Medical Coding Ace

CPC Practice
Test #1
● 100 Full-Length Questions
● 4 Hours to Complete
● Have Questions? Explanations Included

Check out all 5 of our Full-Length Practice tests and

our Practice Tool at medicalcodingace.com/practice.

Ready to get started?

Make sure you have your reference books:

● CPT Professional and E/M Reference (AMA)
● ICD-10-CM Codebook (AMA)
● HCPCS Level II Codebook (AMA/AAPC)

TEST BEGINS ON NEXT PAGE

ANSWER KEY AT END
Medical Coding Ace

Welcome to YOUR practice test!

Whatever is the right way for you to take this test is the right
way.

And remember to use your tabs, take breaks, and drink water.
You got this!

Good luck!

Any questions, feedback, requests for the future, or

corrections?

Send an email to medicalcodingace@gmail.com, and we’ll get

back to you right away!

© Medical Coding Ace, 2023. All rights reserved.

If you had a good experience with our materials, let us know and we’ll give you
something to share with a friend!
Medical Coding Ace

TIMER START
4 HOURS
Medical Coding Ace

1. During a regular checkup, Dr. Stevens discovered a

suspicious lesion on the floor of Paul's mouth and decided to
perform an excision. Which CPT code covers the excision of
an oral lesion?

A. 40800
B. 41105
C. 41113
D. 40804

2. While shaving, Robert accidentally caused a small cut on

his chin that later became infected. He visited a healthcare
provider who incised and drained the infected area. Which
CPT code covers the incision and drainage of an infected
cut?

A. 10080
B. 10021
C. 10060
D. 10160

3. Lucas, a professional swimmer, developed a cyst in his arm

due to repetitive motion. The doctor decided to excise the
cyst. Which CPT code represents the excision of a cyst?

A. 20005
B. 20055
C. 20010
D. 20020
Medical Coding Ace

4. Ella's doctor suspected she might have diabetes. He

ordered a Hemoglobin A1c test to assess her average blood
sugar levels over the past three months. Which CPT code
represents the Hemoglobin A1c test?

A. 83036
B. 83033
C. 83035
D. 83034

5. Riley had an overactive thyroid and was recommended for

a thyroid lobectomy. Which CPT code pertains to this
procedure?

A. 60210
B. 60212
C. 60220
D. 60225

6. After a series of tests, Dr. Wright determined that Katie had

a kidney stone and recommended a percutaneous
nephrostolithotomy. Which CPT code corresponds to this
procedure?

A. 50010
B. 50020
C. 50200
D. 50543
Medical Coding Ace

7. Ethan, experiencing persistent flank pain, underwent a

diagnostic renal angiography. Which CPT code represents
this procedure?

A. 50010
B. 50220
C. 50200
D. 50398

8. The Relative Value Unit (RVU) associated with a CPT code

reflects:

A. The complexity of the procedure

B. The average time a procedure takes
C. The cost associated with performing the procedure
D. All of the above

9. What does the term "bradycardia" refer to?

A. Fast heartbeat
B. Slow heartbeat
C. Irregular heartbeat
D. Strong heartbeat

10. After weeks of sinus congestion, Olivia saw an ENT

specialist. The doctor decided to perform a nasal endoscopy.
Which CPT code describes this procedure?
Medical Coding Ace

A. 30000
B. 30140
C. 31231
D. 31237

11. During her yoga class, Claire felt a sharp pain in her thigh.
The doctor diagnosed her with a seroma that needed
drainage. Which CPT code should be used for the drainage of
a seroma?

A. 20005
B. 20055
C. 20010
D. 20016

12. Jackson has been feeling pain and pressure in his sinuses.
The ENT decided to perform a sinusotomy to improve
drainage. Which CPT code represents this procedure?

A. 31020
B. 31256
C. 31287
D. 31288

13. During a routine check-up, Mark was diagnosed with

essential (primary) hypertension. Which ICD-10-CM code
represents this condition?

A. I10
Medical Coding Ace

B. I11.9
C. I12.9
D. I13.10

14. After tests indicated abnormal parathyroid function,

Natalie underwent a parathyroidectomy. Which CPT code
represents this procedure?

A. 60212
B. 60240
C. 60100
D. 60500

15. David uses a manual wheelchair due to his mobility

limitations. Which HCPCS Level II code pertains to a standard
manual wheelchair?

A. K0001
B. K0002
C. K0003
D. K0004

16. After a fall, Clara's primary care doctor ordered an X-ray

of her wrist. The radiologist took three views of her wrist.
Which CPT code pertains to this X-ray?

A. 73110
B. 73100
C. 73120
Medical Coding Ace

D. 73115

17. While eating popcorn, Mike felt a sharp pain and found he
had bitten the inside of his cheek, causing a mucocele. His
dentist performed a removal of the mucocele. Which CPT
code pertains to this procedure?

A. 40804
B. 40812
C. 41108
D. 40819

18. During a routine check-up, Brian was diagnosed with

benign essential hypertension. What ICD-10-CM code should
be used for this diagnosis?

A. I10
B. I15.0
C. I15.1
D. I15.2

19. Megan had been facing difficulty urinating. Her urologist

performed a cystourethroscopy to diagnose the issue. Which
CPT code describes this procedure?

A. 52000
B. 50250
C. 50200
D. 50395
Medical Coding Ace

20. Ryan has had chronic sinusitis for months. The doctor
advised functional endoscopic sinus surgery (FESS) to clear
the blockages. Which CPT code should be used for this
procedure?

A. 31255
B. 31256
C. 31267
D. 31276

21. Which part of the brain is responsible for regulating vital

functions like heartbeat and breathing?

A. Cerebellum
B. Medulla Oblongata
C. Cerebrum
D. Pons

22. After a trip to a tropical country, Jessica was diagnosed

with Dengue fever without warning signs. Which ICD-10-CM
code represents this diagnosis?

A. A90
B. A91
C. A92.0
D. A92.8
Medical Coding Ace

23. After a car accident, Liam required a retrograde

pyelography to assess kidney damage. Which CPT code
should be used for this procedure?

A. 50320
B. 50430
C. 50200
D. 50390

24. Olivia went to the pediatrician for her annual checkup.

The doctor conducted a comprehensive review covering her
past, family, and social history. Which CPT code represents
this level of history-taking?

A. 99391
B. 99382
C. 99392
D. 99381

25. During his physical therapy, John was provided with a

therapeutic elastic band. Which HCPCS Level II code
represents the supply of this band?

A. A4450
B. A4465
C. A4466
D. A4470
Medical Coding Ace

26. Dr. Lewis suspected a liver issue with Lily and ordered a
comprehensive metabolic panel. Which CPT code is for a
comprehensive metabolic panel?

A. 80053
B. 80051
C. 80050
D. 80055

27. The heart is enclosed in a double-layered sac called the:

A. Pericardium
B. Myocardium
C. Endocardium
D. Epicardium

28. 'Osteoporosis' describes a condition where:

A. Bones become soft and bendable

B. Bone density is increased
C. Bones are broken easily
D. Bones become brittle and fragile due to loss of tissue

29. Leo had been experiencing difficulty breathing and went

to a clinic. The doctor performed a procedure to remove nasal
polyps. Which CPT code corresponds to this procedure?

A. 30110
B. 30140
Medical Coding Ace

C. 30220
D. 31237

30. For his severe back pain, Dr. Simmons administers an

epidural injection to Mike. Which HCPCS Level II code
corresponds to the supply of the injection?

A. J1020
B. J1030
C. J1040
D. J1050

31. Experiencing persistent headaches, Daniel was sent for an

MRI of his brain. Which CPT code covers an MRI of the brain
without contrast?

A. 70551
B. 70553
C. 70549
D. 70550

32. Dr. Johnson saw Sarah in the ER after she experienced a

severe asthma attack. After stabilization, he conducted a
comprehensive review of her systems and medical history.
Which CPT code represents this level of history-taking?

A. 99221
B. 99218
C. 99223
Medical Coding Ace

D. 99220

33. Ella went to the doctor after experiencing pain from a

swollen salivary gland. The doctor performed a
sialolithotomy. Which CPT code represents this procedure?

