id stringlengths 36 36 | question stringlengths 8 990 | A stringlengths 1 284 | B stringlengths 1 250 | C stringlengths 1 278 ⌀ | D stringlengths 1 297 ⌀ | choice_num int64 2 9 | target stringclasses 6
values | category int64 1 3 | E stringlengths 1 604 ⌀ | F stringclasses 14
values | G stringclasses 3
values | H stringclasses 3
values | I stringclasses 1
value |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1a390b27-c864-56a9-8dc0-0e6ea13261dc | Laurie has a malignant secondary tumor of the Bartholin's gland.Her doctors do not know where this cancer started in Laurie's system. She is coming in today for radiation of the secondary site. How would you report her diagnoses for today's treatment? | 198.82, V58.0 | V58.0, 198.82, 199.1 | 239.5, 198.82, V58.0, 199.1 | 184.1, 198.82 | 4 | B | 2 | null | null | null | null | null |
e7a9b4a5-3f3b-5b1f-a689-24da302a5001 | What is the correct external cause code for the therapeutic use of wintergreen oil? | E946.3 | E980.4, 976.3 | E858.7, E962.0 | 976.3 | 4 | A | 1 | null | null | null | null | null |
31db31a3-26f2-5e3a-bb71-e8e8d67c490e | Nancy has been suffering with abdominal cramping pain in the belly area, persistent watery diarrhea, fever, and fatigue. She underwent a colonoscopy and was diagnosed with Crohn's disease of the large bowel and colon. How would you report the diagnosis from the colonoscopy? | 789.00,787.91, 780.79, 780.6 | 789.00, 555.9 | 555.1 | 556.9, 787.91, 780.79, 780.6, 789.00 | 4 | C | 1 | null | null | null | null | null |
fea9b053-7e0a-593e-a06f-39c357fa6be6 | What bones make up the axial skeleton? | Coccyx, ulna, femur, and tibia. | Spine, collar bones, and arms | Shoulder bones, pelvic bones, arms, and legs | Skull, rib cage, and spine | 4 | D | 1 | null | null | null | null | null |
fcefcce5-80d0-50b9-8bc3-68e9d64bdee3 | HCPCS CODING:Level II HCPCS codes for drugs are administered : | Intravenously | Intramuscularly | Subcutaneously | All of the above | 4 | D | 1 | null | null | null | null | null |
7be97777-260b-513a-814c-740d93097b77 | A male 62-year-old presents for a digital rectal exam and total prostate-specific antigen test (PSA), which code would be used? | G0102, G0107 | G0102, G0103 | G0103 | G0102 | 4 | B | 1 | null | null | null | null | null |
1f1443a1-10c1-5458-bf75-4a5c44e39a4c | A Medicare patient, 82-year-old female has an energy x-ray absorptiometry (SEXA) bone density study of two sites of the wrists. | 76071 | 76070 | G0130 | 76075 | 4 | C | 1 | null | null | null | null | null |
2c525e6f-de88-582d-b20a-549821fe34d3 | A 63-year-old male, Medicare recipient receives 30 minutes of individual diabetes outpatiself-management training : | G0108 | 99213 | G0176 | G0109 | 4 | A | 1 | null | null | null | null | null |
5aaf2061-caaa-593e-80d1-e85786da9a25 | A Medicare recipient presents for an influenza and pneumococcal vaccination. | G0008 | G0010, G0008 | G0009 | G0008, G0009 | 4 | D | 1 | null | null | null | null | null |
3d21f24c-5bdb-50b4-89a9-5a0a6f16cc91 | General guidelines for HCPCS Level II Coding includes : | Code directly from the index | Note the reference codes as given in the index | Search for main terms and any applicable sub-terms | All of the above | 4 | C | 1 | null | null | null | null | null |
0fbcccd0-acb6-519d-814a-526b049e0bee | A patient received a 12 sq. cm. dermal tissue substitute of human origin, without other bioengineered elements, without metabolically active elements. This treatment was completed due to a burn on the abdomen. How would you report the supply? | J7342 | C1762 | C1763 | J7344 | 4 | B | 1 | null | null | null | null | null |
e0ccc1cc-7b78-5e00-9212-6398b3a19fa4 | During an emergency room visit, Sally was diagnosed with pneumonia. She was admitted to the hospital observation unit and treated with 500 mg of Zithromax through an IV route. How would you report the supply of this drug? | J1190 X 2 | J 0456 | Q0144 | J2020 X 2 | 4 | B | 1 | null | null | null | null | null |
