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1. In the Pathologyand Laboratory section,what additional items may be includedwithspecial
reports?
A. Complexityof symptoms,final diagnosis,pertinentphysical findings,diagnosticandtherapeutic
procedures,concurrentproblems,follow-upcare
B. Signsand symptoms,final diagnosis,follow-upcare,concurrentproblems,drugtesting,
pathologyfindings
C. Complexityof symptoms,final diagnosis,pathologyfindings,pertinentphysical findings,
diagnosticandtherapeuticprocedures,concurrentproblems,follow-upcare
D. Complexityof symptoms,final diagnosis,testingtime,consultationsnotes,follow-upcar
2. Brent had the followinglabtests:
 Calcium,ionized
 Carbondioxide
 Chloride
 Creatinine
 Glucose
 Potassium
 Sodium
 Urea Nitrogen(BUN)
How shouldyoureportBrent’slabwork?
A. 80048
B. 80047-52
C. 82310, 82374, 82435, 82565, 82947, 84132, 84295, 84520
D. 80047
3. Dr. Lee performedan intra-operative consultationon a bile duct tumor requiringfrozen
sectionand cytological evaluationto a bladdertumor. How wouldyou report his professional
services?
A. 88329
B. 88331-26, 88334-26
C. 88331, 88332 x 2
D. 88331-26, 88333-26
4. Whichmodifierwouldyou use to report with code 88239 ifthe test was lookingfor hereditary
breast cancer?
A. OB
B. 59
C. 91
D. OA
5. Marvin had a breath alcohol test completedat the hospital after the police arrestedhim for
racing his four-wheelerpasta McDonald’s drive through window. Marvin’sbreath alcohol test
was mathematically calculated.How would you report the calculationon this test?
A. 82075
B. 82075 x 2
C. 82075, 82355
D. 82355
6. Dr. Monday provideda comprehensive clinical pathologyconsultationat the requestof Dr.
Adams. This requestwas regarding a patientwith various infections,drugallergies,skinrash,
and Down’s syndrome.The patient is inthe hospital intensive care unitbeingtreated with
intravenousantibiotics.Dr. Monday did not see the patient but he reviewedthe patient’s
history, complexmedical records,and provideda written report back to Dr. Adams regarding
his findingsand recommendationsforfurther treatment.How wouldDr. Monday report his
services?
A. 80502
B. 99244
C. 99244-25, 80502
D. 99255-25, 80500
7. A patient had a semi-quantitative urinalysisforinfectiousagentdetection.Howshould you
report this test?
A. 81050
B. 81005
C. 81099
D. 81005, 83518
8. Code 3011F describeswhichdiagnosticorscreeningprocess?
9. Lipidpanel resultsincludingtotal cholesterol,HDL-C,triglycerides,calculatedLDL-C
10. Lipidpanel resultsincludingtotal cholesterol
11. Lipidpanel resultsincludingcholesterol,triglycerides,lipoprotein
12. Lipidpanel resultsincludingcholesterol,triglycerides,carbondioxide,glucose,potassium
9. A 58-year-oldmale patientwithabdominalpainandepisodesof brightredbloodinhisstool
reportsto hisphysician’soffice foracheck-up.Hisphysicianperformsadigital rectal examand
testsfor occultblood.Dr.Smithdocumentsthisbloodocculttestwasdone for purposesother
than colorectal cancerscreening.How wouldyoureportthe occultbloodtest?
10. 82270
11. 82274
12. 82271
13. 82272
10. Kathyhas had intermittentabdominal pain,occasionaldiarrhea,stoolfrequency,andbloating.
Her symptomshave worsenedoverthe pasttwomonths.Herphysicianordersa fecal
Calprotectintesttocheckfor Crohn’sdisease.How shouldyoureportthe labtest?
11. 82270
12. 82272, 83993
13. 83993
14. 82271, 82272
15. Patientiscominginfor a pathological examinationforischemiainthe leftleg.The first
specimenis1.5 cm of a single portionof arterial plaquetakenfromthe leftcommonfemoral
artery.The secondspecimenis8.5x 2.7 cm across x 1.5 cm inthicknessof acutaneous
ulcerationwithfibropurulentmaterial onthe leftleg.Whatsurgical pathologycodesshouldbe
reportedforthe pathologist?
1. 88302, 88304 B. 88304-26, 88305-26
2. 88305-26, 88307-26 D. 88307, 88309
12. Duringa craniectomythe surgeonperformedafrozensectionof alarge piece of tumorand sent
it to pathology.The pathologistreceivedarubberypinkishtantissue measuringinaggregate 3x
0.8 x 0.8 cm. The entire specimenissubmittedinone blockanda microscope wasusedto
examine the tissue.The frozensectionandthe pathologyreportare sentbackto the surgeon
indicatingthatthe tumorwas a medulloblastoma.WhatCPT® code(s) will the pathologist
report?
1. 80500 B. 88331-26 C. 80502 D. 88331-26, 88304-26
13. Physicianordersacomprehensive metabolicpanel butalsowantsbloodworkoncalciumions
and alsoordersa basic metabolicpanel.Selectthe code(s) onhow thisisreported.
1. 80053, 80047 B. 80053
2. 80047, 82040, 82247, 82310, 84075, 84155, 84460, 84450 D. 80053, 82330
3. 18-year-oldfemale withahistoryof depressioncomesintothe ERina coma. The ER physician
ordersa drug screenon antidepressants,phenothiazines,andbenzodiazepines.The lab
performsa screeningforeachsingle drugclassusinganimmunoassayinarandom access
analyzer.Presence of antidepressantsisfoundanda drugconfirmationisperformedtoidentify
the particularantidepressant.WhatcorrectCPT® codesare reported?
A. 80101 x 3, 80102
B. 80100, 80102
C. 80101 x 3, 80102 x 3
D. 80100 x 3, 80102 x 3
15. A patientusesTopiramate tocontrol hisseizures.He comesineverytwomonthstohave a
therapeuticdrugtestingperformedtoassessserumplasmalevelsof thismedication.Whatlab
code is reportedforthistesting?
A. 80101
B. 80102
C. 80201
D. 80201, 80102
16. Patientthatisa borderline diabetichasbeensenttothe laboratorytohave an oral glucose
tolerance test.Patientdrankthe glucose andfive bloodspecimenswere takenevery30 to 60
minutesuptothree hoursto determine how quicklythe glucose isclearedfromthe blood.
What code(s) shouldbe reportedforthistest?
