lung transplant with cardiopulmonary bypass employed during the procedure. 32851 32852 32853 32854 45. Patient with intestinal intussusception undergoes reduction through laparotomy approach. 44005 44020 44050 44055 46. Surgeon performs gastric bypass procedure for the patient s morbid obesity with small intestine reconstruction to limit absorption. 43842 43846 43847 43848 47. Ms. Jones was seen in an initial office orthopedic consultation for bilateral trochanteric bursitis; visit was considered problem-focused only. 99201 99241 99242 99251 48. Surgeon performs repair of abdominal aortic aneurysm, caused by high-grade atherosclerosis. 35001 35081 35082 35091 Current Procedural Terminology 2007 American Medical Association. All Rights Reserved. 121
49. Dr. Kelly successfully performs resuscitation for an infant suffering cardiac distress during delivery. 99432 99435 99436 99440 50. Patient underwent excision of 1.5 cm. malignant skin lesion of the left calf, as well as removal of Norplant contraceptive capsules. 11602 + 11976 11602 + 11976-51 11976 + 11602 11976 + 11602-51 51. Patient was seen in the office for trigger point injection involving the trapezius and latissimus muscle groups. 20551 20552 64415 64416 52. Patient underwent hepatic artery ligation with complex suture repair of a liver laceration following motor vehicle accident. 47350 47360 47360-51 47361 53. Hospital follow-up visit by Dr. Stephens to see a 59-year-old female patient, status post uncomplicated left hip fixation. 99221 99223 99231 99232 54. Family practitioner performed excision of a lipoma of the right forearm, 1.5 cm. in diameter. 11402 11402 + 12031 11422 11422 + 12031 55. Donor undergoes bone marrow harvesting for transplantation. 38220 38230 38240 38241 56. Patient underwent total gastrectomy with Roux-en-Y reconstruction for stomach carcinoma. 43620 43621 43631 43633 57. Surgeon performed a simple Burch urethropexy on 45-year-old, mentally underdeveloped female. 51800 51840 51841 51992 58. Newly diagnosed testicular cancer patient underwent radical orchiectomy with abdominal exploration via inguinal approach. 54520 54522 54530 54535 122 Current Procedural Terminology 2007 American Medical Association. All Rights Reserved.
59. Patient had reconstruction of the mandibular rami due to blunt trauma, undergoing C osteotomy with bone graft. 21188 21193 21194 21195 60. Patient underwent bilateral cerebral carotid angiography under direct radiologic supervision. 75665 75671 75676 75680 61. The patient was seen on initial endocrinology office visit, having been referred for signs and symptoms of new-onset diabetes. 99201 99204 99212 99214 62. Patient underwent emergency laparoscopic appendectomy. 44950 44960 44970 44979 63. Patient underwent nephrolithotomy for removal of large staghorn calculus occupying the renal pelvis and calyces. 50010 50065 50075 50081 64. Patient underwent flexible sigmoidoscopy to 60 cm. with removal of two small polyps using snare technique. 45330 45333 45338 45385 65. Dr. Roberts conducts a home visit for a nonambulatory patient with progressive multiple sclerosis, now experiencing respiratory difficulty. The physician spent a total of 45 minutes with the new patient and family discussing treatment options and possible admission to nursing facility. 99342 99343 99348 99349 66. Surgeon performed limited thoracotomy for lung biopsy. 32551 32035 32095 32100 67. Patient underwent marsupialization of Bartholin gland cyst. 10040 10060 56420 56440 68. Patient receives 15 minutes of ultrasound therapy to the left hip for bursitis. 97033 97035 97110 97124 Current Procedural Terminology 2007 American Medical Association. All Rights Reserved. 123
69. Patient with symptoms of poisoning underwent testing for the presence of arsenic. 82157 82175 83015 83018 70. Patient underwent pericardial window creation for drainage of excess pericardial fluid. 33010 33015 33020 33025 71. Patient with simple papilloma of the penis undergoes cryosurgical removal. 54056 54057 54065 54110 72. Pain specialist physician performs single lumbar epidural steroid injection. 62280 62282 62311 62319 73. Patient underwent emergency noncontrast head CT scan following blunt trauma to the skull. 70450 70470 70486 70540 74. Nuclear medicine ventilation and perfusion lung scan was performed on a patient with sudden shortness of breath; aerosol technique was used, two projections were obtained. 78584 78587 78588 78594 75. Patient was treated with aortofemoral-popliteal venous bypass grafting for severe occlusive disease. 35456 35548 35551 35651 76. A 12-year-old female patient underwent dilation of the urethra under general anesthesia. 53605 53660 53661 53665 77. Patient underwent radial keratotomy procedure in the right eye. 65710-RT 65760-RT 65767-RT 65771-RT 78. Combative patient underwent removal of burrowed insect from external auditory canal; general anesthesia required. 69145 69200 69205 69220 124 Current Procedural Terminology 2007 American Medical Association. All Rights Reserved.
