2016 Self Review

1. This 12-year-old male patient had a nondisplaced comminuted

fracture of the left fibula and had treatment
in the ED and then with an orthopod. He followed-up
with the orthopod for a recheck at three weeks for cast
change. Then the family moved out of state and he
now presents at a new orthopod after moving. X-rays
were ordered which revealed almost complete healing
of the fracture; scheduled for another appointment in
two weeks to remove the cast. How is this visit coded?
a. S82.45
b. S82.455D
c. S82.455S
d. Z47.89

2. A 79-year-old male patient was admitted to the hospital

for aspiration pneumonia. The patient also has a
history of an acute cerebral infarction that resulted in
left-sided weakness of his dominant side. What is the
code assignment for the residual left-sided weakness?
a. I69.352
b. I69.398, R53.1
c. I69.30, R53.1
d. I63.9, R53.1

3. A TMVR was performed with a percutaneous approach

for mitral valve repair with a transeptal puncture. An
additional device was required to decrease the mitral
regurgitation. How is this coded?
a. 0345T
b. 33418, 33419 (Transcatheter mitral vlve repair:; CPT Assistant, September 2015 Page: 3-6, 14 Category:)
c. 33418
d. 33419

4. How is hallux limitus correction (without osteotomy)

coded?
a. 28288
b. 28289
c. 28290
d. 28292

5. What code is assigned for saccadic eye movement testing

with recording?
a. 92265
b. 92499
c. 92225
d. 92700 (Saccadic eye movement testing with recording ; CPT Assistant, September 2015 Page: 15 Category: )
6. A right-sided radiocephalic AV fistula was created, after
a right upper extremity ultrasound was performed.
How is this coded?
a. 36821 (Intraoperative ultrasound to identify adequacy of vein for creation of arteriovenous fistula
; CPT Assistant, August 2015 Page: 8 Category: Frequently Asked Questions)
b. 36821, 76998
c. 76998
d. 36821, 76998-59

7. Synovectomies of the extensor pollicis longus and

extensor digitorum of the wrist were performed. How
is this coded?
a. 25118
b. 25110
c. 25118, 25118-59
d. 25118--22

8. This 55-year-old male has a contracture with limited

range of motion in the right second finger. A tenolysis
and capsulotomy was done on the flexor tendon at the
IP joint. How is this coded? (Do not assign modifiers
in this exercise)
a. 26440
b. 26525
c. 26445
d. 26440, 26525 (Tenolysis of palm or finger flexor tendon with ; CPT Assistant, June 2015 Page: 10
Category: Frequently Asked Questions)

9. A colonoscopy was performed and a small rectal polyp

was removed with bipolar cautery. How is this coded?
a. 45384 (Colonoscopy with bipolar cautery polypectomy; CPT Assistant, June 2015 Page: 10 Category:
Frequently Asked Questions)
b. 45385
c. 45380
d. 45999

10. An 82-year-old male has a leadless pacemaker system

which needs to be replaced. The device is removed and
the new pacemaker is inserted. How is this coded?
a. 0388T (Pacemaker placement, leadless and pocketless system; CPT Assistant, May 2015 Page: 3-5,9
Category)
b. 0387T
c. 0388T, 0387T
d. 33999

11. How is an endoscopic medial maxillectomy coded?

a. 30520
b. 31225
c. 21049
d. 31299
12. This is described as a paraneoplastic syndrome, also referred
to as acral psoriasiform dermatosis and acrokeratosis
paraneoplastica. It affects the skin and is usually
associated with a malignant neoplasm.
a. Bazex syndrome
b. Skin necrosis
c. Eczema-thrombocytopenia syndrome
d. Conn’s syndrome

13. A type 1 diabetic patient was admitted to the hospital

because of lethargy. Blood sugar readings were low.
The diagnosis was documented as acute encephalopathy
secondary to hypoglycemia. How is this coded?
a. E10.641
b. E10.641, G93.40
c. E10.641, E10.69, G93.49
d. E10.649, G93.41

14. Which of the following statements is false regarding

intrauterine pressure monitoring during labor?
a. It refers to a monitoring electrode
b. It refers to a pressure gauge
c. It provides exact measurements of contractions
d. It is inserted into the uterus to evaluate contractions

15. Which of the following syndromes is described as

an abnormality in the electrical activity of the heart
muscle with disruption of the heart’s normal rhythm,
because the heart takes less time than usual to recharge
between beats?
a. Bernheim’s
b. Beau’s
c. Short QT
d. Sick sinus

16. According to the 2016 HHS OIG Work Plan, the OIG
introduced which of the following for review in 2016?
a. Physician home visits
b. Non-covered services for anesthesia
c. Services, supplies, and DME referred/ordered by
physicians
d. All of the above

17. Which E/M service is introduced in the 2016 HHS OIG

Work Plan?
a. Consultations
b. Prolonged services
c. Home health
d. Domiciliary
18. When coding in the Biliary Tract of CPT, what is defined
as a percutaneously placed device that is positioned
within the biliary tree and is completely internal, with
no portion extending outside the patient?
a. External biliary drainage catheter
b. Internal-external biliary drainage catheter
c. Stent
d. All of the above

19. The patient presents with left flank pain and fever.
Diagnosis documented: acute pyelonephritis due to
E.coli that is resistant to Cipro.
a. N10, B96.20, Z16.23
b. N10, A49.8
c. N10, B96.20
d. N10, B96.20, Z16.11

20. A patient was treated in the ED and has the following

diagnosis: septic shock with acute MRSA sepsis. How
is this coded?
a. R65.21, A41.02
b. A41.02, R65.21, A49.02
c. A41.02
d. A41.02, R65.21

21. This 54-year-old patient has bladder cancer. At the

time of diagnosis there were significant metastases,
and the patient declined surgical intervention. He
has mets to the bones, left lung, brain, and liver. He is
being treated for the severe metastases in the femurs;
he also has neoplasm related pain in the legs. What
code(s) are assigned?
a. C79.51, C67.9, C78.7, C79.31, C78.02
b. C79.51, C67.9, C78.7, C79.31, C78.02, G89.3
c. C79.51, C67.9, C78.7, C79.31, C78.02, G89.3, R52
d. C79.51, C67.9, C78.7, C79.31, C78.02, R52

22. This female patient is receiving blood transfusions for

severe anemia due to carcinoma in the lower-outer
quadrant of the left breast. What code(s) are assigned?
a. D63.0, C50.512
b. C50.512, D64.9
c. C50.512, D63.0
d. D64.9, C50.511

23. The patient was seen for increasing shortness of

breath. He has increased exacerbation of his diastolic
heart failure. He was not able to afford his Lasix this
month, and has not taken any for 10 days. Diagnosis:
acute on chronic diastolic heart failure.
a. I50.33
b. I50.33, T50.1X6A
c. I50.31
d. I50.33, T50.1X6A, Z91.120

24. An 85-year-old patient has crescendo angina with

ASHD. He has no history of CABG. He did have a
stroke 2 years ago with residuals of right-side hemiparesis.
How is this coded?
a. I25.110, I69.351
b. I25.10, I20.0, I69.351
c. I25.118, I69.351
d. I25.119, I69.359

25. The documentation is: nosocomial pneumonia with

hemoptysis and acute respiratory failure. How is this
coded?
a. J15.9, J96.00, Y95
b. J18.8, J96.00, R04.2
c. J18.9, J96.00, R04.2, Y95
d. J18.9, J96.00, Y95