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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Radiology | 5-10% | - Diagnostic Imaging |
| Topic 2: Medicine | 5-10% | - Specialty Coding |
| Topic 3: E/M (Evaluation and Management) | 10-15% | - Office/Outpatient Visits - Emergency Department |
| Topic 4: HCPCS Level II | 5-10% | - Modifiers - Supplies and Equipment |
| Topic 5: Surgery Coding | 40-50% | - Cardiovascular System - Genitourinary System - Nervous System - Respiratory System - Integumentary System - Musculoskeletal System - Digestive System |
| Topic 6: ICD-10-CM (Diagnosis Coding) | 10-15% | - Conventions and Guidelines - Code Selection |
| Topic 7: Anatomy & Physiology | 10-15% | - Medical Terminology - Body Systems |
| Topic 8: Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
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NEW QUESTION # 209
A patient who has colon adenocarcinoma undergoes an open partial colectomy. The surgeon removes the proximal colon and terminal ileum and reconnects the cut ends of the distal ileum and remaining colon.
What procedure and diagnosis codes are reported?
Answer: A
Explanation:
1. Procedure and CPT Code Selection:
The patient underwent an open partial colectomy involving the removal of the proximal colon and terminal ileum with reconnection of the distal ileum to the remaining colon.
CPT Code 44160 is specific for an open partial colectomy with removal of a portion of the colon and the terminal ileum with an ileocolostomy (reconnection of the ileum to the colon). This accurately describes the procedure performed.
Code 44140 is for a partial colectomy without removal of the terminal ileum, making it inappropriate in this case.
Codes 44205 and 44204 involve laparoscopic approaches for colectomy procedures, but since this procedure was open, these codes are not suitable.
2. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code C18.2 is for a malignant neoplasm of the ascending colon, which is specified in this case as colon adenocarcinoma.
Code C18.9 represents an unspecified malignant neoplasm of the colon, which is less specific than C18.2. Therefore, C18.2 is the most accurate choice based on the location of the adenocarcinoma.
3. AAPC and CPT Coding Guidelines:
Per AAPC guidelines, selecting the correct colectomy code involves identifying the specific approach (open vs. laparoscopic) and anatomical structures resected, both of which align with 44160 for this open ileocolic resection.
Thus, the correct answer, based on CPT and ICD-10-CM guidelines, is D. 44160, C18.2.
NEW QUESTION # 210
A 5-year-old is brought to the QuickCare in the ED to repair two lacerations: a 3 cm laceration on her right arm and 2 cm laceration on her nose. Her arm is repaired with a simple one-layer closure with sutures. Her nose is repaired with a simple repair using tissue adhesive, 2-cyanoacrylate.
How are the repairs reported?
Answer: A
NEW QUESTION # 211
A patient presents to the emergency room with a nosebleed that is controlled by limited anterior nasal packing.
What CPT code is reported?
Answer: C
Explanation:
30901 = Control of anterior epistaxis, limited, any method
30903/30905/30906 are for extensive packing or posterior epistaxis
NEW QUESTION # 212
(A patient with age-related osteoporosis is hospitalized after a slip and fall resulting in fractures to both hips.
The physician ordersthree-view imaging of both hips and the pelvis, interpreted by the hospital radiologist.
Later the same day, the patient falls from bed and the doctor ordersthree additional viewsof both hips and pelvis, interpreted by thesame radiologist. What CPTcoding is reported?)
Answer: C
NEW QUESTION # 213
(A three-year-old patient returns forstage 2treatment for double right outlet syndrome. The surgeon removes apulmonary artery bandand performstransposition repair of the great vesselsvia aortic pulmonary reconstruction. Central cannulae are inserted forECMO bypass, chemical cardioplegia is initiated, and a physician assistant monitors vitals and oxygenation until heart function resumes. What CPT codes are reported for the surgery today?)
Answer: B
Explanation:
This is aplanned stagedcongenital cardiac repair following prior pulmonary artery banding, so the correct postoperative modifier concept isstaged/related(modifier-58), not an unplanned return-to-OR modifier (-78).
The operative service includesremoval of the pulmonary artery bandandarterial switch/transposition-type repairof the great vessels (captured in the 33778/33779 family in the answer choices). The case also describes use ofECMOwith central cannulation and management during the procedure, which is reported with the appropriate ECMO initiation/management codes shown as33955and the monitoring/assistant-related component represented by33985in the choices. Because this is thesecond stageof care and described as planned definitive repair, the -58 modifier is appropriate on the reported surgical services in these answer constructs. OptionDcorrectly pairs the staged modifier (-58) with the appropriate congenital repair and ECMO-related coding listed in the question's options.
NEW QUESTION # 214
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