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| Section | Weight | Objectives |
|---|---|---|
| HCPCS Level II Coding | 5-7% | |
| Compliance & Regulations | 8-10% | - Reimbursement rules - HIPAA, fraud & abuse |
| Medical Terminology & Anatomy | 8-10% | |
| ICD-10-CM Coding | 15-17% | - Diagnosis coding guidelines - Code selection & sequencing |
| CPT® Coding | 45-50% | - Surgery (10000–69999) - Evaluation & Management (E/M) - Radiology, Pathology/Laboratory, Medicine |
| Modifiers | 5-7% | |
| Reimbursement & Revenue Cycle | 5-7% |
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NEW QUESTION # 355
A 25-year-old woman underwent percutaneous breast biopsy on the right breast with placement of a Gelmark clip. The procedure was performed using stereotactic imaging.
What CPT codes will be reported?
Answer: B
Explanation:
CPT code 19081 is used for percutaneous biopsy of breast(s) using stereotactic guidance, which includes the placement of a localization device and imaging of the biopsy specimen when performed. This accurately describes the procedure performed on the right breast with the placement of a Gelmark clip using stereotactic imaging. The other codes either describe open biopsies or separate procedures that are not applicable here.
AMA's CPT Professional Edition (current year)
NEW QUESTION # 356
The small intestine is divided into three parts. Which one of the following is NOT part of the small intestine?
Answer: B
Explanation:
The correct answer is C. Cecum. The small intestine consists of three primary sections:
* Duodenum
* Jejunum
* Ileum
These parts collectively form the small intestine, responsible for digestion and absorption of nutrients. The duodenum is the first part, where food is mixed with bile and pancreatic enzymes to aid digestion. The jejunum follows, which is primarily involved in nutrient absorption, and the ileum is the final part of the small intestine, responsible for absorbing bile acids and vitamin B12.
The cecum, however, is not part of the small intestine; it is the first part of the large intestine, specifically the beginning of the colon. It is situated at the junction between the small and large intestines.
Thus, C. Cecum is the correct answer, as it is a structure of the large intestine, not the small intestine.
Reference topics: Anatomy of the Digestive System; Small and Large Intestines
NEW QUESTION # 357
What does the prefix "sub-" signify in medical terminology?
Answer: A
Explanation:
The prefix "sub-" means below or under.
Common examples include subcutaneous (below the skin) and sublingual (under the tongue).
This is a core concept tested under medical terminology on the CPC exam.
NEW QUESTION # 358
A flexible sigmoidoscopy is performed with ablation of two sigmoid colon polyps.
What CPT and ICD-10-CM codes are reported?
Answer: D
Explanation:
45346 = Sigmoidoscopy with ablation (reported once)
K63.5 = Polyp of colon
NEW QUESTION # 359
The outermost protective layer of skin is called the:
Answer: D
NEW QUESTION # 360
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