80000

1. A urine pregnancy test is performed by the office staff using a qualitative

visual color comparison test. What is the proper code selection for this
service?
A) 84703 B) 84702 C) 81025 D) 81025, 36415

2. Laboratory performs an electrolyte panel with tests on carbon dioxide, chloride,

sodium and potassium.
A) 80051, 82374, 82435, 84295, 84132 B) 80051 C) 80004 D)
80047

3. The physician assistant performs a glucose screening by Dextrostix method

(reagent strip) using capillary blood. Code for all the components.
A) 82947, 36415 B) 82948 C) 82948, 36416 D) 99211

Surgery and ENM codes are not used in lab path

4. The Pathologist, who works in the hospital’s blood bank, is requested to review,
evaluate and provide a written report on data that indicates detection of a possible
irregular blood grouping antibody. Which code reports the Pathology service?
A) 86077 B) 80500 C) 88300 D) 86870

5. In which of the following panels, can you find the tests for Urea nitrogen,
Creatinine, Sodium and Carbon dioxide?
A) 80047, 80055, 80069, 80051 B) 80076, 80053, 80048, 80050
C) 80053, 80051, 80069, 80055 D) 80047, 80048, 80053, 80069

6. Select the appropriate code for Drug assay of Theophylline by high performance
liquid chromatography (HPLC). The samples were drawn about 30 minutes after
oral administration.
A) 80197 B) 80164 C) 80198 D) 80184

7. Select the appropriate code for non automated urinalysis for glucose and
ketones in a diabetic patient. Microscope was not used for the study.
A) 81005 B) 81015 C) 81000 D) 81002

8. A screening stool guaiac was ordered by the physican to confirm the

presence of blood in the stool. The patient was provided with a single triple card to
obtain three consecutive stool specimens and send the same to the physician
office for performance of the test. Select the appropriate code for this service.
A) 82271 B) 82272 C) 82270 D) 82274
9. The physician ordered a sweat chloride test in a 12 year old male suspected
with cystic fibrosis. Sweat was obtained from the forearm by pilocarpine
iontophoresis. It was then analyzed for chloride content. Select the
appropriate code for this service.
A) 82435 B) 89230, 82435 C) 89230, 82438 D) 82438

10.Select the appropriate code for pathological fracture examination of

curettings obtained from the Femur. Decalcification of the specimen was also
done for proper evaluation.
A) 88304, 88311 B) 88307, 88311 C) 88307, 88311, 88312 D) 88305,
88312

11.CLINICAL HISTORY: Boil, left groin.

SPECIMEN RECEIVED: Necrotic fascia left groin and leg (anterior and posterior).
GROSS DESCRIPTION: The specimen is labeled with the patient's name and "fascia
left groin and leg" and consists of multiple segments of skin and soft tissue
measuring up to 30 cm in greatest dimension. The skin is unremarkable, with the
soft tissue being hemorrhagic and friable and foul smelling.
MICROSCOPIC DESCRIPTION: Sections of skin and soft tissue show coagulative
necrosis with neutrophilic exudates.
DIAGNOSIS: Skin and soft tissue, left groin and leg, anterior and posterior showing
coagulative necrosis and acute inflammation.
A. 88304, L02.93 B. 88305-26, L98.8
C. 88304-26, L98.8, L08.9 D. 88305, L02.239

Not done yet

12.Report the global service.

CLINICAL HISTORY: Mass, left atrium.
SPECIMEN RECEIVED: Left atrium.
GROSS DESCRIPTION: The specimen is labeled with patient's name and "left atrial
myxoma" and consists of a 4 × 4 × 2-cm ovoid mass with a partially calcified
hemorrhagic white-tan tissue
INTRAOPERATIVE FROZEN SECTION DIAGNOSIS: Myxoma
MICROSCOPIC DESCRIPTION: Sections show a well-circumscribed mass consisting of
fibromyxoid tissue showing numerous vascular channels. Areas of superficial
ulceration and chronic inflammatory infiltrate are noted. Areas of calcification are
also present.
DIAGNOSIS: Myxoma, benign, left atrium.
A. 88305, D49.81 B. 88307, 88331, D15.1
C. 88307, 88331-26, D15.1 D. 88305, D15.1

13. This patient is in for a kidney biopsy (50200) because a mass was identified by
ultrasound. The specimen is sent to pathology for gross and microscopic
examination.
Report the technical and professional components for this service. The results were
inconclusive.
A. 88305-26, N28.9 B. 88307-26, N28.89
C. 88307, N28.9 D. 88305, N28.9

13.This 69-year-old female presents to the laboratory after her physician ordered
troponin, quantitative, and troponin, qualitative assay, to assist in the diagnosis
of her chief complaint of acute onset of chest pain.

A. 84484, 80299, R07.2 B. 84512, 84484, 80299, R07.89

C. 84484, 84512, R07.9 D. 84484, 84512, R07.89

14.CLINICAL HISTORY: Necrotic soleus muscle, right leg.