A. 40810
B. 40812
C. 40819
D. 40820

34. During a follow-up visit, Dr. Allen asked Emily about the
progress of her symptoms, her current medications, and
performed a limited examination. Which CPT code represents
this level of service?

A. 99212
B. 99214
C. 99213
D. 99215

35. In medical terminology, the prefix 'osteo-' relates to which

of the following?

A. Bone
B. Heart
C. Liver
D. Brain
Medical Coding Ace

36. Lucas went to the hospital after noticing blood in his

urine. The doctor performed a renal biopsy. Which CPT code
represents this procedure?

A. 50200
B. 50220
C. 50225
D. 50230

37. Ryan had been experiencing chronic chest pain. During a

diagnostic procedure, the anesthesiologist administered
anesthesia to keep him comfortable. Which CPT code
represents anesthesia for intrathoracic procedures?

A. 00520
B. 00522
C. 00524
D. 00526

38. While hiking, Alex slipped on a rock and hurt his ankle. At
the hospital, they discovered a hematoma that needed to be
incised and drained. Which CPT code represents this
procedure?

A. 20005
B. 20055
C. 20000
D. 20025
Medical Coding Ace

39. Bianca visited an oral surgeon due to a cyst under her

tongue. The surgeon decided to perform a marsupialization of
the ranula. Which CPT code is appropriate for this procedure?

A. 40800
B. 41115
C. 40801
D. 40806

40. Sarah uses a continuous positive airway pressure (CPAP)

device for her sleep apnea. Which HCPCS Level II code
pertains to the CPAP device?

A. E0601
B. E0621
C. E0631
D. E0650

41. During a hernia repair, Dr. Stevens administered

anesthesia to ensure Michael was comfortable and pain-free.
Which CPT code represents anesthesia for an inguinal hernia
repair?

A. 00102
B. 00144
C. 00145
D. 00148
Medical Coding Ace

42. Sophie, pregnant with her first child, went for an

ultrasound in her second trimester. Which CPT code is
appropriate for a routine obstetric ultrasound of a fetus?

A. 76805
B. 76810
C. 76815
D. 76816

43. Sophie, after a minor car accident, had a nosebleed that

wouldn't stop. The ER doctor performed a nasal endoscopy to
control the posterior nosebleed. Which CPT code is
appropriate for this procedure?

A. 30000
B. 31255
C. 31231
D. 30903

44. Ryan had been experiencing chronic chest pain. His

cardiologist ordered a chest CT scan with contrast. Which
CPT code represents a CT of the chest with contrast?

A. 71250
B. 71260
C. 71270
D. 71275
Medical Coding Ace

45. Nina, who had been dealing with depression, visited a

psychiatrist who prescribed her a 30-minute psychotherapy
session. Which CPT code is appropriate for individual
psychotherapy for 30 minutes?

A. 90832
B. 90834
C. 90837
D. 90839

46. Tom was diagnosed with bilateral primary osteoarthritis

of the knee. Which ICD-10-CM code is suitable for this
diagnosis?

A. M17.0
B. M17.1
C. M17.2
D. M17.3

47. Samantha was diagnosed with acute sinusitis due to

Streptococcus pneumoniae. What ICD-10-CM code
corresponds to her condition?

A. J01.00
B. J01.10
C. J01.01
D. J01.11
Medical Coding Ace

48. Dr. Parker recommended a colonoscopy for Maria due to

her family history of colorectal cancer. Which CPT code
represents a diagnostic colonoscopy?

A. 45378
B. 45379
C. 45380
D. 45381

49. Lena, a 28-year-old, was diagnosed with a mild form of

endometriosis. Which ICD-10-CM code corresponds to her
diagnosis?

A. N80.0
B. N80.1
C. N80.2
D. N80.3

50. Leo visited a cardiologist due to chest pain. The doctor

took an extended history, reviewed multiple systems, and
performed a detailed examination. Which CPT code
represents this level of service?

A. 99221
B. 99222
C. 99223
D. 99220
Medical Coding Ace

51. Robert visited an ophthalmologist after experiencing

blurry vision. After examination, the doctor diagnosed him
with cataracts. Which CPT code corresponds to a cataract
removal with intraocular lens insertion?

A. 66982
B. 66984
C. 66983
D. 66985

52. The largest bone in the human body is the:

A. Humerus
B. Femur
C. Tibia
D. Fibula

53. Which organ is responsible for producing insulin?

A. Pancreas
B. Liver
C. Kidney
D. Spleen

54. With symptoms of anemia, Riley's doctor ordered a

complete blood count with differential. Which CPT code
pertains to this test?

A. 85027
Medical Coding Ace

B. 85025
C. 85029
D. 85023

55. Sophie, pregnant with her first child, went for an

ultrasound in her second trimester. The anesthesiologist
administered anesthesia to keep her comfortable during the
procedure. Which CPT code represents anesthesia for a
routine obstetric ultrasound?

A. 00860
B. 00864
C. 00862
D. 00868

56. Which U.S. federal regulation protects the privacy and

security of patients' medical information?

A. Affordable Care Act (ACA)

B. Clinical Laboratory Improvement Amendments (CLIA)
C. Health Information Technology for Economic and Clinical
Health (HITECH) Act
D. Health Insurance Portability and Accountability Act (HIPAA)

57. After her morning run, Maria noticed a painful abscess on

her thigh. She immediately went to the clinic, where the
doctor performed an incision and drainage. Which CPT code
represents the incision and drainage of an abscess?
Medical Coding Ace

A. 10080
B. 10021
C. 10060
D. 10160

58. James had difficulty breathing and underwent a

pulmonary function test to assess his lung function. Which
CPT code represents a simple pulmonary function test?

A. 94010
B. 94060
C. 94070
D. 94015

59. After a minor car accident, Emma was taken to the

emergency room. They found a hematoma in her shoulder
that needed incision and drainage. Which CPT code pertains
to this procedure?

A. 20005
B. 20010
C. 20016
D. 20100

60. For outpatient coding, when coding for a condition that is

both acute and chronic and separate subentries exist in the
alphabetic index, which code should be sequenced first?

A. Acute
Medical Coding Ace

B. Chronic
C. Either - based on the severity
D. The condition that is being treated during the visit

61. Alex was diagnosed with type 1 diabetes mellitus without

complications. Which ICD-10-CM code represents this
diagnosis?

A. E10.9
B. E11.9
C. E13.9
D. E08.9

62. John, an avid gardener, discovered a wart on his finger.

Concerned about its appearance, he consulted a physician
who recommended its removal. Which CPT code covers the
excision of a wart?

A. 10021
B. 10040
C. 10060
D. 10120

63. According to CPT guidelines, if a code exists that

describes a certain service or procedure, you should:

A. Use a similar code that might fit

B. Use the exact code describing the service
C. Use an unspecified code
Medical Coding Ace

D. Use any code as long as it's from the correct section

64. Dr. Lewis found a nodule in Chloe's thyroid and decided

to perform a core needle biopsy. Which CPT code covers this
procedure?

A. 60100
B. 60240
C. 60271
D. 60101

65. Grace required a knee replacement. The anesthesiologist

administered anesthesia specific to the lower leg procedure.
Which CPT code is suitable for anesthesia during a knee
replacement?

A. 01402
B. 01400
C. 01404
D. 01406

66. During a routine checkup, a physician noticed a

suspicious lesion on Peter's back. To ensure it was benign,
the doctor performed a punch biopsy. Which CPT code is
appropriate for a punch biopsy of the skin?

A. 10040
B. 10005
C. 11104
Medical Coding Ace

D. 11100

67. Elena visited the ER with a severe migraine without aura,

not intractable. What ICD-10-CM code corresponds to her
condition?

A. G43.009
B. G43.109
C. G43.209
D. G43.309"

68. Michael had always had a large mole on his arm. However,
recently he observed changes in its appearance. On the
advice of his friend, he visited a dermatologist who biopsied
the mole. Which CPT code pertains to the biopsy of a lesion?

A. 10040
B. 10005
C. 10060
D. 11100

69. What is the purpose of the National Correct Coding

Initiative (NCCI)?

A. Ensure appropriate coding based on the medical record

B. Prevent improper payment of procedures that should not
be billed together
C. Assign specific dollar amounts to procedures
D. Monitor fraudulent billing practices across states
Medical Coding Ace

70. Peter visited a dermatologist for a persistent rash. The

doctor diagnosed him with atopic dermatitis of the hands.
What ICD-10-CM code represents this diagnosis?

