CPC CPT Medicine: Cardiovascular and Specialty Procedures 3

Question 1

A physician performs a colonoscopy with polypectomy by hot biopsy forceps. Which CPT code applies?

Accepted Answer

45384

Answer

CPT 45384 describes colonoscopy, flexible, with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps.

Question 2

When a physician performs bilateral destruction of hemorrhoids by infrared photocoagulation, which modifier is used?

Accepted Answer

No modifier needed — single CPT code covers bilateral destruction

Answer

Hemorrhoid destruction codes such as 46930 cover the procedure regardless of number of internal hemorrhoids treated — no bilateral modifier applies.

Question 3

Which CPT code describes an upper GI endoscopy (esophagogastroduodenoscopy, EGD) with biopsy?

Accepted Answer

43239

Answer

CPT 43239 describes upper gastrointestinal endoscopy with biopsy, single or multiple.

Question 4

A nephrologist manages a patient on hemodialysis for a full month with four or more face-to-face visits. Which CPT code applies?

Accepted Answer

90960

Answer

CPT 90960 describes end-stage renal disease (ESRD) related services, monthly, for patients 20 years and older, with four or more face-to-face visits.

Question 5

What is the purpose of the National Correct Coding Initiative (NCCI) edits in medical coding?

Accepted Answer

To prevent unbundling by identifying procedure code pairs that should not be billed together

Answer

NCCI edits are CMS-developed coding policies designed to prevent incorrect code combinations and inappropriate unbundling of services.

(CPC) Certified Professional Coder Practice Test