Medical Coding Practice Exam: Get Ready for Your Medical Coding Test!

Please mark the appropriate code that ought to be given by a pathologist who performed an analysis of 2 distinctive biopsies from the vaginal wall and 1 from the cervix.

Please mark the correct code for the dialysis care of a 2-year-old patient who has been suffering an end-stage renal disease and was receiving dialysis twice a week while expecting for a kidney transplant. During the last month of life, he was administered with dialysis once a day between June 1st and June 14th.

Please mark the appropriate modifier for a case of a 32-year-old woman with repeat urinary tract infections whose urine samples have been sent to a lab by the physician who suspected another UTI, in order to a identify the bacteria. The physician's office billed for the lab service, although the sample was sent to an outside lab.

Please mark the correct code for the service regarding a physician who took an impression of a 47-year-old woman's left orbital socket and created a custom prosthesis:

Please mark the correct code by a pathologist who performed a gross post-mortem examination on a stillborn infant. The exam included the infant's brain but did not include the infant's spinal cord.

Please mark the correct way to report the telephone services for a phone call in the following case: A toddler with cystic fibrosis was evaluated through a test whose outcome was suspicious enough to make the physician order additional tests. He ordered his nurse to call the patient's parents and talk about the results. The conversation lasted for 20 minutes and the nurse scheduled an appointment for the next day at 10:00 AM.

Please mark the correct ICD-9 code for a diagnosis of personal history of heart attacks:

Please mark the correct code for a lymphangiography with  insertion of radioactive tracer for identification of sentinel node:

A patient with Type II diabetes and her physician have been trying to develop a strategy of exercise and nutrition that would ease her symptoms. Her doctor gave her a new medication that ought to control her blood sugar levels. What is the correct ICD-9 for her diabetes?

Please mark the correct code for the following procedure: An early adolescent with severe acne has undergone drainage of many complicated acne pustules and comedones. Her dermatologist sutured the left and the right side and then incised, drained and marsupialized the cyst and left it open for drainage.

A young boy was running through his friend's house, broke a glass door and therefore suffered severe lacerations on his trunk and arms and minor lacerations on his face and legs. At the emergency, the physician closed one 2 cm laceration on the boy's cheek and two 2.3 cm lacerations on the boy's left arm. Then, he closed one 4 cm laceration on the right arm and two lacerations on the left arm which were 1.5 and 3 cm. The physician also treated a 5 cm laceration on the boy's chest, which required the removal of particulate glass and a single layer closure.  Please mark the correct codes for wound repair in this case:

What are the 4 organs in the lymphatic system?

Please mark the difference between  biopsy codes located in the musculoskeletal section and those in the integumentary section:

A patient has undergone excision of two 1.5 cm malignant lesions on his upper back. The physician who performed the operation noticed four additional lesions of 0.3, 0.7, 1.0, and 1.45 cm which seemed pre-malignant. The lesions were sent to a pathology lab where they were marked as benign. Please mark the adequate codes for the service:

Please mark the adequate ICD-9 diagnosis code for a patient that was diagnosed with acute bronchitis and Chronic Obstructive Pulmonary Disease and was seen in the office:

A child patient has suffered a severe asthma attack. The pediatrician performed pulse oximetry to check the patient's blood oxygen saturation level and spirometry to check the patient's lung capacity. Then, he ordered an albuterol nebulizer treatment and a post-spirometry to check the patient's reactions to the albuterol treatment. Please mark the adequate codes for this office visit:

The physician removed the cast from the right lower leg of a patient. The physician examined the leg and concluded that there was no need for a further follow-up or casting. Please mark the adequate code for this service:

The respiratory system subsection in the CPT manual is NOT limited to procedure codes for which of the following body areas?

Several bone marrow donors were tested and a potential candidate for a patient with leukemia was found. Through the technique known as "aspiration", the physician collected a small sample of the potential candidate's bone marrow and sent it to pathology to determine if it is a match for the patient. Please mark the adequate code for this procedure performed by the physician:

Why was HIPAA created?