A. L20.81
B. L20.82
C. L20.83
D. L20.84

71. Sophia went to a dermatologist for a facial consultation.

The doctor noticed a milia near her eye and removed it.
Which CPT code represents the removal of milia?

A. 10021
B. 10030
C. 10040
D. 10120

72. Owen was diagnosed with thyroid cancer. His oncologist

recommended a total thyroidectomy. Which CPT code should
be used for this procedure?

A. 60212
B. 60240
C. 60100
D. 60252
Medical Coding Ace

73. According to the ICD-10-CM guidelines, when a patient

has both an acute and chronic condition, which one should
be sequenced first?

A. Acute condition
B. Chronic condition
C. Either - based on the severity
D. The condition that is being treated during the visit

74. The term "hepatomegaly" refers to:

A. Inflammation of the liver

B. Enlargement of the liver
C. Disease of the liver
D. Absence of the liver

75. Jake came to the clinic for a routine checkup. The doctor
asked him basic questions about his current health without
going into a detailed history or review of systems. What CPT
code represents this level of history-taking?

A. 99201
B. 99212
C. 99203
D. 99204

76. During her beach vacation, Lisa noticed a skin tag on her
neck. Wanting to wear her new necklace without any
obstructions, she decided to visit a dermatologist to have it
Medical Coding Ace

removed. Which CPT code represents the removal of a skin

tag?

A. 10021
B. 10030
C. 10060
D. 11200

77. Ava was having persistent nosebleeds. The ENT decided

to cauterize the bleeding vessel in her nasal cavity. Which
CPT code describes this procedure?

A. 30000
B. 30901
C. 31231
D. 31237

78. During a dental cleaning, Dr. Adams noticed a white patch

inside Hannah's mouth. She suggested a biopsy of the oral
mucosa. Which CPT code covers a biopsy of the oral
mucosa?

A. 40000
B. 41105
C. 40100
D. 40804
Medical Coding Ace

79. After experiencing rapid heartbeats, Karen underwent an

electrophysiology study. Which CPT code pertains to this
procedure?

A. 93619
B. 93620
C. 93621
D. 93622

80. While gardening, Chloe got a thorn embedded in her

hand. She went to a healthcare provider who removed the
foreign body. Which CPT code covers the removal of a
foreign body from soft tissue?

A. 20005
B. 20055
C. 20010
D. 10120

81. During a football match, Ethan had a collision and

developed a hematoma in his upper arm. The doctor
performed an incision to drain it. Which CPT code is
appropriate for this procedure?

A. 20005
B. 20002
C. 20010
D. 20100
Medical Coding Ace

82. The term "hyperglycemia" means:

A. Low blood sugar level

B. Normal blood sugar level
C. High blood sugar level
D. Blood without sugar

83. Julie was diagnosed with iron-deficiency anemia

secondary to chronic blood loss. Which ICD-10-CM code is
appropriate for this diagnosis?

A. D50.0
B. D50.1
C. D50.8
D. D50.9

84. Nathan visited the clinic with flu-like symptoms. The

doctor took a brief history, focusing mainly on the respiratory
system. Which CPT code represents this level of
history-taking?

A. 99201
B. 99202
C. 99203
D. 99204

85. Dr. Harris diagnosed Grace with hyperthyroidism and

recommended a partial thyroidectomy. Which CPT code
describes this procedure?
Medical Coding Ace

A. 60210
B. 60212
C. 60100
D. 60225

86. According to Medicare, the "Three-Day Payment Window

Rule" refers to:

A. The time frame in which a patient must pay their bill

B. Services provided to a patient 3 days prior to their
inpatient admission
C. The time frame in which Medicare must process a claim
D. The period within which a patient can dispute a charge

87. In ICD-10-CM, how should unspecified codes be utilized?

A. Frequently; as they are easy to use

B. Only when the documentation doesn't provide more
specific information
C. When the coder is unsure about the specifics of the
condition
D. In any situation where a quick code is needed

88. Sophia had recurrent UTIs. To determine the cause, her

physician performed a cystography. Which CPT code pertains
to this procedure?

A. 50395
Medical Coding Ace

B. 50250
C. 50200
D. 51600

89. In CPT coding, what does a modifier -25 indicate?

A. Repeat procedure by the same physician

B. Bilateral procedure
C. Multiple procedures
D. Significant and separately identifiable evaluation and
management service by the same physician on the same day
of the procedure

90. What does the term "cardiomyopathy" refer to?

A. Inflammation of the heart muscle

B. Enlargement of the heart
C. Disease of the heart muscle
D. Blockage in the heart's arteries

91. James noticed a lump in his armpit and visited a physician

who diagnosed it as an abscess. The doctor performed an
incision and drainage. Which CPT code corresponds to this
procedure?

A. 20002
B. 20060
C. 20000
D. 20005
Medical Coding Ace

92. George received an infusion of Remicade for his Crohn's

disease. What HCPCS Level II code corresponds to the
Remicade infusion?

A. J1745
B. J1750
C. J1756
D. J1760

93. When it comes to Medicare fraud and abuse, what does

"upcoding" refer to?

A. Billing for services not rendered

B. Billing a higher service code than what was performed
C. Billing for unnecessary services
D. Assigning a lower code to save the patient money

94. Max complained of fatigue and frequent infections. His

doctor ordered an immunoglobulin test to check his immune
system's health. Which CPT code corresponds to the
immunoglobulin test?

A. 82784
B. 82782
C. 82785
D. 82783
Medical Coding Ace

95. When a patient is admitted to the hospital for a high fever

and is later diagnosed with sepsis, what should be the
primary diagnosis according to ICD-10-CM guidelines?

A. Fever
B. Sepsis
C. Both can be primary
D. The condition that prompted the admission

96. Jason went to the clinic after noticing a sore that wouldn't
heal inside his mouth. The doctor performed an excision of
the oral lesion. Which CPT code represents this procedure?

A. 41108
B. 41110
C. 40100
D. 40819

97. Nancy was fitted with a below-the-knee artificial limb

after her leg amputation. Which HCPCS Level II code
represents this prosthetic?

A. L5631
B. L5637
C. L5645
D. L5650
Medical Coding Ace

98. Tyler had a lump on his thyroid. The endocrinologist

performed a fine needle aspiration biopsy. Which CPT code
pertains to this procedure?

A. 60100
B. 60240
C. 60220
D. 60212

99. Lily felt a sudden blockage in her nose. The doctor

diagnosed a deviated septum and recommended a
septoplasty. Which CPT code pertains to this procedure?

A. 31231
B. 31000
C. 31254
D. 30520

100. Anna received an injection of Botox for her chronic

migraines. Which HCPCS Level II code represents the Botox
injection?

A. J0585
B. J0586
C. J0587
D. J0588
Medical Coding Ace

Answer Key
Use the [ ] boxes to mark your correct answers and count
your score :).

Want to know why a particular answer was more correct?

Explanations for every question are in the section after this,
labeled “Explanations”.

Passing score: 70 correct out of 100 questions total.

