1. A patient with chronic emphysema has surgery to remove both lobes of the left lung.

 

a. 32440

b. 32482

c. 32663x2

d. 32310

​

2. A thoracic surgeon makes an incision under the sternal notch at the base of the throat, introduces the scope into the mediastinal space and takes two biopsies of the tissue. He then retracts the scope and closes the small incision.

​

a. 39401

b. 32606

c. 39000

d. 32408

​

3. A patient has endoscopic surgery done to remove his anterior and posterior ethmoid sinuses. The surgeon dilated the maxillary sinus with a balloon using a transnasal approach, explored the frontal sinuses, removes two polyps from the maxillary sinus, and then performed the tissue removal.

 

a. 31255, 31295, 31237

b. 31201, 31295, 31237

c. 31255, 31267

d. 31255, 31295, 31267

​

4. If a surgeon is performing a surgical sinus endoscopy to control a nasal hemorrhage and chooses to perform a necessary sinusotomy while he’s there, he can bill for each individual service.

 

a. True

b. False

​

5.  A patient underwent bilateral nasal/sinus diagnostic endoscopy. Finding the airway obstructed the

physician fractures the middle turbinates to perform the surgical endoscopy with total ethmoidectomy

and bilateral nasal septoplasty. What CPT® codes are reported?

a. 30930, 31255-51, 30520-51

c. 31231, 30130-51, 31255-50

b. 31255-50, 30520-50-51

d. 31255, 30520-51

​

6. 55-year-old female smoker presents with cough, hemoptysis, slurred speech, and weight loss. Chest

X-ray done today demonstrates a large, unresectable right upper lobe mass, and brain scan is suspicious

for metastasis. Under fluoroscopic guidance in an outpatient facility, a percutaneous needle biopsy of

the lung lesion is performed for histopathology and tumor markers. A diagnosis of small cell carcinoma

is made and chemoradiotherapy is planned. What CPT® and ICD-10-CM codes are reported?

a. 32098, 77002-26, C34.10, R07.9, R04.89, R47.1, R63.4

b. 32400, 77002-26, C34.90

c. 32607, 77002-26, R22.2

d. 32405, 77002-26, C34.11

​

7. A surgeon performs a high thoracotomy with resection of a single lung segment on a 57-year-old

heavy smoker who had presented with a six-month history of right shoulder pain. An apical lung biopsy

had confirmed lung cancer. What CPT® and ICD-10-CM codes are reported?

a. 32100, M79.709

c. 32503, C34.10

b. 32484, C34.10

d. 19271, 32551-51, M79.709

​

8.  A 3-year-old girl is playing with a marble and sticks it in her nose. Her mother is unable to dislodge

the marble so she takes her to the physician’s office. The physician removes the marble with

hemostats. What CPT® and ICD-10-CM codes are reported?

a. 30300, T17.1XXA

c. 30150, T17.1XXA

b. 30310, T17.0XXA

d. 30320, T17.0XXA

​

9. An ICU diabetic patient who has been in a coma for weeks as the result of a head injury becomes

conscious and begins to improve. The physician performs a tracheostomy closure and since the

scar tissue is minimal, the plastic surgeon is not needed. What CPT® and ICD-10-CM codes are

reported for this procedure?

a. 31820, E11.641, Z93.0

c. 31825, Z43.0, E11.9, S09.8XXA

b. 31820, Z43.0, S06.9X5A, E11.9

d. 31825, Z43.0, E11.641, S09.90XA

​

10. A patient’s nose was hit with a baseball during a high school baseball game. At that time reconstruction was performed, with local grafts. Patient returns now as an adult, discontent with the bony prominence along the bony pyramid and flat look of the tip of the nose. He underwent major repair with osteotomies and nasal tip work. What CPT® code(s) should be reported?
a. 30410

c. 30450
b. 30435

d. 30462

*** END OF TEST ***