AAPC - Final Exam Questions and Answers Latest 2022

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Local Coverage Determinations are administered by whom? a. State Law b. NCDs c. Each regional MAC d. LMRPs - ANSWER c. Each regional MAC ABN stands for _____. a. Advanced Benefits Noti... fication b. Advisory Beneficial Notice c. Admitting Beneficiary Notice d. Advance Beneficiary Notice - ANSWER d. Advance Beneficiary Notice What type of health insurance provides coverage for low-income families? a. Commercial HMO b. Medicaid c. Medicare d. Commercial PPO - ANSWER b. Medicaid Which type of information is NOT maintained in a medical record? a. Treatment outcomes b. Financial records c. Medical or surgical interventions d. Observations - ANSWER b. Financial records According to the OIG, internal monitoring and auditing should be performed by what means? a. Focused audits on problems brought to the attention of the compliance officer. b. Baseline audits. c. Periodic audits. d. Audits on all denied claims. - ANSWER c. Periodic audits. Urine is transported from the kidneys to the urinary bladder by which structure? a. Ureter b. Urethra c. Kidney pelvis d. Urinary vein - ANSWER a. Ureter Which of the following does NOT circulate fluids throughout the body? a. Venous system b. Endocrine system c. Arterial system d. Lymphatic system - ANSWER b. Endocrine system What is a function of the alveoli in the lungs? a. Oxygen exchange b. Nicotine is destroyed c. Fluid in the lungs absorbed d. Providing an airway to breathe - ANSWER a. Oxygen exchange Cytopathology is the study of: a. Tissue b. Cells c. Blood d. Organs - ANSWER b. Cells The meaning of heteropsia (or anisometropia) is: a. Blindness in half the visual field b. Double vision c. Unequal vision in the two eyes d. Blindness in both eyes - ANSWER c. Unequal vision in the two eyes What is the meaning of provider in the ICD-10-CM guidelines? a. Insurance company b. The hospital c. The physician d. The patient - ANSWER c. The physician What is the ICD-10-CM code for hay fever? a. J30.1 b. J30.89 c. J30.81 d. J45.909 - ANSWER a. J30.1 What is the ICD-10-CM code for eyestrain? a. H53.10, H53.10 b. H57.8 c. H57.8, H57.8 d. H53.10 - ANSWER d. H53.10 What diagnosis codes should be reported for spastic cerebral palsy due to previous illness of meningitis? a. G03.9, G80.1 b. G80.1, G43.909, G03.9 c. G09, G80.1 d. G80.1, G09 - ANSWER d. G80.1, G09 The patient is a 12 month-old with a history of muscle weakness. Unfortunately, his etiology is unknown and to help delineate the diagnosis, Neurology has consulted us to obtain a right bicep muscle biopsy. What diagnosis code is reported? a. R29.898 b. M62.81 c. R53.1 d. G58.9 - ANSWER b. M62.81 A 50 year-old patient has been diagnosed with elevated blood pressure. The patient does not have a history of hypertension. What is the correct ICD-10-CM code to report? a. I15.0 b. I13.0 c. R03.0 d. I10 - ANSWER c. R03.0 A 32 year-old male was seen in the ASC for removal of two lipomas. One was located on his back and the other was located on the right forearm. Both involved subcutaneous tissue. What ICD-10-CM code(s) is/are reported? a. D17.1, D17.23 b. D17.21, D17.1 c. D17.30 d. D17.39 - ANSWER b. D17.21, D17.1 What is the time frame defining when pain becomes chronic? a. After the global period b. One year c. The 30th day d. No time frame - ANSWER d. No time frame A patient with amyloidosis being treated for glomerulonephritis. What ICD-10-CM codes are reported? a. E85.3, N08 b. E85.4, N08 c. N08, E85.3 d. N08, E85.4 - ANSWER b. E85.4, N08 A 45 year-old-male patient has developed an ulcer on his upper back. He has had diabetes for several years and is on insulin. The provider determines that the ulcer is due to his diabetes. What ICD-10-CM codes are reported? a. E11.622, Z79.4 b. E11.9, L98.429, Z79.4 c. E11.622, L98.429, Z79.4 d. E11.622, L98.429 - ANSWER c. E11.622, L98.429, Z79.4 In which circumstances would an external cause code be reported? a. Delivery of a newborn. b. Causes of injury or health condition. c. Chemotherapy treatment of neoplasms. d. Only for the cause of motor vehicle accidents. - ANSWER b. Causes of injury or health condition. Patient presents with no menses and positive pregnancy test but an ultrasound reveals no uterine contents. An embryo has implanted on the left ovary and this is treated with laparoscopic