A. 82947 x 5
B. 82946
C. 80422
D. 82951, 82952 x 2
17.A patientwithsevere asthmaexacerbationhasbeenadmitted.The admittingphysicianordersa
bloodglassforoxygensaturationonly.The admittingphysicianperformsthe arterial puncturedrawing
bloodfora bloodgasreadingonoxygensaturationonly.The physiciandrawsitagaininanhour to
measure howmuchoxygenthe bloodiscarrying.Selectthe codesforreportingthisservice.
A. 82805, 82805-51
B. 82810, 82810-91
C. 82803, 82803-51
D. 82805, 82805-90
18. Cellswere takenfromamnioticfluidforanalyzationof the chromosomesforpossibleDown’s
syndrome.The geneticistperformsthe analysiswithtwoG-bandedkaryotypesanalyzing30cells.Select
the lab codesforreportingthisservice.
A. 88248
B. 88267, 88280, 88285
C. 88273, 88280, 88291
D. 88262, 88285
19. Spermisbeingpreparedthroughawashingmethodtogetit readyfor the inseminationof five
oocytesforfertilizationbydirectlyinjectingthe spermintoeachoocyte.Choose the CPT® codes to
reportthisservice.
A. 89257, 89280
B. 89260, 89280
C. 89261, 89280
D. 89260, 89268
20. A pathologistperformsacomprehensive consultationandreportafterreviewingapatient’srecords
and specimensfromanotherfacility.The correctCPT® code to report thisservice is:
A. 88325
B. 99244
C. 80502
D. 88329
21. A surgical specimenwasremovedfromthe proximal jejunumduringaresectionfor
adenocarcinomaandwassubmittedtosurgical pathologyforgrossandmicroscopicexamination.The
correct code for thisservice is:
A. 88300 B. 88309
C. 88304 D. 88305
22. The physicianperformsthe followingtestsonherautomatedequipment:HDL,total serum
cholesterol,triglyceridesandaquantitative glucose.The correctcodesforthese proceduresare:
A. 83718, 82465, 84478, 82947 B. 83721, 82465, 82951
C. 80061, 82947 D. 80061, 82950
23. A patientwithrheumatoidarthritisisbeingtreatedwithgold.The physicianordersatherapeutic
drug testto measure the level of gold.Whatisthe correct code?
A. 80172 B. 80100
C. 80102 D. 80299
24. A patientpresentstothe ED withcrushingchestpainradiatingdownthe leftarmandup underthe
chin.There are elevatedS-TsegmentsonEKG.The cardiologistseesandadmitsthe patienttoCCU.He
ordersthree serial CPKenzymeslevelswithinstructionsthatthe testsare alsoto be done with
isoenzymesif the initialtestsare elevatedforthatdate of service.The CPKenzyme levelswere
elevated,the labcodeswouldbe:
A. 82550, 82552, 82550-76 x 2, 82552-76 x 2 B. 82550, 82552, 82552-91 x 2
C. 82550, 82550-91 x 2, 82552, 82552-91 x 2 D. 82550 x 3, 82554 x 3
25. Whichof the followingpanelsdoesNOTinclude chloride?
A. 80061 B. 80050
C. 80053 D. 80047
26. The patientpresentswithburningurinationandfrequency.The physicianperformsaUA dipstick,
whichshowselevatedWBC.He ordersa urine culture withidentificationforeachisolate todetermine
whichantibiotictogive tothe patientforthe infection.Whatare the appropriate labcodes?
A. 81000, 81007 B. 81002, 87088
C. 81001, 87086 D. 87086, 87088
27. Whichof the followingcodingcombinations isanexampleof unbundling?
A. 80048, 80061 B. 80076, 80100
C. 80061, 83718, 84478 D. 82310, 82355, 82374
28. Patientisundergoinginvitrofertilizationtogetpregnant.Followingthe retrievalof follicularfluid
fromthe patient,the physicianusesamicroscope toexamine the fluidtoidentifythe ooctyes.Whatis
the code forthe laboratoryservice?
A. 89250 B. 89254
C. 89255 D. 89258
29. A patienthasan iliaccrestbone marrow biopsy.The physiciansuspectsthe patienthas
myelofibrosis.The bone marrowspecimenissenttopathologyforgrossand microscopicexam.What
isthe appropriate code forthe pathologist’sservice?
A. 88304 B. 88305
C. 88309 D. 88307
30. A pathologistperformsacomprehensive consultationandreportafterreviewingapatient’s
records,specimensandofficial findingsfromothersources.Whatisthe correct code?
A. 88325 B. 99244
C. 80502 D. 88329
31. Whichcode(s) shouldbe reportedforthe followingcase?
Clinical history:Massinthe bodyof stomach
Gross description:Cavityeffusion –twoDiff-Quikfoursmearspreparedwithsimplefilterand
interpretationSpecimenreceived:Stomachmasstouchprep
Adequacy:Specimensatisfactoryforcytological evaluation
Diagnosis:Primarymalignantneoplasm –bodyof the stomach
Notes:Cytologycompletedonspecimen.The malignantcellsshow subjectivefeaturessuggestive of
small-cellcarcinoma;however,cellsize ismore attunedwithnon-small-cell carcinoma.
a. 151.4, 88107
b. 209.63, 88104
c. 789.30, 151.4, 88107
d. 209.63, 151.3, 88108
32. Dr. Ross,a pathologist,completedbothgrossandmicroscopicsurgical pathologyafteralung
wedge biopsy.Dr.Miles,the surgeon,sentasingle specimentothe laboratoryafterthe completionof
a limitedbiopsybythoracotomy.Howwould Dr.Rossreportherservices?
a. 88300, 88307
b. 32151, 88305-26
c. 88307
d. 32095, 88307-26
33. Robertwas senttoa local laboratoryforpre-employmentdrugscreening.He providedaurine
sample tothe laboratorytechnologist.The technologistcompleted aqualitativescreening,including
one procedure formultiple drugclassesusingnon-chromatographicmethodswithamultiplexedkit.
