SAMPLE TEST QUESTIONS FOR THE CPC EXAM

1. According to the ICD-9 guidelines, how is the postpartum period described?

a. The postpartum period begins immediately after delivery and continues for six weeks following
delivery
b. The postpartum period includes the last month of pregnancy and up to five months after
delivery
c. The postpartum period is different for each pregnancy
d. The postpartum period begins immediately prior to delivery and continues for six weeks following
delivery

2. Select the correct ICD-9 code for a bilateral femoralhernia with gangrene. a. 552.02
b. 551.00
c. 551.02
d. 553.02

3. What is the correct supply code for an iris-supported intraocular lens?

a. V2599 b.
V2631 c.
V2744 d.
V2715

4. What modifier best describes a surgery performed on the right foot, fourth digit?

a. TB b.
T4 c. RT
d. F8

5. How is the performance measures numerator for Community-Acquired Bacterial

Pneumonia (CAP) defined for code 1026F?

a. All patients with the diagnosis of community-acquired bacterial

pneumonia
b. All patients with hydration status assessed
c. All patients assessed for history of co-morbid conditions
d. All patients with an appropriate empiric antibiotic prescribed

6. A 29-year-old patient is given an intramuscular Hepatitis A and Hepatitis B vaccine.

Select the appropriate codes to report this service.

a. 90471,90646,90747

b. 90467,90632,90646
c. 90473, 90636
d. 90471,90636

7. A patient had a whole-body thyroid carcinoma metastases imaging with uptake completed.
Select the appropriate codes to report the professional services.

a. 78015-26, 78003-26 b.
78010, 78020
c. 78028, 78020
d. 78018-26, 78020-26

8. The cisterna chyli is located in which body system?

a. Nervous system
b. Lymphatic system
c. Respiratory system d.
Muscular system

9. A 9-month-old baby boy is diagnosed with shaken infant syndrome with subdural hematoma and retinal
hemorrhages.The daycare worker told the emergency department physician that she shook the baby to
make him stop crying. Select the appropriate diagnoses codes for this patient.

a. 995.55, E967.7, E967.8

b. 362.81, 995.55, E967.4, E968.7 c.
995.55, 362.81, E968.8, E967.8 d. 362.81,
E968.8, E967.8

10. What is Hallermann-Streieff considered?

a. A syndrome b.
A muscle
c. A treatment
d. A bone

11. According to procedure coding, how is "skin traction" defined?

a. Application of a force (distracting or traction force) to a limb segment

through a
 wire,pin, screw,or
clamp attached to the
skin only
b. Application of a force (longitudinal) to a limb using
felt or strapping applied directly to the skin only
c. Application applied through force to a limb using felt or
strapping applied directly to the skin only
d. Application applied through force to a long bone using a
segment of wire, pin, screw, or clamp attached to the skin
only

12. What is a panniculectomy?

a. Intravenous injection of agent to test

vascular flow in flap or graft b. Incision with
opening of deep bone cortex
c. Closure of vesicovaginal fistula
d. Excision of excessive skin and subcutaneous tissue from abdomen
"tummy tuck"

13. What is included with an adjacent tissue transfer or rearrangement?

a. Skin graft necessary

to close secondary defect b.
Initial wound
recipient side preparation
c. Excision of the benign or malignant lesion
d. Modifier P5 on additional codes reported with this procedure

14.An 84-year-old patient with mild hypertension is undergoing a

cataract procedure.
Select the appropriate
anesthesia code(s) for this
patient.

a
.

6
6
9
8
3
,

0
0
1
4
4
-
P
4

b
.

9
9
1
0
0
,

6
6
9
8
3
c. 00148
d. 00142-P2, 99100

15.Mary was seen in Dr. Jones' office after scalding her hand with steam
from a pot of boiling water. Dr.Jones had seen Mary four years ago
before she moved out of state. Today, Dr. Jones documents a
detailed history and performs a detailed examination.
Medicaldecision-making is of low complexity.He writes her a
prescription for an antibiotic cream and asks her to check with him
in one week if the burn is not healing. Select the appropriate code for
today's encounter.
a. 99203

b. 99213
c. 99221
d. 99243

16.Which set of codes would be reported for end-stage renal disease

 services for home dialysis?

a
.

