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NEW QUESTION # 316
A catheter is placed from the femoral artery into the right common carotid, with imaging of the ipsilateral extracranial carotid and bilateral external carotids.
Which CPT codes are reported?
Answer: D
Explanation:
36223 = Selective catheterization of common carotid with imaging
36227 ×2 = Bilateral external carotid angiography
NEW QUESTION # 317
(A patient with abnormal growth had asuppression studythat includedfive glucose testsandfive human growth hormone tests. What CPT coding is reported?)
Answer: B
Explanation:
A suppression study is adynamic endocrine testinvolving serial measurements over time. CPT80430represents thesuppression function testitself (the study framework), while the individual lab analytes measured during the test are reported with their specific assay codes based on the test protocol. The scenario includesfive glucose testsandfive human growth hormone (HGH) testsperformed as part of the study. Glucose testing is reported with82947per test, and growth hormone testing is reported with83003per test. Because the stem specifiesfive of each, correct reporting includes80430plus82947 × 5and83003 × 5. Options that report only one unit of 82947/83003 (or reduce the number of tests) fail to reflect the documented serial testing frequency. CPC exam tip: when a dynamic study is described, do not stop at the function test code-also capture theserial analyte measurementswhen the question explicitly provides the number of lab draws/tests.
Therefore, the correct coding is80430, 82947 × 5, 83003 × 5.
NEW QUESTION # 318
Which statement is FALSE in reporting a personal history ICD-10-CM code?
Answer: B
Explanation:
Personal history codes are not appropriate for every encounter. They are reported only when relevant to the reason for the visit. Therefore, option A is false.
NEW QUESTION # 319
Patient has esotropia of the right eye and presents to operating suite for strabismus surgery. The physician resects the medial rectus horizontal and lateral rectus muscles of the eye and secures them with adjustable sutures. Extensive scar tissue is noted, due to a previous surgery involving an extraocular muscle. Extraocular muscle is isolated, and the muscle is freed from surrounding scar tissues.
What CPT codes are reported for this surgery?
Answer: B
NEW QUESTION # 320
A patient with coronary artery disease due to lipid-rich plaque undergoes coronary artery bypass grafting. The surgeon performs a left internal mammary artery graft to the left anterior descending artery. Then performs saphenous vein grafts to the obtuse marginal artery, ramus intermedius, and posterior descending artery. An endoscopic saphenous vein harvest is performed.
What CPT coding is reported for the surgical procedure?
Answer: C
Explanation:
Procedure Coding (CPT):
33533 - CABG, arterial graft; single arterial graft (LIMA to LAD)
Correct for left internal mammary artery # LAD
33519 - CABG, venous grafts; three coronary venous grafts
Saphenous vein grafts placed to:
Obtuse marginal
Ramus intermedius
Posterior descending artery
Total = 3 venous grafts
33508 - Endoscopic harvest of saphenous vein
Separately reportable only when endoscopic
Add-on code (no modifier required)
Why Other Options Are Incorrect:
A / C - Incorrect arterial graft code (33536 = multiple arterial grafts) B - Incorrect venous graft count (33512 = two grafts) CPT Guideline Reference:
CABG codes are selected based on:
Type of conduit (arterial vs venous)
Number of distal anastomoses
Endoscopic harvest is add-on and separately reportable
NEW QUESTION # 321
......
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