[ ] 1. C. 41113
[ ] 2. C. 10060
[ ] 3. D. 20020
[ ] 4. A. 83036
[ ] 5. C. 60220
[ ] 6. D. 50543
[ ] 7. A. 50010
[ ] 8. D. All of the above
[ ] 9. B. Slow heartbeat
[ ] 10. C. 31231
[ ] 11. C. 20010
[ ] 12. B. 31256
[ ] 13. A. I10
[ ] 14. D. 60500
[ ] 15. A. K0001
[ ] 16. A. 73110
[ ] 17. A. 40804
Medical Coding Ace

[ ] 18. A. I10
[ ] 19. A. 52000
[ ] 20. B. 31256
[ ] 21. B. Medulla Oblongata
[ ] 22. A. A90
[ ] 23. B. 50430
[ ] 24. D. 99381
[ ] 25. B. A4465
[ ] 26. A. 80053
[ ] 27. A. Pericardium
[ ] 28. D. Bones become brittle and fragile due to loss of
tissue
[ ] 29. A. 30110
[ ] 30. C. J1040
[ ] 31. A. 70551
[ ] 32. C. 99223
[ ] 33. D. 40820
[ ] 34. C. 99213
[ ] 35. A. Bone
[ ] 36. A. 50200
[ ] 37. C. 00524
[ ] 38. A. 20005
[ ] 39. B. 41115
[ ] 40. A. E0601
[ ] 41. B. 00144
[ ] 42. A. 76805
[ ] 43. D. 30903
[ ] 44. B. 71260
[ ] 45. A. 90832
Medical Coding Ace

[ ] 46. B. M17.1
[ ] 47. D. J01.11
[ ] 48. A. 45378
[ ] 49. A. N80.0
[ ] 50. C. 99223
[ ] 51. B. 66984
[ ] 52. B. Femur
[ ] 53. A. Pancreas
[ ] 54. B. 85025
[ ] 55. A. 00860
[ ] 56. D. Health Insurance Portability and Accountability Act
(HIPAA)
[ ] 57. A. 10080
[ ] 58. A. 94010
[ ] 59. D. 20100
[ ] 60. A. Acute
[ ] 61. A. E10.9
[ ] 62. B. 10040
[ ] 63. B. Use the exact code describing the service
[ ] 64. D. 60101
[ ] 65. B. 01400
[ ] 66. C. 11104
[ ] 67. A. G43.009
[ ] 68. D. 11100
[ ] 69. B. Prevent improper payment of procedures that
should not be billed together
[ ] 70. B. L20.82
[ ] 71. C. 10040
[ ] 72. B. 60240
Medical Coding Ace

[ ] 73. A. Acute condition

[ ] 74. B. Enlargement of the liver
[ ] 75. A. 99201
[ ] 76. D. 11200
[ ] 77. B. 30901
[ ] 78. B. 41105
[ ] 79. B. 93620
[ ] 80. D. 10120
[ ] 81. A. 20005
[ ] 82. C. High blood sugar level
[ ] 83. A. D50.0
[ ] 84. B. 99202
[ ] 85. A. 60210
[ ] 86. B. Services provided to a patient 3 days prior to their
inpatient admission
[ ] 87. B. Only when the documentation doesn't provide more
specific information
[ ] 88. D. 51600
[ ] 89. D. Significant and separately identifiable evaluation
and management service by the same physician on the same
day of the procedure
[ ] 90. C. Disease of the heart muscle
[ ] 91. A. 20002
[ ] 92. A. J1745
[ ] 93. B. Billing a higher service code than what was
performed
[ ] 94. A. 82784
[ ] 95. B. Sepsis
[ ] 96. B. 41110
Medical Coding Ace

[ ] 97. B. L5637
[ ] 98. A. 60100
[ ] 99. D. 30520
[ ] 100. A. J0585
Medical Coding Ace

Explanations
1. During a regular checkup, Dr. Stevens discovered a
suspicious lesion on the floor of Paul's mouth and decided to
perform an excision. Which CPT code covers the excision of
an oral lesion?

Answer: C. 41113

Explanation:

41113 pertains to excision of lesion of floor of mouth.

2. While shaving, Robert accidentally caused a small cut on

his chin that later became infected. He visited a healthcare
provider who incised and drained the infected area. Which
CPT code covers the incision and drainage of an infected
cut?

Answer: C. 10060

Explanation:

10060 is the CPT code for incision and drainage of abscess

(e.g., carbuncle, suppurative hidradenitis, cutaneous or
subcutaneous abscess, cyst, furuncle, or paronychia); simple
or single.
Medical Coding Ace

3. Lucas, a professional swimmer, developed a cyst in his arm

due to repetitive motion. The doctor decided to excise the
cyst. Which CPT code represents the excision of a cyst?

Answer: D. 20020

Explanation:

20020 is the CPT code for incision and removal of foreign

body, subcutaneous tissues; simple.

4. Ella's doctor suspected she might have diabetes. He

ordered a Hemoglobin A1c test to assess her average blood
sugar levels over the past three months. Which CPT code
represents the Hemoglobin A1c test?

Answer: A. 83036

Explanation:

Code 83036 is for the Hemoglobin A1c test. The other codes
are not specific to the Hemoglobin A1c test and represent
different laboratory tests.

5. Riley had an overactive thyroid and was recommended for

a thyroid lobectomy. Which CPT code pertains to this
procedure?

Answer: C. 60220
Medical Coding Ace

Explanation:

The right code, 60220, refers to a thyroid lobectomy. While

60210 pertains to a partial thyroidectomy, 60212 describes a
complete thyroid lobectomy with isthmusectomy, and 60225
is for a thyroid lobectomy with contralateral subtotal
lobectomy. Given the scenario, a thyroid lobectomy without
further specifications was performed, making 60220 the
appropriate code.

6. After a series of tests, Dr. Wright determined that Katie had

a kidney stone and recommended a percutaneous
nephrostolithotomy. Which CPT code corresponds to this
procedure?

Answer: D. 50543

Explanation:

The correct code, 50543, refers to a percutaneous

nephrostolithotomy or pyelostolithotomy. The other codes
are: 50010 (Renal exploratory surgery), 50020 (Renal abscess
drainage), and 50200 (Renal biopsy).

7. Ethan, experiencing persistent flank pain, underwent a

diagnostic renal angiography. Which CPT code represents
this procedure?
Medical Coding Ace

Answer: A. 50010

Explanation:

The correct code, 50010, refers to renal exploratory surgery.

50220 describes a nephrectomy, 50200 is for a renal biopsy,
and 50398 describes an injection procedure for antegrade
nephrostogram and/or ureterogram.

8. The Relative Value Unit (RVU) associated with a CPT code

reflects:

Answer: D. All of the above

Explanation:

A Relative Value Unit (RVU) is a value assigned to a procedure

that reflects the complexity, time, and cost associated with
performing it. It's used to determine how much healthcare
providers get paid for Medicare and Medicaid patients. Each
of these components (complexity, time, and cost) plays a role
in determining the RVU for a specific procedure.

9. What does the term "bradycardia" refer to?

Answer: B. Slow heartbeat

Explanation:
Medical Coding Ace

The term 'bradycardia' refers to a slower than normal heart

rate, or slow heartbeat. It doesn't refer to a fast heartbeat
(that's tachycardia), nor does it indicate the strength or
regularity of the heartbeats.

10. After weeks of sinus congestion, Olivia saw an ENT

specialist. The doctor decided to perform a nasal endoscopy.
Which CPT code describes this procedure?

Answer: C. 31231

Explanation:

31231 is the CPT code for nasal endoscopy, diagnostic,

unilateral or bilateral (separate procedure).

11. During her yoga class, Claire felt a sharp pain in her thigh.
The doctor diagnosed her with a seroma that needed
drainage. Which CPT code should be used for the drainage of
a seroma?

Answer: C. 20010

Explanation:

20010 is the CPT code for incision and drainage of

hematoma, seroma or fluid collection; upper arm or elbow.
Medical Coding Ace

12. Jackson has been feeling pain and pressure in his sinuses.
The ENT decided to perform a sinusotomy to improve
drainage. Which CPT code represents this procedure?

Answer: B. 31256

Explanation:

31256 is the CPT code for nasal/sinus endoscopy, surgical

with maxillary antrostomy.

13. During a routine check-up, Mark was diagnosed with

essential (primary) hypertension. Which ICD-10-CM code
represents this condition?

Answer: A. I10

Explanation:

I10 is the ICD-10-CM code for essential (primary)

hypertension. I11.9 represents hypertensive heart disease
without heart failure, I12.9 is for hypertensive renal disease
without renal failure, and I13.10 stands for hypertensive heart
and chronic kidney disease without heart failure and stage 1
through stage 4 chronic kidney disease, or unspecified
chronic kidney disease.
Medical Coding Ace

14. After tests indicated abnormal parathyroid function,

Natalie underwent a parathyroidectomy. Which CPT code
represents this procedure?

Answer: D. 60500

Explanation:

The correct code, 60500, refers to a parathyroidectomy.

While 60212 and 60240 are associated with thyroid
procedures (thyroid lobectomy with isthmusectomy and total
thyroidectomy respectively), 60100 is for a thyroid biopsy.
The scenario specifies a procedure on the parathyroid,
making 60500 the accurate code.

15. David uses a manual wheelchair due to his mobility

limitations. Which HCPCS Level II code pertains to a standard
manual wheelchair?