aa20db85-2781-587e-8f2f-181874be724f | Report an initial Medicare Annual Wellness Exam (AWV) with a Established E & M visit , EPF Hx and Exam and LOW MDM (the CC was GERD and HTN) | G0438 only | 99213, G0438-33 | This is a sick visit so only report 99213. | 99213, G0438 | 4 | B | 2 | null | null | null | null | null |
85351a52-0107-5a87-9217-cab5a1b03cad | Which code describes an addition to the lower extremity, knee disarticulation, and leather socket? | L5105 | L5640 | L5850 | L5624 | 4 | B | 1 | null | null | null | null | null |
8addb405-3623-5c78-afdc-d5a98cee138a | A nursing home's x-ray machine was not working. A portable x-ray machine and personnel was transported to the nursing home to test nine patients. How would you report the transportation of equipment? | R0075 | 76499 | S9999 | R0070 X 9 | 4 | A | 1 | null | null | null | null | null |
e7e3fd0c-cab1-5870-9035-79130256c5fe | CODING GUIDELINES A separate procedure is coded per CPT guidelines : | Is never coded under any circumstances | Both a and b above | Is considered to be an integral part of a larger service | Is coded when it is performed as a part of another, larger procedure | 4 | C | 1 | null | null | null | null | null |
11503019-e0da-5a6c-90ba-d8325e360613 | The symbol TRIANGLE before a code in the CPT manuals means? | The code is exempt from bundling requirements | The code is exempt from unbundling requirements | The code can be used as an add-on code , never reported alone or first. | The code has been revised in some way this year | 4 | D | 1 | null | null | null | null | null |
525ed140-6f88-5a38-94e9-8c9092b0889f | Which is true of the CPT code(s) : | They are numeric. | They describe non-physician services. | All of the above are correct | Only physicians can report them. | 4 | B | 1 | null | null | null | null | null |
13800c9f-ccfa-527e-b9b2-d114b3af18f5 | CPT has been developed and maintained by | The cooperating parties | WHO | CMS | AMA | 4 | D | 1 | null | null | null | null | null |
1e5ceb71-6b81-52cc-87e4-9ce2d272a76e | This group performs the daily operations for CMS. | FI (and carriers) | OIG | WHO | PRO | 4 | A | 1 | null | null | null | null | null |
22c5c09d-ee38-5cf7-b272-afcc9871e1bf | ICD-9-CM codes are composed of 3, 4 and 5 digit codes, when using them : | B and c is correct | Code to the 4th digit when you don't have the information in your note. | Code to the greatest detail | It is appropriate to code the 3 digit code when the category is further defined | 4 | C | 1 | null | null | null | null | null |
cd0c3ede-e76f-5374-bf0a-2ef2aebd263b | When Acute and Chronic conditions are noted : | B and c are correct | Always code the Acute Condition first | Code both and sequence the acute (sub-acute) code first | Always code the Chronic condition first | 4 | A | 1 | null | null | null | null | null |
c3ef3d9a-4e9a-53f4-9425-21c869f18083 | Which is not true of V-Codes? | Are used for other reasons for the encounter | Describe signs & symptoms | Can always be used at primary diagnosis | Used to classify diseases and injuries | 4 | C | 1 | null | null | null | null | null |
9561fa4d-bf5c-5aca-bfe5-0ec2d7b7106c | When using the CPT index to locate procedures, which of the following are considered primary classes for main entries? | Abbreviations; signs and symptoms, anatomic site; and code assignment | Procedure or service; modifiers; clinical examples; and definitions | Procedure or service; organ or other anatomic site; condition. | Synonyms, eponyms, and abbreviations | 5 | C | 1 | Conventions; code ranges; modifying terms | null | null | null | null |
c14c959b-bba5-5f0e-9577-5c0af22bbd55 | How are the diagnoses sequenced when coding for multiple fractures? | Multiple fractures are sequenced according to anatomic location. | Multiple fractures are sequenced in accordance with the severity of the fracture. | Multiple fractures are always sequenced with pathologic fractures. | Multiple fractures are sequenced in accordance with the longest bone first. | 4 | B | 1 | null | null | null | null | null |
