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| Section | Weight | Objectives |
|---|---|---|
| Anatomy & Physiology | 10-15% | - Medical Terminology - Body Systems |
| E/M (Evaluation and Management) | 10-15% | - Emergency Department - Office/Outpatient Visits |
| Surgery Coding | 40-50% | - Musculoskeletal System - Digestive System - Nervous System - Integumentary System - Cardiovascular System - Genitourinary System - Respiratory System |
| ICD-10-CM (Diagnosis Coding) | 10-15% | - Conventions and Guidelines - Code Selection |
| Medicine | 5-10% | - Specialty Coding |
| Radiology | 5-10% | - Diagnostic Imaging |
| Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
| HCPCS Level II | 5-10% | - Supplies and Equipment - Modifiers |
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NEW QUESTION # 297
A complete cardiac MRI for morphology and function without contrast, followed by contrast with four additional sequences and stress imaging, is performed on a patient with systolic left ventricular congestive heart failure and premature ventricular contractions.
What CPT and ICD-10-CM codes are reported?
Answer: B
Explanation:
Procedure: Complete cardiac MRI for morphology and function without contrast, followed by contrast with four additional sequences and stress imaging.
CPT Codes:
75561: Cardiac MRI for morphology and function without contrast material.
75563: Cardiac MRI with contrast and further sequences.
ICD-10-CM Codes:
I50.1: Left ventricular failure.
I49.1: Premature ventricular contractions.
Code Selection Justification: The CPT codes accurately capture the MRI procedures performed. The ICD-10-CM codes represent the diagnoses of left ventricular failure and premature ventricular contractions.
AMA CPT Professional Edition (current year)
ICD-10-CM (current year)
HCPCS Level II (current year)
NEW QUESTION # 298
A patient underwent a cystourethroscopy with a pyeloscopy using lithotripsy to break up the ureteral calculus. An indwelling stent was also inserted during the same operative session on the same side. This service was performed in the outpatient hospital surgery center.
What CPT coding reported?
Answer: A
NEW QUESTION # 299
A patient comes to the gynecologist's office to check if she is pregnant. A urine sample is taken and tested. The visual result is positive that she is pregnant.
What CPT code is reported'
Answer: A
Explanation:
81025 - Urine pregnancy test, by visual color comparison methods
Correct for office-based urine pregnancy testing
Why Other Options Are Incorrect:
81000-81005 - Urinalysis codes, not pregnancy testing
NEW QUESTION # 300
A patient's left eye is damaged beyond repair due to a work injury. The provider fabricates a prosthesis from silicon materials and makes modifications to restore the patient's cosmetic appearance.
What CPTcode is reported?
Answer: A
Explanation:
1. Procedure and CPTCode Selection:
The scenario describes the fabrication of an ocular prosthesis due to a severe injury to the left eye. A prosthesis made from silicon materials was created and customized to restore cosmetic appearance.
Code 21088 is the correct CPTcode for facial prosthesis involving materials, such as silicone, specifically designed to address anatomical loss in the eye region. This code accurately reflects the custom fabrication of a prosthesis to replace or augment damaged eye structures for aesthetic purposes.
2. Ruling Out Other Options:
Code 21077 applies to the prosthetic augmentation or replacement of mandibular or maxillary bone, not ocular prostheses, so it does not apply here.
Code 21080 covers the fabrication of facial prosthetics but is not specific to the ocular area and is more generalized. Given the focused nature of the eye, 21088 is more appropriate.
Code 21086 pertains to the creation of orbital prostheses (used for areas surrounding the eye) but not specifically for an ocular prosthesis. Since this scenario involves an intraocular replacement, 21088 is the most precise choice.
3. AAPC and CPTGuidelines:
According to AAPC guidelines, using codes for facial prosthetics requires matching the specific anatomical site and purpose of the prosthesis. CPT21088 is directly applicable to prosthetic replacements within the ocular region, making it the best fit.
Thus, based on the CPTguidelines and coding standards, the verified answer is C. 21088.
NEW QUESTION # 301
A 65-year-old man had a right axillary block by the anesthesiologist. When the arm was totally numb, the arm was prepped and draped, and the surgeon performed tendon repairs of the right first, second, and third fingers.
The anesthesiologist monitored the patient throughout the case.
What anesthesia code is reported?
Answer: D
Explanation:
The anesthesia code for an axillary block for procedures on the upper arm and elbow, which includes the monitoring by the anesthesiologist throughout the procedure, is 01830. This code is appropriate for anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of the shoulder and axilla.
CPT Professional Edition, AMA
Anesthesia Coding Guidelines
NEW QUESTION # 302
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