21. A patient presents to her oncologist’s office for schedule chemotherapy. The patient is severely dehydrated. The physician decides to schedule the chemotherapy for another day and orders hydration therapy to be performed today instead of the chemotherapy. The therapy is ordered and administered for one hour and 10 minutes. Select the code(s).
A. 96413-53, 96360 B. 96360
C. 96360, 96361 D. 96413, 96361
22. Left heart catheterization retrograde from the femoral artery with injection procedures for selective coronary angiography and selective left ventriculography, including imaging supervision and interpretation with report, are performed. The cardiologist performed all of the services at the hospital. The CPT® codes are:
A. 93458 C. 93452, 93454
C. 93452, 93563 D. 93458, 93565
23. The correct code for OMT performed on the cervical, thoracic and sacral regions would be:
A. 97110 B. 98941
C. 98926 D. 97124
24. The patient is admitted to the hospital for an eight channel EEG to determine the focus of her cerebral seizures. The EEG is performed for 24 hours. Select the appropriate code.
A. 95813 B. 95824
C. 95827 D. 95950
25. A pediatrician is managing the care of a patient who is at home on a ventilator under the care of a home health agency. The patient has cystic fibrosis and is suffering from recurrent pneumonia. The MD did the initial plan of care for the home health agency and now is following this monitor vent management oversight on day 20. The provider has a total 45 minutes for this month how should he code?
A. 94002 B. 94003
C. 94005 D. 94004
26. A two-month-old comes in for a well check up and several shots (Rota, DTaP-Hib, PCV) with her pediatrician. He offers suggestions to the mom, completes the exam, and counsels her on the vaccinations. How should this be coded?
|A. 99391-25, 90471, 90472 x 2, 90680, 90721, 90669
|B. 99381-25, 90460, 90461 x 2, 90680, 90700, 90648, 90669
|C. 99381-25, 90471, 90472 x3, 90680, 90700, 90645, 90669
|D. 99391-25, 90460, 90461 x 2, 90680, 90721, 90669
27. Mary, who has food allergies, came to her physician for her weekly allergen immune therapy that consists of two injections prepared and provided by the physician. The correct code is:
A. 95125 B. 95117
C. 95131 D. 95146
28. Photodynamic therapy involving application of light externally to destroy premalignant lesions on the lower lip was provided to a 63-year-old patient. Code the encounter.
A. 96570 B. 96999
C. 96567 D. 96913
29. The patient presents to see the nurse for his scheduled vitamin B12 injection. The physician ordered the injection at the patient’s last visit. The physician is in the office seeing other patients. The nurse administers the 1000 mcg of vitamin B12 intramuscularly. She schedules the patient for his next appointment.
A. 99211-25, 96372, J3420 B. 99211-25, J3420
C. 96372, J3420 D. 96401, J3420
30. In the inpatient setting, the psychiatrist provides psychotherapy for 30 minutes to affect a change in the patient’s maladaptive behavior. What is the procedure code?
A. 90804 B. 90816
C. 90845 D. 90801
31. Mae’s physician asked her to wear a glucose monitoring device to obtain more accurate information about her blood sugars. She had sensors placed and was then hooked up to a calibrated wearable device. Once this was complete, the technician provided Mae with training for the noninvasive ambulatory continuous glucose monitoring device. After wearing the device for 72 hours, Mae’s physician’s office removed the device, printed recordings, and downloaded analyses reports to its computer system. Which code captures this service?
32. Edna, a 72-year-old patient, returned to her regular pulmonologist for a follow-up visit. Dr. Harry documented Edna’s chief complaint as fatigue after recovering from a minor flu. His documentation supports a past history of smoking, COPD, and well-controlled diabetes. Edna lives with her husband, maintains her weight with a balanced diet, and exercises in the warm weather but feels “shut in” during the winter. Dr. Harry noted a detailed examination, reviewed multiple treatment options, and reviewed moderate risks for complications. Dr. Harry completed a six-minute walking pulmonary stress test to evaluate distance, dyspnea, desaturation, and heart rate. The stress test was repeated with adequate rest walks, pre-/post-spirometry and oximetry, and interpretation and evaluation protocol for Edna’s entry into a pulmonary rehabilitative program. Which code(s) should Dr. Harry report for today’s services?