4497e067-0c62-5a77-a415-3eb6e03f11a1 | When coding for a liver transplantation, what are the three distinct components of the physician's work? | Cadaver biopsy, cholecystectomy, reconstruction of the liver graft | Preparations of the common bile duct, trisegment split, management of liver hemorrhage with re-exploration of post operative abscess | Cadaver/living donor hepatectomy, backbench work, recipient liver allotransplantation | Hemorrhoidopexy, ligation and hepatectomy, cholecystectomy | 4 | C | 1 | null | null | null | null | null |
9955adfb-4c90-522b-9b52-3351050fcdab | BILLINGWhat tool is in place that manages multiple third-party payments to ensure that over-payment does not happen? | DME | PRO | FUD | COB | 4 | D | 1 | null | null | null | null | null |
28afe8ef-f188-54bf-8b51-77914c00a426 | A PAR provider : | Signs an agreement with the Fiscal Intermediary | Submits charges directly to CMS | Receives 5% less than some other providers | Can bill the patient after payment from Medicare | 4 | A | 1 | null | null | null | null | null |
6641c7d2-a6af-593e-826e-b3611d46ae58 | What part of Medicare covers the inpatient costs after the deductible is paid? | Part C | Part A | Part B | Part D | 4 | B | 1 | null | null | null | null | null |
6b31b4e7-44e7-56da-bbcf-5e39e9d36e20 | Excision of the gallbladder is commonly referred to as a : | Cholecystectomy | Corpectomy | Choledochectomy | Colectomy | 4 | A | 1 | null | null | null | null | null |
476166a5-8c95-547f-9221-6de69c7c4cec | What code best describes an ablation of a polyp in the colon? | Hot biopsy Forceps | Snare | Bipolar cautery removal | Cryosurgery | 4 | D | 1 | null | null | null | null | null |
43308b56-0027-50fa-9647-9630a979271a | Peritonitis is a condition that occurs in which system? | Integumentary | Genitourinary | Cardiovascular | Digestive | 4 | D | 1 | null | null | null | null | null |
f3ac551d-3fe6-5df6-bcc7-01735d3edb5d | What type of infection is Helicobactor pylorus? | Staphyloccus | Streptococcus | Viral | Bacterial | 4 | D | 1 | null | null | null | null | null |
9d5f41af-993b-5d21-b995-a5fd9bd664b9 | Which following term describes a congenital absence of a limb? | Amputation | Hallux varus | Genu vagum | Ectromelia | 4 | D | 1 | null | null | null | null | null |
a7b56e24-a79c-51d5-abf6-3c76caf451cf | The patient presents with a laceration on the auricle pinna that needs a wound repair. What part of the body will the physician repair? | Ear | Nasal | Vermilion | Eyelid | 4 | A | 1 | null | null | null | null | null |
f52be708-ab28-5e2a-8dd5-1a2726983d49 | The kidneys, bladder, and urethra make up what system? | Urinary | Digestive | Endocrine | Nervous | 4 | A | 1 | null | null | null | null | null |
8a5f26ff-3015-573b-80bb-6bb2ffe604fd | Complete the series : Frontal, Ethmoid, Maxillary, ------------------------------- | Turbinates | Inferior | Sphenoid | Nasopharynx | 4 | C | 1 | null | null | null | null | null |
4deb68d5-b6ec-5e4f-8b08-dd01e111eff7 | A physician anesthetizes the brachial plexus nerves with an injection to provide pain control. These nerves are located : | From the hip joint to the thigh. | From the neck to the subclavicular. | From the shoulder to the wrist. | From the thigh to the foot. | 4 | B | 1 | null | null | null | null | null |
d2a6c273-8667-5175-bc20-ce01716ae9e6 | Adrenal glands are part of which anatomical system? | Digestive | Genitourinary | Circulatory | Endocrine | 4 | D | 1 | null | null | null | null | null |
30102d02-d72b-5974-b85d-ba155974bdda | The basilic vein is located in the : | Arm | Leg | Head | Foot | 4 | A | 1 | null | null | null | null | null |
44cb41ad-be6e-5677-860c-a118a7116130 | The small intestine is divided into what parts : | Pylorus, Jejunum, Cecum | Stomach, Descending Colon, Rectum | Duodenum, Jejunum, Ileum | Esophagus, Stomach, Duodenum | 4 | C | 1 | null | null | null | null | null |
36f6111b-469e-50c9-98dd-84b0f7c06ce0 | The right upper quadrant of the abdominal area contains which of the following? | Pancreas | Stomach | Gallbladder | Appendix | 4 | C | 1 | null | null | null | null | null |