oophorectomy. What ICD-10-CM code is reported for this procedure? a. O00.102 b. O00.202 c. O00.802 d. O00.09 - ANSWER b. O00.202 A patient has an open displaced fracture of the second cervical vertebra. This is her fifth visit and the fracture is healing normally. What ICD-10-CM code is reported? a. S12.9XXS b. S12.190D c. S12.9XXD d. S12.190A - ANSWER b. S12.190D A 43 year-old female presents to the provider for a diabetic ulcer of the right ankle. What ICD-10-CM codes are reported? a. L97.319 b. L97.319, E11.9 c. L97.319, E11.622 d. E11.622, L97.319 - ANSWER d. E11.622, L97.319 A patient is prescribed anticonvulsant medication for her seizures. She returns to her doctor three days later with nausea and rash due to taking the anticonvulsant medication. The provider notes that this is a drug reaction to an anticonvulsant and changes the medication. What ICD-10-CM codes are reported? a. L27.0, R11.2, T42.71XA b. R21, R11.2, T42.71XA c. R21, R11.0, T42.75XA d. L27.0, R11.0, T42.75XA - ANSWER d. L27.0, R11.0, T42.75XA What surgical status indicator represents the Global Surgical Package for endoscopic procedures (without an incision) where there is no postoperative period after the day of the surgery?? a. XXX b. 000 c. 010 d. 090 - ANSWER What code represents a secondary rhinoplasty where a small amount of work is performed on the tip of the nose? a. 30430 b. 30420 c. 30435 d. 30400 - ANSWER What is the appropriate modifier to use when two surgeons perform separate distinct portions of the same procedure? a. 59 b. 66 c. 62 d. 80 - ANSWER What is the correct CPT® coding for a cystourethroscopy with brush biopsy of the renal pelvis? a. 52005, 52007 b. 52007 c. 52000, 52007 d. 52005 - ANSWER What codes are voluntarily reported to payers, provide evidence-based performance-measure data? a. CPT® Category I codes b. CPT® Category II codes c. CPT® Category III codes d. HCPCS Level II codes - ANSWER Which statement is true regarding coding of carbuncles and furuncles in ICD-10-CM? a. There are separate codes for carbuncles and furuncles. b. The differentiation between a carbuncle and a furuncle is specified by a 7th character extender. c. Code L02.43 is a complete code. d. Carbuncles and furuncles are reported with the same code. - ANSWER Patient presents to the physician for removal of a squamous cell carcinoma of the right cheek. After the area is prepped and draped in a sterile fashion the surgeon measured the lesion, and documented the size of the lesion as 2.3 cm at its largest diameter. Additionally, the physician took margins of 2 mm on each side of the lesion. Single layer closure was performed. The patient tolerated the procedure well. What CPT® code(s) is/are reported? a. 11643, 12013 b. 11642, 12013 c. 11643 d. 11442 - ANSWER Joe has a terrible problem with ingrown toenails. He goes to the podiatrist to have a nail permanently removed along with the nail matrix. What CPT® code is reported? a. 11720 b. 11765 c. 11730 d. 11750 - ANSWER Patient presents with a suspicious lesion on her left arm. With the patient's permission the physician marked the area for excision. The margins and lesion measured a total of 0.9 cm. The wound measuring 1.2 cm was closed in layers using 4-0 Monocryl and 5-0 Prolene. Pathology later reported the lesion to be a sebaceous cyst. What codes are reported? a. 13121, 11401-51, D22.62 b. 11402, L72.3 c. 11401, D22.62 d. 12031, 11401-51, L72.3 - ANSWER Operative Report Pre-Operative and Post-Operative Diagnosis: Squamous cell carcinoma, left leg Open wound, right leg Personal history of squamous cell carcinoma, right leg INDICATIONS FOR SURGERY: The patient is an 81 year-old white man with biopsy-proven squamous cell carcinoma of his left leg. I marked the areas for excision with gross normal margins of 5 mm, and I drew my planned skin graft donor site from his left lateral thigh. He also had an open wound of his right leg from a squamous cell carcinoma excised four months ago; the skin graft had not taken. We plan on re-skin grafting the area. The patient is aware of all of these markings, and understands the surgery and location. DESCRIPTION OF PROCEDURE: The patient was taken to the operating room. IV Ancef was given. I used plain lidocaine for his local anesthetic throughout the procedure until the skin grafts were inset. The anterior of his leg and the thigh were infiltrated with local