Model Practice Questions for CPC or CCS exam for Medical coders
- 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?
- 61650, 61651
- 61650, 61651, 36224-50, 75898 x
2. Which CPT code describes an inpatient-only procedure for Medicare patients?
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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.
4. Which is the appropriate code for transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site?
- 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):
- 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
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:
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).