CPC Surgery 60000: Endocrine, Nervous, Eye & Ear Practice Questions
Surgery 60000: Endocrine, Nervous, Eye & Ear 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. A total thyroidectomy removes:
- A.Only the isthmus
- B.Both thyroid lobes
- C.One lobe and the isthmus
- D.The parathyroids
Answer: B. Total thyroidectomy removes the whole gland. Removing one lobe with or without the isthmus is a lobectomy.
2. Fluoroscopic or CT guidance for an epidural steroid injection is:
- A.Reported with an add-on code
- B.Never documented
- C.Reported with a radiology code
- D.Included in the injection code
Answer: D. Since 2017 interlaminar and caudal epidural injections have separate codes without and with imaging guidance, and transforaminal codes include it, so the imaging is not reported separately. The drug is reported with a HCPCS J code.
3. A transforaminal epidural injection enters the epidural space through the:
- A.Neural foramen
- B.Sacral hiatus
- C.Interlaminar space
- D.Facet joint
Answer: A. Transforaminal injections go through the intervertebral foramen. Interlaminar goes between laminae and caudal through the sacral hiatus.
4. Paravertebral facet joint injection codes are reported per:
- A.Milliliter of drug
- B.Hour of service
- C.Spinal level
- D.Injection given
Answer: C. Facet injections are coded per level, with add-on codes for more levels and modifier 50 for bilateral.
5. The operating microscope add-on code is not reported when:
- A.An assistant surgeon helps
- B.Local anesthesia is used
- C.The code includes microsurgery
- D.The surgery lasts under an hour
Answer: C. Do not report the operating microscope separately when the procedure code already includes microsurgical technique.
6. Extracapsular cataract removal with lens insertion is complex when it needs:
- A.Devices not routinely used
- B.General anesthesia
- C.Two separate incisions
- D.A lens implant of any kind
Answer: A. Complex cataract surgery uses devices or techniques not generally used in routine surgery, such as iris expansion devices, or is done in children in the amblyogenic stage.
7. Tympanostomy is:
- A.Removal of the stapes
- B.Removal of earwax
- C.Repair of the eardrum
- D.Insertion of ear tubes
Answer: D. Tympanostomy places a ventilating tube through the eardrum. Eardrum repair is tympanoplasty or myringoplasty.
8. A craniectomy differs from a craniotomy because the bone flap is:
- A.Taken from the hip
- B.Not replaced
- C.Replaced at once
- D.Made of titanium
Answer: B. In a craniotomy the bone is replaced at the end of surgery. In a craniectomy it is removed and not put back at that time.
9. A diagnostic lumbar puncture removes:
- A.Bone marrow
- B.Cerebrospinal fluid
- C.Synovial fluid
- D.Pleural fluid
Answer: B. A spinal tap draws cerebrospinal fluid from the lumbar subarachnoid space.
10. Neurostimulator coding separates electrode placement from:
- A.Local anesthesia
- B.Wound dressing
- C.Skin closure
- D.Pulse generator insertion
Answer: D. Electrode arrays and the pulse generator or receiver are coded separately. Closure, local anesthesia and dressings are part of the procedure.
Practice all 12 surgery 60000: endocrine, nervous, eye & ear 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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