anesthetic. Both lower extremities were prepped and draped circumferentially, which included the left thigh on the left side. I excised the lesion on his left leg as drawn into the subcutaneous fat. Hemostasis achieved with the Bovie cautery. I then excised the wound on his right leg to lower the bacterial counts. I took a 1-2 mm margin around the wound and excised the granulation tissue as well. Hemostasis was achieved using the Bovie cautery. I then changed gloves. A split-thickness skin graft was harvested from the left thigh using the Zimmer dermatome. This was meshed 1:5:1. By this time, the pathology returned showing the margins were clear. Skin grafts were inset on each leg wound using the skin stapler. Xeroform and gauze bolster was placed over the skin graft using 4-0 nylon. The skin graft donor site was dressed with OpSite. The legs were further dressed with heavy cast padding and the double Ace wrap. The patient tolerated the procedure well. PROCEDURES: Excision squamous cell carcinoma, left leg with excised diameter of 2.5 cm, repaired with a split-thickness skin graft measuring 5.1 cm². Excisional preparation of right leg wound repaired with a split-thickness skin graft measuring 3.2 cm². What CPT® codes are reported? a. 15100, 11603-51-LT, 15002-51-RT b. 15100, 11403-51-LT, 15100-51-RT c. 15100, 11603-51-LT d. 15100, 15100-51-LT, 11603-51-LT, 15002-51-RT - ANSWER In ICD-10-CM, what classification system is used to report open fracture classifications? a. Muller AO classification of fractures b. PHF classification of fractures c. Danis-Weber classification d. Gustilo classification for open fractures - ANSWER A 49 year-old female presented with chronic deQuervain's disease and has been unresponsive to physical therapy, bracing or cortisone injection. She has opted for more definitive treatment. After induction of anesthesia, the patient's left arm was prepared and draped in the normal sterile fashion. Local anesthetic was injected using a combination 2% lidocaine and 0.25% Marcaine. A transverse incision was made over the central area of the first dorsal compartment. The subcutaneous tissues were gently spread to protect the neural and venous structures. The retractors were placed. The fascial sheath of the first dorsal compartment was then incised and opened carefully. The underlying thumb abductor and extensor tendons were identified. The tissues were dissected and the extensor retinaculum of the first extensor compartment was incised. The fibrotic tissue was incised and the tendons gently released. The tendons were freely moving. Subcutaneous tissues were closed with a 3-0 Vicryl and the skin with 3-0 Prolene subcuticular closure. Steri-strips, Xeroform and dry sterile dressings were applied. What CPT® code is reported? a. 25001-LT b. 25118-LT c. 25085-LT d. 25000-LT - ANSWER This 45 year-old male presents to the operating room with a painful mass of the right upper arm. Upon deep dissection a large mass in the soft tissue of the patient's shoulder was noted. The mass appeared to be benign in nature. With deep blunt dissection and electrocautery, the mass was removed and sent to pathology. What CPT® code is reported? a. 23075-RT b. 23066-RT c. 23030-RT d. 23076-RT - ANSWER A 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to the hospital by ambulance. She was found to have an open wound of the left lower thigh, just above the knee and a displaced fracture of the left femoral neck. She was taken to the operating room within four hours of her injury. She was given general endotracheal anesthesia and was prepped and draped in sterile fashion. Debridement including excision of devitalized skin and muscle was performed on the lateral thigh. The area was approximately 15 sq cm. After debridement and thorough copious irrigation, the wound was closed with layer sutures and a dressing was applied and then covered with adhesive plastic. The patient was then prepped and draped for the fracture and turned on her right side. We all rescrubbed. An 8 inch incision was made over the left hip and the head of the femur was exposed. Multiple fragments from the neck and the greater tuberosity were removed. The decision was made to replace the femoral head. The femur was removed from the acetabulum and the femoral head was removed. The femoral canal was reamed and a prosthesis was placed. It was then replaced in the