The test wasnegative andresultswere sentbacktothe requestingemployer.How shouldyoureport
thislaboratoryservice?
a. 80102
b. 80100, 80101
c. 80103
d. 80104
34. Jane underwentacombinedrapidanteriorpituitaryevaluationpanel withmultipleexposuresand
suppressionsandhada hepaticfunctionpanel.How shouldthese testsbe reported?
a. 82024 x 4, 83002 x 4, 83001 x 4, 84146 x 4, 83003 x 4, 82533 x 4, 84443 x 4
b. 80418, 80076
c. 80418, 82024, 83002, 83001, 84146, 83003, 82533, 84443
d. 80076
35. Dr. Thomasreceivedarequestforconsultationthatincludedrecordsandspecimens.Dr.Thomas
didnot see the patient,butdocumentedthe patientasinpatientstatuswithacomprehensive family
historyof coloncancer. The patienttakesmultiplemedicationsandisat highriskof complicationsdue
to weightloss,chronicdiarrhea,andacontinuedfever.Hisconfirmative opinion,basedonthe review
of specimensandrecords,indicatespositive small-cellcancer.Dr.Thomassenthis writtenreportback
to the requestingphysician.HowshouldDr.Thomasreporthisservices?
a. 99254
b. 88325
c. 99254-25, 88325-26
d. 88323
29
36. Whichmodifierappendedtocode 88239 woulddescribe solidtumortestingof VonHipple–Lindau
disease?
a. – 59
b. – 1Z
c. – 0F
d. – P6
37. Larry had a venipuncture duringhisannual physical examination.The bloodsample wasusedfor
the followingantibodytests:WestNile IgM,Shigella,mumps,andtotal hepatitisB.How shouldyou
reportthese tests?
a. 36415
b. 86486
c. 86788, 86771, 86735, 86704
d. 36415-32, 86788, 86771, 86735, 86704
38. Today,an extendedcultureof five-dayembryoswascompleted.The transfertestswill be
completedwhenthe culture testresultsare confirmed.The culture testingresultsare scheduledfor
returnwithin48 hours.How shouldthe culture service be reported?
a. 89272
b. 89250
c. 89258
d. 89255, 89272
39. A patienthadthe followingbloodtestscompletedaspartof herprimarycare physician’s
describedmetabolicpanel:albumin,bilirubintotal,calciumtotal,carbondioxide,chloride,creatinine,
glucose,phosphatase alkaline,potassium, proteintotal,sodium, transferase (ALTSGPT),transferase
aspartate (ASTSGOT), ureanitrogen(BUN),bilirubindirect,andahepatitisA IgM. How shouldthese
servicesbe reported?
a. 80053, 82248, 86709
b. 80053-22
c. 80076-52, 80074-52, 80053-52
d. 80047, 80053, 80076
40. A patienthadglucose tolerance testingcompletedonfive specimens.How shouldtheselaboratory
servicesbe reported?
a. 82947, 82951, 82952-51
b. 82951, 82952 x 2
c. 82947, 82952 x 5
d. 82951 x 5
ANSWERS
1. “a” You can findthisansweratthe beginningof the PathologyandLaboratoryGuidelinesof the
CPT Professional Edition.
2. “d” The testsreportedare listedunderthe basicmetabolicpanel code 80047. When reportinga
panel,all the testslistedinthe panel mustbe completed.If one testismissing,thenyoushould
not reporta panel.If a panel iscompletedandthere are additional test(s),thenyouwould
reportthe panel and the code(s) forthe additional test(s).Donotadd modifier -52to panel
codesto indicate thatnotall the testsinthe panel were completed.
3. “b” The firstparenthetical note followingcodes88331 and88334 give reportinginstructions(us
bothcodes).There are twotumorsitesinthisquestion.
4. “a” GeneticTestingModifiersare listedinAppendix Iof the CPTProfessional Edition.The note
underthe subcategoryCytogeneticStudiesreferstoAppendixI.
5. “a” The math calculationsare included(bundled) withchemistrytests.Youcanfindthisnote in
the last paragraphunderthe Chemistrysubsectionof the CPTProfessionalEdition.
6. “a” The code 80502 reportsa comprehensive clinical pathologyconsultation.The patientwas
not present;therefore youwouldnotreportanevaluation andmanagementconsultationcode.
7. “B”
8. “a” You can findthiscode inCategoryII codes..50
9. “d” The code 82272 states,“…performedforotherthancolorectal neoplasmscreening.”
10. “c” You can findthistestinthe CPT Professional EditionunderCalprotectin, fecal.
11. B The firstspecimenisfoundundercode 88304-Artery,atheromatousplaque.The second
specimenisfoundundercode 88305-Skin,otherthan cyst/tag/debridement/plasticrepair.
Modifier-26 isappendedtoshow the pathologist’sservice.
12. B Since the pathologyconsultationof the tumorisperformedduringasurgeryyouare guidedto
code 88331. Codes80500 and80502 are reportedaccordingtoCPT® guidelineswhenthe
pathologistgivesaresponse toarequestfroman attendingphysicianinrelationtoa test
result(s) requiringadditional medical interpretive judgment.The pathologistdidnotperformthe
final reportof the tumor,eliminatingmultiplechoice answerD.Modifier -26 reportsthe
professionalservice.
13 . D The youngchildwas administeredthe Poliovirusvaccine byintramuscularroute guidingyouto
code 90713 eliminatingmultiple choiceB.The influenzavaccine wasforintranasal route iscode 90660
eliminatingmultiple choicesA andD. For the administrationcodesthe vaccineswereadministered
withoutface-to-face counselingeliminatingmultiple choice answersA andB. The firstvaccinationwas
administeredbythe intramuscularroute guidingyoutocode 90471. The secondvaccine (additional
vaccine) wasadministeredbythe intranasal route guidingyoutocode 90474. The thirdvaccine
(additional vaccine) isgivenbythe subcutaneousroute guidingyoutocode 90472.
14. A To reportcodesfor drug testingdependsonthe methodandhow manydrug classesare to be
tested.The scenariodocumentsthe methodof the drugscreeningbeingperformedbyusingan
immunoassaymethodoneachsingle drugclass,guidingyoutocode 80101. Each drug classis
reportedseparatelyforthiscode meaningsince there are three drugclassesbeingtestedyou
will report80101 three times.A drugconfirmationwasperformedforone drug,reportingcode
80102 onlyonce.
15. C The labtestbeingperformedinthisscenarioisfortherapeuticdrugmonitoringtoassistthe
physicianindrugregimenadjustmenttoreachan optimal drug concentrationensuringan
adequate therapeuticresponsewithoutdrug-inducedadverse effects,guidingyoutocodes
80150-80299. The patientisnot havinga drug screeningtestinwhichthe physicianis
determiningaspecificdrugpresentornotpresentin the patient(qualitative) eliminating
multiple choice answerA.Drugconfirmationcode,80102, is onlyusedwiththe drugtesting
codesnot therapeuticdrugassaycodesaccordingto CPT ® guidelines.
16.D The test beingperformedisaglucose tolerance test(GTT) guidingyoutocode 82951. Five blood
specimenswere takeninwhichthe firstthree bloodspecimensare reportedwithcode 82951. The last
twobloodspecimenswill be reportedwithcode 82952 twice.