SPECIMEN RECEIVED: Soleus muscle, right leg.
GROSS DESCRIPTION: Submitted in formalin, labeled with the patient's name and
"soleus muscle right leg" are multiple irregular fragments of tan, gray, brown soft
tissue measuring 8 × 8 × 2.5 cm in aggregate. Multiple representative fragments are
submitted in four cassettes.
MICROSCOPIC DESCRIPTION: The slides show multiple sections of skeletal muscle
showing severe coagulative and liquefactive necrosis. Patchy neutrophilic
infiltrates are present within the necrotic tissue.
DIAGNOSIS: Soft tissue, soleus muscle, right leg debridement; necrosis and patchy
acute inflammation, skeletal muscle.
A. 88305-26, M62.50 B. 88304-26, M60.009
C. 88307-26, I96 D. 88304-26, M62.50

Muscle wasting and atrophy because the sample is of muscle soft tissue

15.This 34-year-old established female patient is in for her yearly physical

and lab. The physician orders a comprehensive metabolic panel, hemogram
automated and manual differential WBC count (CBC), and a thyroid
stimulating hormone. Code the lab only.
A. 99395, 80050 B. 80050-52
C. 80069, 80050 D. 80050

16.This is a patient with atrial fibrillation who comes to the clinic laboratory
routinely for a quantitative digoxin level.
A. 80101, 80102, I50.9 B. 81001, I49.01
C. 80162, I48.91 D. 80162, R00.0
17.This patient presented to the laboratory yesterday for a creatine measurement.
The results came back at higher than normal levels; therefore, the patient was
asked to return to the laboratory today for a repeat creatine test before the
nephrologist is consulted. Report the second day of test only.
A. 82540 × 2, R79.89 B. 82550, R79.89
C. 82550, R79.81 D. 82540, R79.89

18.Code a pregnancy test, urine.

A. 84702 B. 84703 C. 81025 D. 84702 × 2

19.What code would you use to code a bilirubin, total (transcutaneous)?

A. 82252 B. 82247 C. 82248 D. 88720

21) 18-year-old female with a history of depression comes into the ER in a coma.
The ER physician orders a drug screen on benzodiazepines and barbiturates. The
lab performs a screening for drug class using an immunoassay in a random access
analyzer. Presence of each benzodiazephines is found and a drug confirmation is
performed to identify the particular drug. What correct CPT® codes are reported?

A. 80305, 80346 B. 80307, 80345

C. 80307, 80346 D. 80306, 80346

Need assistance with the codes

22) A patient uses Topiramate to control his seizures. The physician performs a
definitive drug testing to assess the presence of this medication. What lab code is
reported for this testing?

A. 80301 B. 80102 C. 80201 D. 80201, 80300

Need assistance with other codes

23) Physician orders a comprehensive metabolic panel but also wants blood work
on calcium ions and also orders a basic metabolic panel. Select the code(s) on how
this is reported.

A. 80053, 80047 B. 80053

C. 80047, 82040, 82247, 82310, 84075, 84155, 84460, 84450 D. 80053, 82330

24) Patient that is a borderline diabetic has been sent to the laboratory to have an
oral glucose tolerance test. Patient drank the glucose and five blood specimens
were taken every 30 to 60 minutes up to three hours to determine how quickly the
glucose is cleared from the blood. What code(s) should be reported for this test?

A. 82947 x 5 B. 82946 C. 80422 D. 82951, 82952 x 2

25) A patient with severe asthma exacerbation has been admitted. The admitting
physician orders a blood glass for oxygen saturation only. The admitting physician
performs the arterial puncture drawing blood for a blood gas reading on oxygen
saturation only. The physician draws it again in an hour to measure how much
oxygen the blood is carrying. Select the codes for reporting this service.
A. 82805, 82805-51 B. 82810, 82810-91
C. 82803, 82803-51 D. 82805, 82805-90

26) Patient is coming in for a pathological examination for ischemia in the left
leg. The first specimen is 1.5 cm of a single portion of arterial plaque taken from
the left common femoral artery. The second specimen is 8.5 x 2.7 cm across x 1.5
cm in thickness of a cutaneous ulceration with fibropurulent material on the left
leg. What surgical pathology codes should be reported for the pathologist?
A. 88302, 88304 B. 88304-26, 88305-26
C. 88305-26, 88307-26 D. 88307, 88309

Need assistance unable to find code

27) Cells were taken from amniotic fluid for analyzation of the chromosomes
for possible Down’s syndrome. The geneticist performs the analysis with two G-
banded karyotypes analyzing 30 cells. Select the lab codes for reporting this
service.

A. 88248 B. 88267, 88280, 88285

C. 88273, 88280, 88291 D. 88262, 88285

Need assistance with the no. Of cells count

28) A pathologist performs a comprehensive consultation and report after

reviewing a patient’s records and specimens from another facility. The correct
CPT® code to report this service is:

A. 88325 B. 99244 C. 80502 D. 88329

29) During a craniectomy the surgeon asked for a consult and sent a frozen
section of a large piece of tumor to pathology. The pathologist received a rubbery
pinkish tan tissue measuring in aggregate 3 x 0.8 x 0.8 cm. The entire specimen is
submitted in one block and gross and microscopic examination was performed on
the tissue. The frozen section and the pathology report are sent back to the
surgeon indicating that the tumor was a medulloblastoma. What CPT® code(s) will
the pathologist report?

A. 80500 B. 88331-26, 88307 C. 80502 D. 88331-26, 88332-

26, 88304-26

30) Sperm is being prepared through a washing method to get it ready for the
insemination of five oocytes for fertilization by directly injecting the sperm into
each oocyte. Choose the CPT® codes to report this service.

A. 89257, 89280 B. 89260, 89280 C. 89261, 89280 D.

89260, 89268