1.A patient undergoes a bronchoscopy with three transbronchial lung biopsies performed on one lobe. The coder reports code 31628 × 3. Based on the CPT coding guidelines, this code assignment is   

       A. incorrect. Code 31628 should be assigned in conjunction with code 31627.   B. correct. Code 31628 should be reported three times.   C. incorrect. Code 31628 should be reported only once with modifier -51.   D. incorrect. Code 31628 should be reported only once per lobe. 

 

2.  A surgeon performs a combined arterial-venous graft for a coronary bypass procedure. She uses three venous grafts and two coronary arterial grafts. What codes should be assigned? 

       A. 33522, 33548   B. 33534, 33519   C. 33518, 33536   D. 33519, 33534 

 

3.  Dislocation indicates that the bone has 

       A. been displaced from its normal location.   B. split into two separate pieces.   C. been relocated to a new anatomic site for stabilization.   D. been displaced and realigned by the physician

 

4.  If multiple arthroscopy procedures are performed on a patient, which modifier should be appended to the CPT code? 

       A. -57   B. -51   C. -59   D. -25

 

5.  The most common procedure performed in the incision category of the Respiratory Section is the 

       A. tracheoplasty.   B. thoracotomy.   C. tracheostomy.   D. bronchoplasty.

 

6.  A patient undergoes a total laryngectomy along with a radical neck dissection, as well as emergency endotracheal intubation. The coder assigns code 31365 and 31500-51. According to CPT guidelines, this code assignment is 

       A. incorrect. Code 31500 should be 31365.   B. incorrect. Code 31500 is modifier -51 exempt.   C. correct. Modifier -51 should be assigned to indicate multiple procedures.   D. incorrect. Code 31360 should be omitted.

 

7.  A patient underwent replacement of permanent pacemaker with atrial ventricular electrode replacement. What is the correct code? 

       A. 33216   B. 33208   C. 33217   D. 33211 

 

8.  A patient is seen for repair of a wound on his right hand. The surgeon performs intermediate or _______ closure. 

       A. superficial   B. layered   C. triple-sutured   D. complex 

 

9.  Which code range should be used to report nasal polyp excisions? 

       A. 30110 and 30115   B. 30310 and 38900   C. 30400 and 30450   D. 32000 and 37520 

 

10.  A patient undergoes a laryngoscopy with removal of a lesion in the larynx. The correct code is 

       A. 31512-TT.   B. 31512.   C. 31512-LL.   D. 31512-25.

 

11.  A Z-plasty is a type of 

       A. wound adaptation.   B. surgical wound repair.   C. adjacent tissue transfer.   D. lesion removal.

 

12.  Removal of infected, damaged, or necrotic tissue is called 

       A. devitalization.   B. debridement.   C. revision.   D. excision.

 

13.  A physician who acts as a surgeon and a pathologist to view a lesion and determine its state of malignancy is performing 

       A. pathology analysis and restructuring.   B. Micrographic Meridian Analysis.   C. Mohs micrographic surgery.   D. lesion analysis and retrieval.

 

14.  Wound debridement would be reported within code range 

       A. 15780-15879.   B. 12031-12057.   C. 11042-11047.   D. 16000-16036.

 

15.  A nasal endoscopy with a maxillary antrostomy with removal of maxillary sinus tissue performed on one sinus would be reported with 

       A. 31235-25.   B. 31267.   C. 31254-51.   D. 31240.

 

16.  A patient undergoes a combined right and left heart catheterization with left ventriculography. What code should be assigned? 

       A. 93453   B. 93454   C. 93451   D. 93564

 

 17. What code should be assigned for a bilateral procedure? 

       A. -50   B. -79   C. -76   D. -52

 

18.  A coronary artery bypass graft 

       A. connects a vein to a coronary artery to transport healthy blood.   B. uses a healthy vessel to bypass a diseased artery to transmit blood.   C. uses a skin graft to layer a diseased artery.   D. transfers blood through a graft via a coronary artery.

 

 

19.  A physician repositions an implantable right ventricular defibrillator electrode. The coder assigns codes 33214 and 33216. Is the code assignment correct or incorrect? 

       A. Correct. Code 33216 is always assigned with 33214.   B. Incorrect. Code 33216 should be assigned without any additional codes.   C. Incorrect. Code 33214 isn't assigned with 33216, according to CPT guidelines.   D. Incorrect. Code 33214 should be assigned with code 33217. 

 

20.  A patient undergoes a combined arterial-venous coronary bypass graft, which included eight venous grafts and eight arterial grafts. What codes should be assigned? 

       A. 33612, 33522   B. 33542, 33615   C. 33536, 33523   D. 33523, 33536