21. What is the full code description for 25515?
A. Open treatment of radial shaft fracture, includes internal fixation, when performed B. Closed treatment of ulnar shaft fracture; without manipulation C. Closed treatment of radial shaft fracture; without manipulation D. Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/dislocation), includes internal fixation, when performed, includes repair of triangular fibrocartilage complex
22. Which of the following anatomical locations would contain the diaphysis?
A. Metatarsal B. Diaphragm C. Septum D. Tibia
23. A patient recently became eligible for health insurance through her employer. Her health insurance is considered to be an 80-20 policy. Under the terms of an 80-20 policy, the insurer pays 80 percent and the insured pays 20 percent of expenses. This 80-20 policy is an example of
A. coinsurance. B. prospective payment. C. capitation. D. case management.
24. The Outpatient Prospective Payment System (OPPS) pays
A. an established rate for outpatient services in specific hospitals. B. a percentage of the national average for the same surgery performed in a different geographic location. C. 65% of the schedule C rate for all surgeries. D. subsidies to contain health care costs in rural facilities.
25. The study of disease is called
A. physiology. B. pathology. C. urology. D. neurology.
26. Superficial injuries such as abrasions or contusions are
A. not coded when associated with more severe injuries of the same site. B. queried to determine if the injuries are confined to the same site. C. coded when associated with more severe injuries of the same site. D. coded only when debridement is performed.
27. Another name for XXY syndrome is
A. Turner’s syndrome. B. Cooley’s anemia. C. Klinefelter syndrome. D. Huntington’s chorea.
28. The method that physicians use to bill for each service or visit individually rather than on a pre-paid basis is called
A. fee-for-service. B. capitation. C. pre-paid care. D. managed care.
29. A physician has a meeting with a pharmaceutical sales representative. During the course of the conversation, the physician reveals the diagnosis and past family, medical, and social history of a patient currently being treated with one of the medications that the sales representative is selling. In this situation, the doctor could be sued for
A. invasion of privacy. B. malfeasance. C. undue harm and fraud. D. malice.
30. A patient is prescribed a medication that narrows the blood vessels and raises her blood pressure. The medication is most likely a
A. tranquilizer. B. cardiogenic. C. vasoconstrictor. D. cardiotonic
31. Physicians typically refer to anatomical locations using directional terms, which are often
A. paired in opposites. B. used primarily by chiropractors. C. used to describe surgical incisions. D. referenced horizontally.
32. The study of tissue disease using macroscopic or microscopic analysis is called
A. immunology. B. histopathology. C. cytopathology. D. microbiology.
33. A physician obtains cells from the bone marrow cavity using a needle and a syringe. How would this procedure be coded?
A. 36575 B. 37328 C. 38220 D. 35092
34. What is Medicare Part D?
A. The component of Medicare Part A that covers outpatient surgeries B. Add-on coverage for prescription drugs provided through insurance companies approved by Medicare C. Supplemental coverage for war veterans and their dependents D. Add-on coverage for dental procedures
35. A female patient is seen for her annual gynecological examination. During the examination, the physician performs a test to detect cervical cancer. This test is called a/an
A. immunoassay test. B. Pap smear. C. carcinoembryonic antigen test. D. mycobacterial culture.
36. A physician is called to the intensive care unit for a patient with second-degree burns sustained on 55% of his body while cooking in the kitchen where he works. The physician sees the patient in the critical care unit for two hours, leaves the unit, and returns later the same day to provide an additional hour of critical care. What ICD-10-CM and CPT codes would be assigned?
A. L91.8, 99291 × 2, 99292 × 4 B. R53.81, 99291, 99293 × 5 C. Z30.09, 99293, 99294 × 2 D. T31.50, 99291, 99292 × 4
37. A change in the tissues and cells within a specific area on or in the body is called a
A. lesion. B. cyst. C. neoplasm. D. tumor.
38. Information about a patient can becan be released for research under the terms of HIPAA, only if
A. the patient signs an authorization immediately upon admission. B. the research is critical for technological development. C. the patient has authorized the release and only a limited amount of information is released. D. researchers obtain authorization from the admitting physician.
39. A patient is diagnosed with breast cancer and undergoes a partial mastectomy. What CPT code would be assigned?
A. 19305 B. 19307 C. 19304 D. 19301