1.

The provider performs a diagnostic thoracoscopy followed by the thoracoscopic excision of a

pericardial cyst. What CPT® code(s) is/are reported?

a. 32601, 32662-51 b. 32601, 32661-51 c. 32658 d. 32661

2. A patient’s nose was hit with a baseball during a high school baseball game. At that time
reconstruction was performed, with local grafts. Patient returns now as an adult, discontent with the
bony prominence along the bony pyramid and flat look of the tip of the nose. He underwent major
repair with osteotomies and nasal tip work. What CPT® code is reported?

a. 30410 b. 30435 c. 30450 d. 30462

3. A patient with AML (Acute Myelogenous Leukemia) has just learned his sister is an HLA match for
him. Stem cells taken from the donor (the patient’s sister) will be transplanted into the patient to
help with his treatment. What CPT® code is used to report the harvesting of the stem cells from the
donor, his sister?

a. 38204 b. 38205 c. 38206 d. 38207

4. A patient is seen in the OR for removal of a hepatic adenoma, which has invaded the diaphragm.
The resection of the diaphragm portion of the mass was repaired with primary sutures. What CPT®
code is reported for the diaphragmatic mass resection?

a. 39540 b. 39545 c. 39560 d. 39561

5. A 43-year-old female is seen in the emergency room with severe epistaxis. She said this is a
common occurrence for her during the cold dry months of winter and this is why she is here for the
third time this week. Extensive bilateral posterior cautery and packing is again required to control
the hemorrhage. What CPT® code is reported for the procedure? (Note: Do not code the E/M)

a. 30905-22 b. 30903-50 c. 30905-50 d. 30906-50

6. An operative report lists excisional bilateral biopsies of deep cervical nodes and biopsy of right
deep axillary nodes as the procedures performed. The pathology report comes back confirming
lymphadenitis. What CPT® codes are reported?

a. 38520-50, 38505-59, 38740-59-RT b. 38510, 38525-51-RT

c. 38510-50, 38525-51-RT d. 38520-50, 38525-51-RT

7. A surgeon performed a transthoracic median sternotomy for exploration of the space around the
lung sacs and for drainage of fluid, caused by pneumonia. What is/are the appropriate code(s) for
this scenario?

a. 39000, 32554-51 b. 39220, 32554-51 c. 39010 d. 39401

8. A 20-year-old patient is seen for 5 transbronchial lung biopsies of 2 separate lobes. One biopsy is
taken in one lobe and 4 biopsies in another lobe. What CPT® code(s) is/are reported?

a. 31628 b. 31628, 31632 c. 31629, 31632 d. 31628, 31632 x 4

9. What CPT® codes are reported for an extrapleural pneumonectomy as well as empyemectomy
performed during the same surgical session?

a. 32445, 32036-51 b. 32440, 32036-51 c. 32445, 32540-51 d. 32440, 32540-51

10. What CPT® code(s) is/are reported for extensive excision of seven nasal polyps?

a. 30115 b. 30110, 30115 x 6 c. 30115 x 7 d. 30115, 30115-51 x 6

11. A patient is seen in the endoscopy suite for a diagnostic maxillary sinusotomy. During the
sinusotomy, the physician observes some diseased tissue which needs to be removed. The physician
decides to perform a maxillary antrostomy with tissue removal. Bleeding is controlled. The patient
tolerated the procedure well. What CPT® code(s) should be reported?

a. 31231, 31267 b. 31254, 31256 c. 31256 d. 31267

12. This 25-year-old male presents with a deviated nasal septum. The patient undergoes a nasal
septum repair and submucous resection. Cartilage from the bony septum was detached and the
nasoseptum was realigned and removed in a piecemeal fashion. Thereafter, 4-0 chronic was used to
approximate mucous membranes. Next, submucous resection of the turbinates was handled in the
usual fashion by removing the anterior third of the bony turbinate and lateral mucosa followed by
bipolar cauterization. What CPT® codes should be reported?

a. 30520, 30140-51 b. 30420, 30140-51 c. 30620, 30999-51 d. 30450, 30999-51

13. This 45-year-old presents with acute pericarditis. The surgeon makes a small incision between
two ribs and enters the thoracic cavity. An endoscope is introduced and the pericardial sac is
examined by direct visualization. Using an instrument introduced through the endoscope, the
surgeon creates an opening in the pericardial sac for drainage purposes. What CPT® code is
reported?

a. 32658 b. 32659 c. 32662 d. 32661

14. A patient underwent bilateral nasal/sinus diagnostic endoscopy. Finding the airway obstructed
the physician fractures the middle turbinates to perform the surgical endoscopy with total bilateral
ethmoidectomy and nasal septoplasty. What CPT® codes are reported?

a. 30930, 30520-51, 31255-51 b. 30520, 31255-50-51

c. 31231, 30130-51, 31255-50 d. 30520, 31255-51

15. 55-year-old patient has history of lung cancer of the right lower lobe. He is complaining of
difficulty breathing and mild chest pain. Patient is scheduled for a diagnostic VATS. Under general
anesthesia he was placed in left lateral decubitus position and a thoracoscope was inserted through
a port site. The VATS exploration immediately revealed a mass of the left upper lobe. A biopsy was
performed and sent to pathology. Results from pathology revealed small cell carcinoma. Decision
was made to remove the upper lobe of his left lung by performing an open procedure. The
thoracoscope is withdrawn and the surgeon opens the chest cavity and rib spreaders are inserted to
separate the ribs to gain access to the lung. The upper lobe of the left lung is identified, isolated and
removed. The instruments are removed and the chest incision is closed in layers. What CPT® codes
are reported?

a. 32480-58, 32608-51 b. 32663 c. 32440 d. 32663, 32601-51