17. B The physicianrequestsabloodgasfor oxygen saturation(0₂) only,guidingyoutocode 82810.
Modifier51 is appendedtosurgical procedure codesmeaningsince thiscode isalabcode
modifier51is inappropriate,eliminatingmultiplechoice answersA andC. There isno mention
of an outside lab,eliminatingmultiplechoice D.The physicianwouldreport36600 forthe
arterial puncture.
18.B The chromosome analysiswastakenfromamnioticfluideliminatingmultiplechoicesA,CandD.
There were twokaryotypesperformed.Code 88267 onlyhas one karyotype initscode descriptionso
code 88280 isreportedforthe additional karyotype.30 cellswere analyzedinwhichcode 88285 is
reportedforthe additional cellsoverthe initial15 cell count.
19. B Spermisolationisperformed.Spermwashingreferstoseparatingthe spermfromsemenand
gettingridof deador slow-movingspermaswell asadditional chemicalsthatmayimpair
fertilization(89260).Afterthisisdone eachegg isinjectedwithspermforfertilization.A needle
isinsertedthroughthe egg’soutershell intothe cytoplasmof the eggfor10 oocytesorless
(89280).
20. A In the CPT® index,lookupPathology/Surgical/Consultation.Youare referredto88321-88325.
88325 isthe correct code.Accordingto CPT® guidelines,“Code 88325 is usedfora more
comprehensive consultationonreferredmaterial thatinvolvesreview of recordsand
specimens.”
21. B. The encountermentionsthataspecimenwasremovedfromthe proximaljejunum, whichis
part of the small intestines,duringaresectionforcancer.Code 88309 isthe onlylabcode that
coversthe small intestineresectionof atumor.
22. C. The firstthree labs(HDL -87318, total serum, cholesterol-82465and triglycerides-84478) are
part of the lipidpanel forcode 80061. That leavesthe lab,quantitativeglucose,to be added
withcode 82947.
23. A. Thisisa therapeuticdrugtest,since the patientistakinggoldforrheumatoidarthritis,and
thistype of drug testis foundbetweencodes80150 – 80299. 80172 is the correct code since the
physicianwantstomeasure the level of goldfoundinthe bloodstream.
24. C. In thisscenario,three CPKenzyme levelsare performed.Modifier91 isappendedtothe
second,andthirdCPK CPT® to indicate the serviceswererepeatclinical diagnostictests.Since
each of the CPK enzymeswere elevated,the isoenzymeswerealsotested,whichisreported
with82552. Modifier91 is appendedtothe secondandthirdtestto indicate the testsare repeat
clinical diagnostictests.
25. A. Inthe panel sectionof the laboratorytests,lookupeachof the codesto determine the tests
are includedinthe panel.80061 is the onlytestthat doesnotinclude chloride.80050 includesa
comprehensive metabolicpanel (80053) whichincludeschloride.
26. B. Firstthe physicianperformsaUA dipstickwithnoindicationof amicroscopictest.Thistestis
reportedwith81002. The urine culture isperformedwithidentificationforeachisolate,whichis
reportedwith87088. 87086 isa quantitativetestfora colonywhichisincorrect.
27. C. Unbundlingisreportingcomponentsof acode separatelythatcan be reportedwithone code.
In thiscase 80061 includes83718 and 84478. It isunbundlingtoreportcomponentsof apanel
separately.
28. B. The identificationof ooctyesinthe follicularfluidisperformed.The stage inthisscenario
doesnotinclude the culture orpreparationof the oocyte,onlythe identificationof them.This
service isreportedwith89254.
29. B. The appropriate code isdeterminedbythe type of specimen.Inthiscase the specimenisa
bone marrowbiopsy.Undereachcode inthissectionof CPT® is a listof specimensforeach
code.For thisscenario,the correctansweris88305 because itisspecificforbone marrow.
88304 isreportedforbone fragmentswhichisnotcorrect.88307 isreportedfora bone biopsy.
88309 isreportedforbone resection.
30. A. The pathologistservicesare notreportedwithE/Mcodes,whicheliminatesansweroptionB.
80502 isclinical consultationrequestedbyanattendingphysicianforthe pathologistmedical
interpretive judgment,whichisnotdescribedinthisscenario.The service isnotperformed
duringsurgery,whicheliminatesDas a correct answer.The code descriptionfor88325 matches
the scenariointhe questionmakingitthe correctanswer.
31. a. The diagnosiscode isreportedfromthe diagnosisdescriptionsectionof this reportorthe
definitivefindings.The clinical historyindicateswhythe cytologyisbeingevaluated.The
procedure code isreportedwiththe simple filterpreparationandinterpretationasstatedinthe
question.
32. c. The specimenevaluatedinthisquestionwasfroma lungwedge biopsy.Review the codesin
the surgical pathologysectionbasedonanatomyand/orlocationof the specimen,absence or
presence of disease reported,and/orphysician’sdescriptionof specimenreceivedandstudied.
33. d. Thisisa new code for 2011 andis outof numerical sequence;therefore,there are two
symbolslistedwiththiscode.Additionally,the parenthetical notesinthe CPT® Professional
Editionbelowcode 80101 assistwithselectionof testingwithmultiplexedscreeningmethods.
34. b. One wayto findthiscode in the index of the CPT® Professional Editionisunderthe mainterm
“Evocative/SuppressionTest.”Review of the code range providedwill leadtothe combined
rapidanteriorpituitaryevaluationpanel.Thispanel code includesall the codeslistedwiththe
panel.
35. b. Thisservice isa comprehensive consultationwithreviewof recordsandspecimens.Dr.
Thomasdid notsee the patientinthisquestion;therefore,anevaluationandmanagementcode
isnot reported.
36. c. The CPT® ProfessionalEditionincludesalistof modifiersforgenetictesting.ReviewAppendix
I for these modifiers.Additionally,the subcategorynoteswithcytogeneticstudiesreferto
Appendix Iformodifiers.
37. c. One way to findthese codesinthe CPT® Professional Editionisunderthe mainterm
“Antibody,”thenlookforspecifictests.
38. a. Thisquestionfocusesonthe culture anddaysof the embryos.The transfercode wouldbe
reportedonthe date of that service.(The abilitytoselectpertinentinformationfromexam
questionsisakeyfactor to successful testtaking.Tobuildtestingskills,tryreadingthe last
sentence firsttofigure outwhatisbeingaskedinthe question,thenfocusonthatinformation.)
39. a. Reviewof the subcategoryguidelinesinthe CPT® ProfessionalEditionunderthe heading
“Organ or Disease-OrientedPanel”providesassistance withcode selection.These notesindicate
that the use of panel codesincludesthe testswithinaspecificpanel;however,additional tests
shouldbe reportedasnecessary.
