Chapter 20: Medicine – Set A

1. A cardiologist provided an interpretation and report of an EKG. What CPT® code is

reported?
a. 93000-52 c. 93010
b. 93005 d. 93272
2. A 15 year-old underwent placement of a cochlear implant 1 year ago. It now needs to be
reprogrammed. What CPT® code is reported for the reprogramming?
a. 92601 c. 92602
b. 92604 d. 92603
3. A patient was brought to the emergency department in cardiac arrest. The physician
immediately initiated CPR. What CPT® code is reported for CPR?
a. 99291 c. 92971
b. 92960 d. 92950
4. A 5 year-old fell on broken glass and required suturing of a laceration. Due to the age and
combative behavior of the patient, the provider utilized moderate sedation while repairing
the laceration. The provider gave the child 50 mg of Ketamine IM. A nurse monitored the
patient during the procedure which took 30 minutes. What CPT® code is reported for
moderate sedation?
a. 99152 c. 99156
b. 99152, 99153 d. 99156, 99157
5. A child with suspected sleep apnea was given an apnea monitoring device to use over the
next month. The device was capable of recording and storing data relative to heart and
respiratory rate and pattern. The pediatric pulmonologist reviewed the data and reported
to the child's primary pediatrician. What CPT® code(s) is/are reported for the monitor
attachment, download of data, provider review, interpretation and report?
a. 94774 c. 95806
b. 95800 d. 94775, 94776, 94777
6. A patient with cardiac arrhythmia has a pacemaker system with electrodes in the atrium
and ventricle. The patient visits his cardiologist for evaluation of the battery, leads,
capture and sensing function, heart rhythm, and programmed parameters of the system.
What CPT® code is reported?
a. 93279 c. 93287
b. 93280 d. 93288
7. A patient with coronary atherosclerosis underwent a PTCA in the left anterior descending
and in the first diagonal of the LD. What CPT® code(s) is/are reported?
a. 92920-LD c. 92986
b. 92920-LD, 92921-LD d. 92920-LD, 92986
8. A new patient with cystic fibrosis underwent evaluation of lung function, including
percussion, vibration and cupping to the chest wall to facilitate his lung function. What
CPT® code(s) is/are reported for this service?
a. 94667 c. 94664
b. 99201-25, 94668 d. 94662
9. A patient who has had two recent seizures underwent a 3-hour EEG study. What CPT®
code is reported?
a. 95812 c. 95950-52
b. 95953-52 d. 95813
10. A 5 week-old infant shows signs of fatigue after eating and has poor weight gain. He is
suspected to have a congenital heart defect. The neonatologist ordered a transthoracic
echocardiogram (TTE). TTE is showing a shunt between the right and left ventricles. The
neonatologist read and interpreted the study and indicated the patient has a ventricular
septal defect (VSD). What are the CPT® and ICD-10-CM codes for the TTE read?
a. 93303, I51.0 c. 93303-26, Q21.0
b. 93312, I51.0 d. 93312-26, Q21.0
11. A patient with severe atrial fibrillation presents for an EPS study. The cardiologist
performs the professional component of a comprehensive EPS study, including right
atrial and ventricular pacing/recording, bundle of His recording and induction of atrial
fibrillation, and insertion and repositioning of multiple electrode catheters. What CPT®
code(s) is/are reported?
a. 93620-26
b. 93619, 93620
c. 93619-26, 93620-26
d. 93600-26, 93602-26, 93603-26, 93610, 93612, 93618
12. A patient with hypertensive cardiovascular disease is admitted by his primary care
provider. What is/are the correct ICD-10-CM code(s) for this encounter?
a. I10, I25.10 c. I11.0
b. I11.9, I25.10 d. I11.9
13. A patient with atrial fibrillation had a dual lead pacemaker implanted 1 year ago. Today
she returns to the physician’s office for evaluation of function of the device and
reprogramming if needed. What CPT® code is reported?
a. 93280 c. 93288
b. 93283 d. 93289
14. A 59 year-old male experienced left arm pain while cleaning the garage. There was no
injury. His provider scheduled a 30-minute stress test using the Bruce Protocol at the
hospital. There was no arm pain while on the treadmill; he did have a slight heart rhythm
abnormality. The patient rested for 2 minutes. He had no further symptoms or pain. The
cardiologist supervised the study, interpreted the test and dictated a report. What CPT®
code(s) is/are reported?
a. 93015 c. 93016, 93018
b. 93015-26 d. 93018
15. A 70 year-old patient with chronic obstructive asthma is brought to the urgent care center
with increased wheezing and coughing. The provider initiated an albuterol inhalation
treatment, one dose, delivered by nebulizer. After treatment, the patient’s exacerbation
was somewhat improved but the provider determined a second treatment was necessary.
