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| Section | Objectives |
|---|---|
| ICD-10-CM Diagnosis Coding | - Diagnosis code selection and sequencing - ICD-10-CM guidelines |
| Compliance and Regulatory Guidelines | - HIPAA and medical ethics - Fraud and abuse regulations |
| CPT Coding | - Surgical, diagnostic, and procedural coding - CPT guidelines and conventions |
| Medical Terminology and Anatomy | - Human anatomy basics - Medical terminology structure |
| HCPCS Level II Coding | - Medicare coding procedures - Durable medical equipment and supplies |
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NEW QUESTION # 212
A 30-year-old patient with a scalp defect is having plastic surgery to insert tissue expanders. The provider inserts the implants, closes the skin, and increases the volume of the expanders by injecting saline solution. Tissue is expanded until a satisfactory aesthetic outcome is obtained to repair the scalp defect.
What CPT code is reported?
Answer: B
NEW QUESTION # 213
A patient with a history of chronic venous embolism in the inferior vena cava has a radiographic study to visualize any abnormalities. In outpatient surgery the physician accesses the subclavian vein and the catheter is advanced to the inferior vena cava for injection and imaging. The supervision and interpretation of the images is performed by the physician.
What codes are reported for this procedure?
Answer: D
NEW QUESTION # 214
Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1
Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.
Operation performed: Excision of right thigh benign congenital>1
nevus, excision size with margins 4.5 cm and closure size 5 cm.
Anesthesia: General.0
Intraoperative antibiotics: Ancef.0
Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.
Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.
This was passed to pathology for review. The wound required # limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.
The patient was then cleaned and turned over to anesthesia for S extubation.
She was extubated successfully in the operating room and taken S to the recovery room in stable condition.
There were no complications.
Which CPT and ICD-10-CM codes are reported for this procedure?
Answer: B
Explanation:
65420 = Excision or transposition of pterygium without graft
LT = Left eye
H11.002 = Pterygium of left eye
NEW QUESTION # 215
The pulmonologist performs a bronchoscopy with fluoroscopic guidance. The scope is introduced into the right nostril and advanced to the vocal cords and into the trachea. The scope is advanced to the right upper lobe and a lung nodule is noted. An endobronchial biopsy is performed.
What CPT code is reported for the procedure?
Answer: B
Explanation:
The CPT code 31625 is used for bronchoscopy with a transbronchial lung biopsy. This includes the use of fluoroscopic guidance, as described in the scenario.
References:
* AMA's CPT Professional Edition (current year)
NEW QUESTION # 216
What modifier is appended to indicate when a procedure performed during the postoperative period is unrelated to the original surgery?
Answer: D
Explanation:
Modifier -79 is used to indicate an unrelated procedure or service performed by the same physician during the postoperative (global) period.
-57 = decision for surgery
-25 = significant, separately identifiable E/M
-55 = postoperative management only
Modifier usage is a high-yield CPC exam topic.
NEW QUESTION # 217
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