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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Medicine | 5-10% | - Specialty Coding |
| Topic 2: Anatomy & Physiology | 10-15% | - Body Systems - Medical Terminology |
| Topic 3: E/M (Evaluation and Management) | 10-15% | - Office/Outpatient Visits - Emergency Department |
| Topic 4: Surgery Coding | 40-50% | - Digestive System - Cardiovascular System - Respiratory System - Genitourinary System - Nervous System - Integumentary System - Musculoskeletal System |
| Topic 5: ICD-10-CM (Diagnosis Coding) | 10-15% | - Conventions and Guidelines - Code Selection |
| Topic 6: Radiology | 5-10% | - Diagnostic Imaging |
| Topic 7: Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
| Topic 8: HCPCS Level II | 5-10% | - Modifiers - Supplies and Equipment |
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NEW QUESTION # 336
A 4-year-old, critically ill child is admitted to the PICU from the ED with respiratory failure due to an exacerbation of asthma not manageable in the ER. The PICU provider takes over the care of the patient and starts continuous bronchodilator therapy and pharmacologic support with cardiovascular monitoring and possible mechanical ventilation support.
What is the E/M code for this encounter?
Answer: C
Explanation:
The code 99471 is used for initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill infant or young child. Given the scenario where a 4-year-old critically ill child is admitted to the PICU and requires intensive care management, this code is appropriate as it reflects the critical care provided beyond the emergency department services. Reference: CPT Professional Edition (current year), AMA.
NEW QUESTION # 337
A patient who has colon adenocarcinoma undergoes a laparoscopic partial colectomy. The surgeon removes the proximal colon and terminal ileum and reconnects the cut ends of the distal ileum and remaining colon.
What procedure and diagnosis codes are reported?
Answer: A
Explanation:
The procedure involves a laparoscopic partial colectomy where the surgeon removes the proximal colon and terminal ileum, then reconnects the cut ends of the distal ileum and remaining colon.
Procedure Description:
Laparoscopic partial colectomy.
Removal of the proximal colon and terminal ileum.
Anastomosis of the distal ileum and remaining colon.
CPT Coding:
44204: Laparoscopy, surgical; colectomy, partial, with anastomosis.
ICD-10-CM Coding:
C18.2: Malignant neoplasm of ascending colon.
AMA's CPT Professional Edition (current year).
ICD-10-CM for corresponding diagnosis codes.
NEW QUESTION # 338
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: D
NEW QUESTION # 339
A 5-year-old patient has a fractured radius. The orthopedist provides moderate sedation and the reduction. The time is documented as 21 minutes.
What CPT code is reported for the moderate sedation?
Answer: C
Explanation:
99152 - Moderate sedation, same physician, patient under 5 years, initial 15 minutes Time documented: 21 minutes First 15 minutes = 99152 Additional 15 minutes (99153) not reported separately in CPT exam context Why others are incorrect:
99151 - Minimal sedation
99155 / 99156 - Different age/provider scenarios
NEW QUESTION # 340
Which is a TRUE statement for Place of Service (POS) codes for professional claims?
Answer: C
Explanation:
Place of Service (POS) codes are two-digit numeric codes used on professional claims to identify where a service was performed (e.g., office, inpatient hospital, outpatient hospital).
Reporting an incorrect POS can affect reimbursement and may result in claim denial # POS codes are not alphanumeric They describe many locations, not just ICU POS codes are maintained by CMS, not found in the ICD-10-CM code book
NEW QUESTION # 341
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