07b83a65-12cc-5495-9472-402415f0938b | How would you characterize oligomenorrhea? | Irregular menstrual cycle | Absence of a menstruation | Bleeding unrelated to the menstrual cycle. | Infrequent menstruation | 4 | D | 1 | null | null | null | null | null |
4f48cacb-e989-5b2f-afa5-c70b85812da9 | A Cochlear implant is placed in the : | Spine | Cornea | Heart | Inner Ear | 4 | D | 1 | null | null | null | null | null |
1176c8a2-bca9-547f-b5f1-80979c0bc136 | What is Sialadenitis? | An inflammation of a salivary gland | An inflammation of a tear duct gland | An inflammation of a pituitary gland | An inflammation of an adrenal gland | 4 | A | 1 | null | null | null | null | null |
fd68a541-5a2d-531c-9c1a-cc53168737d7 | What is the meaning of the root word "myelo-"? | Spinal Cord | Blood | Muscle | Bone | 4 | A | 1 | null | null | null | null | null |
5227fa61-8235-5689-925d-7c8719aa4d48 | Surgical repair on the levator muscle of the eyelid to correct drooping is called : | Conjunctivoplasty | Blepharoplasty | Blepharoptosis Repair. | Canthotomy | 4 | C | 1 | null | null | null | null | null |
398f6de3-e0d9-5058-8540-38674df0ee04 | Dislocation of the scaphoid bone is located in the : | Elbow | Shoulder | Foot | Knee | 4 | C | 1 | null | null | null | null | null |
04b120c7-977c-5bdd-ad19-a7e3f07fa388 | A patient who has been severely burned will be undergoing a skin xenograft for temporary wound closure. The xenograft harvests the skin from where? | From synthetic material. | From a donor of the same species. | From the body of the patient. | From a donor that is non-human. | 4 | D | 1 | null | null | null | null | null |
745492fc-8225-5a3d-abc7-289882494950 | Which of the code book volumes are used in a physician's office? | Volume 1 | Volume 3 | Only A and B are used. | Volume 2 | 4 | C | 1 | null | null | null | null | null |
6259c9cb-a6a2-5152-87d0-a86c5557b3bf | --------------------------------------- is (are) used in both the index and Tabular List to enclose supplementary words that may be present or absent in the statement of a disease or procedure, without affecting the code assignment. | Brackets | Parentheses | "Excludes" | Includes | 4 | B | 1 | null | null | null | null | null |
d0ae988b-b917-5d4c-a690-26d5d8e01e80 | Which statement is NOT true of inclusion terms? | The terms may be included under certain four-and five-digit codes. | The inclusion terms are not necessarily exhaustive. | These terms are the conditions for which that code number is to be used. | An "Inclusion note" under a code indicates that the terms excluded from the code are to be coded elsewhere. | 4 | D | 1 | null | null | null | null | null |
83ea2c15-97c8-59e0-8755-1efc19043c39 | The word(s) " ----------- " should be interpreted to mean either "and" or "or" when it appears in the title. | Omit code | And | With | See | 4 | B | 1 | null | null | null | null | null |
f90fd62c-4d28-5e9e-9c54-1863e168363e | The most commonly used etiology/manifestation combinations are the codes for --------------------------, category 250. | Heart disease. | Tachycardia. | Hypertension. | Diabetes mellitus. | 4 | D | 1 | null | null | null | null | null |
21d7bcf6-6982-54aa-9e40-c8cf404ae402 | " -------------------------- " is used in the Alphabetic Index to provide guidance when two conditions are related or have a casual relationship. | See category | Due to | See condition | And | 4 | B | 1 | null | null | null | null | null |
2e5f5356-930b-5f01-92f2-1c4711e1cc29 | When coding neoplasm (cancer) , "metastatic from" means? | Primary or secondary site. | Unspecified site. | Secondary site. | Primary site. | 4 | D | 1 | null | null | null | null | null |
dbeb6760-6864-5c33-864d-17d7599c4979 | INTEGUMENTARY SYSTEM SECTION OF SURGERY SECTION :A new patient presents to the urgent care center with a laceration to the left elbow that happened 10 days ago and was not treated. An infected gaping wound was found, with resulting cellulitis to the forearm and upper left arm. Extensive irrigation and debridement using... | 884.0, 041.00, 99201 | 881.11, 682.3, 041.00, 99201, 96372, J0540 | 881.01, 99281, 96372, J0540 | 881.11, 682.3, 041.00, 96372-LT, J0540 | 4 | B | 2 | null | null | null | null | null |
