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Model Practice Questions for CPC or CCS exam for Medical coders

  1. Which code(s) describe(s) selective catheterization, imaging, and infusion of verapamil over 20 minutes in the right ICA distribution, followed by a similar infusion in the left ICA distribution?
  • 61645
  • 61650
  • 61650, 61651
  • 61650, 61651, 36224-50, 75898 x

     Model Practice Questions for CPC or CCS exam for Medical coders

2. Which CPT code describes an inpatient-only procedure for Medicare patients?

  • 37212
  • 37187
  • 61624
  • 61626

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  3. True or False: After five years, every Category III CPT code is automatically replaced by an equivalent Category I CPT code.

  • True
  • False

 4. Which is the appropriate code for transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site?

  • 0262T
  • 33477
  • 33999
  • The procedure is not separately coded, but is considered a part of any E/M service provided

5. The operative report must state the following to adequately support reporting decompression (63047) when performed at the same spinal level as interbody fusion (22630 or 22633):

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  • Laminectomy for access to the interspace for the interbody fusion
  • Facetectomy for the approach to perform the interbody fusion
  • Laminectomy, facetectomy, foraminotomy for thecal sac decompression and/or nerve root decompression above and beyond that necessary for the approach to the interspace to perform the interbody fusion
  • Decompression

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 6. Combined posterior interbody and lateral fusions with decompression, involving a complete laminectomy and bilateral foraminotomies, at L5-S1 is reported using the following codes to Medicare (note that other codes, such as those for instrumentation and bone grafts, may be separately reported):

  • 22612, 22630-51, 63047-59, 63048
  • 22633, 63047-59, 63048
  • 22633, 63047-59
  • 22633, 63047

Answer D describes the combined fusions (22633 Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace and segment; lumbar) and the decompression (63047 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar) at the same level: L5-S1.

7. When assigning debridement codes, the deepest layer of tissue is:

  • Bone
  • Epidermis
  • Dermis
  • Fascia

The dermis is the top layer of skin, followed by the epidermis, and the fascia and/or muscle. Bone is the deepest layer of tissue when applying debridement codes (e.g., 11044-11047).

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