Medical Coding Test/Practice

1. Which of the following identifies the key component(s) of an Evaluation and Management Services code?
a. Review of Systems, Nature of Presenting Problem and Examination
b. History, Medical Decision Making and Assessment
c. History, Examination and Medical Decision Making
d. Time and Counseling

2. Which of the following is a true statement regarding modifier 51:
a. Modifier 51 should ONLY be used with “add-on” codes.
b. Modifier 51 is appended to a code indicating that service was reduced in some way.
c. Modifier 51 is appended to a code indicating the procedure is distinct from others performed on the same day.
d. None of the above.

3. Which of the following describes an endoscopic examination of the rectum and sigmoid colon per the CPT manual?
a. Sigmoidoscopy
b. Colonoscopy
c. Proctosigmoidoscopy
d. Anoscopy

4. A total abdominal hysterectomy with bilateral salpingo-oophorectomy. The following codes were submitted to the insurance company (58150 and 58720), but the claim was rejected. Which of the following identifies the reason for the rejection:
a. Codes are accurate. Insurance company error.
b. Modifier 50 should have been appended to code 58720 indicating a bilateral procedure.
c. Procedures were unbundled.
d. None of the above.

5. On March 1, 2006 patient returns to his surgeon’s office for a postoperative follow-up visit following a cholecystectomy performed on February 15, 2006. Patient has no complaints. The wound site looks good with no drainage noted. Patient was instructed to call the office with any complaints. Which of the following describes the appropriate coding of the March visit.
a. Assign an established patient E&M visit code based on the extent of the documentation.
b. Assign code 99024 indicating a postoperative visit.
c. NO code is assigned since the patient is within the global period of the original procedure.
d. Assign a code for the original procedure and append with modifier 55 (postop care).


6. Patient was admitted for stabilization of glucose levels. He has long-standing type 1 DM, COPD and hypertension. This is the 4th day of hospitalization and his doctor was called by the nurse reporting several elevated glucose readings. The patient has no complaints other than a slight headache. The doctor documents that the patient is progressing well with the exception of his diabetes. Repeat glucose tests are 250, 275 and 240. The physician adjusts the insulin dosage and enters an order for Accu-checks to be performed every 4 hours with repeat glucose in 8 hours. Exam included: BP is 140/90, Heart – normal, Lungs – clear. Given this documentation, which of the following identifies the most appropriate CPT code for the service rendered by Dr. Green?
a. 99222
b. 99232
c. 99253

7. Which of the following terms does CPT define as a service that is provided by a physician whose opinion or advice regarding a diagnosis or treatment is requested by another physician?
a. Referral
b. Consultation
c. Attending Physician
d. New Patient Office Visit

8. Which of the following describes a new patient per the CPT Manual?
a. Patient that has been seen by the same doctor or one within the same specialty within the past 3 years.
b. Patient that has not been seen by the same doctor or one within the same specialty within the past 3 years.
c. Patient that has been seen by the same doctor or one within the same specialty within the past year.
d. Patient that has not been seen by the same doctor or one within the same specialty within the past year.

9. A patient was seen by her obstetrician in the office for evaluation of her gestational diabetes. Her glucose levels required that she be placed on insulin. Which of the following identifies the correct code assignment?
a. 648.83
b. 648.03
c. 648.83; 250.01
d. 648.03; 250.01

10. Which of the following describes a selective catheterization?
a. Aortogram
b. Superior venogram
c. Insertion of catheter into arteriovenous shunt for dialysis
d. Cerebral arteriogram via the right femoral artery