40. b. The parenthetical notesprovidedwithadd-oncodes,suchascode 82952, are helpful when
determiningcode selectionandreporting.

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Pathology and laboratory quiz

  • 1. 1. In the Pathologyand Laboratory section,what additional items may be includedwithspecial reports? A. Complexityof symptoms,final diagnosis,pertinentphysical findings,diagnosticandtherapeutic procedures,concurrentproblems,follow-upcare B. Signsand symptoms,final diagnosis,follow-upcare,concurrentproblems,drugtesting, pathologyfindings C. Complexityof symptoms,final diagnosis,pathologyfindings,pertinentphysical findings, diagnosticandtherapeuticprocedures,concurrentproblems,follow-upcare D. Complexityof symptoms,final diagnosis,testingtime,consultationsnotes,follow-upcar 2. Brent had the followinglabtests:  Calcium,ionized  Carbondioxide  Chloride  Creatinine  Glucose  Potassium  Sodium  Urea Nitrogen(BUN) How shouldyoureportBrent’slabwork? A. 80048 B. 80047-52 C. 82310, 82374, 82435, 82565, 82947, 84132, 84295, 84520 D. 80047 3. Dr. Lee performedan intra-operative consultationon a bile duct tumor requiringfrozen sectionand cytological evaluationto a bladdertumor. How wouldyou report his professional services? A. 88329 B. 88331-26, 88334-26 C. 88331, 88332 x 2
  • 2. D. 88331-26, 88333-26 4. Whichmodifierwouldyou use to report with code 88239 ifthe test was lookingfor hereditary breast cancer? A. OB B. 59 C. 91 D. OA 5. Marvin had a breath alcohol test completedat the hospital after the police arrestedhim for racing his four-wheelerpasta McDonald’s drive through window. Marvin’sbreath alcohol test was mathematically calculated.How would you report the calculationon this test? A. 82075 B. 82075 x 2 C. 82075, 82355 D. 82355 6. Dr. Monday provideda comprehensive clinical pathologyconsultationat the requestof Dr. Adams. This requestwas regarding a patientwith various infections,drugallergies,skinrash, and Down’s syndrome.The patient is inthe hospital intensive care unitbeingtreated with intravenousantibiotics.Dr. Monday did not see the patient but he reviewedthe patient’s history, complexmedical records,and provideda written report back to Dr. Adams regarding his findingsand recommendationsforfurther treatment.How wouldDr. Monday report his services? A. 80502 B. 99244 C. 99244-25, 80502 D. 99255-25, 80500 7. A patient had a semi-quantitative urinalysisforinfectiousagentdetection.Howshould you report this test? A. 81050
  • 3. B. 81005 C. 81099 D. 81005, 83518 8. Code 3011F describeswhichdiagnosticorscreeningprocess? 9. Lipidpanel resultsincludingtotal cholesterol,HDL-C,triglycerides,calculatedLDL-C 10. Lipidpanel resultsincludingtotal cholesterol 11. Lipidpanel resultsincludingcholesterol,triglycerides,lipoprotein 12. Lipidpanel resultsincludingcholesterol,triglycerides,carbondioxide,glucose,potassium 9. A 58-year-oldmale patientwithabdominalpainandepisodesof brightredbloodinhisstool reportsto hisphysician’soffice foracheck-up.Hisphysicianperformsadigital rectal examand testsfor occultblood.Dr.Smithdocumentsthisbloodocculttestwasdone for purposesother than colorectal cancerscreening.How wouldyoureportthe occultbloodtest? 10. 82270 11. 82274 12. 82271 13. 82272 10. Kathyhas had intermittentabdominal pain,occasionaldiarrhea,stoolfrequency,andbloating. Her symptomshave worsenedoverthe pasttwomonths.Herphysicianordersa fecal Calprotectintesttocheckfor Crohn’sdisease.How shouldyoureportthe labtest? 11. 82270 12. 82272, 83993 13. 83993 14. 82271, 82272 15. Patientiscominginfor a pathological examinationforischemiainthe leftleg.The first specimenis1.5 cm of a single portionof arterial plaquetakenfromthe leftcommonfemoral artery.The secondspecimenis8.5x 2.7 cm across x 1.5 cm inthicknessof acutaneous ulcerationwithfibropurulentmaterial onthe leftleg.Whatsurgical pathologycodesshouldbe reportedforthe pathologist? 1. 88302, 88304 B. 88304-26, 88305-26 2. 88305-26, 88307-26 D. 88307, 88309
  • 4. 12. Duringa craniectomythe surgeonperformedafrozensectionof alarge piece of tumorand sent it to pathology.The pathologistreceivedarubberypinkishtantissue measuringinaggregate 3x 0.8 x 0.8 cm. The entire specimenissubmittedinone blockanda microscope wasusedto examine the tissue.The frozensectionandthe pathologyreportare sentbackto the surgeon indicatingthatthe tumorwas a medulloblastoma.WhatCPT® code(s) will the pathologist report? 1. 80500 B. 88331-26 C. 80502 D. 88331-26, 88304-26 13. Physicianordersacomprehensive metabolicpanel butalsowantsbloodworkoncalciumions and alsoordersa basic metabolicpanel.Selectthe code(s) onhow thisisreported. 1. 80053, 80047 B. 80053 2. 80047, 82040, 82247, 82310, 84075, 84155, 84460, 84450 D. 80053, 82330 3. 18-year-oldfemale withahistoryof depressioncomesintothe ERina coma. The ER physician ordersa drug screenon antidepressants,phenothiazines,andbenzodiazepines.The lab performsa screeningforeachsingle drugclassusinganimmunoassayinarandom access analyzer.Presence of antidepressantsisfoundanda drugconfirmationisperformedtoidentify the particularantidepressant.WhatcorrectCPT® codesare reported? A. 80101 x 3, 80102 B. 80100, 80102 C. 80101 x 3, 80102 x 3 D. 80100 x 3, 80102 x 3 15. A patientusesTopiramate tocontrol hisseizures.He comesineverytwomonthstohave a therapeuticdrugtestingperformedtoassessserumplasmalevelsof thismedication.Whatlab code is reportedforthistesting? A. 80101 B. 80102 C. 80201 D. 80201, 80102 16. Patientthatisa borderline diabetichasbeensenttothe laboratorytohave an oral glucose tolerance test.Patientdrankthe glucose andfive bloodspecimenswere takenevery30 to 60 minutesuptothree hoursto determine how quicklythe glucose isclearedfromthe blood. What code(s) shouldbe reportedforthistest? A. 82947 x 5
