Question 1

What is a result of a nasal polyp?

Accepted Answer

A) It will cause nose cancer in the affected patient 
B) It can change the shape of the nose and necessitate rhinoplasty 
C) It results in the release of histamine causing an allergic reaction 
D) It can obstruct the nasal passageway making it difficult to breathe

Question 2

What is the difference between anterior nasal packing versus posterior nasal packing procedure codes?

Accepted Answer

A) None, they are the same codes 
B) Posterior packing is done in the larynx, whereas anterior packing is done at the back of the throat 
C) There are no nasal packing procedure codes in the CPT manual 
D) Anterior packing is applied pressure and gauze and posterior packing is the insertion of a balloon into the back of the nasal cavity

Question 3

Devonne recently experienced a death in her family and has been severely depressed. She went to her psychiatrist and he prescribed a new anti-depressant drug. After Devonne started taking the anti-depressant, she experienced nausea, vomiting, and dizziness. She called her physician, who advised her to stop taking the anti-depressant and come into the clinic so that he could examine her and prescribe a new anti-depressant. What are the appropriate ICD-9 diagnosis codes for Devonne's reaction to the anti-depressant?

Accepted Answer

A) 969.00, 787.01, 780.4, E939.0 
B) 969.01, 787.01, E854.0 
C) 969.00, 780.4, 787.01 
D) 969.09, 787.01, 780.4, E950.3

Question 4

In the electrical conduction system of the heart, the sinoatrial node is located in the right atrium near the superior vena cava. It serves as the normal pacemaker of the heart. There is another node, which is located in the right atrium on the septal wall. This node slows the impulses of the heart so that the atria can fill with blood before it contracts. What is the name of this node?

Accepted Answer

A) Sinoatrial Node 
B) Bundle of His 
C) Purkinje Fibers 
D) Atrioventricular Node

Question 5

A radiographic image of the colon's interior is referred to as which of the following?

Accepted Answer

A) Colonography 
B) Colonoscopy 
C) Duodenoscopy 
D) Cholangiography

Question 6

A doctor performed a partial pneumonectomy on a patient. This procedure included:

Accepted Answer

A) Removing part of the patient's lung 
B) Cutting into the patient's abdomen 
C) Creating an opening in the patient's chest 
D) Removing a patient's entire spleen

Question 7

The nurse practitioner returned a phone call from a concerned daughter regarding her ailing mother's health. She spent 20 minutes counseling the daughter on how to provide hospice care during the last stages of her mother's life. It had been three weeks since the patient had been seen in the office, and her next scheduled appointment was in two weeks. What E&M service can be reported for this phone call?

Accepted Answer

A) You cannot report an E&M service for this phone call 
B) 99442 
C) 98967 
D) 99443

Question 8

Theodore is an elderly 90-year-old man, who has been unable to leave his bed for the last six months. During his last check-up, the physician noticed a pressure ulcer on the back of his calf muscle. The ulcer was already at an elevated stage, with partial thickness skin loss involving the epidermis of the back of the calf. His physician recommended that Theodore be moved to an upright position to relieve the pressure on his calf muscle and prevent infection. If the pressure ulcer persists, Theodore's physician may recommend using a healing chamber as a way to treat the wound before it gets any worse. What is the appropriate way to code Theodore's pressure ulcer?

Accepted Answer

A) 707.09 
B) 707.06, 707.20 
C) 707.09, 707.22 
D) 707.21, 707.22

Question 9

Walt has metastatic lung cancer. He also has skin melanoma, which is the primary neoplasm. Today he is being seen for treatment and evaluation of his lung cancer. Which of the following is the correct way to code his diagnoses for today's visit?

Accepted Answer

A) 172.8, 197.0 
B) 162.9, 172.8 
C) 197.0, 172.8 
D) 197.0

Question 10

Medical billing fraud is:

Accepted Answer

A) Billing for services at a reduced level 
B) Billing correctly for services performed 
C) Billing for services that are not medically necessary 
D) Billing for services that were not performed

Question 11

What is the appropriate ICD-9 code for a diagnosis of a personal history of heart attacks?

Accepted Answer

A) V15.9 
B) 412 
C) V12.50 
D) V17.3

Question 12

What is the correct code for a parathyroidectomy with parathyroid autotransplantation performed on a 42-year-old male patient?

Accepted Answer

A) 60512 
B) 60500, 60512 
C) 60500, 60512 -51 
D) 60500

Question 13

If a patient is in the prone position, he is:

Accepted Answer

A) Lying flat on his back 
B) Lying flat on his stomach 
C) Sitting up straight 
D) Lying flat on his back with his feet elevated

Question 14

Level 1 studies in the surgical pathology section of the Laboratory and Pathology chapter of the CPT manual describe:

Accepted Answer

A) Gross and Microscopic Examination 
B) Quantitative Examination 
C) Qualitative Examination 
D) Gross Examination Only

Question 15

The term "alopecia" is commonly referred to as what?

Accepted Answer

A) Athlete's foot 
B) Hair loss 
C) Heat rash 
D) Head lice

Question 16

A physician can base the level of an evaluation and management service on the time spent counseling the patient and nothing else.

Accepted Answer

A) True 
 B)False

Question 17

A physician performed the open excision of two deep axillary nodes in a 45-year-old female patient. What is the correct code for this procedure?

Accepted Answer

A) 38500 
B) 38555 
C) 38525 
D) 38525 (X2)

Question 18

Steve gets tested regularly for HIV at his local health clinic because he is part of a high-risk group. So far, Steve has not had any positive HIV test results, but his last test came back as inconclusive. What diagnosis code(s) would be assigned for Steve?

Accepted Answer

A) 042 
B) 795.71, V69.8 
C) V73.89, V65.44 
D) V08

Question 19

A 23-year old woman, pregnant with her second child, received antepartum care from her physician in Atlanta, GA. After 9 visits with her physician in Atlanta, the patient moved to Albuquerque, NM where she continued her prenatal care with a new doctor. The new physician saw the patient for the remaining antepartum visits. The new physician also performed vaginal delivery and postpartum care, which included the 6-week postpartum checkup. How should the physician in Atlanta code for his services?

Accepted Answer

A) 59426 
B) 59425 
C) 59410 
D) 59430

Question 20

A pediatrician performed a routine circumcision on a newborn baby boy in a hospital setting. The physician anesthetized the area with dorsal penile block, clamped the foreskin away from the tip of the penis and excised the excess foreskin. What is the correct code for the circumcision?

Accepted Answer

A) 54160 
B) 54150 -47 
C) 54150 
D) 54160 -47

Exam 1: Free Coding Specialist