Pathology & Laboratory Series Questions CPT

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1 Pathology & Laboratory Series Questions CPT

1.1 Pathology & Laboratory Series Questions CPT

Pathology & Laboratory Series Questions CPT : In this article, we collect some important questions related to pathology and laboratory series guidelines. This series is very important for the Certified Professional Coder (CPC) exam, and out of total 100 questions, six come from the pathology and laboratory. Let’s Start Pathology & Laboratory Series Questions CPT.

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.

Pathology & Laboratory Series Questions CPT

Q.1.In the Pathology and Laboratory section, what additional items may be included with special reports?

(a) Complexity of symptoms, final diagnosis, pertinent physical findings, diagnostic and therapeutic procedures, concurrent problems, follow-up care

(b) Signs and symptoms, final diagnosis, follow-up care, concurrent problems, drug testing, pathology findings

(c) Complexity of symptoms, final diagnosis, pathology findings, pertinent physical findings, diagnostic and therapeutic procedures, concurrent problems, follow-up care

(d) Complexity of symptoms, final diagnosis, testing time, consultations notes, follow-up car

Q.2.Brent had the following lab tests:

Calcium, ionized

Carbon dioxide
Chloride
Creatinine
Glucose
Potassium Sodium
Urea Nitrogen (BUN) How should you report Brent’s lab work?

(a) 80048

(b) 80047-52

(d) 80047

Q.3.Dr. Lee performed an intra-operative consultation on a bile duct tumor requiring frozen section and cytological evaluation to a bladder tumor. How would you report his professional services?

(a) 88329

(b) 88331-26, 88334-26

(d) 88331-26, 88333-26

Q.4.A patient has a cholecystectomy and a soft tissue lipoma removed during the same operative session. Both specimens were sent to pathology in separate containers are examined by the pathologist. What CPT® code(s) are reported?

(a) 88305, 88304

(b) 88304 x 2

(d) 88305 x 2

Q.5.Marvin had a breath alcohol test completed at the hospital after the police arrested him for racing his four-wheeler past a McDonald’s drive through window. Marvin’s breath alcohol test was mathematically calculated. How would you report the calculation on this test?

(a) 82075

(b) 82075 x 2

(d) 82355

Q.6.Monday provided a comprehensive clinical pathology consultation at the request of Dr. Adams. This request was regarding a patient with various infections, drug allergies, skin rash, and Down’s syndrome. The patient is in the hospital intensive care unit being treated with intravenous antibiotics. Dr. Monday did not see the patient but he reviewed the patient’s history, complex medical records, and provided a written report back to Dr. Adams regarding his findings and recommendations for further treatment. How would Dr. Monday report his services?

(a) 80505

(b) 99244

(d) 99255-25, 80503

Q.7.A patient had a semi-quantitative urinalysis for infectious agent detection. How should you report this test?

(a) 81050

(b) 81005

(d) 81005, 83518

Q.8.Code 3011F describes which diagnostic or screening process?

(a) Lipid panel results including total cholesterol, HDL-C, triglycerides, calculated LDL-C

(b) Lipid panel results including total cholesterol

(d) Lipid panel results including cholesterol, triglycerides, carbon dioxide, glucose, potassium

Q.9.A 58-year-old male patient with abdominal pain and episodes of bright red blood in his stool reports to his physician’s office for a check-up. His physician performs a digital rectal exam and tests for occult blood. Dr. Smith documents this blood occult test was done for purposes other than colorectal cancer screening. How would you report the occult blood test?

(a) 82270

(b) 82274

(d) 82272

Q.10.Kathy has had intermittent abdominal pain, occasional diarrhea, stool frequency, and bloating. Her symptoms have worsened over the past two months. Her physician orders a fecal Calprotectin test to check for Crohn’s disease. How should you report the lab test?

(a) 82270

(b) 82272, 83993

(d) 82271, 82272

Q.11.Patient is coming in for a pathological examination for ischemia in the left leg. The first specimen is 1.5 cm of a single portion of arterial plaque taken from the left common femoral artery. The second specimen is 8.5 x 2.7 cm across x 1.5 cm in thickness of a cutaneous ulceration with fibropurulent material on the left leg. What surgical pathology codes should be reported for the pathologist?

(a) 88302, 88304

(b) 88304-26, 88305-26

(d) 88307, 88309

Q.12.During a craniectomy the surgeon performed a frozen section of a large piece of tumor and sent it to pathology. The pathologist received a rubbery pinkish tan tissue measuring in aggregate 3 x 0.8 x 0.8 cm. The entire specimen is submitted in one block and a microscope was used to examine the tissue. The frozen section and the pathology report are sent back to the surgeon indicating that the tumor was a medulloblastoma. What CPT® code(s) will the pathologist report?