  • 5. B. 82946 C. 80422 D. 82951, 82952 x 2 17.A patientwithsevere asthmaexacerbationhasbeenadmitted.The admittingphysicianordersa bloodglassforoxygensaturationonly.The admittingphysicianperformsthe arterial puncturedrawing bloodfora bloodgasreadingonoxygensaturationonly.The physiciandrawsitagaininanhour to measure howmuchoxygenthe bloodiscarrying.Selectthe codesforreportingthisservice. A. 82805, 82805-51 B. 82810, 82810-91 C. 82803, 82803-51 D. 82805, 82805-90 18. Cellswere takenfromamnioticfluidforanalyzationof the chromosomesforpossibleDown’s syndrome.The geneticistperformsthe analysiswithtwoG-bandedkaryotypesanalyzing30cells.Select the lab codesforreportingthisservice. A. 88248 B. 88267, 88280, 88285 C. 88273, 88280, 88291 D. 88262, 88285 19. Spermisbeingpreparedthroughawashingmethodtogetit readyfor the inseminationof five oocytesforfertilizationbydirectlyinjectingthe spermintoeachoocyte.Choose the CPT® codes to reportthisservice. A. 89257, 89280 B. 89260, 89280 C. 89261, 89280 D. 89260, 89268 20. A pathologistperformsacomprehensive consultationandreportafterreviewingapatient’srecords and specimensfromanotherfacility.The correctCPT® code to report thisservice is: A. 88325
  • 6. B. 99244 C. 80502 D. 88329 21. A surgical specimenwasremovedfromthe proximal jejunumduringaresectionfor adenocarcinomaandwassubmittedtosurgical pathologyforgrossandmicroscopicexamination.The correct code for thisservice is: A. 88300 B. 88309 C. 88304 D. 88305 22. The physicianperformsthe followingtestsonherautomatedequipment:HDL,total serum cholesterol,triglyceridesandaquantitative glucose.The correctcodesforthese proceduresare: A. 83718, 82465, 84478, 82947 B. 83721, 82465, 82951 C. 80061, 82947 D. 80061, 82950 23. A patientwithrheumatoidarthritisisbeingtreatedwithgold.The physicianordersatherapeutic drug testto measure the level of gold.Whatisthe correct code? A. 80172 B. 80100 C. 80102 D. 80299 24. A patientpresentstothe ED withcrushingchestpainradiatingdownthe leftarmandup underthe chin.There are elevatedS-TsegmentsonEKG.The cardiologistseesandadmitsthe patienttoCCU.He ordersthree serial CPKenzymeslevelswithinstructionsthatthe testsare alsoto be done with isoenzymesif the initialtestsare elevatedforthatdate of service.The CPKenzyme levelswere elevated,the labcodeswouldbe: A. 82550, 82552, 82550-76 x 2, 82552-76 x 2 B. 82550, 82552, 82552-91 x 2 C. 82550, 82550-91 x 2, 82552, 82552-91 x 2 D. 82550 x 3, 82554 x 3 25. Whichof the followingpanelsdoesNOTinclude chloride? A. 80061 B. 80050 C. 80053 D. 80047 26. The patientpresentswithburningurinationandfrequency.The physicianperformsaUA dipstick, whichshowselevatedWBC.He ordersa urine culture withidentificationforeachisolate todetermine whichantibiotictogive tothe patientforthe infection.Whatare the appropriate labcodes? A. 81000, 81007 B. 81002, 87088 C. 81001, 87086 D. 87086, 87088
  • 7. 27. Whichof the followingcodingcombinations isanexampleof unbundling? A. 80048, 80061 B. 80076, 80100 C. 80061, 83718, 84478 D. 82310, 82355, 82374 28. Patientisundergoinginvitrofertilizationtogetpregnant.Followingthe retrievalof follicularfluid fromthe patient,the physicianusesamicroscope toexamine the fluidtoidentifythe ooctyes.Whatis the code forthe laboratoryservice? A. 89250 B. 89254 C. 89255 D. 89258 29. A patienthasan iliaccrestbone marrow biopsy.The physiciansuspectsthe patienthas myelofibrosis.The bone marrowspecimenissenttopathologyforgrossand microscopicexam.What isthe appropriate code forthe pathologist’sservice? A. 88304 B. 88305 C. 88309 D. 88307 30. A pathologistperformsacomprehensive consultationandreportafterreviewingapatient’s records,specimensandofficial findingsfromothersources.Whatisthe correct code? A. 88325 B. 99244 C. 80502 D. 88329 31. Whichcode(s) shouldbe reportedforthe followingcase? Clinical history:Massinthe bodyof stomach Gross description:Cavityeffusion –twoDiff-Quikfoursmearspreparedwithsimplefilterand interpretationSpecimenreceived:Stomachmasstouchprep Adequacy:Specimensatisfactoryforcytological evaluation Diagnosis:Primarymalignantneoplasm –bodyof the stomach Notes:Cytologycompletedonspecimen.The malignantcellsshow subjectivefeaturessuggestive of small-cellcarcinoma;however,cellsize ismore attunedwithnon-small-cell carcinoma. a. 151.4, 88107 b. 209.63, 88104 c. 789.30, 151.4, 88107 d. 209.63, 151.3, 88108
  • 8. 32. Dr. Ross,a pathologist,completedbothgrossandmicroscopicsurgical pathologyafteralung wedge biopsy.Dr.Miles,the surgeon,sentasingle specimentothe laboratoryafterthe completionof a limitedbiopsybythoracotomy.Howwould Dr.Rossreportherservices? a. 88300, 88307 b. 32151, 88305-26 c. 88307 d. 32095, 88307-26 33. Robertwas senttoa local laboratoryforpre-employmentdrugscreening.He providedaurine sample tothe laboratorytechnologist.The technologistcompleted aqualitativescreening,including one procedure formultiple drugclassesusingnon-chromatographicmethodswithamultiplexedkit. The test wasnegative andresultswere sentbacktothe requestingemployer.How shouldyoureport thislaboratoryservice? a. 80102 b. 80100, 80101 c. 80103 d. 80104 34. Jane underwentacombinedrapidanteriorpituitaryevaluationpanel withmultipleexposuresand suppressionsandhada hepaticfunctionpanel.How shouldthese testsbe reported? a. 82024 x 4, 83002 x 4, 83001 x 4, 84146 x 4, 83003 x 4, 82533 x 4, 84443 x 4 b. 80418, 80076 c. 80418, 82024, 83002, 83001, 84146, 83003, 82533, 84443 d. 80076 35. Dr. Thomasreceivedarequestforconsultationthatincludedrecordsandspecimens.Dr.Thomas didnot see the patient,butdocumentedthe patientasinpatientstatuswithacomprehensive family historyof coloncancer. The patienttakesmultiplemedicationsandisat highriskof complicationsdue to weightloss,chronicdiarrhea,andacontinuedfever.Hisconfirmative opinion,basedonthe review of specimensandrecords,indicatespositive small-cellcancer.Dr.Thomassenthis writtenreportback to the requestingphysician.HowshouldDr.Thomasreporthisservices? a. 99254 b. 88325 c. 99254-25, 88325-26 d. 88323
