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| Section | Weight | Objectives |
|---|---|---|
| Medicine | 5-10% | - Specialty Coding |
| ICD-10-CM (Diagnosis Coding) | 10-15% | - Conventions and Guidelines - Code Selection |
| E/M (Evaluation and Management) | 10-15% | - Office/Outpatient Visits - Emergency Department |
| Anatomy & Physiology | 10-15% | - Medical Terminology - Body Systems |
| HCPCS Level II | 5-10% | - Supplies and Equipment - Modifiers |
| Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
| Surgery Coding | 40-50% | - Respiratory System - Digestive System - Nervous System - Integumentary System - Genitourinary System - Musculoskeletal System - Cardiovascular System |
| Radiology | 5-10% | - Diagnostic Imaging |
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NEW QUESTION # 138
A patient returns for embryo transfer. The lab thaws cryopreserved embryos and cultures them for two additional days.
What CPT coding is reported?
Answer: D
Explanation:
89258 = Thawing of cryopreserved embryos
89250 = Culture of embryos, per day (reported once per encounter)
NEW QUESTION # 139
The surgeon performs Roux-en-Y anastomosis of the extrahepatic biliary duct to the gastrointestinal tract on a 45-year-old patient.
What CPT code is reported?
Answer: B
Explanation:
The Roux-en-Y anastomosis of the extrahepatic biliary duct to the gastrointestinal tract is a specific surgical procedure that involves connecting the biliary duct to the gastrointestinal tract.
Procedure Description: Roux-en-Y anastomosis of the extrahepatic biliary duct involves creating a direct connection between the biliary duct and the gastrointestinal tract.
Procedure Specificity: The procedure is complex and involves extensive surgical technique and anastomosis.
Coding Decision:
CPT 47780 specifically describes the Roux-en-Y anastomosis of the extrahepatic biliary duct to the gastrointestinal tract.
AMA's CPT Professional Edition (current year).
CPT Assistant for detailed coding guidelines on biliary and gastrointestinal procedures.
NEW QUESTION # 140
(A male patient passes out while jogging in the park. Upon examination at the hospital, he is found to have a wide complex tachycardia and undergoes anelectrophysiologic study and radiofrequency ablation. For this procedure he is placed undergeneral anesthesia. What is the anesthesia coding for this otherwise healthy 35- year-old?)
Answer: B
Explanation:
Anesthesia coding is based on thesurgical/procedural serviceand the anatomic/physiologic region involved, not the underlying symptom alone. An electrophysiologic (EP) study with radiofrequency ablation is acardiac electrophysiologyprocedure, typically mapped to anesthesia codes in the0053xrange (cardiovascular procedures, often involving intracardiac catheter-based interventions). In this option set,00537is the anesthesia code that corresponds to EP/cardiac ablation-type procedures. Physical status modifier selection then reflects the patient's systemic health. The question specifies an "otherwise healthy 35-year-old," which corresponds toASA Physical Status P1(a normal healthy patient). Therefore, the correct combination is00537- P1. The distractors include anesthesia codes from different procedure categories (e.g., radiology/anesthesia for imaging or other cardiac procedures) and/or the wrong physical status (P2 implies mild systemic disease).
CPC exam tip: first match theprocedure family(EP/ablation # cardiovascular anesthesia category), then assign the appropriateASA physical statusbased on the patient's baseline health.
NEW QUESTION # 141
A surgeon performs midface LeFort I reconstruction on a patient's facial bones to correct a congenital deformity. The reconstruction is performed in two pieces in moving the upper jawbone forward and repositioning the teeth of the maxilla of the mid face.
What CPT code is reported?
Answer: B
NEW QUESTION # 142
Repeat three-view imaging of both hips and pelvis is performed on the same day due to a new fall, interpreted by the same radiologist.
What CPT coding is reported?
Answer: B
Explanation:
73522 = Bilateral hips with pelvis, 3-4 views
Modifier -76 = Repeat procedure by the same physician
Modifier -51 identifies multiple procedures
NEW QUESTION # 143
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