See attachment...Introduction to Current Procedural Terminology
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Question 1
HCPCS Level II code(s) for a skin protection wheelchair seat cushion, adjustable, 28 inches in width ________________________________.Bottom of FormTop of Form
Question 2
HCPCS Level II code(s) for routine disposable supplies used during a basic life support transport _______________________________.Bottom of Form
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Question 3
HCPCS Level II code(s) for a CPAP device_________________________________Bottom of Form
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Question 4
HCPCS Level II code(s) for an injection of Botox, two units ______________________________
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Question 5
HCPCS Level II ode(s) for advanced life support defibrillation supplies __________________
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Question 6
HCPCS Level II code(s) for diabetes self-management training, group session, per 30 _______________________________
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Question 7
HCPCS Level II code(s) for a portable whirlpool _________________________
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Question 8
HCPCS Level II code(s) for a blood tubing, venous, for hemodialysis _____________________
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Question 9
HCPCS Level II code(s) for an injection of dilaudid, 4 mg __________________________
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Question 10
HCPCS Level II code(s) for a sacroiliac joint injection for arthrography ___________________
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Question 11
A 51-year-old male was brought to the same-day surgery area for treatment of the open fracture of the distal phalanx of his index finger on the left hand. The patient had open treatment performed to remove the fracture fragments without any internal or external fixation hardware used.
Option A
26785 - F1
Option B
26715
Option C
26735
Option D
26765 - F1
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Question 12
A patient with advanced renal cell carcinoma of the right kidney is admitted to the interventional radiology department to undergo percutaneous radiofrequency ablation of four tumors of the right kidney. This was accomplished under CT guidance.
Option A
50593 RT, 77013
Option B
50592 RT, 77013
Option C
50592 RT
Option D
50593 RT, 77013
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Question 13
A 43-year-old female patient presents for wide excision of a 2.0 cm. malignant melanoma of the left thigh. The area excised resulted in a 4.3 cm. x 2.5 cm. defect requiring rotational advancement flap closure. The pathology report shows clear margins.
Option A
14000
Option B
14301
Option C
14021
Option D
14001
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Question 14
A 40-year-old female patient with multiple suspicious breast lesions had percutaneous biopsies of the left breast using stereotactic guidance on two lesions and ultrasound guidance on one lesion
Option A
19081 LT, 19082 LT, 19083 LT
Option B
19081 LT, 19081 LT, 19083 LT
Option C
19081 LT, 19083 LT, 19084 LT
Option D
19081 LT, 19082 LT, 19085 LT
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Question 15
A 19-year-old patient with an abnormal blood test underwent a bone marrow aspiration from the sternum. The area was cleaned with antiseptic solution, and a local anesthetic was injected. The needle was inserted beneath the skin and rotated into the cortex and the sample taken. The needle was repositioned slightly, and a new syringe attached, and a second sample was obtained. These were then sent to the lab for analysis. The results showed ALL.
Option A
38220
Option B
38222
Option C
38232
Option D
0232T
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Question 16
A patient is diagnosed with a recurrent thyroglossal duct cyst. The surgeon locates the cyst using palpation, and an incision is created. The cyst is then excised.
Option A
60281
Option B
60280
Option C
60000
Option D
60000, 60281
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Question 17
A 62-year-old male patient is being assessed for possible colon cancer and treated in the special procedure unit of the hospital. He undergoes a colonoscopy into the ascending colon with biopsy of a suspicious area in the transverse colon using the cold biopsy forceps. In addition, a colon ultrasound of the area is performed, with transmural biopsy of an area of the mesentery adjacent to the transverse colon.
Option A
45391
Option B
45380, 45392
Option C
45380, 45390
Option D
45380, 45391
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Question 18
A 48-year-old female had recent surgery for melanoma of the left arm, documented as Clark level IV. She has no obvious signs of metastasis or adenopathy, but staging needs to be done. In the nuclear medicine suite, the skin surrounding the lesion was injected with Tc-99 sulfur colloid. The patient was subsequently taken to the OR 3 hours later. Under general anesthesia, the skin was injected with 4mL of isosulfan blue dye. The gamma probe was used to identify the location of the hot spot in the nodal basin. An incision was made, and a blue node was identified. This deep axillary sentinel node was excised in its entirety and sent for frozen section, which proved to be positive for melanoma.
Option A
38510 LT
Option B
38525 LT, 38792
Option C
38510 LT, 38792
Option D
38525
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Question 19
A patient with a lung mass in the left lower lobe that was discovered on prior x-ray presents to the outpatient surgery area for a diagnostic bronchoscopy. Following anesthetic to the airway, a fiber optic bronchoscope is introduced into the bronchial tree. A needle is advanced through a channel in the scope, and tissue is aspirated from the lung mass for pathologic evaluation under fluoroscopic guidance.
