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NEW QUESTION # 27
(The physician performs adiagnostic ERCPof the common bile duct with insertion of astentinto the biliary duct. What CPT coding is reported?)
Answer: B
Explanation:
For ERCP, CPT coding follows the rule that thetherapeutic ERCP code includes the diagnostic ERCP workperformed during the same session. In this case, the key performed service isstent insertion into the biliary duct, which is captured by43274(ERCP with placement of endoscopic stent into biliary or pancreatic duct). You donotseparately report the diagnostic ERCP code43260when the therapeutic service (stent placement) is performed, because the diagnostic component is considered part of the overall ERCP service.
Code43276is used forstent removal and/or exchange, which is not described here. Option D is incorrect because it pairs another ERCP service with stent placement, and the scenario does not support multiple distinct ERCP therapeutic services beyond stenting. CPC exam tip: when a single ERCP session includes diagnostic evaluation plus a therapeutic intervention, report themost definitive therapeutic ERCP code-here,
43274.
NEW QUESTION # 28
A patient presents with 26 skin tags on the neck and shoulder. The provider removes all using a scissoring technique.
What CPT coding is reported?
Answer: A
Explanation:
11200 = removal of up to 15 skin tags
11201 = each additional 10 lesions or part thereof
26 lesions = 15 + 11 # 11201 ×2
NEW QUESTION # 29
A witness of a traffic accident called 911. An ambulance with emergency basic life support arrived at the scene of the accident. The injured party was stabilized and taken to the hospital. What HCPCS Level II coding is reported for the ambulance's service?
Answer: B
Explanation:
The scenario describes an emergency basic life support (BLS) ambulance service. The appropriate HCPCS Level II code for BLS emergency transport is A0429.
Modifier QN indicates that the service was provided by an ambulance supplier, and SH indicates the services were provided in an emergency situation.
HCPCS Level II, current year
NEW QUESTION # 30
A patient presents with recurrent spontaneous episodes of dizziness of unclear etiology. Caloric vestibular testing is performed irrigating both ears with warm and cold water while evaluating the patient's eye movements. There is a total of three irrigations.
What CPT coding is reported?
Answer: B
Explanation:
* Procedure: Caloric vestibular testing performed on both ears with three irrigations.
* CPT Code:
* 92537: Caloric vestibular test with recording, bilateral; bithermal (i.e., one warm and one cool irrigation in each ear).
* Modifier -50: Bilateral procedure.
* Code Selection Justification: The procedure performed was bilateral caloric vestibular testing with bithermal irrigation, appropriately coded with 92537 and modifier -50 for bilateral procedures.
References:
* AMA CPT Professional Edition (current year)
NEW QUESTION # 31
A Medicare patient is scheduled for a screening colonoscopy.
What code is reported for Medicare?
Answer: D
NEW QUESTION # 32
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