acetabulum with a good fit, and the capsule was closed. The wound was closed. The patient was sent to recovery in good condition. a. 27125-LT, 11010-59-LT b. 27236-LT, 11043-59-LT c. 27130-LT, 11010-59-LT d. 27244-LT, 11043-59-LT - ANSWER A 74 year-old male presented with ankle avascular necrosis of the talus with collapse of the body. After general anesthesia and sterile prep, the patient was placed prone. A lateral incision was made. The fibula was dissected and approximately 6 cm of the fibula was removed for the autograft. There were a lot of free fragments of bone around the subtalar joint and the talus itself. The bone fragments were removed and a large defect consistent with avascular necrosis of the body of the talus was noted. An egg-shaped burr was introduced and the articulating cartilage of the ankle joint was excised and debrided. The subtalar joint was approached and resection of the articulating surface of the subtalar joint was completed. Bone graft from the fibula was prepared on the back table. We made two large blocks to fill the defect in the talus and then additional small fragments of cortical cancellous bone to fill in smaller defects around the talus and ankle. Fixation was performed in the calcaneocuboid. The talar screw was inserted, followed by fixation of the talonavicular, tibiotalar and additional compression. The ankle screws were inserted proximally and the wound was irrigated and closed in layers. What CPT® codes are reported? a. 28730, 20900-51 b. 28725, 20924-51 c. 28705, 20902-51 d. 28715, 20910-51 - ANSWER What is the largest single mass of lymphatic tissue? a. Spleen b. Peyer's Patches c. Tonsils d. Thymus - ANSWER a. Spleen An 18 month-old patient is seen in the ED unable to breathe due to a toy he swallowed which had lodged in his throat. Soon brain death will occur if an airway is not established immediately. The ED provider performs an emergency transtracheal tracheostomy. What CPT® and ICD-10-CM codes are reported? a. 31601, 31603, T17.228A b. 31601, J34.9, T17.298A c. 31603, T17.220A d. 31603, T17.290A - ANSWER What ICD-10-CM codes are reported for postoperative pulmonary edema due to fluid overload from an infusion? a. T80.89XA, J81.1, Y63.0 b. J95.89, E87.70, Y63.1 c. J81.0, E87.70, Y63.1 d. T81.9XXA, J81.1, Y63.0 - ANSWER A 27 year-old girl has been on the lung transplant list for months and today she will be receiving a LT and RT lung from an individual involved in an MVA. This person was DOA at the hospital and is an organ donor. The donor pneumonectomy was performed by physician A, the backbench work by physician B and the transplant of both lungs into the prepped and waiting patient by physician C. What is the correct coding for the removal (physician A), preparation (physician B) and insertion (physician C) of the lungs? a. 32850, 32855, 32851 b. 32850, 32856, 32851 x 2 c. 32850, 32856, 32853 d. 32850, 32855 x 2, 32850-50 - ANSWER A 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. 32659 b. 32662 c. 32658 d. 32661 - ANSWER Patient presents to her physician 10 weeks following a true posterior wall myocardial infarction. The patient is still symptomatic and is diagnosed with ischemic heart disease. What is (are) the correct ICD-10-CM code(s) for this condition? a. I21.29 b. I22.8 c. I25.2 d. Z51.89, I25.9 - ANSWER Due to infections from hemodialysis, the physician replaces a dual chamber implantable defibrillator system with a multi-lead system with an epicardial lead and transvenous dual chamber lead defibrillator system. The original dual leads are extracted transvenously. The generator pocket is relocated. What CPT® codes are reported? a. 33244, 33220-51, 33264-51, 33223-59 b. 33243, 33202-51, 33263-51, 33223-59 c. 33241, 32330-51, 33263-51, 33223-59 d. 33244, 33202-51, 33264-51, 33223-59 - ANSWER A patient presents to the hospital for a cardiovascular SPECT study. A single study is performed under stress, but without quantification, with a wall motion study, and ejection fraction. Select the CPT® code(s) for this procedure. a. 78451, 78472 b. 78451 c. 78453 d. 78453, 78472 - ANSWER In the hospital setting a patient undergoes transcatheter placement of an extracranial vertebral artery stent in the right vertebral artery. Which CPT® code is reported by the physician providing only the radiologic supervision and interpretation? a. 0075T b. 0075T-26 c. 35301 d. 