a. 99214-25, 94620
b. 99204-25, 94621
d. 99213-25, 94620 x 2
33. A 19-year-old patient received immunizations at her health clinic. The immunizations were administered by a medical assistant at the same clinic. The patient was seen two weeks ago but was unable to complete the immunizations due to a stomach virus. Today, she is symptom free and receives an intramuscular H1N1 influenza pandemic formulation, preservative-free vaccine and an intramuscular hepatitis A immunization. Which codes capture these services?
a. 99211-25, 90633, 90667, 90473-51, 90474-51
b. 99213-25, 90632-51, 90666-51, 90471-51, 90472-51
c. 90460, 90470, 90632-51, 90632-51
d. 90632, 90663, 90471, 90472
34. What codes are not reported in conjunction with the following code descriptor?
Comprehensive electrophysiologic evaluations including insertion and repositioning of multiple electrode catheters with indication or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, and His bundle recording
a. 93600, 93602, 93610, 93612, 93618, 93619
b. No codes are restricted from conjunction reporting with 93620
c. 93600-51, 93602-51, 93610-51, 93612-51, 93618-51, 93619
d. Both a & c
35. An 11-year-old female had one face-to-face visit with her physician and received three daily dialysis services during a one-month period prior to her kidney transplant. How should these services be reported?
b. 90968 x 3
c. 90964 x 3
36. Which codes should be reported for the following case?
Preoperative diagnosis: Coronary arteriosclerosis of native arteries, chronic occlusion of coronary arteries
Postoperative diagnosis: Same
Anesthesia: Conscious sedation by procedure physician with presence of trained observer
Procedure: The 64-year-old patient was prepped, draped, and positioned in the usual fashion. After adequate sedation was administered, an access site into the right femoral artery was achieved. The catheter devices were advanced into position. Extensive review of the current anatomy was completed along with review of the previous catheterization. The procedure continued as planned with placement of two drug-eluting stents in the left circumflex, PTCA to the right coronary artery, and atherectomy for occlusion in the left anterior descending artery. Adequate flow was reviewed and confirmed via angiograms upon completion of the procedures. The guiding catheter was withdrawn after flow confirmation. Total intraservice time was noted at 1 hour 30 minutes. The sheath was secured to the groin with a suture and the patient was moved to recovery in good condition. Standing orders were given for sheath removal when the heparin effects are noted as normal through blood tests. Normal pressure is to be applied at the groin as needed with placement of a sandbag or ice bag.
a. 414.01, 414.2, 92980-LC, 92984-RC, 92996-LD
b. 414.2, 424.0, 92980, 92984, 92996
c. 414.2, 424.0, 92980, 92982-51, 92995-51
d. 424.0, 414.2, 92980-LC, 92984-RC, 92996-LD, 99144, 99145 x 2
37. A patient suffering from nystagmus completed a basic vestibular function evaluation with testing and recording in five different positions with gaze fixation; optokinetic, bidirectional, foveal, and peripheral stimulation; and oscillation. An additional vertical electrode and vertical axis rotational testing was employed during testing. How should this procedure be reported?
a. 92545, 92541-59, 92542-59, 92540-59
b. 92540, 92545, 92542, 92546, 92547
c. 92540, 92546, 92547
d. 92545, 92547-51
38. A patient underwent a left heart catheterization by transseptal puncture through an intact septum with image supervision and interpretation and intraprocedural injection for left ventriculography. During the procedure, pharmacologic agents were administered and measured. An arm ergometry was employed for exercise study to assess hemodynamics before and after the procedure. How should this procedure be reported?
a. 93458, 93462, 93463, 93464 x 2
b. 93452, 93566, 93462, 93463, 93464 x 2
c. 93452, 93566, 93462, 93463, 93464 x 2
d. 93452, 93462, 93463, 93464
39. A patient completed a diagnostic computerized ophthalmic scan of the retina on both eyes. The physician’s interpretation and report included changes to the retina in the right eye from a previous study. The left retina looked stable with no changes noted. The patient is scheduled for a follow-up study in three weeks to assess any new changes and treatment as needed. How should the physician report her services?
a. 92132-50, 92134-26
40. Cameron received 60 minutes of insight-oriented psychotherapy in an outpatient facility. During this same visit, Cameron complained of an upset stomach due to his new medications. The medications were reviewed and new medications were prescribed, a flare-up of his seasonal allergies was documented, and a persistent cough is noted. The documentation included the psychotherapy notes with an additional 35 minutes dedicated to a problem-focused history, problem-focused examination, and low-complexity decision-making. How would the physician services be reported?
b. 99213-25, 99354, 90815
d. 99213-25, 90809