CCA Medical Coding Professional Free Exam Prep - Question List

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21. What is the difference between biopsy codes located in the integumentary section and those found in the musculoskeletal section?
  1. The biopsy codes found in the integumentary section are only for codes related to malignant neoplasms
  2. There are no biopsy codes found in the musculoskeletal section
  3. The codes in the musculoskeletal system include biopsies for bone only, whereas the biopsy codes found in the integumentary section include codes for biopsies of subcutaneous structures including bone
  4. The biopsy codes found in the integumentary section are for biopsies of the skin and subcutaneous structures whereas the biopsy codes found in the musculoskeletal section are for deeper structures
22. A physician sutured 3 digital nerves in the left hand, the common sensory nerve in the left foot and two common sensory nerves in the right foot. What codes need to be reported?
  1. 64831, 64832 (X2), 64834, 64837 (X2)
  2. 64831, 64832, 64834, 64837
  3. 64831, 64832 (X4), 64834
  4. 64831, 64834, 64837 (X4)
23. The physician performed an annual examination on a 47-year-old male new patient with a history of congenital heart disease. What is the correct E&M code?
  1. 99387
  2. 99386
  3. 99396
  4. 99397
24. A physician performed a right lumbar hemilaminectomy with decompression of nerve root, including the excision of two herniated intervertebral discs for three vertebral interspaces. How should the physician code for this service?
  1. 63030, 63035 (X2)
  2. 63020, 63035 (X2)
  3. 63042, 63044 (X2)
  4. 63042, 63044
25. A pediatric patient with a history of asthma and pneumonia presented to the office with severe respiratory distress. The pediatrician performed a detailed history and comprehensive examination, and diagnosed the patient with status asthmaticus. A pulse oxygen level was taken and it was determined that the patient’s blood oxygen level was at 88%. The patient was started on a nebulizer treatment at 0950 hours, which lasted until 1015 hours. The physician then re-checked the patient and determined that the patient’s breathing had only slightly improved. A pulse oxygen level was taken again and it was determined that the patient was at 92%. The physician then ordered another nebulizer treatment, which was started at 1032 and continued until 1054. After this second breathing treatment, an additional pulse oxygen level was taken and the patient’s blood oxygen level had risen to 97%. The pediatrician then determined that the patient needed to be sent for chest x-rays to determine whether or not pneumonia was present in the lungs. Due to the resulting amount of data and risk, the pediatrician considered the MDM of high complexity. The total time spent with the patient was 1 hour 45 minutes.

What E&M codes would you use to code for the office visit?
  1. 99214, 99354, 99355 (X2)
  2. 99215, 99354, 99355
  3. 99215, 99355 (X3)
  4. 99215, 99354, 99355 (X2)

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