CPC Surgery 40000: Digestive Practice Questions
Surgery 40000: Digestive makes up 3 of every 50 questions on a Tigertest CPC practice test. Here are 10 of the 12 questions on it, each with the answer and the reason.
Updated by the Tigertest team. Based on AAPC's published CPC exam areas, the ICD-10-CM Official Guidelines, CMS rules and CPT conventions. Original questions; no code-book lookups.
1. An EGD examines the esophagus, the stomach and the:
- A.Gallbladder
- B.Duodenum and/or jejunum
- C.Colon
- D.Ileum
Answer: B. Esophagogastroduodenoscopy passes the pylorus into the duodenum and/or jejunum as appropriate.
2. A colonoscopy examines the entire colon from the rectum to the:
- A.Sigmoid colon
- B.Hepatic flexure
- C.Splenic flexure
- D.Cecum
Answer: D. A colonoscopy reaches the cecum and may include the terminal ileum. A sigmoidoscopy stops short of the full colon.
3. Polyps removed by the same technique during one colonoscopy are reported:
- A.Once per technique
- B.With modifier 59 each
- C.Once per polyp
- D.Once per colon segment
Answer: A. Each removal technique (snare, cold biopsy forceps, ablation) is reported once, however many lesions it removed.
4. An incidental appendectomy during another abdominal surgery is:
- A.Reported with modifier 59
- B.Reported with modifier 22
- C.Not reported separately
- D.Reported with modifier 51
Answer: C. An incidental appendectomy done for no medical reason during another intra-abdominal procedure is not separately reported.
5. Since 2023, anterior abdominal hernia repairs are coded by approach, initial or recurrent, reducibility and:
- A.Patient's age
- B.Use of mesh
- C.Total defect size
- D.Hernia location name
Answer: C. The 2023 codes replaced ventral, umbilical and incisional names with total defect size. Mesh is included.
6. In the 2023 anterior abdominal hernia codes, mesh placement is:
- A.Included in the repair
- B.Reported with HCPCS only
- C.Reported with modifier 22
- D.Reported with an add-on
Answer: A. Mesh or other prosthesis implantation is included in the anterior abdominal hernia repair codes.
7. Inguinal hernia repair codes vary by patient age, reducibility and whether the hernia is:
- A.Small or large
- B.Left or right
- C.Direct or indirect
- D.Initial or recurrent
Answer: D. Inguinal hernia codes use age, initial or recurrent, and reducible or incarcerated. Bilateral repairs use modifier 50.
8. Tonsillectomy codes differ by whether adenoids are removed and by:
- A.Anesthesia type
- B.Patient age
- C.Surgical approach
- D.Tonsil size
Answer: B. The codes split at age 12: younger than 12, or 12 and older.
9. ERCP lets the physician view and treat the:
- A.Esophageal veins
- B.Bile and pancreatic ducts
- C.Lining of the whole small bowel
- D.Colon and rectum
Answer: B. Endoscopic retrograde cholangiopancreatography uses an endoscope and contrast to reach the biliary and pancreatic ducts.
10. A flexible sigmoidoscopy examines the:
- A.Esophagus and stomach
- B.Small bowel only
- C.Entire colon to the cecum
- D.Rectum and sigmoid colon
Answer: D. A sigmoidoscopy covers the rectum and sigmoid colon and may include part of the descending colon.
Practice all 12 surgery 40000: digestive questions, and the rest of the 200-question bank, in the free CPC training sets. Questions you miss come back until you have mastered them.
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