35005 - ANSWER A patient is brought to the operating suite when she experiences a large output of blood in her chest tubes post CABG. The physician performing the original CABG yesterday is concerned about the post-operative bleeding. He explores the chest and finds a leaking anastomosis site and he resutured. a. 35761-78 b. 35241 c. 35761 d. 35820-78 - ANSWER A patient is seen in the ED for nausea and vomiting that has persisted for 4 days. The ED physician treats the patient for dehydration which is documented in the patient's record as the final diagnosis. What ICD-10-CM code(s) is/are reported for this encounter? a. R11.2, E86.0 b. E86.0 c. R11.14 d. R11.10, R11.0, E86.0 - ANSWER What CPT® and ICD-10-CM codes represent the creation of an opening into the stomach to insert a temporary feeding tube for nutritional support in an adult patient with proximal esophageal carcinoma due to alcohol dependence? A gastric tube was not created. a. 43870, C15.8, F10.99 b. 43831, D49.0, F10.10 c. 43830, C15.3, F10.20 d. 43653, C15.9, F10.20 - ANSWER What is the correct ICD-10-CM coding for diverticulosis of the small intestine which has been present since birth? a. K57.90, Q43.8 b. Q43.8 c. K57.90 d. K57.10 - ANSWER A 57 year-old patient with chronic pancreatitis presents to the operating room for a pancreatic duct-jejunum anastomosis by the Puestow-type operation. What are the correct CPT® and ICD-10-CM codes for the encounter? a. 48548, K85.90 b. 48548, K86.1 c. 48520, K86.1 d. 48520, K85.80 - ANSWER Margaret has a cholecystoenterostomy with a Roux-en-Y. Five hours later, she has an enormous amount of pain, abdominal swelling and a spike in her temperature. She is returned to the OR for an exploratory laparotomy and subsequent removal of a sponge that remained behind from surgery earlier that day. The area had become inflamed and was demonstrating early signs of peritonitis. What is the correct coding for the subsequent services on this date of service? The same surgeon took her back to the OR as the one who performed the original operation. What CPT® code is reported? a. 49000-58 b. 49402-77 c. 49000-77 d. 49402-78 - ANSWER What is the correct CPT® code for a percutaneous pyelostolithotomy with dilation and basket extraction measuring 1 cm? a. 50080 b. 50130 c. 50040 d. 50081 - ANSWER A 63 year-old male presents for the insertion of an artificial inflatable urinary sphincter for urinary incontinence. A 4.5 cm cuff, 22 ml balloon, 61-70 mmHg artificial inflatable urinary sphincter was inserted. What CPT® code is reported for this service? a. 53446 b. 53448 c. 53447 d. 53445 - ANSWER A fracture of the corpus cavernosum penis is repaired. What is the correct code? a. 54440 b. 54420 c. 54430 d. 54435 - ANSWER Patient comes in today to the provider's office for routine monthly Foley catheter change. A two way Foley catheter is replaced in the usual sterile fashion. An abdominal urinary drainage bag and bedside bag are given to the patient. What is/are the correct code(s)? a. 51702, A4338, A4357, A4358 b. 51100 c. 51102 d. 51701, A4338, A4357, A4358 - ANSWER The patient is a pleasant 51 year-old male with morbid obesity, weighing approximately 560 pounds and BMI being 85.1. He has uncontrolled diabetes and was evaluated due to testicular pain. He was found to have erythema, edema and possible areas of eschar on the scrotum. He was transferred to the hospital, evaluated and found to be stable with cellulitis and suspect early Fournier's gangrene. What are the appropriate ICD-10-CM codes reported? a. N49.2, E11.9, E66.01, Z68.45 b. N50.1, E11.9, N49.2, E66.01, Z68.45 c. N50.1, N49.2, E66.01, Z68.52 d. E66.01, E11.9, N50.1, E66.01, Z68.52 - ANSWER A 40 year-old presents with vaginal bleeding for several weeks unrelated to her menstrual cycle. The gynecologist orders an ultrasound to obtain more information for a diagnosis. What diagnosis code is appropriate for this encounter? a. N92.1 b. N92.4 c. N92.6 d. N93.9 - ANSWER An ED physician treats a 30 year-old patient who was a victim of a rape. She has bruises and other trauma as well as a laceration of the vaginal wall, which is repaired with sutures (colporrhaphy) by the ED physician. What are the CPT® and ICD-10-CM codes reported for this procedure? a. 59300, S31.41XA, T74.21XA b. 57260, N89.8 c. 57200, S31.41XA, T74.21XA d. 57289, N89.8 - ANSWER What does the abbreviation IVF