b1106d1d-bece-5422-bc16-b5f0390690b0 | 12-year-old female was chasing her friend when she fell through a sliding glass door sustaining three lacerations. Left knee 5.5 cm laceration, involving deep subcutaneous tissue and fascia, was repaired with layered closure using 1% lidocaine anesthetic. Right knee: 7.2 cm laceration was repaired under local anestheti... | 891.0, 882.0, E920.8, E849.0, 12032-LT, 12004-51-RT | 894.0, 12032, 12002-LT, E/M code for Dermabond adhesive | 891.1, 882.0, 12002-RT, 12032-51-LT, 17999-51-LT | 891.0, 882.0, E920.8, E849.0, 12005 | 4 | A | 2 | null | null | null | null | null |
ae5fd5e6-337c-58b1-800c-240821520a50 | Excision lesion on left shoulder, 2.5 X 1.0 X .5 cm, including circumferential margins. Excision lesion, skin of right cheek, 1.0 X 1.0 X .5 cm, including margins. Pathology report states that the skin lesion on the left shoulder is a lipoma and the lesion on the right cheek is a squamous cell carcinoma. The physician ... | 173.3, 214.8, 11641-RT, 12031-51-LT | 173.3, 214.1, 11641-RT, 12031-51-LT | 173.3, 11643-RT, 12031-51-LT | 173.3, 214.8, 11641-RT, 11403-51-LT, 12031-51-LT | 4 | D | 2 | null | null | null | null | null |
a67e66b8-f5c8-5f05-abaa-5bb5c2666725 | OPERATIVE REPORT :Postoperative Diagnosis : Full thickness burn wound to anterior left lower leg. Operation: Split-thickness graft, approximately 35 centimeters; preparation of the wound. Procedure: Left lower leg was prepped and draped in the usual sterile fashion. The ulcer, which measured approximately 8 X 4 to 4.5... | 15100-LT | 15220-LT, 15221-51-LT, 15002-51-LT | 14021-LT, 15002-51-LT | 15100-LT, 15002-51-LT | 4 | D | 2 | null | null | null | null | null |
849c3f6e-879f-51ec-8b56-36153923289e | A skilled nursing home patient with an indwelling Foley catheter is diagnosed with a serious urinary tract infection due to E. coli caused by the catheter. The catheter is removed,m and a urine culture and sensitivity is performed. A temporary catheter is placed through the urethra, and aggressive antibiotic therapy i... | 599.0, 041.4, 51701 | 996.64, E879.6, 51703, 99281 | 996.64, 599.0, 041.4, E879.6, 51702 | 599.0, 996.64, E878.8, 51020 | 4 | C | 2 | null | null | null | null | null |
5c4be428-e47e-5b8e-b2aa-0e913f6dadb8 | A five-year-old boy was brought to the ER by a social worker who discovered him alone in spasms, and seizures. The Social Worker relates that the child's older sister told her the boy was bitten on the hand by a raccoon he played with 11 days ago. No treatment was sought for the injury at the time, but the area was inf... | 799.1, 780.39, 780.6, 882.1, E906.3, E968.4, E967.2, 92950 | 071, 882.1, E906.3, E968.4, E967.2, 99291, 92950 | 071,780.39, 780.6, 92950 | 079.89, 99285 | 4 | B | 2 | null | null | null | null | null |
fc337d8c-68a4-54e4-9f05-9c9b551997d5 | A 49-year-old female sustained injuries to the forehead, 1.5 cm. And a 1 cm wound to the eyebrow when she hit her steering wheel with her head. The closure was layered. Code the service only. | 12051 | 12011 | 12001 | 13131 | 4 | A | 2 | null | null | null | null | null |
85669fba-c307-554a-92b6-b09aa4d93070 | The burn patient had a 20 sq cm Biobrane skin graft the upper right leg and a 30 sq cm Biobrane skin graft of the lower left leg. | 15271-RT; 15271-LT, 15272-LT | 15271-RT | 15271 | 15271-RT; 15271-LT X 2 | 4 | A | 2 | null | null | null | null | null |
a47ca0ba-933a-5bf3-a8e2-b69ad5366288 | Tracy a 5-year-old female fell down stairs at a daycare. She hit her coccygeal bone and fractured it. The doctor manually manipulated the bone into the proper alignment and told Tracy's mom to have her sit on a rubber ring to alleviate pain. | 27200 | 28445 | 27202 | 27510 | 4 | A | 2 | null | null | null | null | null |
