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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Surgery Coding | 40-50% | - Integumentary System - Nervous System - Musculoskeletal System - Respiratory System - Genitourinary System - Cardiovascular System - Digestive System |
| Topic 2: ICD-10-CM (Diagnosis Coding) | 10-15% | - Conventions and Guidelines - Code Selection |
| Topic 3: E/M (Evaluation and Management) | 10-15% | - Office/Outpatient Visits - Emergency Department |
| Topic 4: Medicine | 5-10% | - Specialty Coding |
| Topic 5: Radiology | 5-10% | - Diagnostic Imaging |
| Topic 6: HCPCS Level II | 5-10% | - Supplies and Equipment - Modifiers |
| Topic 7: Anatomy & Physiology | 10-15% | - Body Systems - Medical Terminology |
| Topic 8: Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
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NEW QUESTION # 225
A patient with end-stage renal disease (ESRD) receives hemodialysis 3x weekly in the office for one month.
The nephrologist performs a comprehensive exam and supervises dialysis.
What CPT and ICD-10-CM codes are reported?
Answer: B
Explanation:
90960 = ESRD services, 4 or more visits/month
N18.6 = End-stage renal disease
Z99.2 = Dependence on renal dialysis
NEW QUESTION # 226
A patient with three thyroid nodules is seen for an FNA biopsy. Using ultrasonic guidance, the provider inserts a 25-gauge needle into each nodule. Nodular tissue is aspirated and sent to pathology.
What CPT coding reported?
Answer: C
Explanation:
The CPT code 10005 is for fine needle aspiration biopsy, including ultrasound guidance, for the first lesion. CPT code 10006 is for each additional lesion with ultrasound guidance. Since the provider aspirated tissue from three nodules, the coding should be 10005 for the first nodule and 10006 x 2 for the additional two nodules.
AMA's CPT Professional Edition (current year)
NEW QUESTION # 227
A 55-year-old patient with suspected liver cancer was seen by the physician to obtain a biopsy. The special biopsy needle was placed using ultrasonic guidance. The physician obtained a small tissue sample from the liver, which was then sent to pathology.
What CPTcodes are reported?
Answer: C
Explanation:
* Procedure: The physician performed a liver biopsy using ultrasonic guidance.
* CPTCodes:
* 47000: This code is for the liver biopsy.
* 76942-26: This code is for ultrasonic guidance for needle placement, with modifier -26 indicating the professional component.
* Code Selection Justification: The CPTcode 47000 specifically captures the liver biopsy, and 76942-
26 accurately represents the ultrasonic guidance utilized during the procedure.
References:
* AMA CPTProfessional Edition (current year)
* ICD-10-CM (current year)
* HCPCS Level II (current year)
NEW QUESTION # 228
A 42-year-old with chronic left trochanteric bursitis is scheduled to receive an injection at the Pain Clinic. A 22-gauge spinal needle is introduced into the trochanteric bursa under ultrasonic guidance, and a total volume of 8 cc of normal saline and 40 mg of Kenalog was injected.
What CPT code should be reported for the surgical procedure?
Answer: B
Explanation:
The injection into the trochanteric bursa under ultrasonic guidance is coded with CPT 20611, which describes an injection of a major joint or bursa with ultrasound guidance. The modifier -LT indicates the procedure was performed on the left side.
Reference:
AMA's CPT Professional Edition (current year), Code 20611
NEW QUESTION # 229
A 5-year-old who has an allergy history experienced a possible reaction to peanuts. A quantitative, high-sensitive fluorescent enzyme immunoassay was used to measure specific IgE for recombinant peanut components. Results showed there was no reaction indicating the child has a peanut allergy.
What lab test is reported?
Answer: A
Explanation:
For the quantitative, high-sensitive fluorescent enzyme immunoassay used to measure specific IgE for recombinant peanut components, the correct lab test code is 86003. This code is specific to quantitative allergen-specific IgE testing.
References:
* AMA's CPT Professional Edition (current year)
NEW QUESTION # 230
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