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NEW QUESTION # 451
A physician orders an obstetric panel that includes syphilis screening using the non-treponemal antibody approach, an automated CBC with manual differential WBC count, HBsAg, rubella antibody, a serum antibody screen, and ABO and Rh blood typing.
What CPTcoding is reported?
Answer: A
Explanation:
1. Procedure and CPTCode Selection:
The obstetric panel ordered includes the following tests: syphilis screening (non-treponemal), automated CBC with manual differential WBC count, HBsAg, rubella antibody, serum antibody screen, and ABO/Rh blood typing.
CPTCode 80055 is for a comprehensive obstetric panel that includes all these components. This code is intended to report the entire panel of tests as a bundled service rather than itemizing each individual test.
2. Rationale for Excluding Other Options:
Option B lists the individual component codes for each test in the obstetric panel (e.g., 85027, 85007, 87340, etc.), but using 80055 is more appropriate because it provides a single code to report the full obstetric panel and follows CPTbundling guidelines.
Option C also lists the individual tests separately, which is unnecessary when 80055 includes all these components.
Option D lists 80081, which is for an obstetric panel that includes HIV testing. Since HIV testing is not part of the tests described in this scenario, 80081 is incorrect.
3. AAPC and CPTCoding Guidelines:
AAPC guidelines recommend using the single code 80055 when all components of an obstetric panel are ordered together, as itemizing each test individually is not necessary.
Therefore, the correct answer is A. 80055.
NEW QUESTION # 452
Day 1 - A provider admits the patient to observation care for type 2 diabetes mellitus with hyperglycemia. The provider orders a HbA1c, a urine (microalbumin), and kidney function lab tests.
Blood sugar is high and poorly controlled. The provider discusses the case with the patient's endocrinologist. The provider prescribes an IV insulin drip, along with SQ insulin and keeps the patient in observation overnight.
Day 2 - Patient is in observation care and the provider orders a blood glucose test. The patient's glucose levels have improved. The provider places an order for the dietitian to see the patient.
Provider
documents spending a total time of 25 minutes with the patient.
Day 3 - Patient has a blood glucose test. The patient's glucose level is back to normal. The provider documents spending 15 minutes with the patient. The provider discharges the patient.
What E/M coding is reported by the physician for the patient in observation care?
Answer: B
Explanation:
For a patient in observation care, selecting the correct E/M codes requires evaluating each day's service level and the provider's documentation.
Day 1: The patient was admitted for observation, and the physician prescribed IV and SQ insulin, noting diabetes with hyperglycemia requiring complex management. The CPT code 99235 is appropriate here because it represents an initial observation or inpatient care for patients with high-complexity medical decision-making (MDM), which aligns with the patient's unstable glucose and the management requirements.
Day 2: The patient's glucose levels improved, and the provider documented spending 25 minutes with the patient in continued observation care. Since this is an established patient with continued observation, 99231 applies here, indicating subsequent observation care with low MDM complexity.
Day 3: The provider documented spending 15 minutes with the patient, whose glucose levels normalized, and then discharged the patient from observation care. Code 99238 is used for a discharge from observation care and is selected based on discharge times under 30 minutes.
These codes were selected based on CPT guidelines for observation care and the provider's time-based documentation. This matches the medical decision complexity documented per the case and code descriptions available for observation care management.
NEW QUESTION # 453
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: B
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 # 454
What is the medical term for a procedure that creates a connection between the gallbladder and the small intestine?
Answer: B
Explanation:
Cholecyst- = gallbladder
Entero- = intestine
-ostomy = creation of an opening
Cholecystenterostomy is the correct term for surgically creating a connection between the gallbladder and the intestine.
This aligns with surgical terminology commonly tested in the CPT digestive system section (40000-49999).
NEW QUESTION # 455
What does the suffix -graph mean?
Answer: B
Explanation:
In medical terminology, the suffix -graph refers to an instrument used for recording data or the process of recording. This suffix is commonly tested on the CPC exam.
Examples include:
Electrocardiograph - instrument used to record heart activity
Angiograph - instrument used to record images of blood vessels
To distinguish from related suffixes:
-gram = the record or image itself
-graphy = the process of recording
Thus, option A is correct.
NEW QUESTION # 456
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