9
0
9
6
7
-
9
0
9
7
0

b
.

9
0
9
3
5
-
9
0
9
3
7
c
.

9
0
9
5
1
-
9
0
9
5
3

d
.

9
0
9
6
3
-
9
0
9
6
6

17.A patient was treated by photodynamic therapy for a lesion on the

choroid of her left eye. Select the appropriate procedure code(s)
for this procedure.

a
.

9
6
5
6
7
-
L
T
b
.

6
7
1
0
1
-
R
T

c
.

6
7
2
2
1
-
L
T
d
.

6
7
2
2
1
'

6
7
2
2
5
-
5
0

18.What is the correct code for the supply of a Ganciclovir

4.5 mg, long-acting implant?

a
.

L
8
6
0
6

b
.

J
7
3
1
0

c
.

A
4
6
5
0

d
.

E
0
7
8
3

19.A 20-year-old HIV-positive patient was admitted to a hospital

observation bed by his
PCP for stomach cramps and diarrhea. After tests were completed,
the PCP
determined that the stomach cramps and diarrhea were results of
staphylococcalfood poisoning. Select the appropriate diagnoses
codes for this patient.

a
.

0
4
2
,

0
0
5
.
0

b
.

V
0
8
,

0
0
5
.
3

c
.

0
0
5
.
0
'

0
4
2
d
.

0
4
2
,
V
0
8
,

0
0
5
.
3

20.What is the correct 5 digit sub-classification to describe
bacteriologicalor histological examination not done for
tuberculosis?

a
.

1
b
.

