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NEW QUESTION # 135
A 46-year-old female is admitted to the hospital by her urologist for a left ureteral calculus. The urologist visits her again on day two and performs a low for number and complexity of problems addressed, minimal for amount and/or complexity of data to be reviewed and analyzed, and moderate for risk of complications.
What E/M service is reported for day two?
Answer: D
Explanation:
1. E/M Service Code Selection:
On day two, the urologist provided an evaluation and management (E/M) service for a hospitalized patient with a low level for the number and complexity of problems addressed, minimal complexity for data reviewed, and moderate risk of complications.
CPTCode 99232 is for a subsequent hospital care E/M service with a level of "Expanded Problem Focused" history and examination, with Medical Decision Making (MDM) of Moderate complexity. This matches the description provided, as the MDM includes a low number of problems, minimal data, and moderate risk.
2. Rationale for Excluding Other Options:
Code 99233 is for a subsequent hospital care visit with high complexity MDM (e.g., addressing a high number of problems or higher levels of data review), which does not align with the moderate risk described here.
Code 99221 is for initial hospital care, not a subsequent visit.
Code 99231 represents a lower level of subsequent hospital care with straightforward or low complexity MDM, which does not meet the moderate risk criteria in this scenario.
3. AAPC and CPTCoding Guidelines:
AAPC and CPTguidelines indicate 99232 as appropriate for subsequent hospital visits with moderate MDM, such as this visit with moderate risk but minimal data complexity.
Therefore, the correct answer is B. 99232.
NEW QUESTION # 136
(A provider orders a liquid chromatography mass spectrometry (LC-MS) definitive drug test for a patient suspected ofacetaminophen (analgesic) overdose. What CPT code is reported for the test?)
Answer: D
Explanation:
Acetaminophen is a specific drug with a dedicated quantitative laboratory code. Even if a lab method such asLC-MSis mentioned, CPC exam questions typically expect you to choose the CPT code that corresponds to theanalyte being measured, not to select a broad "definitive drug testing" category code when a specific drug assay code exists. CPT80143is the established code foracetaminophentesting (quantitative measurement).
Codes in the 803xx range are commonly associated with drug screening/testing categories that do not specifically represent acetaminophen as a named analyte in the way CPC questions test. Code80299is an unlisted therapeutic drug assay and is not appropriate when a specific code (80143) exists. Therefore, the correct answer is80143. CPC strategy: when the substance is explicitly named and has a recognized assay code, choose thespecific drug test coderather than an unlisted or generalized testing category. The method (LC-MS) supports "definitive" testing clinically, but the code selection here is driven by the named analyte.
NEW QUESTION # 137
Where is a Warthin's tumor found?
Answer: A
Explanation:
Warthin's tumor, also known as papillary cystadenoma lymphomatosum, is a benign tumor of the salivary glands, most commonly affecting the parotid gland. It typically presents as a painless, slow-growing mass near the angle of the jaw.
ICD-10-CM, medical dictionaries, and oncology textbooks
NEW QUESTION # 138
A patient that delivered her second child vaginally has a history of having a previous cesarean delivery for the first child.
What CPTcode is reported for the delivery of the second child with antepartum care and postpartum care with the same provider?
Answer: D
Explanation:
1. Procedure and CPTCode Selection:
The patient delivered her second child vaginally after having a previous cesarean delivery for her first child.
This scenario describes a Vaginal Birth After Cesarean (VBAC).
CPTCode 59610 is specific for a vaginal delivery after a previous cesarean delivery, including antepartum and postpartum care with the same provider, which matches this case exactly.
2. Rationale for Excluding Other Options:
Code 59410 covers only vaginal delivery with postpartum care but does not include a history of previous cesarean delivery, so it is not appropriate for a VBAC.
Code 59400 is for routine vaginal delivery with antepartum and postpartum care but, again, does not account for a previous cesarean, so it does not apply in this VBAC scenario.
Code 59614 is for a VBAC but does not include antepartum care, making it incomplete for this scenario since the question specifies that antepartum, delivery, and postpartum care were provided by the same provider.
3. AAPC and CPTCoding Guidelines:
AAPC and CPTguidelines indicate that 59610 should be used for a complete VBAC service that includes antepartum, delivery, and postpartum care by the same provider.
Therefore, based on CPTguidelines, the correct answer is B. 59610.
NEW QUESTION # 139
(An orthopedic surgeon evaluated a patient in the emergency room two months after a surgical repair of a right radius and ulnar shaft fracture. After reinjury, imaging shows a displaced proximal fixation screw andmalunion of only the radial shaft. The same surgeon performs surgery to repair the malunion using a graft from the hip. What CPT and diagnosis codes are reported?)
Answer: D
Explanation:
This is areturn to the operating room during the postoperative period(two months after the original fracture repair) by thesame surgeon, and the new surgery is related to the original condition/hardware, so a postoperative modifier is needed. The scenario describes a complication-related problem (hardware displacement with malunion) requiring operative correction, which aligns withmodifier -78(unplanned return to the OR for a related procedure during the postoperative period). Diagnosis coding includes a complication of internal orthopedic device:T84.122Acorresponds todisplacement of internal fixation device of bones of forearm(initial encounter for the complication). The fracture condition being treated is amalunionof the right radius shaft; malunion is captured with the fracture code and the 7th characterPfor subsequent encounter for fracture with malunion:S52.301P. Among options,25405-78is the correct procedural selection provided for repair of malunion in this context (as tested by the item), paired withT84.122AandS52.301P. Therefore, optionBis correct.
NEW QUESTION # 140
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