A patient has been sent to the radiologist for a set of spinal x-rays after suffering from spinal curvature problems of the lower back. The radiologist took x-rays from 4 distinct angles of the patient's spine: standing straight, bending forward and from each side. The films were sent to the patient's PCP for interpretation and report. Please mark the code that ought to be reported by the radiologist:

A 2-day-old premature infant, weighing 2.5 kg, with possible meningitis, underwent a lumbar puncture. Please mark the adequate code for this service:

A 46-year-old male patient has had implantation of prosthetic mesh for support and underwent a thoracoabdominal diaphragmatic hernia. Please mark the adequate code for this procedure:

The emergency department has received a patient with a serious work injury in the need for a severe laceration to the right forearm. The physician examined and assessed him, then sutured the complicated wound using 25-0 vicryl sutures in three subcutaneous layers and had prescribed him prophylactic antibiotics before he released him. The patient was ordered to return in one week for a PCP and a follow-up check. Please mark the correct level of E&M service:

A 47-year-old male patient suffering from severe cancer of the lower left mandible was presented for surgical removal of the lower left jawbone with a secondary insertion of the mandibular prosthesis. Prior the surgery, the patient had to be intubated through a tracheostomy. Please mark the adequate code for the intubation:

Please mark the FIRST thing that ought to be determined by a coder when selecting the code of evaluation and management:

A patient with severe head trauma and intracerebral hematoma underwent a craniotomy. The procedure was difficult and required extra time and effort. Please mark the adequate code for this procedure:

Which of the following is the basic distinction between diaphragmatic hernia repair codes?

Please mark the adequate term for a radiographic image of the colon's interior:

Please mark the difference between meningitis and encephalitis:

PREOPERATIVE DIAGNOSIS: Cyst of Mediastinal Wall POSTOPERATIVE DIAGNOSIS: Tumor of Mediastinal Wall A physician removed 1.5 cm mass from a mediastinal wall with appropriate margins. Then, he sent the tumor to pathology to determine the malignancy. Please mark the correct code for this procedure:

Please mark the difference between posterior nasal packing procedure codes and anterior nasal packing:

A 65-year-old female patient suffers from atherosclerosis and receives an abdominal aortography through serialography. Her cardiologist analyzes and interprets the findings. Please mark the adequate code for this service:

A 65-year-old female patient suffers from atherosclerosis and receives an abdominal aortography through serialography. Her cardiologist analyzes and interprets the findings. Please mark the adequate code for this service:

Please mark the fixed payer of last resort:

Please mark the appropriate action taken by a doctor when they manipulate a dislocated joint back into place:

Which area will be incised if an obstetrician performs an episiotomy during delivery, in order to allow a wide opening for the baby to pass through?

Please mark the adequate description of a prone position of a patient:

A 23-year-old patient woman pregnant for the second time has received antepartum care from her doctor in Atlanta, GA. After 9 visits with her doctor from Atlanta, the patient moved to Missoula where she continued the prenatal care with a new doctor who performed the antepartum visits. He also performed vaginal delivery and postpartum care including checkups for  6 weeks after the delivery. Please mark the correct code for the services performed by the doctor from Atlanta:

A patient with endocarditis has been treated for the past three weeks. The doctor sent a blood sample from the patient to the lab due to the patient's chronic inflammation of the heart's lining. The samples have shown traces of the bacteria Staphylococcus and made the doctor realize that it is the cause of the endocarditis. The doctor ought to prescribe an antibiotic treatment to the patient. Please mark the appropriate diagnosis codes for the respective condition of the patient:

Mr. Lynch, a 57-year-old male, has been a heavy smoker for the last 15 years of his life. He is treated for a lesion on his upper lip that has been suspected to be malignant. The doctor performed a shave biopsy of the lower lip. Please mark the appropriate code for this procedure:

A 5-year-old pediatric patient has been taken to an annual well-child exam. The mother of the child covers the daughter's health insurance through her work, with a commercial Blue-Cross-Blue-Shield insurance plan. In addition, the mother also has Medicaid coverage due to her low economic status. Please mark the insurance which is billed for the well-child exam:

PROGRESS NOTE PATIENT: JACKSON, LAURA AGE: 34 DATE: 02/11/2019   A female patient of 35 has a history of multiple ectopic pregnancies which are presented to her OB/GYN's office. Three weeks ago, her at-home pregnancy test was positive and she experienced heavy bleeding in the middle of the previous night. In the morning, the patient reported excessive vaginal bleeding and pain in the abdominal area. The doctor performed a pelvic examination and thus, he suspected ectopic pregnancy and ordered an ultrasound confirmation that later showed an advanced interstitial uterine ectopic pregnancy of 12-week estimated age. The doctor informed the patient about the risks of ectopic pregnancy and a total hysterectomy. The doctor counseled the patient and scheduled for an abdominal hysterectomy in two days. Please mark the code for the procedure performed in the office:

What is the name of the condition that occurs when the lining of the esophagus becomes inflamed?