What codes are reported?
a. 94644-76, J7609, J45.909 c. 94680, J7609, J45.901
 b. 94664, J7609, J44.1 d. 94640, 94640-76, J7609 x 2, J44.1
16. A patient diagnosed with amyotrophic lateral sclerosis has increasing muscle weakness in
the upper extremities. The provider orders needle electromyography (EMG) to record
electrical activity of the muscles. What CPT® and ICD-10-CM codes are reported?
a. 95860, G12.21 c. 95861, G12.22
b. 95861, G12.21 d. 95869, G12.22
17. A baby was born with a ventricular septal defect (VSD). The provider performed a right
heart catheterization and transcatheter closure with implant by percutaneous approach.
What codes are reported?
a. 93530, 93581-59, Q21.9 c. 93530, Q20.4
b. 93581, Q21.0 d. 93530, 93581-59, Q21.0
18. A teenager has been chronically depressed since the separation of her parents 1 year ago
and included moving to a new city. Her school grades continued to slip and she has not
made new friends. She has frequent crying episodes and is no longer interested in her
appearance. She has attended the community mental health center and participates in
group sessions. Recently her depression exacerbated to the point inpatient admission was
required. The physician diagnosed adjustment disorder with emotional and conduct
disturbances. Due to the length of the depression and no real improvement, the physician
discussed electroconvulsive therapy with her mother. After discussing benefits and risks,
the mother consented to the procedure. What CPT® and ICD-10-CM codes are reported
for the electroconvulsive therapy?
a. 90882, F43.25 c. 90867, F43.24, F43.25
b. 90870, F43.25 d. 90870, F43.24, F43.25
19. A 70-year-old male presents with localized edema in his legs. He has a history of
hypertension and congestive heart failure and is currently on medication for both
conditions. The provider ordered a complete venous duplex scan of his lower extremities.
The femoral, superficial femoral, posterior tibial and popliteal veins were assessed. There
was no evidence of thrombus. The study was normal. What CPT® and ICD-10-CM
codes are reported?
a. 93970, R60.0, I11.0, I50.9 c. 93925, R60.0
b. 93925, I50.20, I11.0 d. 93975, I11.0, I50.20
20. A 30 year-old male cut his right hand on a nail repairing the gutter on his house. Six days
later it became infected. He went to the intermediate care center in his neighborhood, his
first visit there. The wound was very red and warm with purulent material present. The
wound was irrigated extensively with sterile water and covered with a clean sterile
dressing. An injection of Bicillin CR, 1,200,000 units was given. The patient was
instructed to return in three to four days. The provider diagnosed open wound of the hand
with cellulitis. A problem focused history and examination with a low MDM were
performed. What are the codes?
a. 96372, S61.411A, L03.114, W45.0XXA, Y93.H9
b. 99201, J0558 x 4, S52.009A, W31.81XA
c. 99201, 96372, J0558 x 12, S61.411A, L03.113, W45.0XXA, Y93.H9
d. 99284, S41.009A, L03.113
21. A patient with chronic respiratory failure is visited at home by a certified respiratory
therapist to manage his home oxygen therapy. What CPT® and ICD-10-CM codes are
reported?
a. 99503, J96.10 c. 99510, 99507-59, J96.10
b. 99504, J98.4 d. 99504, J95.821
22. A patient sustained a neck strain was a driver in an automobile accident, losing control
hydroplaning and hitting a tree off the highway which caused the car to overturn. He was
the driver. He has continued to have neck pain and stiffness. He sees a chiropractor who
assesses the patient and manipulates his neck. The diagnosis is neck strain. What CPT®
and ICD-10-CM codes are reported for the chiropractor?
a. 98943, M54.2, V47.2XXA c. 98940, M95.3, V47.3XXA
b. 98940, S16.1XXA, V47.02XA d. 98941, S16.1XXA, V47.9XXA
23. A 49 year-old female was brought to the emergency department. She was lethargic, but
awake. She is four years post liver transplant. Neurology was consulted who determined
the patient was encephalopathic with altered mental status. There was some question
whether she had a seizure. An EEG and WADA test were performed. What CPT® and
ICD-10-CM codes are reported?
a. 95950, 95958, R41.82 c. 95958, G93.40, R41.82, Z94.4
b. 95950, 95958-59, R41.82 , Z94.4 d. 95950, G92, Z96.89
24. A patient has an open wound on his left lower leg caused by a cat bite. The animal tested
negative for rabies, but the wound has failed to heal and became infected by Clostridium
perfringens. The patient underwent hyperbaric oxygen therapy attended and supervised
by the physician. What CPT® and ICD-10-CM codes are reported?
a. 99183, S81.852A, B96.7, W55.01XA
b. 97597, S81.001A, T63.891A
c. 97605, S81.802A, B95.5, W55.03XA
d. 97597, S81.852A, W55.01XA
25. A provider has ordered de-ironing by therapeutic phlebotomy to be performed weekly.
The patient is diagnosed with hemochromatosis and therapeutic phlebotomy is used to
avoid irreversible tissue damage. One unit of blood is removed weekly. What CPT® and
ICD-10-CM codes are reported for each weekly visit treatment?
a. 36415, E83.110 c. 99195, E80.0
b. 36430, 99195, E83.119 d. 99195, E83.119