Answer: A. K0001

Explanation:

The HCPCS Level II code K0001 represents a standard

manual wheelchair. This code is specific for a wheelchair that
is manually operated.
Medical Coding Ace

16. After a fall, Clara's primary care doctor ordered an X-ray

of her wrist. The radiologist took three views of her wrist.
Which CPT code pertains to this X-ray?

Answer: A. 73110

Explanation:

Code 73110 pertains to radiologic examination of the wrist

with a minimum of three views. 73100 is for two views, 73120
is for one view, and 73115 is for a post-reduction (after fixing
a dislocation or fracture) examination.

17. While eating popcorn, Mike felt a sharp pain and found he
had bitten the inside of his cheek, causing a mucocele. His
dentist performed a removal of the mucocele. Which CPT
code pertains to this procedure?

Answer: A. 40804

Explanation:

40804 pertains to excision of lesion, vestibule of mouth

(mucocele).

18. During a routine check-up, Brian was diagnosed with

benign essential hypertension. What ICD-10-CM code should
be used for this diagnosis?
Medical Coding Ace

Answer: A. I10

Explanation:

I10 is the ICD-10-CM code for essential (primary)

hypertension. I15.0 represents renovascular hypertension,
I15.1 is for hypertension secondary to other renal disorders,
and I15.2 pertains to hypertension secondary to endocrine
disorders.

19. Megan had been facing difficulty urinating. Her urologist

performed a cystourethroscopy to diagnose the issue. Which
CPT code describes this procedure?

Answer: A. 52000

Explanation:

The correct code, 52000, pertains to cystourethroscopy. The

other codes are: 50250 (Ablation, renal tumor, unilateral,
percutaneous), 50200 (Renal biopsy), and 50395 (Injection
procedure for nephrostogram or ureterogram).

20. Ryan has had chronic sinusitis for months. The doctor
advised functional endoscopic sinus surgery (FESS) to clear
the blockages. Which CPT code should be used for this
procedure?

Answer: B. 31256
Medical Coding Ace

Explanation:

31256 is the CPT code for nasal/sinus endoscopy, surgical

with maxillary antrostomy.

21. Which part of the brain is responsible for regulating vital

functions like heartbeat and breathing?

Answer: B. Medulla Oblongata

Explanation:

The medulla oblongata, located in the brainstem, is

responsible for regulating vital functions such as heartbeat,
breathing, and blood pressure. The cerebellum coordinates
muscle movements and maintains posture and balance. The
cerebrum is involved in sensory perception, thought, and
voluntary muscle movements. The pons plays a role in
regulating breathing and relaying signals between different
parts of the brain.

22. After a trip to a tropical country, Jessica was diagnosed

with Dengue fever without warning signs. Which ICD-10-CM
code represents this diagnosis?

Answer: A. A90

Explanation:
Medical Coding Ace

A90 is the ICD-10-CM code for Dengue fever [classical

dengue]. A91 pertains to Dengue hemorrhagic fever, A92.0
represents West Nile virus infection with neurologic
manifestation, and A92.8 stands for other specified
mosquito-borne viral fevers.

23. After a car accident, Liam required a retrograde

pyelography to assess kidney damage. Which CPT code
should be used for this procedure?

Answer: B. 50430

Explanation:

The correct code, 50430, refers to injection procedure for

retrograde pyelography. The other codes are: 50320 (Renal
autotransplantation), 50200 (Renal biopsy), and 50390
(Aspiration of kidney cyst).

24. Olivia went to the pediatrician for her annual checkup.

The doctor conducted a comprehensive review covering her
past, family, and social history. Which CPT code represents
this level of history-taking?

Answer: D. 99381

Explanation:
Medical Coding Ace

CPT code 99381 is for a comprehensive preventive medicine

evaluation and management for new patients. 99391 is for
established patients, 99382 is for new patients aged 1-4, and
99392 is for established patients aged 1-4.

25. During his physical therapy, John was provided with a

therapeutic elastic band. Which HCPCS Level II code
represents the supply of this band?

Answer: B. A4465

Explanation:

The correct code for a therapeutic elastic band is A4465.

This code represents a non-elastic binder for a specific use.

26. Dr. Lewis suspected a liver issue with Lily and ordered a
comprehensive metabolic panel. Which CPT code is for a
comprehensive metabolic panel?

Answer: A. 80053

Explanation:

Code 80053 is for a comprehensive metabolic panel. The

other codes represent different types of lab panels or tests
and are not specifically for a comprehensive metabolic panel.

27. The heart is enclosed in a double-layered sac called the:

Medical Coding Ace

Answer: A. Pericardium

Explanation:

The heart is enclosed by the pericardium, a double-layered

sac. The myocardium refers to the muscular wall of the heart.
The endocardium is the inner lining of the heart chambers,
while the epicardium is the outermost layer of the heart wall.

28. 'Osteoporosis' describes a condition where:

Answer: D. Bones become brittle and fragile due to loss of

tissue

Explanation:

Osteoporosis is characterized by bones becoming brittle and

fragile due to a loss of tissue. It is not about bones becoming
soft (option A), increased bone density (option B), or bones
breaking easily without the mention of brittleness (option C).

29. Leo had been experiencing difficulty breathing and went

to a clinic. The doctor performed a procedure to remove nasal
polyps. Which CPT code corresponds to this procedure?

Answer: A. 30110

Explanation:
Medical Coding Ace

30110 is the CPT code for excision or surgical planing of nasal

polyp(s), simple.

30. For his severe back pain, Dr. Simmons administers an

epidural injection to Mike. Which HCPCS Level II code
corresponds to the supply of the injection?

Answer: C. J1040

Explanation:

The correct HCPCS Level II code for the supply of an epidural

injection is J1040. This code represents an injection of
methylprednisolone acetate, 80 mg.

31. Experiencing persistent headaches, Daniel was sent for an

MRI of his brain. Which CPT code covers an MRI of the brain
without contrast?

Answer: A. 70551

Explanation:

Code 70551 is for an MRI of the brain without contrast. 70553

includes both without and with contrast, 70549 is not a valid
CPT code, and 70550 is for an MRI of the brain with contrast
only.
Medical Coding Ace

32. Dr. Johnson saw Sarah in the ER after she experienced a

severe asthma attack. After stabilization, he conducted a
comprehensive review of her systems and medical history.
Which CPT code represents this level of history-taking?

Answer: C. 99223

Explanation:

CPT code 99223 is for a comprehensive level of

history-taking and examination for patients in hospitals.
99221 is for a detailed history, 99218 is for a
problem-focused history, and 99220 is for observation or
inpatient hospital care.

33. Ella went to the doctor after experiencing pain from a

swollen salivary gland. The doctor performed a
sialolithotomy. Which CPT code represents this procedure?

Answer: D. 40820

Explanation:

40820 pertains to sialolithotomy; by incision into duct.

34. During a follow-up visit, Dr. Allen asked Emily about the
progress of her symptoms, her current medications, and
performed a limited examination. Which CPT code represents
this level of service?
Medical Coding Ace

Answer: C. 99213

Explanation:

CPT code 99213 is used for an expanded problem-focused

history and examination for established patients. 99212 is for
a problem-focused history, 99214 is for a detailed history,
and 99215 is for a comprehensive history.

35. In medical terminology, the prefix 'osteo-' relates to which

of the following?

Answer: A. Bone

Explanation:

The prefix 'osteo-' in medical terminology refers to bone. For

instance, 'osteoporosis' refers to a condition where bones
become brittle due to loss of tissue. It doesn't relate to the
heart, liver, or brain.

36. Lucas went to the hospital after noticing blood in his

urine. The doctor performed a renal biopsy. Which CPT code
represents this procedure?

Answer: A. 50200

Explanation:
Medical Coding Ace

The correct code, 50200, refers to a renal biopsy. The other

codes are: 50220 (Nephrectomy), 50225 (Delayed
nephrostogram), and 50230 (Nephrectomy, partial).

37. Ryan had been experiencing chronic chest pain. During a

diagnostic procedure, the anesthesiologist administered
anesthesia to keep him comfortable. Which CPT code
represents anesthesia for intrathoracic procedures?