What is a pacemaker or pacing cardioverter-defibrillator that has pacing and sensing functions in three or more heart chambers?

The tympanic membrane is also known as:

A 15-year-old patient who suffers from the abscessed tooth is suspected to have sepsis. The patient is experiencing a high fever, strong headaches, toothaches, malaise, and fatigue. The doctor suspects that the bacteria from the tooth has spread through the blood and became a systemic infection. He ordered a CBC to examine the level of the infection in the blood. After the doctor writes the orders, the nurse obtains the patient's blood sample through a venipuncture. Please mark the correct code for the collection of the blood:

Please mark the anesthesia services that ought to be provided when a doctor needs to harvest a viable left cornea, liver, and heart from a brain-dead patient:

Please mark the CPT codes that ought to be reported during a cystourethroscopy performed with an ejaculatory duct catheterization and irrigation. In addition, duct radiography is performed to visualize ejaculatory duct system.

Please mark the meaning of the suffix "-megaly", as in cardiomegaly:

When does the time reported for an anesthesia service begins and when does it end?  

Please mark the gland which is composed of two identical lobes and which produces thymosin, stimulates T-cells to produce the hormones that regulate immune system function:

Please mark the correct code for the procedure in which a doctor performs a partial Nissen Fundoplasty through a lower thoracic incision:

Please mark the correct description regarding spongy bone tissue:

Please mark the correct anesthesia code for the following case: A teenage patient is presented to an orthopedist after he fall off his bicycle. He suffered severe pain and a closed fracture to the left tibia and fibula and a severe sprain to the left wrist. He received anesthesia and the doctor manipulated the fractures back into place and applied a cast on his left leg.

Please mark what you ought to do when a CPT code has the words “separate procedure” in parenthesis after the code description:

Please mark the correct code for the following procedure: A patient who suffers stress incontinence is at the gynecologist'. The gynecologist performed a laparoscopic sling operation using synthetic materials to reinforce the patient's muscles and provide additional urinary control:

Please mark the meaning of the symbol # in front of a CPT code:

Please mark the correct code for an endocrinology service located in the medicine section which provides the ambulatory continuous glucose monitoring of interstitial tissue fluid (includes the physician’s reading and interpretation of the report's findings over a 72-hour period):

PROGRESS NOTE PATIENT: Daryl, Henry DATE: 07/04/2013 MEDICAL NOTE: A patient who suffers from bladder cancer is treated through bladder instillation. The bladder of the patient was emptied as he was catheterized. An anticarcinogenic agent was introduced into the bladder at 0100 hours. The patient was instructed to lie in a supine position for 45 minutes. The physician returned at 0145 hours and emptied the bladder of the anticarcinogenic agent. The patient bore the procedure well and he was instructed to return to the doctor for a follow-up checkup. Please mark the correct code for the instillation:

Please mark the purpose of temporary national codes in the HCPCS Level II manual:

What kind of clinical examples are listed from Appendix C in the CPT manual?

A patient with  Bartholin's gland cyst presents is about to undergo incision and drainage of the cyst. The doctor decides to incise the cyst and suture the lateral sided due to the size of the cyst and its area. He also decides to leave one side open for drainage. Please mark the code that represents the doctor's work:

Please mark the way the HCPCS Level II codes are updated every quarter:

Please mark the correct code for a dual renal transplant given without nephrectomy to a 23-year-old female patient with ESRD:

Please mark WHY blepharoplasty is performed:

What should you do when listing both CPT and HCPCS modifiers on a claim?

Please mark the correct code for the following visit: A pediatric patient is suffering bilateral ear pain. The pediatrician checked the right external ear canal and noticed large globs of reddish wax which she removed with a removal spoon until the tympanic membrane became visible. The left external ear canal showed no visible buildup of ear wax, but the tympanic membrane was red. The pediatrician diagnosed the patient with left otitis media and prescribed antibiotics. The patient was supposed to be checked up in two weeks time:

Please mark the correct code for parathyroidectomy with parathyroid autotransplantation performed on a 40-year-old male patient:

Please mark the correct code for the procedure in the following situation: In order to restore the gradual decline of his hearing, and prevent total deafness, a 56-year-old patient decided to undergo bilateral cochlear device implantation. The doctor performed a modified mastoidectomy due to the position of the device and the size of the patient's mastoid bone that was partially occluding the patient's inner ear. This procedure was essential for the implantation of the cochlear device. The doctor used an operating microscope during the cochlear implantation.