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| Section | Weight | Objectives |
|---|---|---|
| Anatomy & Physiology | 10-15% | - Medical Terminology - Body Systems |
| Medicine | 5-10% | - Specialty Coding |
| Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
| ICD-10-CM (Diagnosis Coding) | 10-15% | - Code Selection - Conventions and Guidelines |
| HCPCS Level II | 5-10% | - Supplies and Equipment - Modifiers |
| E/M (Evaluation and Management) | 10-15% | - Emergency Department - Office/Outpatient Visits |
| Radiology | 5-10% | - Diagnostic Imaging |
| Surgery Coding | 40-50% | - Nervous System - Respiratory System - Digestive System - Genitourinary System - Integumentary System - Musculoskeletal System - Cardiovascular System |
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NEW QUESTION # 324
A 50-year-old patient presented with a persistent cough has not responded to standard treatments. The patient's physician decides to perform a flexible bronchoscopy with bronchial biopsies to further investigate the cause. A flexible bronchoscope is inserted through the patient's mouth and into the bronchial tubes. Five biopsies are taken for further testing. The biopsies were sent to the lab for analysis to determine the next steps in the patient's treatment plan.
What CPT coding is reported?
Answer: C
Explanation:
The procedure described is flexible bronchoscopy with bronchial biopsy (biopsy taken from the bronchi/bronchial tubes).
31625 = Bronchoscopy, flexible, with biopsy (single or multiple)
Important CPC concept: when the CPT descriptor is "single or multiple", you code it once, even if multiple biopsies are taken.
31628 is for transbronchial lung biopsy, which is not what is described (the question specifies bronchial tubes/bronchial biopsies).Therefore, A is correct.
NEW QUESTION # 325
A 55-year-old patient was recently diagnosed with an enlarged goiter. It has been two years since her last visit to the endocrinologist. A new doctor in the exact same specialty group will be examining her. The physician performs a medically appropriate history and exam. The provider reviewed the TSH results and ultrasound.
The provider orders a fine needle aspiration biopsy which is a minor procedure.
What E/M code is reported?
Answer: B
Explanation:
The patient is seeing a new doctor in the same specialty group for an enlarged goiter and is undergoing a medically appropriate history and exam, along with a fine needle aspiration biopsy.
Procedure Description:
Medically appropriate history and exam.
Review of TSH results and ultrasound.
Ordering of fine needle aspiration biopsy.
CPT Coding:
99202: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making.
Since it has been two years since the last visit and the patient is being seen by a new doctor in the same specialty group, the encounter is considered a new patient visit.
AMA's CPT Professional Edition (current year).
CPT Assistant for detailed coding guidelines on evaluation and management services.
NEW QUESTION # 326
A patient with a history of chronic venous embolism in the inferior vena cava has a radiographic study to visualize any abnormalities. In outpatient surgery the physician accesses the subclavian vein and the catheter is advanced to the inferior vena cava for injection and imaging. The supervision and interpretation of the images is performed by the physician.
What codes are reported for this procedure?
Answer: C
NEW QUESTION # 327
(Regarding the CPT Surgery Guidelines for a surgical code designated as a"Separate Procedure,"which statement isFALSE?)
Answer: B
Explanation:
In CPT, a code labeled"separate procedure"is typically a service that isnormally includedas part of a more comprehensive procedure andshould not be reported separatelywhen performed as an integral component.
However, itmaybe reported when performedindependentlyorunrelatedto the primary procedure-this supports options A, B, and C as true. The false statement isDbecause CPT doesnotinstruct that modifier79is specifically required to report a separate procedure with an unrelated primary service. Modifier selection depends on the actual circumstances and payer rules, and "separate procedure" logic is about whether the service isdistinct and not integral, often supported by documentation of a different site/session or separate clinical intent; when a modifier is needed, it is commonly adistinct procedural servicemodifier (e.g., 59 or X
{EPSU}) rather than automatically 79. Modifier79is a global surgery modifier used for anunrelated procedure during the postoperative period, which is a different concept than "separate procedure" designation.
NEW QUESTION # 328
(A 50-year-old patient undergoesflexible bronchoscopy with bronchial biopsies. Five biopsies are taken and sent to the lab. What CPT coding is reported?)
Answer: B
Explanation:
For bronchoscopy coding, you report the CPT code that describes thetype of scopeand thekey procedure performed. When bronchoscopicbiopsiesare performed, the service is reported with the appropriate bronchoscopy-with-biopsy code, and youdo not multiply the code by the number of biopsy samples. CPT codes for endoscopy procedures generally represent theoverall service, regardless of how many specimens are obtained during that one session at the same anatomic site category. In this question set,31628is the correct code representingflexible bronchoscopy with transbronchial lung biopsy(the biopsy component is the coded element).31625describes bronchoscopy with a different work element (not the biopsy service intended here), making it an incorrect distractor. Options that apply "×5" reflect a common novice error-billing per specimen rather than per procedure. On CPC exams, the presence of multiple biopsies is usually included to test whether you understand that endoscopic biopsy codes arenot reported per sample.
NEW QUESTION # 329
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