Digestive System CPT Questions 2025
Digestive System CPT Questions 2025 : In this article, we collect some important questions related to digestive System series guidelines. This series is very important for the Certified Professional Coder (CPC) exam, and out of total 100 questions, six come from the digestive System. Solve All question very carefully and check with answers which are very helpful for cpc exam.Digestive System CPT Questions 2025
The AAPC’s Certified Professional Coder (CPC) exam is currently the gold standard of coding certifications. Let’s take a look at this certification exam now.
1. The global surgical period refers to:
a. All surgical procedures done in a 12 month calendar year
b. All surgical procedures done in a particular inpatientstay
c. All surgical procedures
d. The time frame during which, either prior to or after the primary surgical procedure, other services are provided. These services may need to be assigned a modifier to alert the payer that this was known.
2. When billing for a percutaneous radiofrequency (RF) ablation of a liver tumor, theappropriate surgical code is:
a. 47370
b. 47382
c. 47380
d. Any of the above based upon the imaging modality used
3. Preoperative Diagnosis: Lower left inguinal pain Postoperative Diagnosis: nguinal hernia Procedure: This 30-year-old patient presented with lower left inguinal pain and on examination was found to have a left inguinal hernia. The decision to perform a left inguinal hernia repair was made. The procedure was performed in the outpatient hospital surgery center. Risks and benefits of the surgery were discussed with the patient and the patient decided to proceed withthe surgery. A skin incision was placedat the umbilicus where the left rectus fascia was incised anteriorly. The rectus muscle was retracted laterally. Balloon dissector was passed below the muscle and above the peritoneum. Insufflation and deinsufflation were done with the balloon removed. The structural balloon was placed in the preperitoneal space and insufflated to 10 mm Hg carbon dioxide. The other trocars were placed in the lower midline times two. The hernia sac was easily identified and was well-defined. It was dissected off the cord anteromedially. It was an indirect sac. It was taken back down and reduced into the peritoneal cavity. Mesh was then tailored and placed overlying the defect, covering the femoral, indirect, and direct spaces, tacked into place. After this was completed, there was good hemostasis. The cord, structures, and vas were left intact. The trocars were removed. The wounds were closed with 0 Vicryl for the fascia, 4-0 for the skin. Steri- Strips were applied. The patient was awakened and carried to the recovery room ingood condition, having tolerated the procedure well. What are the correct procedure and diagnostic codes?
a. 49505-LT, K40.90
b. 49505-LT, 49568, K40.90
c. 49507-LT, K40.20
d. 49501-LT, 49568, K40.20
4. Diagnostic upper GI endoscopy of the esophagus, stomach, and duodenum was performed after esophageal balloon dilation (less than 30 mm diameter) was done at the same operative session. Code the procedure(s).
a. 43249, 43235-51
b. 43249
c. 43220, 43200-51
d. 43220
5. Preoperative Diagnosis: Chronic tonsillitis. Chronic adenoiditis. Postoperative Diagnosis: Same. Procedure: Tonsillectomy and adenoidectomy. Patient is a 24-year old male who was taken to the operating room and put under IV sedation by the anesthesia department. An initial curettage of adenoids was done and packing was placed. The left tonsil was then identified and dissected out extracapsular and removed with scissors. Hemostasis was maintained by packing the left tonsil. Next, the tonsil wasidentified and incision was made. Dissection was done extracapsular and the right tonsil was then removed. Both the right and left tonsil were sent as specimens as well as adenoid tissue. What are the procedure and diagnosis codes?
a. 42826, 42831-59, J35.02
b. 42826, 42831-51-59, J35.03
c. 42821-50, 42836-50-59, J35.02
d. 42821, J35.03
6. A patient comes in for surgery today to address complications from his previous partial enterectomy performed 5 months ago. Upon reopening the patient’s previous incision the surgeon resected the ileum and a portion of the colon. An ileocolostomywas performed to complete the procedure with no complications. appropriate CPT® code to report is:
a. 44144
b. 44160
c. 44150
d. 44205
7. A patient with esophageal cancer is brought to the OR for subtotal esophagectomy. A thoracotomy incision is made and the esophagus is identified. The tumor is carefully dissected free of the surrounding structures. No invasion of the aorta or IVC is identified. The cervical esophagus is controlled with pursestring sutures and then transected above the sternal notch. The esophagus is then dissected free of the stomach and the entire specimen is removed from the chest cavity and sent to pathology. The stomach is then pulled into the chest cavity and anastomosed to the remaining cervical esophageal stump. The anastomosis is tested for patency and no leaks are found. Hemostasis is assured. The chest is examined for any signs of additional disease but is grossly free of cancer. The chest is closed in layers and a chest tube is place through a separate stab incision. The patient tolerated the procedure well and was taken to the PACU in Condition.
a. 43101
b. 43117
c. 43107
d. 43112
8. PREOPERATIVE DIAGNOSIS: History of prior colon polyps POSTOPERATIVE DIAGNOSIS: Colon polyps, diverticulosis, hemorrhoids PROCEDURE: A rectal exam was performed and revealed small external hemorrhoids. The video colonoscope was passed without difficulty from anus to cecum.The colon was well prepped. The instrument was slowly withdrawn with good viewsobtained throughout. There was a 3 mm polyp in the proximal ascending colon. This polyp was removed with hot biopsy forceps and retrieved. There was a 4 mm rectalpolyp located 10 cm from the anus in the proximal rectum. The polyp was removed by hot biopsy forceps. There was also moderate diverticulosis extending from the hepaticflexure to the distal sigmoid colon. Code the CPT® procedure(s).
