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| Section | Objectives |
|---|---|
| CPT Coding | - Surgical, diagnostic, and procedural coding - CPT guidelines and conventions |
| HCPCS Level II Coding | - Durable medical equipment and supplies - Medicare coding procedures |
| Medical Terminology and Anatomy | - Medical terminology structure - Human anatomy basics |
| ICD-10-CM Diagnosis Coding | - ICD-10-CM guidelines - Diagnosis code selection and sequencing |
| Compliance and Regulatory Guidelines | - HIPAA and medical ethics - Fraud and abuse regulations |
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問題 #31
Which punctuation is used in the ICD-10-CM Tabular List to denote synonyms, alternative wording, or explanatory phrases?
答案：D
解題說明：
In the ICD-10-CM Tabular List, square brackets [ ] (Brackets) are used to enclose synonyms, alternative wording, or explanatory phrases. This is a punctuation convention taught for ICD-10-CM and is tested on CPC.
To avoid confusion with other punctuation:
Parentheses ( ) indicate nonessential modifiers (supplementary words that may be present or absent without affecting the code selection).
A semicolon ( ; ) is used in the Tabular List to show that additional modifying words (that follow the semicolon) are required to complete the diagnostic statement.
Colons ( : ) are used after an incomplete term that needs one or more modifying terms to make it assignable.
問題 #32
A 78-year-old patient experiencing intermittent asthma with exacerbation is in her pulmonologist's office for a pulmonary function test. The pulmonologist tests for spirometry, vital capacity, breathing capacity, and flow volume capturing the measurements before and after administering a bronchodilator.
What CPTand ICD-10-CM codes are reported?
答案：A
解題說明：
1. Procedure and CPTCode Selection:
The patient underwent a pulmonary function test that included spirometry, vital capacity, breathing capacity, and flow volume measurements before and after bronchodilator administration.
CPTCode 94060 is for spirometry, including the bronchodilator responsiveness testing, which involves capturing pre- and post-bronchodilator measurements. This code accurately reflects the testing performed.
CPTCode 94010 is for spirometry testing without bronchodilator, which might be considered redundant in this case since 94060 encompasses spirometry testing with and without bronchodilator. However, some practices may code both, but generally, 94060 alone should suffice.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code J45.901 is used for unspecified asthma with acute exacerbation. This code is appropriate given that the diagnosis indicates intermittent asthma with exacerbation.
J45.21 represents mild intermittent asthma without the specification of exacerbation, making it less accurate than J45.901 in this context.
3. Rationale for Excluding Other Options:
Code 94070 (options B and C) is for bronchospasm provocation testing, which does not apply to standard pulmonary function testing with bronchodilator responsiveness.
Option D includes J45.21, which does not capture the exacerbation aspect and is therefore incorrect.
4. AAPC and CPTCoding Guidelines:
According to AAPC guidelines, 94060 should be used when pre- and post-bronchodilator spirometry is performed, and J45.901 is appropriate for asthma with exacerbation.
Therefore, the correct answer is A. 94060, 94010, J45.901.
問題 #33
The documentation states:
He was then sterilely prepped and draped along the flank and abdomen in the usual sterile fashion. I first made a skin incision off the tip of the twelfth rib, extending medially along the banger's lines of the skin. This was approximately 3.5 cm in length. Once this incision was carried sharply, electrocautery was used to gain access through the external oblique, internal oblique, and transverse abdominis musculature and fascia.
What surgical approach was used for this procedure?
答案：D
解題說明：
The documentation describes making a skin incision off the tip of the twelfth rib and extending medially along the banger's lines of the skin. The use of electrocautery to gain access through multiple layers of musculature and fascia indicates an open surgical approach. Open surgery involves making a large incision to expose and directly view the surgical site. This is distinct from percutaneous (which involves needles or catheters), laparoscopic (which uses small incisions and a camera), and other minimally invasive techniques.
AMA's CPT Professional Edition, ICD-10-CM, and HCPCS Level II (current year)
問題 #34
The knee joint consists of which three compartments?
答案：A
解題說明：
The knee joint consists of three primary compartments:
1. Medial compartment: The inside part of the knee, which includes the femur and tibia interaction on the inner side.
2. Lateral compartment: The outside part of the knee, where the femur and tibia meet on the outer side.
3. Patellofemoral compartment: The area between the patella (kneecap) and the femur.
These three compartments are essential for knee joint stability and function, allowing movement and weight- bearing activities.
B: Trochlea groove and vestibular are not associated with knee anatomy.
C: Posterior malleolus, scapula, and fibular facet do not relate to knee compartments; the malleolus is in the ankle, scapula in the shoulder, and fibular facet is not part of the primary knee compartments.
D: Cochlea is unrelated to knee anatomy and refers to a part of the inner ear.
Thus, the correct answer is A. Medial, lateral, and patellofemoral.
問題 #35
A 47-year-old female presents to the operating room for a partial corpectomy on one upper thoracic vertebral body, T3. Two surgeons are performing the surgery. One surgeon performs the transthoracic approach and excises the damaged portion of the vertebral body. The second surgeon inserts a bone graft into the vertebral gap, closing the gap, and inserts a metal plate. Both surgeons work together, each as a primary surgeon.
How does each surgeon report their portion of the surgery?
答案：C
問題 #36
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