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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: CPT® Coding | 45-50% | - Radiology, Pathology/Laboratory, Medicine - Surgery (10000–69999) - Evaluation & Management (E/M) |
| Topic 2: HCPCS Level II Coding | 5-7% | |
| Topic 3: Modifiers | 5-7% | |
| Topic 4: Reimbursement & Revenue Cycle | 5-7% | |
| Topic 5: Medical Terminology & Anatomy | 8-10% | |
| Topic 6: Compliance & Regulations | 8-10% | - Reimbursement rules - HIPAA, fraud & abuse |
| Topic 7: ICD-10-CM Coding | 15-17% | - Diagnosis coding guidelines - Code selection & sequencing |
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NEW QUESTION # 81
A patient undergoes right thyroid lobectomy for malignancy and removal of a suspicious parathyroid gland.
What CPT codes are reported?
Answer: A
Explanation:
60220 = Total lobectomy, unilateral thyroid
60500 = Parathyroidectomy (single gland)
Modifier -59 is appropriate to indicate a distinct procedure
NEW QUESTION # 82
A suppression study includes five glucose tests and five growth hormone tests.
What CPT coding is reported?
Answer: A
Explanation:
80430 = Growth hormone suppression panel
Individual tests are reported with units
MEDICINE & CARDIOLOGY
NEW QUESTION # 83
A patient presents to the ER from a nursing home after the patient was found to have foul smelling, large sacral pressure ulcer during daily nursing rounds. The ER provider swabbed the wound for culture (which measured at 7cm in largest diameter); then cleaned the site before painting with povidone around the entire sacrum to reduce cutaneous bacterial load. The provider made an elliptical excision with 3mm margins around the outer edge of the ulcer and removed the lesion in its entirety.
Further examination revealed deep tissue damage, prompting muscle and
segmental bone removal. The wound was then closed using a layered skin flap closure.
What CPTcoding and ICD-10-CM coding is reported?
Answer: A
Explanation:
In this scenario, the procedure involved the excision of a large sacral pressure ulcer with deep tissue damage that required muscle and bone removal and was followed by a layered flap closure. The coding reflects both the extent of the ulcer and the procedure performed:
1. CPTCode 15937: This code describes excision of a pressure ulcer with muscle and bone removal followed by flap closure, which matches the detailed procedure performed on the sacral ulcer.
2. ICD-10-CM Code L89.156: This code is used for a stage 4 sacral pressure ulcer, indicating the presence of deep tissue damage down to muscle and possibly bone, which aligns with the clinical findings.
Explanation of other options:
A: 15933, L89.153 and B. 15931, L89.153: These codes do not adequately describe the excision with muscle and bone removal nor the stage 4 severity of the ulcer.
C: 15935, L89.156: Although L89.156 is correct for a stage 4 ulcer, 15935 does not account for both muscle and bone excision with flap closure.
Therefore, the correct answer is D. 15937, L89.156, accurately capturing the procedure performed and the severity of the ulcer.
NEW QUESTION # 84
A cardiologist uses the hospital's equipment for a cardiac stress test as he doesn't own equipment for the test.
He supervises the test and provides the interpretation and report of the test.
What CPT codes are reported?
Answer: D
Explanation:
* Procedure: Cardiac stress test performed using hospital's equipment with the cardiologist providing supervision, interpretation, and report.
* CPT Codes:
* 93016: This code is for supervision only without provision of the equipment.
* 93018: This code is for interpretation and report only.
* Code Selection Justification: Since the cardiologist does not own the equipment, codes 93016 and
93018 correctly represent the supervision, interpretation, and report of the test.
References:
* AMA CPT Professional Edition (current year)
NEW QUESTION # 85
Which statement regarding lesion excision is TRUE?
Answer: B
NEW QUESTION # 86
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