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| Section | Weight | Objectives |
|---|---|---|
| Medical Terminology & Anatomy | 8-10% | |
| CPT® Coding | 45-50% | - Radiology, Pathology/Laboratory, Medicine - Surgery (10000–69999) - Evaluation & Management (E/M) |
| ICD-10-CM Coding | 15-17% | - Code selection & sequencing - Diagnosis coding guidelines |
| Compliance & Regulations | 8-10% | - Reimbursement rules - HIPAA, fraud & abuse |
| HCPCS Level II Coding | 5-7% | |
| Modifiers | 5-7% | |
| Reimbursement & Revenue Cycle | 5-7% |
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NEW QUESTION # 246
A cardiologist uses the hospital's equipment for a cardiac stress test as he doesn't own equipment for the test. He supervises the test and provides the interpretation and report of the test.
What CPT codes are reported?
Answer: D
NEW QUESTION # 247
Patient had polyps removed on a previous colonoscopy. The patient returns three months later for a follow-up examination for another colonoscopy. No new polyps are seen.
What diagnosis coding is reported for the second colonoscopy?
Answer: C
Explanation:
For a follow-up examination after the removal of polyps with no new polyps found, the appropriate diagnosis codes are:
* Z09: Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm.
* Z86.010: Personal history of colonic polyps.
Using Z09 indicates that the follow-up exam is to check the patient after treatment, and Z86.010 indicates a history of colonic polyps, which is relevant to the patient's medical history.
References:
* ICD-10-CM guidelines
* AMA's CPT Professional Edition (current year)
NEW QUESTION # 248
(From the left femoral artery, the catheter was advanced into the abdominal aorta, andaortographywas performed to view the location of the left inferior phrenic artery. Next the catheter was advanced into theleft inferior phrenicand into theleft superior suprarenal (adrenal) arteryand angiography was performed. The angiography showed no blockage of the left adrenal artery. What CPT codes are reported?)
Answer: C
Explanation:
Selective catheter placement coding follows thehighest-order selective catheterization achievedwithin a vascular family, plus additional selective placements when adifferent vascular familyis entered. Here, access is via femoral artery into theabdominal aorta(nonselective aortic position), then selective advancement into theleft inferior phrenicand further into theleft superior suprarenal (adrenal) artery. The code set offered indicates reporting36245(selective, first-order or initial selective placement as represented by the item's structure) and36246(additional selective advancement). Imaging is also reported:75731represents the angiographic imaging component matching the described abdominal/visceral angiography in the options.
Options with-50are incorrect because the study is on theleftside only, not bilateral. Option C omits a necessary catheter placement level from the option set, and option D substitutes a different catheter placement code while still incorrectly using bilateral imaging. Therefore, optionAbest reflects the catheter placement progression and associated angiography per the question's choices.
NEW QUESTION # 249
A comatose patient is seen in the ER. The patient has a history of depression. Drug testing confirm she overdosed on tricyclic antidepressant drugs doxepin, amoxapine, and clomipramine.
What CPT code is reported?
Answer: D
Explanation:
For a comatose patient who has overdosed on tricyclic antidepressant drugs (doxepin, amoxapine, and clomipramine), the correct CPT code is 80366. This code covers drug testing for tricyclic antidepressants, which includes the specific drugs mentioned in the scenario.
References:
* AMA's CPT Professional Edition (current year)
NEW QUESTION # 250
A witness of a traffic accident called 911. An ambulance with emergency basic life support arrived at the scene of the accident. The injured party was stabilized and taken to the hospital. What HCPCS Level II coding is reported for the ambulance's service?
Answer: B
Explanation:
* The scenario describes an emergency basic life support (BLS) ambulance service. The appropriate HCPCS Level II code for BLS emergency transport is A0429.
* Modifier QN indicates that the service was provided by an ambulance supplier, and SH indicates the services were provided in an emergency situation.
References:
* HCPCS Level II, current year
NEW QUESTION # 251
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