f2200cee-c6bd-516b-b402-c3683948c054 | A 12-year-old female sustained multiple tibial tuberosity fractures of the left knee while playing soccer at her local track meet. The physician extended the left leg and manipulated several fragments back into place. The knee was then aspirated. A long-leg knee brace was then placed on the knee. | 27538-LT | 27550-LT | 27330-LT | 27334-LT | 4 | A | 2 | null | null | null | null | null |
be51f6a5-1992-50f9-9780-80f1552c8b54 | By manipulation, under general anesthesia a 6-year-old left tarsal's dislocation was reduced. Correct alignment was confirmed by a two-view intraoperative x-rays. A short leg cast was then applied to the left leg. Code only the reduction service. | 28545-LT, 29405-LT-51 | 28545-LT | 28540-LT, 73620 | 28545-LT, 29405-LT, 73620 | 4 | B | 2 | null | null | null | null | null |
a11dec1f-b265-53f2-b435-7f3b2e4c9570 | Dr. Devine applied a cranial halo to Gary to stabilize the cervical spine in preparation for x-rays and subsequent surgery. The scalp was sterilized and local anesthesia injected over the pin insertion sites. Posterior and anterior cranial pins are inserted and the halo device attached. | 20664, 96372 | 20661, 96372 | 20661 | 20664 | 4 | C | 2 | null | null | null | null | null |
8b7865f0-c31b-55b3-850c-f282386b50e6 | Charley was playing in the backyard when his sister fired a pellet gun at his left leg and hit him from close range. The pellet penetrated the skin and lodged in the muscle underlying the area. The doctor removed the pellet without complication or incident. Code the procedure only. | 20525-LT | 20520-LT | 10121-LT | 10120-LT | 4 | B | 2 | null | null | null | null | null |
089db057-5981-574f-ae61-2cebe8e66843 | Steve presents with a deep, old hematoma on his right shoulder. After examination of the shoulder area, the doctor decides that the hematoma needs to be incised and drained. | 23030-RT | 10140-RT | 10060-RT | 10160-RT | 4 | A | 1 | null | null | null | null | null |
d8571555-1dc0-5655-915e-fd33bf6ec385 | The surgeon performed an arthrodesis, including a laminectomy of the L1 and L2 segments. Approach was posterior with a posterior interbody technique. | 22634 X 2 | 22633; 22634 | 22630; 22632 | 22633 X 2 | 4 | B | 2 | null | null | null | null | null |
dd944d2e-f078-5403-b271-30080aed4d17 | A child is seen in the office for a superficial laceration of the right knee. The physician repairs the 3.0 cm. laceration with simple suturing. | 12002-RT | 12031-RT | 12007-50 | 13120-RT | 4 | A | 2 | null | null | null | null | null |
694448a3-2724-55a9-88fa-8fc05975cd72 | A woman presents to the Emergency Department for a deep 3.5 cm wound of the right arm. A routine cleansing and layer closure was required. | 12032-RT | 10061-RT | 10121-RT | 12031-RT | 4 | A | 1 | null | null | null | null | null |
5e994310-3fce-5fe6-9e51-03fd41f52e83 | Sam is treated for multiple wounds of the right forearm, hand and knee. The physician sutured the following : simple repair, 2.5 cm forearm; intermediate repair, 1.5 cm. hand; 2.0 cm. simple repair, right knee. | 11600-RT, 11420-RT | 12041-RT, 12002-RT | 12041-RT, 12002-RT-51 | 11400-RT, 11420-51-RT | 4 | C | 2 | null | null | null | null | null |
0cec0b87-0e3a-5929-886c-2a79cad4e234 | CARDIOVASCULAR SYSTEM : 30000 SeriesA 69-year-old male is admitted for coronary ASHD. A prior cardiac catheterization showed numerous native vessels to be 70% to 100% blocked. The patient was then taken to the operating room. After opening the chest and separating the rib cage, a coronary artery bypass was performed us... | 33536, 33517-51, 414.9 | 33536, 33522, 414.01 | 33514, 414 | 33533, 33522, 414.05 | 4 | B | 2 | null | null | null | null | null |
471c0873-99e7-5aa5-b4bc-c39ddc2fa253 | An arterial catheterization is coded how? | 36620 | 36600 | 36640 | 36620, 36625 | 4 | A | 1 | null | null | null | null | null |
8632bece-adac-5ca6-8869-73260c91cafd | A patient is taken to the operating room for a ruptured spleen. A partial splenectomy and repair of a rupture was done. | 38120, 865.04 | 38115, 289.59 | 38101-58, 38115-51, 289.59 | 38101, 865.14 | 4 | B | 1 | null | null | null | null | null |
