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TRANSCODE SOLUTIONS
Laboratory and Pathology 80,000 series Questions:

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1. A physician performed an automated urinalysis with microscopy. The test
revealed the presence of bacteria. The urine specimen was then cultured, and a

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quantitative colony count was obtained. How should you report the lab services?

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A.81001, 87086
B.81000, 87086

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C.81002, 87086
D.81001, 87088
A- automated urinalysis with microscopy (81001), cultured, and a quantitative

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colony count (87086).
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2. A physician ordered a lab test to determine the amount of chloride present in
two different urine specimens for the same patient. The first specimen was
obtained in the morning, and the second specimen was obtained in the
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afternoon. How should you report these lab services?
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A.82438, 82436
B.82438, 82436
C.82436, 82436-91
C

D.82438, 82728
ns

C- chloride present in two different urine specimens for the same patient
(82436, 82436-91). One test in the morning and one test in the evening, as they
repeated the test so need to append modifier 91.
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3. In preparation for a transfusion, the lab thawed three units of fresh frozen
plasma. How should you report these services?
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A.86927
B.86930
C.86927 x3

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D.86932

C- Three units of fresh frozen plasma. Code 86927 describes about each unit as
there are 3 units assign 86927 x3.

4. Cytopathology slides prepared from a cervical specimen were manually scored

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using the Bethesda System. Lab personnel performed the scoring under physician

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supervision. The results were positive. The same physician also prepared a written
interpretation. How should you report these services?

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A.88164, 88141

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B.88165, 88141
C.88164, 88142
D.88165, 88142

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A- Cytopathology slides prepared from a cervical specimen were manually
scored using the Bethesda System, under physician supervision (88164). The
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same physician also prepared a written interpretation (88141).

5. In pathology it appropriate to append modifier 51 to the codes in case of

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repeated tests.
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A. True

B. False
C

B – False (for repeat lab test modifier 91 should be appended)

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6. Arielle underwent a combined rapid anterior pituitary evaluation panel with

multiple exposure and suppressions and had acute hepatitis panel. How these
tests should be reported.
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A..82024X4, 83002X4, 83001X4, 84146X4, 83003X4, 82533X4, 84443X4

B.80418, 80074
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C.80418, 80076

D.80076

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C- combined rapid anterior pituitary evaluation panel (80418), acute hepatitis

panel (80076).

7. Physician orders basic and comprehensive metabolic panels with calcium

ionized. Select the code(s) on how this is reported.

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A.80053, 80047

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B.80053
C.80047, 82040, 82247, 82310, 84075, 84155, 84460, 84450

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D.80053, 82330
D– Code 82330 (Calcium, ionized) is reported with panel code 80053 because

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that is the remaining test in the basic metabolic panel that is not included in the
comprehensive metabolic panel. Subsection guidelines in the CPT® manual
under Organ or Disease-Oriented Panels state “Do not report two or more panel

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codes that include any of the same constituent tests performed from the same
patient collection. If a group of tests overlaps two or more panels, report the
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panel that incorporates the greater number of tests to fulfill the code definition
and report the remaining tests using individual test codes”. The comprehensive
metabolic panel has the greater number of tests than the basic metabolic panel,
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eliminating multiple choice answers A and C and B.
8. Dr.Ronald a pathologist, completed both gross and microscopic surgical
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pathology after lung wedge biopsy. Dr.Myth, the surgeon, sent a single specimen
to the laboratory after the completion of limited biopsy by thoracotomy. How
would Dr. Ronald report his service?
C

A. 88300, 88307
ns

B.32151, 88305-26
C.88307
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D.32098, 88307-26
C- Both gross and microscopic surgical pathology after lung wedge biopsy
(88307).
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9. A surgical specimen was removed from the proximal jejunum during a resection
for adenocarcinoma and was submitted to surgical pathology for gross and
microscopic examination. The correct code for this service is:

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A.88307
B.88309
C.88304
D.88305
B- The encounter mentions that a specimen was removed from the proximal

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jejunum, which is part of the small intestines, during a resection for cancer

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(malignant tumor). Code 88309 is the only lab code that covers the small
intestine resection of a tumor.

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10. The physician performs the following tests on her automated equipment: HDL,

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total serum cholesterol, triglycerides, and a quantitative glucose. The correct
codes for these procedures are:
A.83718, 82465, 84478, 82947

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B.83721, 82465, 82951
C.80061, 82947
D.80061, 82950
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C- The first three labs (HDL - 87318, total serum cholesterol – 82465, and
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triglycerides -84478) are part of the lipid panel for code 80061. That leaves the
lab, quantitative glucose, to be added with code 82947.
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11. A patient with depression is being treated with doxepin. The physician orders
a therapeutic drug test to measure the level of doxepin. What is the correct code?
C

A.80335
B.80336
ns

C.80162
D.80183

A- This is a therapeutic drug test, since the patient is taking doxepin for
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rheumatoid arthritis. 80335 is the correct code since the physician wants to
measure the level of gold found in the blood stream.
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12. A patient with depression, anxiety, bipolar disorder, and alcoholism is being
treated with Doxepin. The physician orders a therapeutic drug test to measure
the level of Doxepin. What is the correct code?

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A.80172
B.80100
C.80335
D.80299
C- This is a therapeutic drug test, since the patient is taking Doxepin for

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depression, anxiety, bipolar disorder, and alcoholism. 80335 is the correct code

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since the physician wants to measure the level of gold found in the blood
stream.