Answer: C. 00524

Explanation:

Code 00524 is specific to anesthesia for intrathoracic

procedures. Code 00520 is more general and is used for
procedures within the thorax, 00522 for lung surgeries, and
00526 for heart and coronary artery surgeries.

38. While hiking, Alex slipped on a rock and hurt his ankle. At
the hospital, they discovered a hematoma that needed to be
incised and drained. Which CPT code represents this
procedure?

Answer: A. 20005

Explanation:
Medical Coding Ace

20005 is the CPT code for incision and drainage of soft tissue
abscess, leg or ankle; superficial.

39. Bianca visited an oral surgeon due to a cyst under her

tongue. The surgeon decided to perform a marsupialization of
the ranula. Which CPT code is appropriate for this procedure?

Answer: B. 41115

Explanation:

41115 pertains to marsupialization of ranula.

40. Sarah uses a continuous positive airway pressure (CPAP)

device for her sleep apnea. Which HCPCS Level II code
pertains to the CPAP device?

Answer: A. E0601

Explanation:

The HCPCS Level II code for a continuous positive airway

pressure (CPAP) device is E0601. This code represents a
CPAP device.

41. During a hernia repair, Dr. Stevens administered

anesthesia to ensure Michael was comfortable and pain-free.
Which CPT code represents anesthesia for an inguinal hernia
repair?
Medical Coding Ace

Answer: B. 00144

Explanation:

Code 00144 represents anesthesia for an inguinal hernia

repair. Code 00102 is typically used for anesthesia during
eyelid surgeries, 00145 for anesthesia during facial nerve
surgeries, and 00148 for anesthesia during neck surgeries.

42. Sophie, pregnant with her first child, went for an

ultrasound in her second trimester. Which CPT code is
appropriate for a routine obstetric ultrasound of a fetus?

Answer: A. 76805

Explanation:

Code 76805 is used for a routine obstetric ultrasound of a

fetus. The other codes represent different types of
ultrasound services and are not specifically for a routine
obstetric ultrasound.

43. Sophie, after a minor car accident, had a nosebleed that

wouldn't stop. The ER doctor performed a nasal endoscopy to
control the posterior nosebleed. Which CPT code is
appropriate for this procedure?

Answer: D. 30903
Medical Coding Ace

Explanation:

30903 is the CPT code for control nasal hemorrhage,

posterior, complex (e.g., therapeutic endoscopy, posterior
nasal packs).

44. Ryan had been experiencing chronic chest pain. His

cardiologist ordered a chest CT scan with contrast. Which
CPT code represents a CT of the chest with contrast?

Answer: B. 71260

Explanation:

Code 71260 is for a CT of the chest with contrast. 71250 is

without contrast, 71270 is with and without contrast, and
71275 is for a CT angiography of the chest.

45. Nina, who had been dealing with depression, visited a

psychiatrist who prescribed her a 30-minute psychotherapy
session. Which CPT code is appropriate for individual
psychotherapy for 30 minutes?

Answer: A. 90832

Explanation:
Medical Coding Ace

The CPT code 90832 is used to describe individual

psychotherapy for 30 minutes. The other codes are for
different durations or types of psychotherapy sessions.

46. Tom was diagnosed with bilateral primary osteoarthritis

of the knee. Which ICD-10-CM code is suitable for this
diagnosis?

Answer: B. M17.1

Explanation:

M17.1 is the ICD-10-CM code for bilateral primary

osteoarthritis of the knee. M17.0 represents unilateral primary
osteoarthritis, M17.2 is for unilateral post-traumatic
osteoarthritis, and M17.3 is for bilateral post-traumatic
osteoarthritis of the knee.

47. Samantha was diagnosed with acute sinusitis due to

Streptococcus pneumoniae. What ICD-10-CM code
corresponds to her condition?

Answer: D. J01.11

Explanation:

J01.11 is the ICD-10-CM code for acute frontal sinusitis due to

Streptococcus pneumoniae. J01.00 represents acute
maxillary sinusitis, unspecified, J01.10 is for acute frontal
Medical Coding Ace

sinusitis, unspecified, and J01.01 pertains to acute frontal

sinusitis due to Haemophilus influenzae.

48. Dr. Parker recommended a colonoscopy for Maria due to

her family history of colorectal cancer. Which CPT code
represents a diagnostic colonoscopy?

Answer: A. 45378

Explanation:

The correct CPT code for a diagnostic colonoscopy is 45378.

Code 45379 represents colonoscopy with removal of a
foreign body. Code 45380 represents colonoscopy with
biopsy, and 45381 represents colonoscopy with direct
submucosal injection.

49. Lena, a 28-year-old, was diagnosed with a mild form of

endometriosis. Which ICD-10-CM code corresponds to her
diagnosis?

Answer: A. N80.0

Explanation:

N80.0 is the code for mild endometriosis. N80.1 represents

endometriosis of the ovary, N80.2 is for endometriosis of the
fallopian tube, and N80.3 is for endometriosis of the pelvic
peritoneum.
Medical Coding Ace

50. Leo visited a cardiologist due to chest pain. The doctor

took an extended history, reviewed multiple systems, and
performed a detailed examination. Which CPT code
represents this level of service?

Answer: C. 99223

Explanation:

CPT code 99223 is for a comprehensive level of

history-taking and examination for patients in hospitals.
99221 is for a detailed history, 99222 is for an expanded
problem-focused history, and 99220 is for observation or
inpatient hospital care.

51. Robert visited an ophthalmologist after experiencing

blurry vision. After examination, the doctor diagnosed him
with cataracts. Which CPT code corresponds to a cataract
removal with intraocular lens insertion?

Answer: B. 66984

Explanation:

The CPT code 66984 represents extracapsular cataract

removal with insertion of intraocular lens prosthesis. The
other options are other ophthalmologic procedures but not
specific to the described scenario.
Medical Coding Ace

52. The largest bone in the human body is the:

Answer: B. Femur

Explanation:

The femur, or thigh bone, is the longest and strongest bone in

the human body. The humerus is the bone of the upper arm,
while the tibia and fibula are bones of the lower leg, with the
tibia being the thicker of the two.

53. Which organ is responsible for producing insulin?

Answer: A. Pancreas

Explanation:

The pancreas is responsible for producing insulin, a hormone

that regulates the amount of glucose in the blood. The liver,
kidney, and spleen have other distinct functions and do not
produce insulin.

54. With symptoms of anemia, Riley's doctor ordered a

complete blood count with differential. Which CPT code
pertains to this test?

Answer: B. 85025
Medical Coding Ace

Explanation:

Code 85025 is for a complete blood count (CBC) with

differential. 85027 is for a basic CBC without differential,
while 85029 and 85023 are not specific to the CBC with
differential.

55. Sophie, pregnant with her first child, went for an

ultrasound in her second trimester. The anesthesiologist
administered anesthesia to keep her comfortable during the
procedure. Which CPT code represents anesthesia for a
routine obstetric ultrasound?

Answer: A. 00860

Explanation:

Code 00860 is used for anesthesia during lower abdominal

procedures, including obstetric ultrasonography. Code 00864
represents anesthesia during cesarean delivery, 00862
during vaginal delivery, and 00868 during advanced labor
and delivery procedures.

56. Which U.S. federal regulation protects the privacy and

security of patients' medical information?

Answer: D. Health Insurance Portability and Accountability

Act (HIPAA)
Medical Coding Ace

Explanation:

The Health Insurance Portability and Accountability Act

(HIPAA) is a federal law that provides data privacy and
security provisions for safeguarding medical information.
While the other options like ACA, CLIA, and HITECH Act have
their specific focuses and regulations, HIPAA is specifically
designed to protect the privacy and security of patients'
medical information.

57. After her morning run, Maria noticed a painful abscess on

her thigh. She immediately went to the clinic, where the
doctor performed an incision and drainage. Which CPT code
represents the incision and drainage of an abscess?

Answer: A. 10080

Explanation:

10080 is the CPT code for incision and drainage of pilonidal

cyst; simple.

58. James had difficulty breathing and underwent a

pulmonary function test to assess his lung function. Which
CPT code represents a simple pulmonary function test?

Answer: A. 94010

Explanation:
Medical Coding Ace

The CPT code 94010 represents a spirometry, including

graphic record, total and timed vital capacity, expiratory flow
rate measurement(s), with or without maximal voluntary
ventilation. The other codes are for different types or parts of
pulmonary function tests.