a. 45384
b. 45384, 45384-51
c. 45380, 45384
d. 45378, 45388
9. Dr. Alex completed harvest and transfer for an extra-abdominal omental flap procedure for correction of chest wall defect in an eight year old patient. How does Dr. Alex report this procedure?
a. 49904
b. 44700, 49905
c. 49904, 20926-59
d. 44700, 49904, 20926-59
10. A 30 year old patient underwent a cholecystectomy with exploration of common duct with biliary endoscopy. How should you report this procedure?
a.47610, 47550
b.47610, 47544-59, 47552-59
c.47600
d.47562, 47550
Digestive System CPT Questions 2025
11. 43-year-old male developed a ventral hernia when lifting a 60 pound bag. The patient is in surgery for a ventral herniorrhaphy. The abdomen was entered through a short midline incision revealing the fascial defect. The hernia sac and contents were ableto easily be reduced and a large plug of mesh was placed into the fascial defect. The edge of the mesh plug was sutured to the fascia. What procedure code(s) should be used?
a. 49560
b. 49561, 49568
c. 49652
d. 49560, 49568
12. A 70-year-old female who has a history of symptomatic ventral hernia was advised to undergo laparoscopic evaluation and repair. An incision was made in the epigastrium and dissection was carried down through the subcutaneous tissue. Two 5-mm trocars were placed, one in the left upper quadrant and one in the left lower quadrant and the laparoscope was inserted. Dissection was carried down to the area of the hernia wherea small defect was clearly visualized. There was some omentum, which was adhered to the hernia and this was delivered back into the peritoneal cavity. The mesh was tacked on to cover the defect. What procedure code(s) should be used?
a. 49560, 49568
b. 49653
c. 49652
d. 49653, 49568
13. The patient is a 40-year-old gentleman who presented to the emergency room with signs and symptoms of acute appendicitis with possible rupture. He has been brought tothe operating room. An infraumbilical incision was made which a 5 mm VersaStep trocar was inserted. A 5-mm 0- degree laparoscope was introduced. A second 5-mm trocar wasplaced suprapubically and a 12-mm trocar in the leftlower quadrant. A window was made in the mesoappendix using blunt dissection with no rupture noted. The base of the appendix was then divided and placed into an Endo-catch bag and the 12-mm defectwas brought out. Select the appropriate code for this procedure:
a. 44970
b. 44950
c. 44960
d. 44979
14. 12-year-old female is to have a tonsillectomy performed for chronic tonsillitis and hypertrophied tonsils. A McIver mouth gag was put in place and the tongue was depressed. The nasopharynx was digitalized. No significant adenoid tissue was felt. The tonsils were then removed bilaterally by dissection. The uvula was a huge size because of edema, a part of this was removed and the raw surface oversewn with 3-0 chromic catgut. Which CPT® code(s) should be used?
a. 42821
b. 42825, 42104-51
c. 42826, 42106-51
d. 42842
15. If Physician discontinued the procedure what is right way to submit claim.
a. Modifier -53 with appropriate documentation
b. Modifier-53 along with procedure
c. Procedure and appropriate documentation
d. Procedure, Modifier-53, with appropriate documentation
16. A 67-year-old male patient with a history of carcinoma of the sigmoid colon is referred for a diagnostic colorectal cancer screening. The patient completed all treatment for his cancer in 2004. The physician performed a diagnostic flex sigmoidoscopy exam to screen for recurrent colon cancer and examine the anatomic site. During the exam, the physician found three polyps in the junction. They were removed by hot biopsy forceps. The path report indicated the polyps were benign. Code the encounter.
a. 45333, Z85.038, D12.1
b. 45331, Z86.010, D12.1
c. 45338, Z85.038
d. 45338, D12.1, Z86.010
17. 42-year-old has a lesion on his pancreas. The physician passes the biopsy needle through the skin and removes tissue to be sent to pathology. Fluoroscopic guidance is used to obtain the biopsy. Code this encounter.
a. 48100, 77002
b. 48102, 77002
c. 48120, 76942
d. 48102, 76942
18. Diagnostic upper GI endoscopy of the esophagus, stomach, and duodenum was performed after esophageal balloon dilation (less than 30 mm diameter) was done at the same operative session. Code the procedure(s).
a. 43235
b. 43249
c. 43226, 43200
d. 43220, 43235
19. Lynn has a family history of colon cancer and is scheduled for a screening colonoscopy. During the procedure, three polyps were discovered and removed via hot biopsy forceps technique. The polyps were reported as benign. What diagnoses and procedure(s) codes capture these services?
a. Z12.11, Z80.0, 45315, 45331
b. Z12.11, D12.1, Z80.0, 45384
c. 45378
d. D12.1, 45378, 45384
20. Incidental appendectomy during an intra-abdominal surgery does not usually warrant a separate identification. If it is necessary to report a separate identification, what modifier should you add?
a. 52
b. 59
c. 51
d. 57
ANSWERS-
1 – D , 2– B , 3-A , 4-B , 5 – D, 6-B , 7-D , 8-A , 9-A , 10 -A ,
11-D , 12-B , 13– A, 14-C , 15-D, 16-A , 17 – B, 18 -B, 19 -B , 20-A
For Medical Coding : https://medicopediaa.com/list-of-modifiers-used-in-cpt/
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Digestive System CPT Questions 2025
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