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13. Dr. A pathologist, requested to Dr. B, for review of patients history and
medical records for complex diagnostic problem clinically.

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A.80172
B.80500
C.80166

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D.80502
D– Consultation clinical pathology with review of patient’s history (80502).
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14. Dr. A pathologist, requested to Dr. B, for reporting of test results without
review of patients history and medical records.
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A.80172
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B.80500
C.80166
D.80502
C

B– Without review of patient’s history and medical records (80500).

ns

15. Storage of ovarian tissues for 5 years.

A.80172
B.89344
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C.89344X4
D.89344X5
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D– Storage (per year) of ovarian tissue for 5 years (89344X5).

16. Three individual tissue specimens from a partial left breast mastectomy were

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submitted for surgical pathology gross and microscopic evaluation. The reason for
surgery was lesions in the breast. Each specimen required an independent
comprehensive examination, report, and decalcification. Which code(s) should be
reported for the laboratory services?

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A. 88307 x 3, 88311
B. 88307, 88331, 88323 x 3

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C. 88305
D. 88305, 88331, 88323 x 3

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A- 88307 x 3 (breast mastectomy, Three individual tissue specimens), 88311

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(decalcification).

17. This patient is in for a kidney biopsy (50200) because a mass was identified by

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ultrasound. The specimen is sent to pathology for gross and microscopic
examination. Report the technical and professional components for this service:
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A.88305­26
B.88306­26
C.88306
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D.88305
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D- 88305 (kidney biopsy)

18. CLINICAL HISTORY: Mass right atrium.
C

SPECIMEN RECEIVED: Left atrium.

GROSS DESCRIPTION: The specimen is labeled with patient’s name and “left atrial
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Myxoma” and consists of a 4 ×4 ×2 cm ovoid mass with a partially calcified

hemorrhagic white tan tissue.
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INTRAOPERATIVE FROZEN SECTION DIAGNOSIS: Myxoma.

MICROSCOPIC DESCRIPTION: Sections show a well circumscribed mass consisting
of fibromyxoid tissue showing numerous vascular channels. Areas of superficial
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ulceration and chronic inflammatory infiltrate are noted. Areas of calcification are
also present.
DIAGNOSIS: Myxoma, benign, left atrium.

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A.88305­26,
B.88305-26, 88331-26
C.88307­26, 88331,
D.88305­26,
B - 88305-26 (atrium/ artery biopsy), 88331-26 (Frozen section single specimen)

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19. This 34­year­old, established, female patient is in for her yearly physical and

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lab. The physician orders a comprehensive metabolic panel, hemogram

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automated and manual differential WBC count (CBC), and a thyroid stimulating
hormone. Code the lab only:
A.99395, 80050

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B.80050­52
C.80069, 80050
D.80050

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D - 80050 (comprehensive metabolic panel, hemogram automated and manual
differential WBC count (CBC), and a thyroid stimulating hormone).
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20. This patient presented to the laboratory yesterday for a creatine
measurement. The results came back at higher than normal levels; therefore, the
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patient was asked to return to the laboratory today for a repeat creatine test
before the nephrologist is consulted. Report the second day of test only.
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A.82540 ×2
B.82551
C.82550
C

D.82540
ns

D- 82540 (creatine), 790.6 (other abnormal blood chemistry).

21. The correct code for reporting Blood count; hemogram and platelet count,
automated, and automated complete differential WBC count (CBC), describes an
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automated blood count of five groups of white blood cells (eg, basophils,
eosinophils, monocytes, lymphocyte and neutrophils), along with hemogram and
platelet count.
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A.85025
B.85004, 85027
C.85027, 85032, 85041

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 9959602447 www.transcode.in 9985277066

D.85041, 85027

A- 85025 (Blood count; hemogram and platelet count, automated, and

automated complete differential WBC count (CBC), describes an automated
blood count of five groups of white blood cells).

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22. How would you report surgical pathology of epidermoid cyst.

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A.88305

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B.88302
C.88303
D.88304

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D- Epidermis is layer of skin so 88304 lead to epidermoid cyst (Skin).
23. Wedge liver biopsy specimen was sent to pathology lab. Technician prepared

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the slide and who itself employed interpreted. Code the pathologist service.
A.88305
B.88306
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C.88307
D.88309
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C- Wedge liver biopsy (88307)

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24. The Mary came to the pathology clinic along with her husband for
chromosome analysis, because the previous pregnancy he had a spina bifida baby
shown on the TIFFA scan and terminated the pregnancy at that time , this time
C

they came for chromosome analysis. The pathologist done 15-20 cells, two
karyotype, with banding code the procedure
ns

A.88261
B.88262
C.88267
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D.88263
B- 88262 (chromosome analysis 15-20 cells, two karyotype, with banding)
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25. The patient is 89-year-old with myocardial infarction he came for routine
follow-up for troponin quantitative test code the service
A.84484

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B.84512
C.84484, 84512
D.84484, 84512-91
A- Troponin quantitative test (84484).

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26. Cryopreservation of embryo(s) and sperm

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A.89258, 89259
B.89342, 89343

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C.89346, 89259
D.89258, 89242

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A- Cryopreservation of embryo(s) (89258) and sperm (89259).

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S
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od
C
ns
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