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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: CPT® Coding | 45-50% | - Radiology, Pathology/Laboratory, Medicine - Surgery (10000–69999) - Evaluation & Management (E/M) |
| Topic 2: ICD-10-CM Coding | 15-17% | - Diagnosis coding guidelines - Code selection & sequencing |
| Topic 3: Reimbursement & Revenue Cycle | 5-7% | |
| Topic 4: Compliance & Regulations | 8-10% | - HIPAA, fraud & abuse - Reimbursement rules |
| Topic 5: Modifiers | 5-7% | |
| Topic 6: HCPCS Level II Coding | 5-7% | |
| Topic 7: Medical Terminology & Anatomy | 8-10% |
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NEW QUESTION # 326
(What is the ICD-10-CM code for amedial meniscus tearof theleft kneedue to arecent football injury?)
Answer: A
Explanation:
A "recent football injury" indicates anacute traumaticinjury rather than a chronic/old derangement. Acute meniscus tears are coded from theS83.2-category (tear of meniscus, current injury), not theM23.-category (derangement of meniscus due to old tear or injury). The question specifiesmedial meniscus,left knee, and implies aninitial encounterfor the acute injury, so the correct code must include laterality and the 7th characterAfor initial encounter.S83.232Acorresponds to acurrent tear of the medial meniscus, left knee, initial encounter.S83.242Ais a different meniscus specification (not medial).M23.202/M23.204are derangement codes typically used forold tearsor chronic conditions, not an acute recent sports injury. CPC exam tip:
"recent injury" #S-codes, "old tear/derangement" #M23. Mnemonic:S = Sudden (acute),M = Mature (old
/chronic).
NEW QUESTION # 327
Patient has cervical spondylosis with myelopathy. The surgeon performed a bilateral posterior laminectomy with facetectomies at each level and foraminotomies performed between interspaces C5-C6 and C6-C7. Bilateral decompression of the nerve roots is achieved.
What CPT coding is reported?
Answer: D
Explanation:
Cervical spondylosis with myelopathy: Condition requiring decompressive surgery.
Bilateral posterior laminectomy, facetectomies, foraminotomies: Procedures performed to decompress nerve roots.
Interspaces C5-C6 and C6-C7: Specific levels where the procedures were performed.
CPT code 63045 is used for the initial cervical laminectomy, and 63048 is for each additional segment. The combination covers the decompression across two interspaces.
NEW QUESTION # 328
A patient has nausea with several episodes of emesis along with severe stomach pain due to dehydration.
Normal saline is infused in the same bag with 2 mg ondansetron to help with the nausea. Then a dose of 15 mg ketorolac tromethamine was given for the stomach pain.
What J codes are reported for these services?
Answer: B
Explanation:
The correct J codes are selected based on the specific medications administered and their quantities:
J2405 represents "ondansetron, 1 mg," and since the patient received a 2 mg dose, J2405 is reported once with a quantity of 2 mg.
J1885 represents "ketorolac tromethamine, 15 mg," which matches the single 15 mg dose administered to the patient, so J1885 is reported once.
Each J code is billed according to the precise dosage given, as no multipliers are required beyond the single- unit codes provided in choice A, making it the correct answer.
NEW QUESTION # 329
The documentation states:
He was then sterilely prepped and draped along the flank and abdomen in the usual sterile fashion. I first made a skin incision off the tip of the twelfth rib, extending medially along the banger's lines of the skin. This was approximately 3.5 cm in length. Once this incision was carried sharply, electrocautery was used to gain access through the external oblique, internal oblique, and transverse abdominis musculature and fascia.
What surgical approach was used for this procedure?
Answer: B
Explanation:
The documentation describes making a skin incision off the tip of the twelfth rib and extending medially along the banger's lines of the skin. The use of electrocautery to gain access through multiple layers of musculature and fascia indicates an open surgical approach. Open surgery involves making a large incision to expose and directly view the surgical site. This is distinct from percutaneous (which involves needles or catheters), laparoscopic (which uses small incisions and a camera), and other minimally invasive techniques.
AMA's CPT Professional Edition, ICD-10-CM, and HCPCS Level II (current year)
NEW QUESTION # 330
A 49-year-old patient arrives with hearing loss in his left ear. Impedance testing via tympanometry is performed.
What CPT code is reported?
Answer: B
Explanation:
* Procedure: Impedance testing via tympanometry is performed to assess hearing loss in the left ear.
* CPT Code:
* 92567: This code is for tympanometry (impedance testing) without reflex threshold measurements.
* Code Selection Justification: The procedure involved tympanometry without reflex threshold, which is specifically coded as 92567.
References:
* AMA CPT Professional Edition (current year)
NEW QUESTION # 331
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