  • 9. 29 36. Whichmodifierappendedtocode 88239 woulddescribe solidtumortestingof VonHipple–Lindau disease? a. – 59 b. – 1Z c. – 0F d. – P6 37. Larry had a venipuncture duringhisannual physical examination.The bloodsample wasusedfor the followingantibodytests:WestNile IgM,Shigella,mumps,andtotal hepatitisB.How shouldyou reportthese tests? a. 36415 b. 86486 c. 86788, 86771, 86735, 86704 d. 36415-32, 86788, 86771, 86735, 86704 38. Today,an extendedcultureof five-dayembryoswascompleted.The transfertestswill be completedwhenthe culture testresultsare confirmed.The culture testingresultsare scheduledfor returnwithin48 hours.How shouldthe culture service be reported? a. 89272 b. 89250 c. 89258 d. 89255, 89272 39. A patienthadthe followingbloodtestscompletedaspartof herprimarycare physician’s describedmetabolicpanel:albumin,bilirubintotal,calciumtotal,carbondioxide,chloride,creatinine, glucose,phosphatase alkaline,potassium, proteintotal,sodium, transferase (ALTSGPT),transferase aspartate (ASTSGOT), ureanitrogen(BUN),bilirubindirect,andahepatitisA IgM. How shouldthese servicesbe reported? a. 80053, 82248, 86709 b. 80053-22 c. 80076-52, 80074-52, 80053-52 d. 80047, 80053, 80076 40. A patienthadglucose tolerance testingcompletedonfive specimens.How shouldtheselaboratory servicesbe reported?
  • 10. a. 82947, 82951, 82952-51 b. 82951, 82952 x 2 c. 82947, 82952 x 5 d. 82951 x 5 ANSWERS 1. “a” You can findthisansweratthe beginningof the PathologyandLaboratoryGuidelinesof the CPT Professional Edition. 2. “d” The testsreportedare listedunderthe basicmetabolicpanel code 80047. When reportinga panel,all the testslistedinthe panel mustbe completed.If one testismissing,thenyoushould not reporta panel.If a panel iscompletedandthere are additional test(s),thenyouwould reportthe panel and the code(s) forthe additional test(s).Donotadd modifier -52to panel codesto indicate thatnotall the testsinthe panel were completed. 3. “b” The firstparenthetical note followingcodes88331 and88334 give reportinginstructions(us bothcodes).There are twotumorsitesinthisquestion. 4. “a” GeneticTestingModifiersare listedinAppendix Iof the CPTProfessional Edition.The note underthe subcategoryCytogeneticStudiesreferstoAppendixI. 5. “a” The math calculationsare included(bundled) withchemistrytests.Youcanfindthisnote in the last paragraphunderthe Chemistrysubsectionof the CPTProfessionalEdition. 6. “a” The code 80502 reportsa comprehensive clinical pathologyconsultation.The patientwas not present;therefore youwouldnotreportanevaluation andmanagementconsultationcode. 7. “B” 8. “a” You can findthiscode inCategoryII codes..50 9. “d” The code 82272 states,“…performedforotherthancolorectal neoplasmscreening.” 10. “c” You can findthistestinthe CPT Professional EditionunderCalprotectin, fecal. 11. B The firstspecimenisfoundundercode 88304-Artery,atheromatousplaque.The second specimenisfoundundercode 88305-Skin,otherthan cyst/tag/debridement/plasticrepair. Modifier-26 isappendedtoshow the pathologist’sservice. 12. B Since the pathologyconsultationof the tumorisperformedduringasurgeryyouare guidedto code 88331. Codes80500 and80502 are reportedaccordingtoCPT® guidelineswhenthe pathologistgivesaresponse toarequestfroman attendingphysicianinrelationtoa test result(s) requiringadditional medical interpretive judgment.The pathologistdidnotperformthe final reportof the tumor,eliminatingmultiplechoice answerD.Modifier -26 reportsthe professionalservice.
  • 11. 13 . D The youngchildwas administeredthe Poliovirusvaccine byintramuscularroute guidingyouto code 90713 eliminatingmultiple choiceB.The influenzavaccine wasforintranasal route iscode 90660 eliminatingmultiple choicesA andD. For the administrationcodesthe vaccineswereadministered withoutface-to-face counselingeliminatingmultiple choice answersA andB. The firstvaccinationwas administeredbythe intramuscularroute guidingyoutocode 90471. The secondvaccine (additional vaccine) wasadministeredbythe intranasal route guidingyoutocode 90474. The thirdvaccine (additional vaccine) isgivenbythe subcutaneousroute guidingyoutocode 90472. 14. A To reportcodesfor drug testingdependsonthe methodandhow manydrug classesare to be tested.The scenariodocumentsthe methodof the drugscreeningbeingperformedbyusingan immunoassaymethodoneachsingle drugclass,guidingyoutocode 80101. Each drug classis reportedseparatelyforthiscode meaningsince there are three drugclassesbeingtestedyou will report80101 three times.A drugconfirmationwasperformedforone drug,reportingcode 80102 onlyonce. 15. C The labtestbeingperformedinthisscenarioisfortherapeuticdrugmonitoringtoassistthe physicianindrugregimenadjustmenttoreachan optimal drug concentrationensuringan adequate therapeuticresponsewithoutdrug-inducedadverse effects,guidingyoutocodes 80150-80299. The patientisnot havinga drug screeningtestinwhichthe physicianis determiningaspecificdrugpresentornotpresentin the patient(qualitative) eliminating multiple choice answerA.Drugconfirmationcode,80102, is onlyusedwiththe drugtesting codesnot therapeuticdrugassaycodesaccordingto CPT ® guidelines. 16.D The test beingperformedisaglucose tolerance test(GTT) guidingyoutocode 82951. Five blood specimenswere takeninwhichthe firstthree bloodspecimensare reportedwithcode 82951. The last twobloodspecimenswill be reportedwithcode 82952 twice. 17. B The physicianrequestsabloodgasfor oxygen saturation(0₂) only,guidingyoutocode 82810. Modifier51 is appendedtosurgical procedure codesmeaningsince thiscode isalabcode modifier51is inappropriate,eliminatingmultiplechoice answersA andC. There isno mention of an outside lab,eliminatingmultiplechoice D.The physicianwouldreport36600 forthe arterial puncture. 18.B The chromosome analysiswastakenfromamnioticfluideliminatingmultiplechoicesA,CandD. There were twokaryotypesperformed.Code 88267 onlyhas one karyotype initscode descriptionso code 88280 isreportedforthe additional karyotype.30 cellswere analyzedinwhichcode 88285 is reportedforthe additional cellsoverthe initial15 cell count. 19. B Spermisolationisperformed.Spermwashingreferstoseparatingthe spermfromsemenand gettingridof deador slow-movingspermaswell asadditional chemicalsthatmayimpair fertilization(89260).Afterthisisdone eachegg isinjectedwithspermforfertilization.A needle isinsertedthroughthe egg’soutershell intothe cytoplasmof the eggfor10 oocytesorless (89280). 20. A In the CPT® index,lookupPathology/Surgical/Consultation.Youare referredto88321-88325. 88325 isthe correct code.Accordingto CPT® guidelines,“Code 88325 is usedfora more
