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Question 1 reset
A patient presents to the physician for a follow-up visit related to hypertension. The physician documents that the condition is well-controlled and the patient is not currently on medication. Which code should be assigned?
Question 2 reset
A physician performs a routine screening for breast cancer and documents that the patient has no signs of malignancy. How should this encounter be coded?
Question 3 reset
During a routine checkup, the physician identifies a family history of colon cancer but no symptoms in the patient. How should the family history be coded?
Question 4 reset
A patient with chronic obstructive pulmonary disease (COPD) presents with a respiratory infection. The physician documents an acute exacerbation of COPD. How should this condition be coded?
Question 5 reset
A 55-year-old patient is seen for a routine visit and mentions a history of previous strokes. The physician states the strokes are resolved. Should the history of stroke be coded?
Question 6 reset
A physician performs a diagnostic colonoscopy due to a patient’s complaint of abdominal pain and diarrhea. The colonoscopy reveals diverticulosis. How should the colonoscopy procedure be coded?
Question 7 reset
A physician performs a procedure to remove a benign polyp from the colon. What CPT code is assigned?
Question 8 reset
A 40-year-old male with a history of asthma presents for an emergency room visit due to acute shortness of breath. What is the principal diagnosis?
Question 9 reset
A patient undergoes a routine exam, and the physician documents hypertension and obesity. What is the primary diagnosis code?
Question 10 reset
During an outpatient procedure, a physician performs a laceration repair and documents a simple repair. What modifier is applied for this procedure?
Question 11 reset
The physician documents that a patient has diabetes mellitus type 2 with diabetic nephropathy. Which code is assigned for this encounter?
Question 12 reset
A patient is seen in the clinic for a post-operative check after a gallbladder removal surgery. The physician finds no complications. How should the diagnosis be coded?
Question 13 reset
A patient presents for a pre-surgical clearance before undergoing knee replacement surgery. The physician performs an EKG and physical examination. What code is assigned?
Question 14 reset
A patient with diabetes presents with a foot ulcer, and the physician documents "diabetic foot ulcer" as the diagnosis. How should this be coded?
Question 15 reset
A patient undergoes a routine checkup with no significant findings. How should this encounter be coded?
Question 16 reset
A physician orders a diagnostic test to evaluate a suspected case of pneumonia. The test confirms the diagnosis. What is the appropriate procedure code?
Question 17 reset
A patient is diagnosed with a non-healing wound. The physician orders a wound debridement procedure. What is the correct CPT code?
Question 18 reset
A 65-year-old patient is admitted for a cataract surgery. How should the surgery be coded?
Question 19 reset
A physician documents that a patient has hypertension and chronic kidney disease. How should the diagnoses be sequenced?
Question 20 reset
A patient is diagnosed with a ruptured appendix and undergoes an appendectomy. What should be the principal diagnosis?
Question 21 reset
A 75-year-old patient presents with multiple fractures from a fall. The physician documents osteoporosis. What diagnosis should be coded?
Question 22 reset
A 40-year-old female is seen for a routine screening mammogram, and no abnormalities are found. How should this encounter be coded?
Question 23 reset
A physician diagnoses a patient with acute bacterial pneumonia. How should this condition be coded?
Question 24 reset
A physician orders an ultrasound to check for gallstones. The result is positive. What is the appropriate procedure code?
Question 25 reset
A 60-year-old male with a history of hypertension and diabetes presents with a stroke. What diagnosis should be assigned?
Question 26 reset
A patient with chronic asthma presents for a follow-up visit. The physician documents “stable asthma.” How should the asthma be coded?
Question 27 reset
A 28-year-old female presents for a pregnancy test. The result is positive. How should this encounter be coded?
Question 28 reset
A patient undergoes a skin biopsy for suspected melanoma. The biopsy confirms melanoma. What CPT code should be used?
Question 29 reset
A patient undergoes a diagnostic colonoscopy after complaints of rectal bleeding. The procedure reveals internal hemorrhoids. How should this be coded?
Question 30 reset
A patient presents for a routine eye exam. The physician finds no abnormalities. How should this encounter be coded?
Question 31 reset
A physician orders a follow-up colonoscopy after a previous polypectomy. How should this be coded?
Question 32 reset
A 45-year-old patient is seen for a routine diabetes checkup. The physician documents stable blood sugar levels. How should this encounter be coded?
Question 33 reset
A patient is diagnosed with stage 3 chronic kidney disease. How should this be coded?
Question 34 reset
A patient receives a tetanus vaccine during a routine visit. What code should be assigned for the vaccine?
Question 35 reset
A 30-year-old female is treated for a urinary tract infection. The physician documents the infection as uncomplicated. How should the diagnosis be coded?
Question 36 reset
A patient presents with an allergy flare-up and receives an injection for relief. How should this be coded?
Question 37 reset
A physician orders a mammogram for a patient with a family history of breast cancer. The result is negative. How should this encounter be coded?
Question 38 reset
A patient presents for a routine exam, and the physician documents a history of smoking but no current symptoms. How should this be coded?
Question 39 reset
A physician orders a blood test to evaluate thyroid function. The test result is normal. How should this encounter be coded?
Question 40 reset
A patient is seen for a routine flu shot. How should this be coded?
Question 41 reset
A physician diagnoses a patient with osteoarthritis in the knee and documents moderate pain. How should the diagnosis be coded?
Question 42 reset
A patient with a history of high cholesterol is seen for a routine visit. No change in condition is noted. How should the diagnosis be coded?
Question 43 reset
A patient presents with a sore throat and fever. The physician diagnoses viral pharyngitis. How should this be coded?
Question 44 reset
A patient undergoes a routine skin examination, and the physician finds no abnormal lesions. How should this be coded?
Question 45 reset
A physician documents that a patient has a history of depression but no current symptoms. How should this be coded?
Question 46 reset
A patient presents with back pain and the physician documents muscle strain. How should this be coded?
Question 47 reset
A 22-year-old female presents with acne. How should this be coded?
Question 48 reset
A patient with diabetes mellitus presents for an eye exam. The physician finds no retinopathy. How should this be coded?
Question 49 reset
A patient with a history of cancer undergoes a routine screening for recurrence. No recurrence is found. How should this encounter be coded?
Question 50 reset
A patient is seen for a follow-up visit after surgery. The physician documents that the wound is healing well. What code should be assigned?

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