59. After a minor car accident, Emma was taken to the

emergency room. They found a hematoma in her shoulder
that needed incision and drainage. Which CPT code pertains
to this procedure?

Answer: D. 20100

Explanation:

20100 is the CPT code for incision and drainage; deep

abscess or hematoma, soft tissues of back or flank.

60. For outpatient coding, when coding for a condition that is

both acute and chronic and separate subentries exist in the
alphabetic index, which code should be sequenced first?

Answer: A. Acute

Explanation:

Just like with inpatient coding, in outpatient coding, if there

are separate subentries in the alphabetic index for both the
Medical Coding Ace

acute and chronic form of a disease, the acute form is coded

first. The acute condition often requires more immediate care
and is usually the reason for the current medical encounter.

61. Alex was diagnosed with type 1 diabetes mellitus without

complications. Which ICD-10-CM code represents this
diagnosis?

Answer: A. E10.9

Explanation:

E10.9 is the ICD-10-CM code for type 1 diabetes mellitus

without complications. E11.9 pertains to type 2 diabetes
mellitus, E13.9 to other specified diabetes mellitus, and E08.9
to diabetes mellitus due to an underlying condition, all
without complications.

62. John, an avid gardener, discovered a wart on his finger.

Concerned about its appearance, he consulted a physician
who recommended its removal. Which CPT code covers the
excision of a wart?

Answer: B. 10040

Explanation:
Medical Coding Ace

10040 is the CPT code for acne surgery (e.g.,

marsupialization, opening or removal of multiple milia,
comedones, cysts, pustules).

63. According to CPT guidelines, if a code exists that

describes a certain service or procedure, you should:

Answer: B. Use the exact code describing the service

Explanation:

CPT guidelines emphasize the importance of coding

accuracy. If there's a code that exactly describes the service
or procedure performed, that specific code should be used.
Using a similar or unspecified code when a more accurate
code is available can lead to billing errors and
misrepresentations of the services provided.

64. Dr. Lewis found a nodule in Chloe's thyroid and decided

to perform a core needle biopsy. Which CPT code covers this
procedure?

Answer: D. 60101

Explanation:

The correct code, 60101, represents a core needle biopsy of

the thyroid. The codes 60100 and 60240 respectively
describe a fine needle aspiration biopsy and a total
Medical Coding Ace

thyroidectomy. The code 60271 pertains to a thyroidectomy

for malignancy, without radical neck dissection. In this case, a
core needle biopsy was performed, making 60101 the
suitable code.

65. Grace required a knee replacement. The anesthesiologist

administered anesthesia specific to the lower leg procedure.
Which CPT code is suitable for anesthesia during a knee
replacement?

Answer: B. 01400

Explanation:

Code 01400 is appropriate for anesthesia during knee joint

procedures. Code 01402 is more specific to tibia and fibula
procedures, 01404 to foot and ankle procedures, and 01406
to total ankle replacement surgeries.

66. During a routine checkup, a physician noticed a

suspicious lesion on Peter's back. To ensure it was benign,
the doctor performed a punch biopsy. Which CPT code is
appropriate for a punch biopsy of the skin?

Answer: C. 11104

Explanation:
Medical Coding Ace

11104 is the CPT code for punch biopsy of skin (including

simple closure), when the diameter of the lesion is 0.5 cm or
less.

67. Elena visited the ER with a severe migraine without aura,

not intractable. What ICD-10-CM code corresponds to her
condition?

Answer: A. G43.009

Explanation:

G43.009 is the code for a migraine without aura, not

intractable, without status migrainosus. G43.109 represents a
migraine with aura, G43.209 is for chronic migraine without
aura, and G43.309 represents a chronic migraine without
mention of intractable migraine.

68. Michael had always had a large mole on his arm. However,
recently he observed changes in its appearance. On the
advice of his friend, he visited a dermatologist who biopsied
the mole. Which CPT code pertains to the biopsy of a lesion?

Answer: D. 11100

Explanation:
Medical Coding Ace

11100 is the CPT code for biopsy of skin, subcutaneous tissue

and/or mucous membrane (including simple closure), unless
otherwise listed; single lesion.

69. What is the purpose of the National Correct Coding

Initiative (NCCI)?

Answer: B. Prevent improper payment of procedures that

should not be billed together

Explanation:

The National Correct Coding Initiative (NCCI) was established

to prevent improper payment of procedures that should not
be billed together. It ensures that Medicare Part B does not
pay for incorrect code combinations. While ensuring
appropriate coding is a broad goal in medical billing, NCCI
specifically focuses on preventing concurrent billing of
procedures that shouldn't be combined.

70. Peter visited a dermatologist for a persistent rash. The

doctor diagnosed him with atopic dermatitis of the hands.
What ICD-10-CM code represents this diagnosis?

Answer: B. L20.82

Explanation:
Medical Coding Ace

L20.82 is the ICD-10-CM code for atopic dermatitis of the

hands. L20.81 is for atopic neurodermatitis, L20.83 is for
infantile (exudative) eczema, and L20.84 is for intrinsic
(allergic) eczema.

71. Sophia went to a dermatologist for a facial consultation.

The doctor noticed a milia near her eye and removed it.
Which CPT code represents the removal of milia?

Answer: C. 10040

Explanation:

10040 is the CPT code for acne surgery (e.g.,

marsupialization, opening or removal of multiple milia,
comedones, cysts, pustules).

72. Owen was diagnosed with thyroid cancer. His oncologist

recommended a total thyroidectomy. Which CPT code should
be used for this procedure?

Answer: B. 60240

Explanation:

The correct code, 60240, pertains to a total thyroidectomy.

While 60212 is for a thyroid lobectomy with isthmusectomy,
60100 is for a thyroid biopsy, and 60252 represents a
thyroidectomy for malignancy with radical neck dissection.
Medical Coding Ace

The scenario describes a total thyroidectomy without neck

dissection, making 60240 the right choice.

73. According to the ICD-10-CM guidelines, when a patient

has both an acute and chronic condition, which one should
be sequenced first?

Answer: A. Acute condition

Explanation:

Per ICD-10-CM coding guidelines, if a patient has both an

acute and a chronic condition and separate codes are
available for both, the code for the acute condition is
sequenced first. The acute condition is often the reason for
the patient's current medical encounter and requires more
immediate attention.

74. The term "hepatomegaly" refers to:

Answer: B. Enlargement of the liver

Explanation:

Hepatomegaly refers to an enlargement of the liver. It is not

about inflammation (option A), disease (option C), or absence
of the liver (option D).
Medical Coding Ace

75. Jake came to the clinic for a routine checkup. The doctor
asked him basic questions about his current health without
going into a detailed history or review of systems. What CPT
code represents this level of history-taking?

Answer: A. 99201

Explanation:

CPT code 99201 is used for a problem-focused history and

examination for new patients in an office or outpatient
setting. 99212 is for established patients, 99203 is for a
detailed history, and 99204 is for a comprehensive history.

76. During her beach vacation, Lisa noticed a skin tag on her
neck. Wanting to wear her new necklace without any
obstructions, she decided to visit a dermatologist to have it
removed. Which CPT code represents the removal of a skin
tag?

Answer: D. 11200

Explanation:

11200 is the CPT code for removal of skin tags, multiple

fibrocutaneous tags, any area; up to and including 15 lesions.
Medical Coding Ace

77. Ava was having persistent nosebleeds. The ENT decided

to cauterize the bleeding vessel in her nasal cavity. Which
CPT code describes this procedure?

Answer: B. 30901

Explanation:

30901 is the CPT code for control nasal hemorrhage, anterior,

simple (e.g., epistaxis, cautery, packing) any method.

78. During a dental cleaning, Dr. Adams noticed a white patch

inside Hannah's mouth. She suggested a biopsy of the oral
mucosa. Which CPT code covers a biopsy of the oral
mucosa?

Answer: B. 41105

Explanation:

41105 pertains to biopsy of oral mucosa and/or lesion;

vestibule of mouth.

79. After experiencing rapid heartbeats, Karen underwent an

electrophysiology study. Which CPT code pertains to this
procedure?