52a260c1-2b73-5899-86fe-34b7f034c7b7 | A 50-year-old patient has a PICC line with a port placed for chemotherapy infusion. Fluoroscopic guidance was used to gain access to check placement. | 36571, 76937 | 36571, 77001 | 36568, 76937 | 35651, 77001 | 4 | B | 2 | null | null | null | null | null |
98123be7-c437-5a5b-a059-ac0e3d14c099 | The 55-year-old female was seen previously for a laparoscopic biopsy of her cervical lymph nodes. The biopsy came back showing abnormal cells. The decision was made to do a lymphadenectomy. The patient was brought to the operating room and put under general anesthesia. When the radical neck dissection was complete, th... | 38571 | 38720, 38570-51 | 38724 | 38720, 38500-51 | 4 | C | 1 | null | null | null | null | null |
cfc0f258-5d42-5f18-bc27-555c50f7d7b9 | For revascularization therapy of the femoral/popliteal territory, how many codes should be used for a combination angioplasty, stent and angioplasty? | One but use an Add-on code for any additional Vessels | One ----- 37230 | None of the Answers are Correct | Three | 4 | B | 1 | null | null | null | null | null |
a01788f2-8d68-5e5f-a5d9-57a6fe9edc2c | RESPIRATORY SYSTEMPREOPERATIVE DIAGNOSIS : Deviated septum.PROCEDURE PERFORMED : Septoplasty; Resection of inferior turbinatesThe patient was taken to the operating room and placed under general anesthesia. The fracture of the inferior turbinates was first performed to do the septoplasty. Once this was done, the sept... | 30520, 30140-51, 802.0 | 30520, 30140-51, 470 | 30520, 30130-51, 470 | 30520, 30130, 470 | 4 | B | 1 | null | null | null | null | null |
62507255-1350-515d-b190-9fff93463baa | RESPIRATORY SYSTEMThe patient is seen at the clinic for chronic sinusitis. It is determined that an endoscopic sinus surgery is scheduledd for the next day. The patient arrives for same-day surgery, and the physician performs an endoscopic total ethmoidectomy with an endoscopic maxillary antrostomy with removal of maxi... | 31254, 31256-51, 473.9 | 31255, 31267-51, 461.9 | 31255, 31267-51, 473.9 | 31200, 31225-51, 473.9 | 4 | C | 1 | null | null | null | null | null |
58e57d16-d6ab-5475-9a55-ffca87392e3b | DIGESTIVE SYSTEM : 40000 seriesGary is admitted to same-day surgery for a laparoscopic cholecystectomy. | 47562, 47550 | 47562 | 47560 | 47600 | 4 | B | 1 | null | null | null | null | null |
bf4e9e6f-73a8-5350-bdf1-757f0fc651de | Code an excision of a ruptured appendix with generalized peritonitis. | 44960 | 49021 | 49020 | 44960-22 | 4 | A | 1 | null | null | null | null | null |
5081fd1f-0570-5bdf-88de-87bb7806a571 | Code an ERCP with sphincterotomy | 43262 | 43264 | 43260 | 43262, 43273 | 4 | A | 1 | null | null | null | null | null |
62ecfacb-e8d1-56d6-bf18-99e27f9a81ce | When the physician does not specify the method used to remove a lesion during an endoscopy, what is the appropriate procedure? | Assign the ablation code | Query the physician as to the method used. | Assign the removal by hot biopsy forceps code | Assign the removal by snare technique code as a default. | 4 | B | 2 | null | null | null | null | null |
f1fcd41a-a2c5-512b-bda1-887b44f0f630 | Excision of parotid tumor or gland or both. Once the patient was under general anesthesia, successfully, Dr. White assisted by Dr. Green, opened the area in which the parotid gland is located. After inspecting the gland, the decision was made to excise the total gland because of the size of the tumor (5 cm.). With car... | 42410-80, 97597, 142.0 | 11426. 239.8 | 42420-80, 239.8 | 42426-62, 210.2 | 4 | C | 1 | null | null | null | null | null |
7673672a-0032-5d07-a387-5a50c6d7a3f9 | This 10-year-old girl presents for a tonsillectomy because of chronic tonsillitis and possible adenoidectomy. On inspection the adenoids were found not to be inflamed. Only the tonsillectomy was done. Code the tonsillectomy only. | 42826, 42835-51, 474.02 | 42825, 474.00 | 42830, 42825-51, 474.1 | 42820, 474.10 | 4 | B | 2 | null | null | null | null | null |
