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| Section | Weight | Objectives |
|---|---|---|
| Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
| E/M (Evaluation and Management) | 10-15% | - Office/Outpatient Visits - Emergency Department |
| Medicine | 5-10% | - Specialty Coding |
| Surgery Coding | 40-50% | - Cardiovascular System - Respiratory System - Digestive System - Genitourinary System - Integumentary System - Musculoskeletal System - Nervous System |
| HCPCS Level II | 5-10% | - Supplies and Equipment - Modifiers |
| ICD-10-CM (Diagnosis Coding) | 10-15% | - Conventions and Guidelines - Code Selection |
| Anatomy & Physiology | 10-15% | - Body Systems - Medical Terminology |
| Radiology | 5-10% | - Diagnostic Imaging |
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NEW QUESTION # 325
A woman at 36-weeks gestation goes into labor with twins. Fetus 1 is an oblique position, and the decision is made to perform a cesarean section to deliver the twins. The obstetrician who delivered the twins, provided the antepartum care, and will provide the postpartum care.
What CPT coding is reported for the twin delivery?
Answer: D
NEW QUESTION # 326
(A 58-year-old patient undergoes diagnostic facet joint injections. The physician performsbilateral paravertebral facet joint injectionsat theT2-T3, T3-T4, and T4-T5levels, usingfluoroscopic guidanceat each site. What CPT coding is reported for this encounter?)
Answer: B
Explanation:
Facet joint injections (medial branch blocks/intra-articular depending on code family) are coded byspinal regionandnumber of levels. Thoracic facet injections use64490for thefirst level,64491for thesecond level, and64492for thethird and each additional level(within the thoracic region). This case includesthree thoracic levels: T2-T3 (1st), T3-T4 (2nd), and T4-T5 (3rd). Because the injections arebilateral, you applymodifier -50 to each of the level codes per the answer set's style. Fluoroscopic guidance isbuilt intothese injection codes under current CPT rules, so you donotseparately report a fluoroscopy code (such as 76000). Options B and C are forlumbar/sacralfacet injection families, not thoracic. Option A incorrectly doubles units rather than using the correct third-level add-on coding structure. Therefore,64490-50, 64491-50, 64492-50is correct.
NEW QUESTION # 327
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: C
Explanation:
Esotropia of the right eye: Indicates strabismus surgery is required.
Resection of medial rectus horizontal and lateral rectus muscles: Specific muscles addressed during the surgery.
Adjustable sutures: Used in securing the muscles, indicating specific techniques.
Extensive scar tissue from previous surgery: Requires additional work and isolation.
CPT codes 67314 and 67334 are used to report the resection of two muscles with adjustable sutures (67314) and surgery on an extraocular muscle involving extensive scar tissue (67334).
NEW QUESTION # 328
Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1
Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.
Operation performed: Excision of right thigh benign congenital>1
nevus, excision size with margins 4.5 cm and closure size 5 cm.
Anesthesia: General.0
Intraoperative antibiotics: Ancef.0
Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.
Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.
This was passed to pathology for review. The wound required □ limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.
The patient was then cleaned and turned over to anesthesia for S extubation.
She was extubated successfully in the operating room and taken S to the recovery room in stable condition. There were no complications.
What CPT coding is reported?
Answer: B
Explanation:
The lesion is a benign congenital hairy nevus → benign lesion excision codes (11400-11446) Location: thigh (trunk/arms/legs) Excision size with margins = 4.5 cm → 11406 (4.1-5.0 cm) Closure length = 5 cm, layered closure with limited undermining → intermediate repair
12032 = Intermediate repair, trunk/extremities, 2.6-7.5 cm
Modifier -51 applies to the secondary procedure
NEW QUESTION # 329
A 26-year-old male presents with a deep laceration from a kitchen knife to his right hand. The surgeon washes the open wound with sterile saline. Clamps are applied. The provider cleans the vessel and prepares the edges of thee wound. She then repairs the bleeding vessel with sutures. The clamps are removed and the provider uses a Doppler probe to check the blood flow pattern through the repaired vessel.
What CPTcode is reported?
Answer: C
Explanation:
1. Procedure and CPTCode Selection:
The scenario describes the repair of a bleeding vessel in the patient's right hand. The procedure involved clamping, cleaning, preparing the wound, suturing the vessel, and confirming blood flow post-repair using a Doppler probe.
Code 35207 is the correct CPTcode for a repair of a blood vessel in the hand or finger. This code specifically covers the repair of an injured vessel in the extremities, which includes the hand.
Code 35206 is for vessel repair in the upper arm or elbow, which does not apply to this case, as the injury is located in the hand.
Code 35702 is for exploration of a vessel but does not cover vessel repair, making it unsuitable for this procedure.
Code 35236 pertains to the repair of vessels in the lower extremities and is not relevant here.
2. Modifier:
Modifier RT is used to indicate that the procedure was performed on the right side of the body.
3. AAPC and CPTCoding Guidelines:
AAPC guidelines specify the use of codes in the 35201-35286 series for direct repair of blood vessels in specific anatomical areas. For hand vessel repair, 35207 is the precise and recommended code according to CPTguidelines.
Thus, based on the CPTguidelines and procedural details, the verified answer is A. 35207-RT.
NEW QUESTION # 330
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