COBGC Practice Test Video Answers

1. A
The CPT code 59425 is for antepartum care for a normal pregnancy with 4-6 visits, which is appropriate for a routine second-trimester visit with no complications.

2. A
The CPT code 59514 is used for a cesarean delivery only, and it is part of the global package without antepartum or postpartum care. This code is the correct one for a repeat C-section with no complications.

3. A
CPT 58558 is the correct code for a diagnostic hysteroscopy that includes the removal of a uterine polyp or a similar lesion.

4. B
The correct ICD-10-CM code for gestational diabetes mellitus controlled by diet is O24.410.

5. B
The CPT code 59612 is used for a vaginal delivery after a previous cesarean (VBAC), and it includes both antepartum and postpartum care.

6. B
The ICD-10-CM code Z12.4 is specifically for screening for a malignant neoplasm of the cervix, which is the purpose of a Pap smear screening.

7. C
When a laparoscopy is converted to an open procedure, you should report the open procedure code and append the laparoscopic code with modifier 53 to indicate that it was discontinued.

8. A
The CPT code 58100 is for an endometrial biopsy that is performed in an office or outpatient setting without imaging guidance.

9. BModifier 54 indicates that the physician performed only the surgical portion of the care, which in this context means only the delivery.

10. C
The CPT code 57454 is for a colposcopy with biopsy of the cervix and an endocervical curettage.

11. B
The CPT code 59622 is used when a vaginal delivery of the first twin is followed by a cesarean delivery of the second twin.

12. A
The correct ICD-10-CM code for severe preeclampsia in the third trimester is O14.13.

13. B
The CPT code 59150 is for the laparoscopic treatment of an ectopic pregnancy by way of salpingectomy or oophorectomy.

14. A
CPT code 59430 is specifically for postpartum care and is separate from the delivery.

15. A
The CPT code 76818 describes a complete fetal biophysical profile without non-stress testing.

16. A
When a patient has an IUD removed (58301) and a new one inserted (58300) during the same visit, both codes should be reported.

17. B
The CPT code 59821 is used for treating a missed abortion using suction dilation and curettage, specifically in the first trimester.

18. A
The CPT code 76856 is a complete non-obstetric pelvic ultrasound.

19. C
CPT code 59426 is for antepartum care for 7 or more visits. It is appropriate at 30 weeks gestation when billing outside the global package.

20. A
The ICD-10-CM code Z30.2 is the correct code for an encounter for sterilization.

21. B
The CPT code 58571 is for a laparoscopic total hysterectomy for a uterus that weighs 250 grams or less.

22. A
The CPT code 56440 is for the marsupialization of a Bartholin’s gland cyst.

23. A
The ICD-10-CM code O48.0 is used to describe a post-term pregnancy of 42 completed weeks.

24. A
The CPT code 49320 is for a diagnostic laparoscopy of the abdomen or peritoneum for conditions like chronic pelvic pain.

25. A
The CPT code 19000 is for the puncture aspiration of a breast cyst.

26. C
The CPT code 12041 is for the intermediate repair of a vaginal laceration that occurred after a spontaneous delivery.

27. A
The CPT code 99204 is for an office/outpatient visit for a new patient and is appropriate for a high-risk initial prenatal evaluation when not part of global care.

28. A
CPT code 56515 covers the destruction of extensive vulvar lesions, such as warts.

29. A
CPT code 59412 is an external cephalic version, which may or may not include tocolysis.

30. B
The ICD-10-CM code Z39.2 is the correct code for a routine postpartum follow-up visit.

31. B
The CPT code 58925 is for a laparoscopic removal of an ovarian cyst.

32. A
CPT code 59320 is for a cervical cerclage performed via a vaginal approach.