4 Series CPT Questions For CPC Exam 2025
4 Series CPT Questions For CPC Exam 2025 : In this article, we collect some important questions related to the Digestive System series guidelines. This series is very important for the Certified Professional Coder (CPC) exam, and out of a total 100 questions, six come from the digestive system. Solve all questions very carefully and check with answers, which are very helpful for the 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.
Let’s Start———————
1. An ENT surgeon performed control of uncontrolled bleeding in a 14 yrs old boy after 24 hrs of surgery by surgical intervention. The boy underwent , only for regrown tonsil after the initial tonsillectomy in 12 years of age.
a. 42970-58
b. 42962-58
c. 42962-78
d. 42826-52
2. Patient arrives at the hospital for a scheduled outpatient diagnostic colonoscopy. During the preoperative evaluation and prep, it’s determined the patient’s procedure should be postponed as the patient is febrile and appears to be suffering from a sinusinfection. Which is the correct facility coding for these services?
a. 45378-52
b. 45378-74
c. 45378-73
d. 45378-53
3. During ERCP, a surgeon places two stents in the common bile duct and a third stentin the right hepatic duct. Which is the proper coding?
a. 43274
b. 43274 x3
c. 43274, 43274-59
d. 43274, 43274-59 x2
4. Which code describes removing all, or a portion, of the omentum?
a. 44700
b. 49255
c. 49905
d. 57270
5. If a Medicare patient is scheduled to have a laparoscopic cholecystectomy secondary to acute and chronic cholecystitis, which is then converted to an open cholecystectomy, the physician would report:
a. K81.2, Z53.31, 47600
b. K81.2, 47600, 49320
c. Z53.31, K81.2, 47600, 47562 with the appropriate modifier appended
d. 575.0, K81.1, Z53.31, 47600
6. A patient is scheduled for laparoscopic cholecystectomy; however, the procedure is converted to open cholecystectomy with common bile duct exploration. Which is the correct CPT® coding?
a. 47562, 47600
b. 47610
c. 47999
d. 47579, 47610
7. A patient is scheduled for laparoscopic cholecystectomy; however, the procedure is converted to open cholecystectomy with common bile duct exploration. Which is the correct CPT® coding?
a. 47562, 47600
b. 47610
c. 47999
d. 47579, 47610
8. A patient with a history of morbid obesity is taken to the operating room for a laparoscopic gastric restrictive procedure with bypass and Roux-en-Y gastroenterostomy. The primary surgeon’s documentation states, Due to the patient’scondition of morbid obesity and complexity of procedure, Dr. X assistedduring the entireprocedure. Which is the proper coding for the primary surgeon, as well as Dr. X?
a. 43644; 43644-80
b. 43644; 43644-81
c. 43644; 43644-82
d. Medicare does not allow payment for an assistant at surgery for code 43644
9. An asymptomatic patient is scheduled for a colonoscopy. The patient is 50 years old.His brother had two adenomatous polyps removed three months ago. The patient has never undergone a colonoscopy and has no other personal or family history. The patientis scheduled and undergoes a complete bowel preparation, followed by a colonoscopyto the cecum. No abnormalities are found.
a. 45378, Z86.010
b. 45378, Z12.11, Z83.71
c. G0121, Z12.11, Z80.0
d. 45378, Z12.11, Z80.0
10. An asymptomatic patient is scheduled for a colonoscopy. The patient is 45- years- old. He had a polyp removed at age 40, but cannot remember the polyp’s pathology. He also has a brother who was diagnosed with diverticulitis three months ago. The patient has no other personal or family history. The patient is scheduled and undergoes a complete bowel preparation, followed by a colonoscopy tothe cecum. No abnormalities are found.
a. 45378, Z86.010, Z83.79
b. 45378, Z12.11, Z86.010, Z83.79
c. 45378, Z83.79
d. 45378, Z12.11, Z83.79
4 Series CPT Questions For CPC Exam 2025
11. This 70-year-old male is brought to the operating room for a biopsy of the pancreas. A wedge biopsy is taken and sent to pathology. The report comes back immediately indicating that malignant cells were present in the specimen. The decision was made to perform a total pancreatectomy. Code the operative procedure(s) only.
A.48100
B.48155
C.48155, 48100-51
D.48155, 48100-51, 88309
12. The patient was taken to the operating room for a repair of a recurrent strangulated inguinal hernia.
A.49521
B.49520
C.49492
D.49521-78
13. This 43-year-old female comes in with a peritonsillar abscess. The patient is brought to same-day surgery and given general anesthetic. On examination of the peritonsillar abscess, an incision was made and fluid was drained. The area was examined again, saline was applied, and then the area was packed with gauze. The patient tolerated the procedure well.
A.42825, J36
B.42700, J36
C.42825, J03.90
D.42700, J03.90
14. What code would you use to report a rigid proctosigmoidoscopy with removal of two polyps by snare technique?
A.45320
B.45383
C.45309 X 2
D.45315
15. Which codes could you report with add-on code 49568?
a. 11004–11006
b.49491–49560
c. 49550–49566
d.All of the above
16. A 28-year-old patient underwent a proctosigmoidoscopy with ablation of five tumors under moderate sedation. The same provider performed the procedure and the sedation. The intra- service time for the procedure was 30 minutes. How would you report this procedure?
a. 45320-P1
b. 45320 x 5
c. 45320
d. 45320, 99152, 99153
17.A patient presents with gastroesophageal reflux disease. To treat this disorder, the surgeon performs a laparoscopic Nissen procedure. A diagnostic laparoscopy was completed during the same session. What code(s) indicate this service?
a. 43280
b. 43289
c. 43324
d. 43280, 43325-52
18. Harry had a sphincterotomy and an ERCP with a stent placed into the bile duct. How would you report this procedure?
a. 43274
b. 43274, 43262
c. 43260, 43274
d. 43264
19. A 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
20. The patient is a 78-year-old white female with morbid obesity that presented with small bowel obstruction. She had surgery approximately one week ago and underwent exploration, which required a small bowel resection of the terminal ileum and anastomosis leaving her with a large inferior ventral hernia. Two days ago she started having drainage from her wound which has become more serious. She is now being taken back to the operating room. Reopening the original incision with a scalpel, the intestine was examined and the anastomosis was reopened , excised at both ends, and further excision of intestine. The fresh ends were created to perform another end- to-end anastomosis. The correct procedure code is:
A. 44120-78
B. 44126-79
C. 44120-76
D. 44202-58
For Medical Coding : https://medicopediaa.com/list-of-modifiers-used-in-cpt/
4 Series Very Important Questions and Answers :- https://medicopediaa.com/cpt-40000-series-question-digestive-system/
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ANSWERS-
1 – B , 2–C , 3-C , 4-B , 5 – A 6-B , 7-D , 8-A , 9-B , 10 -A ,
11-C , 12-A , 13– B, 14-D , 15-A, 16-D , 17 –A, 18 -A, 19 -B , 20-A