Option A
31622
Option B
31629
Option C
31622 RT
Option D
31628
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Question 20
A 40-year-old patient under local anesthesia and ultrasound guidance, underwent radiofrequency ablation of an incompetent greater saphenous vein in the right lower extremity.
Option A
36473 RT
Option B
36475 RT
Option C
36478 RT
Option D
36473
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Question 21
A patient presents to the hospital outpatient department for chemotherapy treatment. She is a 15-year-old female with acute lymphoblastic leukemia. The chemotherapy agent is listed as an injection of lyophilized cyclophosphamide, 200 mg. IV push. Code BOTH the CPT code and HCPCS code for this scenario.
Option A
96405, J9070
Option B
96406, J9070
Option C
96409, 96411, J9070
Option D
96409, J9070, J9070
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Question 22
A 28-year-old patient taken to the same-day surgery unit with a history of abdominal surgery and is experiencing sharp pains in the pelvic area. Diagnostic workup has presented no etiology. An exploratory laparoscopy was performed and revealed adhesions around the fallopian tubes and ovaries. The adhesions were taken down during the procedure.
Option A
58660
Option B
58740
Option C
58740, 58660
Option D
58660, 58740
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Question 23
A 48-year-old female presents to the outpatient surgery unit of the hospital with a complaint of neck swelling. The physician noted diffuse swelling of the neck with enlargement of the thyroid gland. The patient exhibits no clinical signs of hyperthyroidism. The physician suspects lymphoma, and a biopsy is performed. A large, hollow core needle is passed through the skin into the thyroid using ultrasound guidance. Tissue is sent for histopathology. A diagnosis of thyroid gland follicular lymphoma is confirmed, and chemotherapy is planned.
Option A
38505, 76942
Option B
38500, 76942
Option C
60100 50, 76942
Option D
60100, 76942
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Question 24
A 54-year-old female patient came into the Emergency Department (ED) because of passing melanotic stools. The ED physician initially saw her. The gastroenterologist was called into consultation. Because of the massive amounts of bleeding, it was decided to proceed with endoscopy. The endoscope was passed into the esophagus, stomach, and duodenum. Blood and clots were noted. This patient could possibly have a duodenal ulcer, but because of the amount of blood, it was difficult to delineate an ulcer crater. Code the CPT code for the procedure only. Do not code any E/M codes.
Option A
43247
Option B
99366, 43243
Option C
43239
Option D
43235
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Question 25
A 77-year-old patient was admitted to the special procedures room for an endoscopic-directed percutaneous endoscopic gastrostomy tube placement because of moderate malnutrition.
Option A
43241
Option B
49440
Option C
43246
Option D
49441
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Question 26
A 40-year-old male patient was taken to the same-day surgery suite to have a colonoscopy. During the procedure, it showed diverticulitis of the descending colon that was bleeding, which was controlled with the laser.
Option A
45378
Option B
45398
Option C
45382
Option D
45378 59
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Question 27
An 81-year-old male patient was taken to the special procedure unit for cystoscopy after developing gross hematuria. The cystoscopy revealed a 2.5 cm. tumor and it was fulgurated. The patient was diagnosed with urothelial cell carcinoma.
Option A
52240
Option B
52214
Option C
52234
Option D
52235
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Question 28
A patient was hit in the face by a baseball on the neighborhood baseball field. They sustained a 2.3-cm. superficial laceration to the right medial cheek. X-rays revealed a nasal fracture that required stabilization. The Emergency Department physician stabilized the fracture with a splint and tape and repaired the laceration with a simple suture of the skin.
Option A
21337, 12001 59
Option B
21315
Option C
21320, 12011 59
Option D
21320 59
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Question 29
An ambulatory surgery operative report for a 72-year-old male patient states the patient received a full-thickness graft of the cheek following lesion removal of a basal cell carcinoma. The lesion plus margins are documented to be 3.2 cm. in diameter. A 10-sq-cm. graft is applied with donor skin from his thigh, closed by suture.
Option A
15260
Option B
15240, 11644
Option C
11604
Option D
15260, 11604
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Question 30
A 34-year-old male was taken to the outpatient surgery unit for a laparoscopic cholecystectomy. Due to the previous abdominal surgery, adhesions were encountered. During the course of the laparoscopic cholecystectomy procedure, the adhesions were lysed, but this did not prolong the procedure.
Option A
47711
Option B
47563
Option C
47600
Option D
47562
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