79. Expectant mother of twins underwent complete obstetrical ultrasound in second trimester. 76805 + 76810 76811 + 76812 76815 76856 80. Patient Young, on parole, was to undergo his first monthly drug testing for marijuana. The lab ran a test to detect the patient s THC level. Two-phase procedure was performed. 80100 80100 + 80102 80102 quantity 2 80103 81. Steelworker seen in the emergency room for acute eye pain associated with probable steel shaving in the affected eye, now gone. 99281 99283 99284 99285 82. Surgeon performs closure of rectovaginal fistula by vaginal approach. 57284 57300 57305 57310 83. Patient underwent before and after contrast MRI studies of the pelvis. 72191 72193 72197 72198 84. Surgeon performed open repair of a femoral neck fracture with internal fixation. 27230 27235 27236 27244 85. Patient underwent tubal ligation with use of Falope rings, vaginal approach. 58600 58615 58671 58700 86. Patient receives chiropractic manipulative treatment for pain in the temporomandibular joint region. 97140 98925 98940 98943 87. Patient undergoes sex-change operation, from male to female. 55899 55970 55980 58999 88. Surgeon performed cesarean delivery after failed VBAC attempt. 59514 59610 59612 59620 Current Procedural Terminology 2007 American Medical Association. All Rights Reserved. 125
89. Patient underwent cataract extraction with insertion of intraocular lens via phacoemulsification technique. 66830 66850 66982 66984 90. The CPT Category III codes are updated quarterly. True False 91. The doctor orders a urinalysis to screen for bacteria. 81000 81002 81003 81007 92. The patient has an automated CBC, WBC, and platelet count. 85025 85027 85041 85048 93. Dr. Roberts orders a test for total Hepatitis A antibodies. 86706 86707 86708 86709 94. The patient underwent debridement and dressing of a small burn of the forearm in Dr. Gray s office. 16000 16020 16025 16030 95. The patient underwent pelvic magnetic resonance imaging before and after contrast to rule out a pelvic mass. 72194 72195 72196 72197 96. Mary Johnson had a closed manipulation of her distal fibular fracture. 27780 27786 27788 27792 97. The radiologist supervises and interprets lymphangiography of both upper arms. 75801-26 75803-26 75805-26 75807-26 98. Patient is hospitalized for a mobilization rearrangement repair of a conjunctival laceration. 65270 65272 65273 65285 126 Current Procedural Terminology 2007 American Medical Association. All Rights Reserved.
99. The operative note states the patient underwent excision of a lesion of the mucosa and underlying muscle of the vestibule of the mouth. 40812 40814 40816 40820 100. Dr. Jones performed a C1-C2 anterior arthrodesis. 22548 22554 + 22585 22595 22600 + 22614 Current Procedural Terminology 2007 American Medical Association. All Rights Reserved. 127
Answers to Exam Questions: CPT Name 1. 26. 51. 76. 2. 27. 52. 77. 3. 28. 53. 78. 4. 29. 54. 79. 5. 30. 55. 80. 6. 31. 56. 81. 7. 32. 57. 82. 8. 33. 58. 83. 9. 34. 59. 84. 10. 35. 60. 85. 11. 36. 61. 86. 12. 37. 62. 87. 13. 38. 63. 88. 14. 39. 64. 89. 15. 40. 65. 90. 16. 41. 66. 91. 17. 42. 67. 92. 18. 43. 68. 93. 19. 44. 69. 94. 20. 45. 70. 95. 21. 46. 71. 96. 22. 47. 72. 97. 23. 48. 73. 98. 24. 49. 74. 99. 25. 50. 75. 100. 129