(a) 80505

(b) 88331-26

(d) 88331-26, 88304-26

Q.13.Physician orders a comprehensive metabolic panel but also wants blood work on calcium ions and also orders a basic metabolic panel. Select the code(s) on how this is reported.

(a) 80053, 80047

(b) 80053

(d) 80053, 82330

Q.14.A patient arrives at to the ED. It appears the patient has been suffering from periods of disorientation, persistent stomachache, fatigue, over the past several months but the persistent patch of dark skin that appeared on the patient’s chest has prompted his visit. The treating ED physician orders a stimulation panel for adrenocorticotropic hormone (ACTH) consisting of two cortisol injections, 60 minutes apart.Blood tests reveal ACTH levels are at 300 nmol/L, and diagnoses the patient with adrenal insufficiency. What CPT® codes are reported for the lab services?

(a) 82533 x 2

(b) 80400

(d) 82533 x 2, 83498 x 2

Q.15.A patient uses Topiramate to control his seizures. He comes in every two months to have a therapeutic drug testing performed to assess serum plasma levels of this medication. What lab code is reported for this testing?

(a) 80200

(b) 80199

(d) 80198, 80102

Q.16.Patient that is a borderline diabetic has been sent to the laboratory to have an oral glucose tolerance test. Patient drank the glucose and five blood specimens were taken every 30 to 60 minutes up to three hours to determine how quickly the glucose is cleared from the blood. What code(s) should be reported for this test?

(a) 82947 x 5

(b) 82946

(d) 82951, 82952 x 2

Q.17.A patient with severe asthma exacerbation has been admitted. The admitting physician orders a blood glass for oxygen saturation only. The admitting physician performs the arterial puncture drawing blood for a blood gas reading on oxygen saturation only. The physician draws it again in an hour to measure how much oxygen the blood is carrying. Select the codes for reporting this service.

(a) 82805, 82805-51

(b) 82810, 82810-91

(d) 82805, 82805-90

Q.18.Cells were taken from amniotic fluid for analyzation of the chromosomes for possible Down’s syndrome. The geneticist performs the analysis with two G-banded karyotypes analyzing 30 cells. Select the lab codes for reporting this service.

(a) 88248

(b) 88267, 88280, 88285

(d) 88262, 88285

Q.19.Sperm is being prepared through a washing method to get it ready for the insemination of five oocytes for fertilization by directly injecting the sperm into each oocyte. Choose the CPT® codes to report this service.

(a) 89257, 89280

(b) 89260, 89280

(d) 89260, 89268

Q.20.A pathologist performs a comprehensive consultation and report after reviewing a patient’s records and specimens from another facility. The correct CPT® code to report this service is:

(a) 88325

(b) 99244

(d) 88329

Q.21.A surgical specimen was removed from the proximal jejunum during a resection for adenocarcinoma and was submitted to surgical pathology for gross and microscopic examination. The correct code for this service is:

(a) 88300

(b) 88309

(d) 88305

Q.22.The physician performs the following tests on her automated equipment: HDL, total serum cholesterol, triglycerides and a quantitative glucose. The correct codes for these procedures are:

(a) 83718, 82465, 84478, 82947

(b) 83721, 82465, 82951

(d) 80061, 82950

Q.23.patient will be undergoing a transplant and needs HLA tissue typing with DR/DQ multiple antigen and lymphocyte mixed culture. How will these services be coded?

(a) 86805-26, 86817

(b) 86817, 86821

(d) 86806-26, 86817

Q.24.A patient presents to the ED with crushing chest pain radiating down the left arm and up under the chin. There are elevated S-T segments on EKG. The cardiologist sees and admits the patient to CCU. He orders three serial CPK enzymes levels with instructions that the tests are also to be done with isoenzymes if the initial tests are elevated for that date of service. The CPK enzyme levels were elevated, the lab codes would be:

(a) 82550, 82552, 82550-76 x 2, 82552-76 x 2

(b) 82550, 82552, 82552-91 x 2

(d) 82550 x 3, 82554 x 3

Q.25.Which of the following panels does NOT include chloride?

(a) 80061

(b) 80050

(d) 80047

Q.26.The patient presents with burning urination and frequency. The physician performs a UA dipstick, which shows elevated WBC. He orders a urine culture with identification for each isolate to determine which antibiotic to give to the patient for the infection. What are the appropriate lab codes?

(a) 81000, 81007

(b) 81002, 87088

(d) 87086, 87088

Q.27.Which of the following coding combinations is an example of unbundling?

(a) 80048, 80061

(b) 80076, 80100

(d) 82310, 82355, 82374

Q.28.Patient is undergoing in vitro fertilization to get pregnant. Following the retrieval of follicular fluid from the patient, the physician uses a microscope to examine the fluid to identify the ooctyes. What is the code for the laboratory service?

(a) 89250

(b) 89254

(d) 89258

Q.29.A patient has an iliac crest bone marrow biopsy. The physician suspects the patient has myelofibrosis. The bone marrow specimen is sent to pathology for gross and microscopic exam.