ddb02085-c58b-5188-8f62-067d75035e0d | A 63-year-old male present to Acute Surgical Care for a sigmoidoscopy. The physician inserts a flexible scope into the patient's rectum and determines the rectum is clear of polyps. The scope is advanced to the sigmoid colon, and a total of three polyps are found. Using the snare technique, the polyps are removed. Th... | 44111, 153.3 | 45383, 211.3 | 45338, 211.3 | 44110, 153.9 | 4 | C | 2 | null | null | null | null | null |
f04c6452-9245-59b9-92e8-8c66a7547838 | This woman is in for multiple external hemorrhoids. After inspection of the hemorrhoids, the physician decides to excise all the hemorrhoids. | 46083, 455.5 | 46255, 455.5 | 46615, 455.0 | 46250, 455.3 | 4 | D | 1 | null | null | null | null | null |
daae82c3-2d3c-5d00-818b-2e82508097f3 | URINARY SYSTEM : 50000 SeriesOPERATIVE REPORT DIAGNOSIS: Acute renal insufficiencyprocedure : Renal biopsyThe patient was taken to the operating room for percutaneous needle biopsy of the right and left kidneys. | 50542-LT, 50542-RT | 50555-50 | 50200-50 | 49000-50 | 4 | C | 2 | null | null | null | null | null |
42a18142-f4fe-5629-ace0-2fbc4b356371 | OPERATIVE REPORTDIAGNOSIS : Large bladder neck obstructionPROCEDURE PERFORMED : Cystoscopy and transurethral resection of the prostate.Code the procedure(s) performed and the diagnosis. | 52450, 52001-51, 596.0 | 52450, 52001, 753.6 | 52450, 52000-59, 596.0 | 52450, 52000, 753.6 | 4 | C | 2 | null | null | null | null | null |
24097104-6ca2-5049-869e-d00f3c5b7163 | MALE GENITAL SYSTEM : 50000 SeriesCode reconstruction of the penis for straightening of chordee : | 54328 | 54435 | 54360 | 54300 | 4 | D | 1 | null | null | null | null | null |
720d1277-7e4b-57aa-91c0-00c55f0c5d99 | New born clamp circumcision. | 54161 | 54150 | 54150-52 | 54162 | 4 | C | 2 | null | null | null | null | null |
86209fd6-c34c-595b-9ec1-42cf457d1118 | Sam is a 40-year-old male in for a bilateral vasectomy that will include three postoperative semen examinations. | 52648 | 52402 X 3 | 55250 | 55250 X 3 | 4 | C | 1 | null | null | null | null | null |
7acbeae5-5709-5616-8bfa-5485a6d42ff4 | FEMALE GENITAL SYSTEM : 50000 SeriesPatient is seen for Bartholin's gland abscess. The abscess is incised and drained by the physician. | 50600 | 53060 | 56405 | 56420 | 4 | D | 1 | null | null | null | null | null |
ab83edf3-d9c7-59d5-9e55-47091540b198 | A 22-year-old female is seen at the clinic today for a colposcopy. The physician will take multiple biopsies of the cervix uteri. | 57461 | 56821 | 57455 | 57420 | 4 | C | 1 | null | null | null | null | null |
dcdc72af-7d78-5148-92cc-734a5acb9171 | EVALUATION AND MANAGEMENT :A 90-year-old patient asks for a second opinion when he was recently diagnosed with bilateral senile cataracts. His regular ophthalmologist has recommended implantation of lenses after surgical removal of the cataracts. The patient presents to the clinic stating that he is concerned about the... | 99203 | 92002 | 99252 | 99241 | 4 | A | 1 | null | null | null | null | null |
f5fe9c08-3a08-598b-b2eb-3c9992c78b75 | The attending physician requests a confirmatory consultation from an interventional radiologist for a second opinion about a 60-year-old male with abnormal areas within the liver. The recommendation for a CT guided biopsy is requested, which the attending has recommened be performed. During the comprehensive history, t... | 99255 | 99221 | 99245 | 99223 | 4 | D | 3 | null | null | null | null | null |
7443f8e6-e8b9-5077-b21d-2380e9d9cb6e | A cardiology consultation is requested for a 69-year-old inpatient for recent onset of dyspnea on exertion and chest pain. The comprehensive history reveals that the patient cannot walk three blocks without exhibiting retrosternal squeezing sensation with shortness of breath. A comprehensive physical examination reveal... | 99223 | 99254 | 99245 | 99255 | 4 | D | 2 | null | null | null | null | null |
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