  • 12. comprehensive consultationonreferredmaterial thatinvolvesreview of recordsand specimens.” 21. B. The encountermentionsthataspecimenwasremovedfromthe proximaljejunum, whichis part of the small intestines,duringaresectionforcancer.Code 88309 isthe onlylabcode that coversthe small intestineresectionof atumor. 22. C. The firstthree labs(HDL -87318, total serum, cholesterol-82465and triglycerides-84478) are part of the lipidpanel forcode 80061. That leavesthe lab,quantitativeglucose,to be added withcode 82947. 23. A. Thisisa therapeuticdrugtest,since the patientistakinggoldforrheumatoidarthritis,and thistype of drug testis foundbetweencodes80150 – 80299. 80172 is the correct code since the physicianwantstomeasure the level of goldfoundinthe bloodstream. 24. C. In thisscenario,three CPKenzyme levelsare performed.Modifier91 isappendedtothe second,andthirdCPK CPT® to indicate the serviceswererepeatclinical diagnostictests.Since each of the CPK enzymeswere elevated,the isoenzymeswerealsotested,whichisreported with82552. Modifier91 is appendedtothe secondandthirdtestto indicate the testsare repeat clinical diagnostictests. 25. A. Inthe panel sectionof the laboratorytests,lookupeachof the codesto determine the tests are includedinthe panel.80061 is the onlytestthat doesnotinclude chloride.80050 includesa comprehensive metabolicpanel (80053) whichincludeschloride. 26. B. Firstthe physicianperformsaUA dipstickwithnoindicationof amicroscopictest.Thistestis reportedwith81002. The urine culture isperformedwithidentificationforeachisolate,whichis reportedwith87088. 87086 isa quantitativetestfora colonywhichisincorrect. 27. C. Unbundlingisreportingcomponentsof acode separatelythatcan be reportedwithone code. In thiscase 80061 includes83718 and 84478. It isunbundlingtoreportcomponentsof apanel separately. 28. B. The identificationof ooctyesinthe follicularfluidisperformed.The stage inthisscenario doesnotinclude the culture orpreparationof the oocyte,onlythe identificationof them.This service isreportedwith89254. 29. B. The appropriate code isdeterminedbythe type of specimen.Inthiscase the specimenisa bone marrowbiopsy.Undereachcode inthissectionof CPT® is a listof specimensforeach code.For thisscenario,the correctansweris88305 because itisspecificforbone marrow. 88304 isreportedforbone fragmentswhichisnotcorrect.88307 isreportedfora bone biopsy. 88309 isreportedforbone resection. 30. A. The pathologistservicesare notreportedwithE/Mcodes,whicheliminatesansweroptionB. 80502 isclinical consultationrequestedbyanattendingphysicianforthe pathologistmedical interpretive judgment,whichisnotdescribedinthisscenario.The service isnotperformed duringsurgery,whicheliminatesDas a correct answer.The code descriptionfor88325 matches the scenariointhe questionmakingitthe correctanswer.
  • 13. 31. a. The diagnosiscode isreportedfromthe diagnosisdescriptionsectionof this reportorthe definitivefindings.The clinical historyindicateswhythe cytologyisbeingevaluated.The procedure code isreportedwiththe simple filterpreparationandinterpretationasstatedinthe question. 32. c. The specimenevaluatedinthisquestionwasfroma lungwedge biopsy.Review the codesin the surgical pathologysectionbasedonanatomyand/orlocationof the specimen,absence or presence of disease reported,and/orphysician’sdescriptionof specimenreceivedandstudied. 33. d. Thisisa new code for 2011 andis outof numerical sequence;therefore,there are two symbolslistedwiththiscode.Additionally,the parenthetical notesinthe CPT® Professional Editionbelowcode 80101 assistwithselectionof testingwithmultiplexedscreeningmethods. 34. b. One wayto findthiscode in the index of the CPT® Professional Editionisunderthe mainterm “Evocative/SuppressionTest.”Review of the code range providedwill leadtothe combined rapidanteriorpituitaryevaluationpanel.Thispanel code includesall the codeslistedwiththe panel. 35. b. Thisservice isa comprehensive consultationwithreviewof recordsandspecimens.Dr. Thomasdid notsee the patientinthisquestion;therefore,anevaluationandmanagementcode isnot reported. 36. c. The CPT® ProfessionalEditionincludesalistof modifiersforgenetictesting.ReviewAppendix I for these modifiers.Additionally,the subcategorynoteswithcytogeneticstudiesreferto Appendix Iformodifiers. 37. c. One way to findthese codesinthe CPT® Professional Editionisunderthe mainterm “Antibody,”thenlookforspecifictests. 38. a. Thisquestionfocusesonthe culture anddaysof the embryos.The transfercode wouldbe reportedonthe date of that service.(The abilitytoselectpertinentinformationfromexam questionsisakeyfactor to successful testtaking.Tobuildtestingskills,tryreadingthe last sentence firsttofigure outwhatisbeingaskedinthe question,thenfocusonthatinformation.) 39. a. Reviewof the subcategoryguidelinesinthe CPT® ProfessionalEditionunderthe heading “Organ or Disease-OrientedPanel”providesassistance withcode selection.These notesindicate that the use of panel codesincludesthe testswithinaspecificpanel;however,additional tests shouldbe reportedasnecessary. 40. b. The parenthetical notesprovidedwithadd-oncodes,suchascode 82952, are helpful when determiningcode selectionandreporting.