What is the appropriate code for the pathologist’s service?

(a) 88304

(b) 88305

(d) 88307

Q.30.A pathologist performs a comprehensive consultation for highly complex problem and report after reviewing a patient’s records, specimens and official findings from other sources.Decision regarding complex major surgery was made and recommended to primary Pathologist. What is the correct code?

(a) 88325

(b) 99244

(d) 88329

Q.31.Which code(s) should be reported for the following case? Clinical history: Mass in the body of stomach Gross description: Cavity effusion – two Diff-Quik four smears prepared with simple filter and interpretation Specimen received: Stomach mass touch prep Adequacy: Specimen satisfactory for cytological evaluation

Diagnosis: Primary malignant neoplasm – body of the stomach

Notes: Cytology completed on specimen. The malignant cells show subjective features suggestive of small-cell carcinoma; however, cell size is more attuned with non-small-cell carcinoma.

(a) 88106

(b) 88104

(d) 88108

Q.32.Dr. Ross, a pathologist, completed both gross and microscopic surgical pathology after a lung wedge biopsy. Dr. Miles, the surgeon, sent a single specimen to the laboratory after the completion of a limited biopsy by thoracotomy. How would Dr. Ross report her services?

(a) 88300, 88307

(b) 32151, 88305-26

(d) 32095, 88307-26

Q.33.A patient has a cytopathology study performed by a fine needle aspiration. The results are quite unusual and the slides as well as a copy of pertinent information from the patient’s record are sent to another cytopathologist for consultation. The consulting pathologist reviews the slides, and reviews the patient’s chart material. A report is sent back to the original pathologist with the findings. What CPT® code is reported?

(a) 80503

(b) 99245

(d) 88173

Q.34.Jane underwent a combined rapid anterior pituitary evaluation panel with multiple exposures and suppressions and had a hepatic function panel. How should these tests be reported?

(a) 82024 x 4, 83002 x 4, 83001 x 4, 84146 x 4, 83003 x 4, 82533 x 4, 84443 x 4

(b) 80418, 80076

(d) 80076

Pathology & Laboratory Series Questions CPT

Q.35.Dr. Thomas received a request for consultation that included records and specimens. Dr. Thomas did not see the patient, but documented the patient as inpatient status with a comprehensive family history of colon cancer. The patient takes multiple medications and is at high risk of complications due to weight loss, chronic diarrhea, and a continued fever. His confirmative opinion, based on the review of specimens and records, indicates positive smallcell cancer. Dr. Thomas sent his written report back to the requesting physician. How should Dr.

Thomas report his services?

(a) 99254

(b) 88325

(d) 88323

Q.36.Bowen is having a pre-employment physical (screening). His doctor ordered the following serum blood tests: CBC, automated comprehensive metabolic panel, and a thyroid stimulating hormone (TSH) assay. Code the services for these labs.

(a) 80050

(b) 80048

(d) 80053, 84443

Q.37.Larry had a venipuncture during his annual physical examination. The blood sample was used for the following antibody tests: West Nile IgM, Shigella, mumps, and total hepatitis B. How should you report these tests?

(a) 36415

(b) 86486

(d) 36415-32, 86788, 86771, 86735, 86704

Q.38.Today, an extended culture of five-day embryos was completed. The transfer tests will be completed when the culture test results are confirmed. The culture testing results are scheduled for return within 48 hours. How should the culture service be reported?

(a) 89272

(b) 89250

(d) 89255, 89272

Q.39.A patient had the following blood tests completed as part of her primary care physician’s described metabolic panel: albumin, bilirubin total, calcium total, carbon dioxide, chloride, creatinine, glucose, phosphatase alkaline, potassium, protein total, sodium, transferase (ALT SGPT), transferase aspartate (AST SGOT), urea nitrogen (BUN), bilirubin direct, and a hepatitis A IgM. How should these services be reported?

(a) 80053, 82248, 86709

(b) 80053-22

(d) 80047, 80053, 80076

Q.40.A patient had glucose tolerance testing completed on five specimens. How should these laboratory services be reported?

(a) 82947, 82951, 82952-51

(b) 82951, 82952 x 2

(d) 82951 x 5

ANSWERS :–

1-A , 2-D , 3-B , 4- B, 5-A , 6-A , 7-B, 8-A, 9-D, 10-C ,

11-B , 12-B , 13-D , 14-B , 15- C, 16-D , 17-B , 18- B, 19-B , 20-A ,

21-B , 22-C, 23-B , 24-C , 25-A , 26-B , 27-C, 28-B, 29- B, 30- A,

31-A, 32- C, 33-C , 34-B , 35- B, 36-A , 37-C , 38- A, 39-A , 40- B.

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Pathology & Laboratory Series Questions CPT

Pathology & Laboratory Series Questions CPT

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