CPT Update – 2022 – Healthcare Cost Solutions, Inc.

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Question 1 of 18

1. Question
A patient is evaluated by his primary care physician remotely for COVID-19 symptoms of cough and nasal congestion. The time spent with the patient is 20 minutes.

How is this coded?
- a. U071, 98980
- b. R069, R0981, 98980
- c. U071, 99457, 98980
- d. R069, R0981, 98980, 98981
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Question 2 of 18

2. Question
This patient presents to have a drug eluding implant placed into the left lacrimal canaliculus.

How is this coded?
- a. 0356T
- b. 68841-Lt
- c. 0444T
- d. 0445T
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Question 3 of 18

3. Question
This patient presents to have her first mRNA-LNP, spike protein, preservative free, 100 mcg/0.5ml intramuscular COVID-19 vaccination.

How is this coded?
- a. Z23, 90471, 0012A
- b. Z7185, 0012A
- c. Z23, 0012A
- d. Z7185, 90471, 0012A
Correct

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Question 4 of 18

4. Question
Which of the following statements is false?
- a. Histotripsy is coded with 0686T
- b. New code 43497 is reported with codes 32665, 43191, 43197 and 43200
- c. New code 64583 is used to report revision or replacement of a hypoglossal nerve stimulator array
- d. New code 35509 is used for harvest of upper extremity artery, one segment for coronary artery bypass procedure, endoscopic
Correct

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Question 5 of 18

5. Question
A patient with a nasal fracture presents for closed reduction with manipulation.

How is this coded?
- a. S022XXA, 21315
- b. S022XXD, 21310
- c. S022XXA, 21310
- d. S022XXB, 21315
Correct

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Question 6 of 18

6. Question
A patient with sleep apnea presents for a drug-induced sleep endoscopy to find the underlying cause.

How is this coded?
- a. G4730, 31231, 42975
- b. G4731, 31231
- c. G4732, 31231, 42975
- d. G4730, 42975
Correct

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Question 7 of 18

7. Question
A two year old patient with Tetralogy of Fallot, diagnosed at birth, presents for a 3D esophageal echocardiogram.

How is this coded?
- a. Z1389, Q213, 93317, 93319
- b. Q213, 93317
- c. Z1389, 93319
- d. Q213, 93317, 93319
Correct

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Question 8 of 18

8. Question
A patient with complex chronic pain syndrome is evaluated by her physician as part of a routine monthly visit for her chronic pain activities. Her condition requires constant monitoring and frequent changes in her medication. The physician spends 30 minutes with the patient.

How is this coded?
- a. G894, 99424, 99425
- b. G894, 99426
- c. G894, 99424
- d. G894, 99426, 99427
Correct

Incorrect
Question 9 of 18

9. Question
The patient had an eye tracking device implanted previously for amblyopia in the right eye, is evaluated by his ophthalmologist for his monthly interpretation and report.

How is this coded?
- a. H53001
- b. H53001, 0706T
- c. H53001, 0705T
- d. H53001, 0704T
Correct

Incorrect
Question 10 of 18

10. Question
A patient with esophageal muscle immobility presents for a POEM.

How is this coded?
- a. Z466, 0551T
- b. Z466, 0551T, 0548T
- c. Z466, 0551T, 0549T
- d. Z466, 43497
Correct

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Question 11 of 18

11. Question
A patient with urinary incontinence presents for percutaneous adjustment of his periurethral transperineal balloon fluid volume.

How is this coded?
- a. R32, 53454
- b. R32, 53451, 53454
- c. R32, 53452, 53454
- d. R32
Correct

Incorrect
Question 12 of 18

12. Question
This patient has a right eye cataract and now presents for complex extracapsular cataract removal with insertion of intraocular anterior segment aqueous drainage device, without extraocular reservoir, internal approach.

How is this coded?
- a. H269, 66991
- b. H269, 66985
- c. H269, 66987
- d. H269, 66989
Correct

Incorrect
Question 13 of 18

13. Question
A patient with an osseointegrated skull implant, with magnetic transcutaneous processor presents for removal of the implant.

How is this coded?
- a. Z4589, 69727
- b. Z4589, 69726
- c. Z4589, 69717
- d. Z4589, 69716
Correct

Incorrect
Question 14 of 18

14. Question
Which of the following statements is false?
- a. Synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional (QHP) and a patient who is located away at a distant site from the physician or other QHP
- b. Thyroid Nodule Laser Ablation is coded to 0686T
- c. Thorascopic excision of left atrial appendage is coded to 33269
- d. All of the above
Correct

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Question 15 of 18

15. Question
This patient presents for a 2-segment laminectomy along with a posterior interbody arthrodesis, lumbar at L4-5. The procedures are needed to relieve the patient’s severe lumbar stenosis.

How is this coded?
- a. M,48061, 22630, 63052, 63053
- b. M48061, 63052, 63053
- c. M48061, 22630
- d. M48061, 63052
Correct

Incorrect
Question 16 of 18

16. Question
This patient has a percutaneous ultrasound-guided gastrotomy tube placement because of swallowing difficulties.

How is this coded?
- a. R1310, 43762, 0647T
- b. R1310, 43510
- c. R1310, 0647T
- d. R1310, 43762
Correct

Incorrect
Question 17 of 18

17. Question
Which of the following statements is true?
- a. New code 33722 was added to describe valvotomy, pulmonary valve, closed heart transventricular
- b. Y Modifier: Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive is used for all remote communications
- c. Synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional (QHP) and a patient who is located away at a distant site from the physician or other QHP
- d. Code 99426 is reported for the first 30 minutes of clinical staff time spent in care management activities for each day of service
Correct

Incorrect
Question 18 of 18

18. Question
A patient presents for a Hepatitis B 3-Antigen Vaccine vaccination.

How is this coded?
- a. Z23, 90759
- b. Z23, 0708T
- c. Z23, 90671
- d. Z23, 90636
Correct

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CPT Update – 2022

CPT Update – 2022

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