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| Section | Objectives |
|---|---|
| Topic 1: HCPCS Level II Coding | - Durable medical equipment and supplies - Medicare coding procedures |
| Topic 2: ICD-10-CM Diagnosis Coding | - Diagnosis code selection and sequencing - ICD-10-CM guidelines |
| Topic 3: CPT Coding | - CPT guidelines and conventions - Surgical, diagnostic, and procedural coding |
| Topic 4: Medical Terminology and Anatomy | - Medical terminology structure - Human anatomy basics |
| Topic 5: Compliance and Regulatory Guidelines | - Fraud and abuse regulations - HIPAA and medical ethics |
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NEW QUESTION # 306
When a patient has ESRD, which system is affected?
Answer: D
Explanation:
End-Stage Renal Disease (ESRD) is a condition in which the kidneys fail to work effectively to remove waste products and excess fluids from the blood. This primarily affects the genitourinary system, which includes the kidneys, ureters, bladder, and urethra. Patients with ESRD often require dialysis or a kidney transplant.
ICD-10-CM (current year), Chapter 14: Diseases of the Genitourinary System (N00-N99).
NEW QUESTION # 307
Refer to the supplemental information when answering this question:
View MR 903096
What CPT and ICD-10-CM coding is reported?
Answer: B
Explanation:
CPT Code 62290: Discography, lumbar, single or multiple levels, radiological supervision and interpretation This code accurately describes the procedure performed. The documentation indicates a lumbar discography was performed at a single level (L3-4) with radiological supervision (C-arm visualization).
ICD-10-CM Code M54.50: Low back pain, unspecified
This code is the most appropriate diagnosis based on the documentation. The preoperative diagnosis states "Low back pain possible spinal stenosis L3-4." While spinal stenosis was considered, it was not confirmed. The postoperative diagnosis indicates no evidence of spinal stenosis or discogenic pathology. Therefore, the definitive diagnosis is low back pain.
Why other options are incorrect:
62292: This code is for a discography with injection of contrast and/or medication for therapeutic purposes. The documentation doesn't indicate any therapeutic injection was performed.
M48.061 and M48.07: These codes represent spinal stenosis, which was not confirmed in the postoperative diagnosis.
Reference:
CPT Code 62290: Discography, lumbar, single or multiple levels, radiological supervision and interpretation ICD-10-CM Code M54.50: Low back pain, unspecified AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
NEW QUESTION # 308
Patient has undergone open surgery for a left total knee arthroplasty. While in the recovery room, he continued to have severe postoperative pain. The surgeon ordered a femoral block for postoperative pain. The anesthesiologist evaluated the patient and performed a left femoral block, which provided significant post-operative pain relief.
What CPT coding is reported?
Answer: D
NEW QUESTION # 309
The CPT code book provides full descriptions of medical procedures, although some descriptions require the use of a semicolon (;) to distinguish among closely related procedures.
What is the full description of CPT code 69644?
Answer: C
Explanation:
CPT code 69644 refers to a tympanoplasty with mastoidectomy, which includes canalplasty, middle ear surgery, and tympanic membrane repair. The specific procedure described by this code is performed with an intact or reconstructed canal wall and includes ossicular chain reconstruction. The use of a semicolon in the CPT description helps distinguish between different variations of the procedure.
AMA's CPT Professional Edition, specific code descriptions and guidelines.
NEW QUESTION # 310
A pediatric patient with a congenital double inlet ventricle undergoes corrective cardiac surgery. The surgeon performs a modified Fontan procedure to redirect systemic venous blood flow directly to the pulmonary arteries as part of staged repair for a single-ventricle physiology.
What CPT and ICD-10-CM codes are reported?
Answer: C
Explanation:
The procedure documented is a modified Fontan procedure → 33615 (Fontan-type single-ventricle repair per the choices given).
The congenital diagnosis documented is double inlet ventricle → Q20.2.
Why the other options are incorrect based on the statements provided:
Q20.4 is not "double inlet ventricle" as stated in the question.
Adding Q20.1 is not supported by the documentation (the question only states double inlet ventricle).
Therefore, the best match is 33615, Q20.2 → A.
NEW QUESTION # 311
......
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