mean? a. In vitro fertilization b. Infundibulum via Fallopian tube c. Intravaginal foreign body d. Intravenous fluids - ANSWER a. In vitro fertilization A patient has ovarian cancer of both ovaries. She has removal of her ovaries with peritoneal washings and assessment of the abdomen for any metastases, including inspection of omentum, diaphragm and multiple biopsies. Lymph nodes in the pelvic and peri-aortic areas were also biopsied. She has previously had a hysterectomy. What are the CPT® and ICD-10-CM codes reported for this service? a. 58943, C56.1, C56.2 b. 58950, 49255, C79.61, C79.62 c. 58720, 38770, C56.1, C79.62 d. 58940, C56.1, C56.2 - ANSWER Mrs. Smith is visiting her mother and is 150 miles away from home. She is in the 26th week of pregnancy. In the late afternoon she suddenly feels a gush of fluids followed by strong uterine contractions. She is rushed to the hospital but the baby is born before they arrive. In the ED she and the baby are examined and the retained placenta is delivered. The baby is in the neonatal nursery doing okay. Mrs. Smith has a 2nd degree perineal laceration secondary to precipitous delivery which was repaired by the ED physician. She will return home for her postpartum care. What ICD-10-CM and CPT® codes are reported by the ED physician? a. 59409, 59414-51, 59300-51, O62.3, O70.1, Z3A.26, Z37.0 b. 59414, 59300-51, O73.0, O70.1, Z3A.26, Z37.0 c. 59414, 59300-51, O62.3, O70.9, Z3A.26, Z37.0 d. 59409, O80, Z3A.26, Z37.0 - ANSWER What does contralateral mean? a. Affecting or originating in the opposite side. b. Contractions occurring on opposite sides of the body. c. Pertaining to the same side of the body. d. Lateral contractions. - ANSWER b. Contractions occurring on opposite sides of the body. A patient with MEN1 (Multiple Endocrine Neoplasia 1) has surgery to remove three of her parathyroid glands and part of the fourth parathyroid gland. What CPT® and ICD-10-CM codes are reported? a. 60505, E31.22 b. 60505, E31.21 c. 60500, E31.21 d. 60502, E31.22 - ANSWER How is Streptococcal A Meningitis reported in ICD-10-CM? a. Only Streptococcal, group A, as the cause of diseases classified elsewhere is reported. b. Only one code is reported for streptococcal meningitis. c. Streptococcal, group A, as the cause of diseases classified elsewhere is reported first; Streptococcal meningitis is reported second. d. Streptococcal meningitis is reported first; Streptococcal, group A, as the cause of diseases classified elsewhere is reported second. - ANSWER d. Streptococcal meningitis is reported first; Streptococcal, group A, as the cause of diseases classified elsewhere is reported second. A 47 year-old female presents to the OR for a partial corpectomy to three thoracic vertebrae. One surgeon performs the transthoracic approach while another surgeon performs the three vertebral nerve root decompressions necessary. How should each provider involved code their portion of the surgery? a. 63087-52, 63088-52 x 2 b. 63087-80, 63088-80 x 2 c. 63085-62, 63086-62 x 2 d. 63085, 63086-82 x 2 - ANSWER A patient recently experienced muscle atrophy and noticed she did not have pain when she cut herself on a piece of glass. The provider decides to obtain a needle biopsy of the spinal cord under ultrasound guidance in the outpatient setting. The biopsy results come back as syringomyelia. What CPT® and ICD-10-CM codes are reported for the biopsy procedure? a. 62269, G12.9 b. 62270, 76942-26, G95.0 c. 62270, G12.9 d. 62269, 76942-26, G95.0 - ANSWER What does IOL stand for? a. Interdimensional ocular lengths b. Iridescence over lamina c. Intraocular lens d. Interoptic laser - ANSWER c. Intraocular lens Patient had an abscess in the external auditory canal which was incised and drained in the office. What CPT® code is reported? a. 69000 b. 69020 c. 69540 d. 69105 - ANSWER What CPT® code is reported for a tympanoplasty with mastoidotomy and with ossicular chain reconstruction in the right ear? a. 69636-RT b. 69632-RT c. 69644-RT d. 69646-RT - ANSWER A 70 year-old female has a drooping left eyelid obstructing her vision and has consented to having the blepharoptosis repaired. A skin marking pencil was used to outline the external proposed skin incision on the left upper eyelid. The lower edge of the incision was placed in the prominent eyelid crease. The skin was excised to the levator aponeurosis. An attenuated area of