Answer: B. 93620
Medical Coding Ace

Explanation:

The CPT code 93620 represents a comprehensive

electrophysiologic evaluation. The other codes refer to
different types or parts of electrophysiology studies and
aren't as comprehensive as 93620.

80. While gardening, Chloe got a thorn embedded in her

hand. She went to a healthcare provider who removed the
foreign body. Which CPT code covers the removal of a
foreign body from soft tissue?

Answer: D. 10120

Explanation:

10120 is the CPT code for incision and removal of foreign

body, subcutaneous tissues; simple.

81. During a football match, Ethan had a collision and

developed a hematoma in his upper arm. The doctor
performed an incision to drain it. Which CPT code is
appropriate for this procedure?

Answer: A. 20005

Explanation:
Medical Coding Ace

20005 is the CPT code for incision and drainage of soft tissue
abscess, leg or ankle; superficial.

82. The term "hyperglycemia" means:

Answer: C. High blood sugar level

Explanation:

Hyperglycemia refers to a high blood sugar level. It does not

pertain to a low (option A) or normal (option B) blood sugar
level, nor does it mean blood without sugar (option D).

83. Julie was diagnosed with iron-deficiency anemia

secondary to chronic blood loss. Which ICD-10-CM code is
appropriate for this diagnosis?

Answer: A. D50.0

Explanation:

D50.0 is the ICD-10-CM code for iron-deficiency anemia

secondary to blood loss (chronic). D50.1 pertains to
sideropenic dysphagia, D50.8 represents other
iron-deficiency anemias, and D50.9 is for iron-deficiency
anemia, unspecified.

84. Nathan visited the clinic with flu-like symptoms. The

doctor took a brief history, focusing mainly on the respiratory
Medical Coding Ace

system. Which CPT code represents this level of

history-taking?

Answer: B. 99202

Explanation:

CPT code 99202 is used for an expanded problem-focused

history and examination for new patients in an office or
outpatient setting. 99201 is for a problem-focused history,
99203 is for a detailed history, and 99204 is for a
comprehensive history.

85. Dr. Harris diagnosed Grace with hyperthyroidism and

recommended a partial thyroidectomy. Which CPT code
describes this procedure?

Answer: A. 60210

Explanation:

The correct code, 60210, refers to a partial thyroidectomy.

While 60212 describes a complete thyroid lobectomy, 60100
is for a thyroid biopsy, and 60225 pertains to a thyroid
lobectomy with contralateral subtotal lobectomy. In this
scenario, only a partial thyroidectomy was performed, making
60210 the appropriate code.
Medical Coding Ace

86. According to Medicare, the "Three-Day Payment Window

Rule" refers to:

Answer: B. Services provided to a patient 3 days prior to their

inpatient admission

Explanation:

The "Three-Day Payment Window Rule" (also known as the

"72-hour rule") by Medicare refers to outpatient services (like
tests or procedures) that are provided to a patient within the
3 days leading up to their inpatient hospital admission. These
services are typically bundled and considered part of the
inpatient stay for billing purposes.

87. In ICD-10-CM, how should unspecified codes be utilized?

Answer: B. Only when the documentation doesn't provide

more specific information

Explanation:

Unspecified codes in ICD-10-CM should be used when the

medical documentation does not provide enough information
for a more specific code. Coders should always strive to code
to the highest level of specificity and should use unspecified
codes as a last resort.
Medical Coding Ace

88. Sophia had recurrent UTIs. To determine the cause, her

physician performed a cystography. Which CPT code pertains
to this procedure?

Answer: D. 51600

Explanation:

The correct code, 51600, pertains to cystography. The other

codes are: 50395 (Injection procedure for nephrostogram or
ureterogram), 50250 (Ablation, renal tumor, unilateral,
percutaneous), and 50200 (Renal biopsy).

89. In CPT coding, what does a modifier -25 indicate?

Answer: D. Significant and separately identifiable evaluation

and management service by the same physician on the same
day of the procedure

Explanation:

The -25 modifier in CPT coding indicates that the patient's

condition required a significant, separately identifiable E/M
service, above and beyond the other service provided or
beyond the usual preoperative and postoperative care
associated with the procedure that was performed.

90. What does the term "cardiomyopathy" refer to?

Medical Coding Ace

Answer: C. Disease of the heart muscle

Explanation:

Cardiomyopathy refers to a disease of the heart muscle. It

does not pertain to inflammation (option A), enlargement
(option B), or blockage in the arteries (option D).

91. James noticed a lump in his armpit and visited a physician

who diagnosed it as an abscess. The doctor performed an
incision and drainage. Which CPT code corresponds to this
procedure?

Answer: A. 20002

Explanation:

20002 is the CPT code for incision and drainage of abscess

of skin, subcutaneous or accessory structures; arm or leg.

92. George received an infusion of Remicade for his Crohn's

disease. What HCPCS Level II code corresponds to the
Remicade infusion?

Answer: A. J1745

Explanation:
Medical Coding Ace

The HCPCS Level II code for an infusion of Remicade

(infliximab) is J1745. This code represents an injection of
infliximab, 10 mg.

93. When it comes to Medicare fraud and abuse, what does

"upcoding" refer to?

Answer: B. Billing a higher service code than what was

performed

Explanation:

"Upcoding" refers to the unethical practice of billing a higher

service code than what was actually performed to receive a
higher reimbursement. This is considered fraud as it leads to
overbilling. The other choices refer to different types of
fraudulent or incorrect billing practices, but they are not
definitions of "upcoding".

94. Max complained of fatigue and frequent infections. His

doctor ordered an immunoglobulin test to check his immune
system's health. Which CPT code corresponds to the
immunoglobulin test?

Answer: A. 82784

Explanation:
Medical Coding Ace

Code 82784 is for the immunoglobulin test. The other codes

represent different types of immunoglobulin tests or
variations, but 82784 is the general code for such a test.

95. When a patient is admitted to the hospital for a high fever

and is later diagnosed with sepsis, what should be the
primary diagnosis according to ICD-10-CM guidelines?

Answer: B. Sepsis

Explanation:

According to ICD-10-CM guidelines, if sepsis is present upon

admission, it should be coded as the primary diagnosis. Even
if the initial reason for admission was another symptom (like a
fever), if sepsis is diagnosed during the admission, it takes
precedence due to its severity and the need for immediate
medical attention.

96. Jason went to the clinic after noticing a sore that wouldn't
heal inside his mouth. The doctor performed an excision of
the oral lesion. Which CPT code represents this procedure?

Answer: B. 41110

Explanation:

41110 pertains to excision of lesion of oral mucosa without

closure.
Medical Coding Ace

97. Nancy was fitted with a below-the-knee artificial limb

after her leg amputation. Which HCPCS Level II code
represents this prosthetic?

Answer: B. L5637

Explanation:

The correct code for a below-the-knee artificial limb is L5637.

This code pertains to the socket insert for below-knee,
silicone gel, any type.

98. Tyler had a lump on his thyroid. The endocrinologist

performed a fine needle aspiration biopsy. Which CPT code
pertains to this procedure?

Answer: A. 60100

Explanation:

The correct code, 60100, refers to a fine needle aspiration

biopsy of the thyroid. In contrast, 60240 describes a
complete thyroidectomy, 60220 is for a thyroid lobectomy,
and 60212 is for a complete thyroid lobectomy with
isthmusectomy. The question explicitly mentions a biopsy,
making 60100 the right choice.
Medical Coding Ace

99. Lily felt a sudden blockage in her nose. The doctor

diagnosed a deviated septum and recommended a
septoplasty. Which CPT code pertains to this procedure?

Answer: D. 30520

Explanation:

30520 is the CPT code for septoplasty or submucous

resection, with or without cartilage scoring, contouring or
replacement with graft.

100. Anna received an injection of Botox for her chronic

migraines. Which HCPCS Level II code represents the Botox
injection?

Answer: A. J0585

Explanation:

The correct HCPCS Level II code for a Botox injection is

J0585. This code represents an injection of
onabotulinumtoxinA (Botox), 1 unit. The other codes, J0586,
J0587, and J0588, represent other types of botulinum toxins.

Congrats on finishing the practice exam!

How’d you do?
Medical Coding Ace

For additional materials, check out all our

full-length practice tests, and our
Practice Tool, at
medicalcodingace.com/practice.

Great job!