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| Section | Weight | Objectives |
|---|---|---|
| ICD-10-CM (Diagnosis Coding) | 10-15% | - Code Selection - Conventions and Guidelines |
| Radiology | 5-10% | - Diagnostic Imaging |
| Medicine | 5-10% | - Specialty Coding |
| HCPCS Level II | 5-10% | - Supplies and Equipment - Modifiers |
| Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
| Surgery Coding | 40-50% | - Digestive System - Musculoskeletal System - Nervous System - Respiratory System - Integumentary System - Cardiovascular System - Genitourinary System |
| E/M (Evaluation and Management) | 10-15% | - Emergency Department - Office/Outpatient Visits |
| Anatomy & Physiology | 10-15% | - Medical Terminology - Body Systems |
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NEW QUESTION # 22
A 3-day-old died in her sleep. The pediatrician determined this was the result of crib death syndrome. The parents give permission to refer the newborn for a necropsy. The pathologist receives the newborn with her brain and performs a gross and microscopic examination. The physician issues the findings and reports they are consistent with a normal female newborn.
What CPT code is reported?
Answer: C
Explanation:
Procedure: Gross and microscopic examination of a newborn autopsy.
CPT Code:
88028: This code is for the autopsy, gross and microscopic examination of a stillborn or newborn.
Code Selection Justification: The procedure described matches the comprehensive postmortem examination of a newborn.
AMA CPT Professional Edition (current year)
ICD-10-CM (current year)
HCPCS Level II (current year)
NEW QUESTION # 23
A patient is brought to the operating room with a right-sided peripheral vertigo. The provider makes a postauricular incision and uses an operating microscope to perform a mastoidectomy using a burr. He next destroys the semicircular canals, the utricle, and saccule completely removing the diseased labyrinth structures. The provider sutures the incision.
What CPT code and ICD-10-CM codes are reported?
Answer: B
Explanation:
Procedure Coding (CPT):
69910 - Labyrinthectomy, complete; transmastoid approach
Provider performed:
Mastoidectomy
Complete destruction/removal of semicircular canals, utricle, and saccule This is a complete labyrinthectomy, not partial
69990 - Microsurgical techniques, requiring use of operating microscope Separately reportable with otologic procedures Modifier -51 not required (add-on code) Diagnosis Coding (ICD-10-CM):
H81.391 - Peripheral vertigo, right ear
Correct laterality and condition
Why Other Options Are Incorrect:
69905 - Partial labyrinthectomy
R42 - Symptom code (dizziness), not used when definitive diagnosis exists
NEW QUESTION # 24
The mediastinum is:
Answer: A
NEW QUESTION # 25
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: C
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 # 26
The CPT code book provides full descriptions of medical procedures, although some descriptions require the use of a semicolon (;) to distinguish among closely related procedures.
What is the full description of CPT code 44361?
Answer: B
Explanation:
In the CPT book, codes that contain a semicolon (;) indicate that the portion of the description before the semicolon applies to all codes in that series, and the text after the semicolon completes the individual code description.
For the small intestinal endoscopy (enteroscopy) codes:
The parent code describes: "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum;" CPT 44361 specifically adds: "with biopsy, single or multiple." Therefore, the full description of CPT 44361 is:
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple.
NEW QUESTION # 27
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