levator aponeurosis was dehisced from the lower strip. Three 6-0 silk sutures were then placed in mattress fashion, attaching this attenuated tissue superiorly to the intact tissue inferiorly. This provided moderate elevation of the eyelid. What CPT® code is reported? a. 67911-E1 b. 67901-E1 c. 67903-E1 d. 67904-E1 - ANSWER A 53 year-old woman with scarring of the right cornea has significant corneal thinning with a high risk of perforation and underwent reconstruction of the ocular surface. The eye is incised and an operating microscope is used with sponges and forceps to debride necrotic corneal epithelium. Preserved human amniotic membrane is first removed from the storage medium and transplanted by trimming the membrane to fit the thinning area of the cornea then sutured. This process was repeated three times until the area of thinning is flush with surrounding normal thickness cornea. All of the knots are buried and a bandage contact lens is placed with topical antibiotic steroid ointment. What CPT® code is reported? a. 65435 b. 65780 c. 65781 d. 65710 - ANSWER What are the three classifications of anesthesia? a. General, Regional and Moderate Sedation b. General, Regional and Epidural c. General, Regional and Monitored Anesthesia Care d. General, MAC and Conscious Sedation - ANSWER c. General, Regional and Monitored Anesthesia Care What time is used to report the start of anesthesia time? a. Surgery start time b. Entering the operating room c. When the anesthesiologist begins to prepare the patient for anesthesia d. During the pre-anesthesia assessment - ANSWER c. When the anesthesiologist begins to prepare the patient for anesthesia A 42 year-old patient was undergoing anesthesia in an ASC and began having complications prior to the administration of anesthesia. The surgeon immediately discontinued the planned surgery. If the insurance company requires a reported modifier, what modifier best describes the extenuating circumstances? a. 53 b. 23 c. 73 d. 74 - ANSWER What ICD-10-CM code is reported for a reaction to anesthesia, initial encounter? a. T88.59XA b. T88.2XXA c. T88.52XA d. T88.4XXA - ANSWER A 43 year-old patient with a severe systemic disease is having surgery to remove an integumentary mass from his neck. What CPT® code and modifier are reported for the anesthesia service? a. 00300-P2 b. 00300-P3 c. 00322-P3 d. 00350-P3 - ANSWER A non-Medicare patient reports for a bilateral screening mammography with CAD. What CPT® code(s) is/are reported? a. 77066 b. 77067 c. 77059 d. 77062 - ANSWER A 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of the neck and chest to evaluate for metastases. What CPT® code(s) is/are reported for the nuclear medicine exam? a. 78013 b. 78015, 78020 c. 78014 d. 78015 - ANSWER A patient needing scoliosis measurements is coming in to have standing anteroposterior and lateral views of his entire thoracic and lumbar spine. What CPT® code(s) is/are reported for radiology? a. 72084 b. 72082 c. 72083 d. 72040, 72070, 72100 - ANSWER The patient is a 63 year-old gentleman diagnosed with rectal cancer, who had a resection of the cancer performed. He now presents to have a Port-A-Cath (a central venous access device) inserted for postoperative adjuvant therapy. An 18-gauge introducer needle was inserted into the left subclavian vein through which a soft tipped guide wire was inserted into the superior vena cava under fluoroscopy. A subcutaneous pouch in the anterior part of the chest was created for the port. The catheter was then tunneled and measured to length. The dilator and introducer sheath were passed over the wire into the superior vena cava under fluoroscopic guidance. The catheter was passed through the sheath and the port was applied with good venous return. What CPT® codes are reported? a. 36571, 77001-26 b. 36560, 77002-26 c. 36561, 77001-26 d. 36563, 77003-26 - ANSWER A CT study of the lumbar spine (L2-L4) was performed with IV contrast in the hospital outpatient radiology department and the interpretation of the images is performed by the radiologist. What CPT® code(s) should be reported by the radiologist who is not an employee of the hospital? a. 72132 b. 72132-26 c. 72132-26, 72132-TC d. 72132-TC - ANSWER What modifier must always be applied to Medicare claims for tests performed in a site with a CLIA Waived certificate? a. 91 b. 26 c. 90 d. QW - ANSWER If the