Free Certified Professional Coder MCQ Questions and Answers

Question 1

Which anesthesia code should be used when performing intravertebral procedures on the spine or spinal cord, including lumbar percutaneous image-guided neuromodulation or kyphoplasty or vertebroplasty?

Accepted Answer

1942

Answer

The CPT code for anesthesia for extensive spinal procedures, such as kyphoplasty or vertebroplasty, is 00670. This code covers anesthesia for procedures on the vertebral column involving extensive work. The options provided (1941, 1938, 1942, 1940) are not standard CPT anesthesia codes. If '1942' is the designated correct answer, it likely represents a placeholder or a non-standard reference within the context of the exam's specific materials, rather than a universally recognized CPT code.

Question 2

In the event that a 5-year-old presents to the emergency room and needs sedation. The patient can breathe on his or her own. The doctor advises sedating the patient for 30 minutes.
How are CPT codes to be reported?

Accepted Answer

99156 and 99157

Answer

CPT code 99156 is used for moderate sedation services for an initial 15 minutes for a patient *younger than 5 years of age*. CPT code 99157 is an add-on code for each additional 15 minutes of intraservice time. Although the question states 'a 5-year-old', if 99156 is the correct initial code, it implies the patient was considered to fall into the 'younger than 5' category for this specific exam question. Since the sedation lasted 30 minutes, 99157 is reported for the second 15-minute increment.

Question 3

A patient seeks sialodochoplasty, a primary or simple plastic surgery procedure, at her doctor's office. She does not require anesthesia for the procedure, the doctor decides.
What CPT code ought to be entered?

Accepted Answer

42500

Answer

CPT code 42500 describes 'Sialodochoplasty; primary or simple.' The scenario specifies a primary or simple plastic surgery procedure on the salivary duct (sialodochoplasty) that does not require anesthesia. Therefore, 42500 is the correct code. Modifiers like -P1 or -P2 are for physical status modifiers used with anesthesia codes, not for the surgical procedure itself.

Question 4

A patient has been identified as having an unidentified malignant neoplasm of the oropharynx, and the doctor advises that the patient received radiation therapy for 5 sessions.
Which CPT and ICD-10 codes should be used?

Accepted Answer

77427 and C10.9

Answer

CPT code 77427 is for 'Radiation treatment management, 5 fractions.' This code is used for weekly radiation therapy management, and 5 sessions would typically fall under one unit of this code. For the diagnosis, C10.9 represents 'Malignant neoplasm of oropharynx, unspecified,' which accurately describes an unidentified malignant neoplasm of the oropharynx. Therefore, 77427 and C10.9 are the appropriate codes.

Question 5

A 10-year-old boy with two dark lesions visits his family doctor. The doctor decides the patient requires a punch biopsy.
What CPT code ought the provider enter?

Accepted Answer

11104 and 11105

Answer

CPT code 11104 is for 'Biopsy of skin, subcutaneous tissue, and/or mucous membrane (including lesion excision), punch, single lesion.' CPT code 11105 is an add-on code for 'each additional lesion.' Since the doctor performs a punch biopsy on two dark lesions, 11104 is used for the first lesion, and 11105 is used for the second additional lesion. This correctly reports both biopsies performed.

CPC - Certified Professional Coder Practice Test

CPC - Certified Professional Coder Practice Test

Free Certified Professional Coder MCQ Questions and Answers