Question 1
A patient receives two vaccines that are administered intramuscularly and two vaccines that are administered orally. The patient receives no counseling on the vaccines. Which codes should be used to report these services?
A. 90471 x2, 90473 x2
B. 90471, +90472, 90473, +90474
C. 90471, +90472, +90474 x2
D. 90460, +90461 x3
Question 2
Which of the following vaccine administration codes qualifies as a professional service?
A. 90460
B. 90471
C. 90473
D. +90474
Question 3
All of the following are factors that increase the risk of cervical cancer EXCEPT:
A. Long-term use of birth control pills
B. Older age (25 years and older) at first full-term pregnancy
C. Having multiple full-term pregnancies
D. Becoming sexually active at a young age
Question 4
A provider performs a 15-minute office E/M service for an established patient that includes high medical decision making. If you are coding by time in 2021, which is the correct code for this service?
A. 99212
B. 99213
C. 99214
D. 99215
Question 5
A provider performs a 15-minute office E/M service for an established patient that includes high MDM. If you are coding by MDM in 2021, which is the correct code for this service?
A. 99212
B. 99213
C. 99214
D. 99215
Question 6
Which CPT® code should you report for the radiological interpretation of an ultrasound of the bladder that includes imaging of a single organ?
A. 76770
B. 76775
C. 76776
D. 76800
Question 7
Which CPT® code should you report for the insertion of a temporary indwelling catheter that requires substantially more work due to a fractured balloon?
A. 51701
B. 51702
C. 51703
D. 51705
Question 8
To address medical necessity, spinal fusion documentation should include all of the following EXCEPT:
A. Conservative care prior to surgery
B. Pre-procedure radiologic findings
C. Duration of pain
D. Evidence of prior kyphoplasty treatment
Question 9
True or False: If a provider does not specifically state that chronic kidney disease (CKD) is related to diabetes, you may not assign a combination code for diabetes with CKD.
A. True
B. False
Question 10
According to ICD-10-CM coding guidelines, how do you code encounters involving a pregnant woman who also has diabetes?
A. Code first with a code from Chapter 4 Endocrine, Nutritional, and Metabolic Diseases, followed by a code from Chapter 15 Pregnancy, Childbirth, and the Puerperium.
B. Code first with a code from Chapter 15 Pregnancy, Childbirth, and the Puerperium, followed by a code from Chapter 4 Endocrine, Nutritional, and Metabolic Diseases.
C. Code first from either chapter depending on the purpose of the encounter.
D. Use a combination code that encompasses both the pregnancy and the diabetes.
Question 11
Which of the following is an example of moderate risk when considering MDM in 2021?
A. Drug therapy requiring intensive monitoring for toxicity
B. Decision regarding hospitalization
C. Treatment significantly limited by social determinants of health
D. None of the above