findings on examination of a Pap smear are normal and described as "negative for intraepithelial lesion or malignancy" this is an example of what type of results reporting? a. Surgical pathology b. Cytogenetics c. Bethesda d. Non-Bethesda - ANSWER A patient has a traumatic head injury and some cerebrospinal fluid (CSF) is removed to limit potential damage from swelling of the brain. The CSF is sent to pathology for examination and the results show unusual cytological counts, although no specific findings. The patient has had no previous symptoms known to his family members. What is the ICD-10-CM code for this examination of CSF? a. A39.0 b. Z00.01 c. S06.1X0A d. R83.6 - ANSWER A urine pregnancy test is performed by the office staff using the Hybritech ICON (qualitative visual color comparison test). What CPT® code is reported? a. 84702 b. 81025 c. 81025, 36415 d. 84703 - ANSWER A left breast biopsy is performed on a mass and the surgeon requests a frozen section examination of the specimen to determine whether more extensive resection is appropriate. The frozen section reveals no indications of malignancy. No other specimen is obtained but the remainder of the biopsy specimen is sent for further testing and examination, including decalcification. The results indicate breast fibrosclerosis only. What CPT® and ICD-10-CM codes are reported? a. 88331, 88313, N63.20 b. 88305, 88331, 88311, N60.32 c. 88307, 88305, 88331, 88313, N60.32 d. 88307, 88331, R92.0 - ANSWER A patient is seen by Dr. B who is covering on call services for Dr. A. The patient is an established patient with Dr. A. but she has not been seen by Dr. B. before. Which E/M subcategory is appropriate to report the services provided by Dr. B? a. Established patient office visit b. Preventive medicine visit c. Office consultation d. New patient office visit - ANSWER A patient is diagnosed as having both acute and chronic tonsillitis. How is this reported in ICD-10-CM? a. The chronic tonsillitis is reported first; the acute tonsillitis is reported second. b. The acute tonsillitis is reported first; the chronic tonsillitis is reported second. c. Only the chronic tonsillitis is reported. d. Only the acute tonsillitis is reported. - ANSWER A provider visits Mr. Smith's home monthly. Today, the provider performs a problem focused history, an expanded problem focused examination and a medical decision making of low complexity. What CPT® code is reported? a. Home visits are no longer reportable. b. 99348 c. 99349 d. 99347 - ANSWER An infant is born six weeks premature in rural Arizona and the pediatrician in attendance intubates the child and administers surfactant in the ET tube while waiting in the ER for the air ambulance. During the 45-minute wait, he continues to bag the critically ill patient on 100 percent oxygen while monitoring VS, ECG, pulse oximetry and temperature. The infant is in a warming unit and an umbilical vein line was placed for fluids and in case of emergent need for medications. How is this coded? a. 99471-25, 94610, 36510 b. 99291 c. 99471 d. 99291-25, 31500, 36510, 94610 - ANSWER 65 year-old was admitted in the hospital two days ago and is being examined today by his primary care physician, who has been seeing him since he has been admitted. Primary care physician is checking for any improvements or if the condition is worsening. CHIEF COMPLAINT: CHF INTERVAL HISTORY: CHF symptoms worsened since yesterday. Now has some resting dyspnea. HTN remains poorly controlled with systolic pressure running in the 160s. Also, I'm concerned about his CKD, which has worsened, most likely due to cardio-renal syndrome. REVIEW OF SYSTEMS: Positive for orthopnea and one episode of PND. Negative for flank pain, obstructive symptoms or documented exposure to nephrotoxins. PHYSICAL EXAMINATION: GENERAL: Mild respiratory distress at rest VITAL SIGNS: BP 168/84, HR 58, temperature 98.1. LUNGS: Worsening bibasilar crackles CARDIOVASCULAR: RRR, no MRGs. EXTREMITIES: Show worsening lower extremity edema. LABS: BUN 56, creatinine 2.1, K 5.2, HGB 12. IMPRESSION: 1. Severe exacerbation of CHF 2. Poorly controlled HTN 3. Worsening ARF due to cardio-renal syndrome PLAN: 1. Increase BUMEX to 2 mg IV Q6. 2. Give 500 mg IV DIURIL times one. 3. Re-check usual labs in a.m. What E/M Category is used for this visit? [Show More]

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