3
c

.
d. No 5 digit is necessary
with this diagnosis code set
1. Jill is a 29-year-old patient of Dr. Marks. She is seen by Dr. Marks for a
cough with
wheezing and yellow-colored mucus of three days duration, as well as four
days of
external bleeding hemorrhoids and diarrhea. Dr. Marks gives Jill Amoxicillin for
acute viral bronchitis, instructions for care of external hemorrhoids, and a diet
plan to
assist with the diarrhea. What diagnoses should Dr. Marks use for this
encounter?
a. 466.0, 455.5, 787.91
b. 787.91, 466.11, 455.5
c. 466.11, 787.91, 455.2
d. 466.0, 455.8, 787.91
2. What HCPCS Level II code describes Ensure HN therapy with an enteral
infusion
pump with alarm?
a. B4150, B9002
b. B4152, B9000
c. B4150
d. None of the above
3. Which types of joints are considered synovial?
a. Suture joint, medial joint, and articulation joint
b. Ball-and-socket joint, hinge joint, and saddle joint
c. Pivot joint, talus joint, and cranial joint
d. Ball-and socket joint, nasal joint, and elevation joint
4. A physician applied a cast and also provided all of the subsequent fracture
care. The
same physician may report the application of the cast separately from the
fracture
care.
a. True
b. False
5. Immediately prior to inserting a permanent pacemaker and placing an
electrode in the
ventricle, the same physician surgically created a pocket to hold the pulse
generator.
How should the physician report the creation of the pocket?
a. Skin pocket is included
b. 33222
c. 33222, 33215-51
d. 33233
6. What modifier should be used for an incomplete colonoscopy when the
patient was
prepared for a full colonoscopy?
a. 78
b. 52
c. 24
d. None of the above
7. A physician inserts a single temporary transvenous pacing catheter into
the right
atrium and connects the electrode to an external pulse generator. How should
the
physician report these services?
a. 33214
b. 33206
c. 33210
d. 33211-52
8. A surgeon performs a diagnostic laparoscopy followed by a laparoscopic
nephrectomy (including partial ureterectomy). How should the physician
report these
services?
a. 50546
b. 49320, 50546-51
c. 49320
d. 50549
9. It is appropriate to separately report a visceral repair when a closure of an
ureterovisceral fistula is performed during the same surgical session.
a. True
b. False
10. A dermatologist excises a 3.5 cm benign lesion from a patients back.
After the lesion
is successfully removed, the dermatologist performs an intermediate 3.5 cm
layered
closure. How should you report these services?
a. 11404, 12031
b. 11404, 12032-51
c. 11404
d. 11404, 12032-57
11. How would a physician report a bilateral diagnostic nasal endoscopy
followed by
endoscopic debridement of the nasal cavity during the same operative
session?
a. 31240, 31237
b. 31254
c. 31237-50
d. 31237
12. What is the name of a procedure that involves the passage of an
endoscope down
through the esophagus?
a. Septoplasty
b. Sinusotomy
c. Laryngoscopy
d. Esophagoscopy
13. A physician excises a lesion from the iris of the right eye. How should the
physician
report these services?
a. 66761-50
b. 66770-RT
c. 66635-52
d. 66600-RT
14. A patient presents to have corns removed from his foot. The physician
performs
paring to successfully remove four lesions. How should the physician report
these
services?
a. 11056
b. 11056, 12000
c. 11056 x 4
d. 11704
15. The subsection microbiology in the Pathology and Laboratory section of
the CPT
Manual includes codes for bacteriology, mycology, parasitology, and virology.
a. True
b. False
16. A 13-year-old patient suffering from end-stage renal disease received a
full month of
services, including growth and development assessment, parent counseling,
and
monitoring of adequate nutrition. These services were completed in an
outpatient
facility. How would the physician report these services?
a. 90999
b. 97803, 90924
c. 90920
d. 90924
17. A patient is admitted to the hospital for insertion of 15 interstitial
radiation ribbons.
How would the facility report the radiology services?
a. 77778
b. 99222, 77763
c. 77777-TC
d. 77762 x 15
18. Mrs. Smith was seen by her family physician, Dr. Marks. Mrs. Smith
complains she
has had a sore throat, breathing problems, and a fever for five days. She is a
diabetic
patient and has been taking over-the-counter medications that have
interfered with her
insulin medication. Dr. Marks documented a detailed history, detailed
examination,
and moderately complex decision-making. Dr. Marks spent 35 minutes with
the
patient during the examination. How should the physician report this service?
a. 99215
b. 99204
c. 99205
d. 99214
19. Pediatric critical care patient transport codes include vascular access
procedures,
blood gases, and review of information data stored in computer.
a. True
b. False
20. An anesthesiologist administers anesthesia for a male patient prior to the
surgeon
performing a total hip replacement. The patient is 75 years old and suffers
from mild
hypertension. How should you code the anesthesia services?
a. 01214, 99100-59
b. 01214-47
c. 01214-P2, 99100
d. 01214-P3
Answers to sample test questions for the CPC exam
1. a Hemorrhoids are external with bleeding and the bronchitis is not
specific to the type of virus.
2. a Report both the supplement and the pump.
3. b There are six types of freely moving or synovial joints: ball-andsocket,
hinge, pivot, condyloid, saddle, and gilding joints.
4. b When a physician applies the initial cast and assumes all of the
subsequent fracture care, the physician cannot report the application of the
cast separately because it is included in the treatment of the fracture.
5. a This procedure is included with insertion of the pacemaker.
6. b A colonoscopy is the examination of the entire colon from the rectum
to the cecum, and may include the examination of the terminal ileum. You
can find this description in the surgery section of the CPT Professional
Edition under digestive endoscopy procedures.
7. c Reports a temporary pacemaker.
8. a The diagnostic laparoscopy is bundled into the surgical laparoscopy.
9. b A visceral repair is included in a closure of a ureterovisceral fistula.
The code for this procedure is 50930.
10. b The guidelines with excisionbenign lesion provide directions to code
additionally for intermediate and complex closures.
11. c The guidelines for codes 3123131294 report unilateral procedures
unless otherwise stated.
12. d Esophagoscopy
13. d The surgical term for this procedure is iridectomy.
14. a Code 11056 includes two to four lesions.
15. a True. Review the subcategory guidelines of CPT Professional Edition
under microbiology.
16. c The guidelines of CPT Professional Edition listed with Dialysis
services clearly define inpatient and outpatient services.
17. a The guidelines for clinical brachytherapy indicate that admission to
the hospital is included with these services. There are definitions of
simple, intermediate, and complex, with numbers of ribbons or sources.
18. d This is an established visit. The documentation lists all three of the
key components for a 99214 visit. Only two of the three key components
must be met to qualify for this level of visit.
19. a A list of codes and services included are listed in this subcategory
guideline of the CPT Professional Edition.
20. c Anesthesia codes must have a physical status modifier. This question
has qualifying circumstances
based on the patient age.