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| Section | Weight | Objectives |
|---|---|---|
| E/M (Evaluation and Management) | 10-15% | - Office/Outpatient Visits - Emergency Department |
| Medicine | 5-10% | - Specialty Coding |
| HCPCS Level II | 5-10% | - Modifiers - Supplies and Equipment |
| Anatomy & Physiology | 10-15% | - Medical Terminology - Body Systems |
| Radiology | 5-10% | - Diagnostic Imaging |
| Surgery Coding | 40-50% | - Genitourinary System - Integumentary System - Nervous System - Respiratory System - Digestive System - Musculoskeletal System - Cardiovascular System |
| ICD-10-CM (Diagnosis Coding) | 10-15% | - Conventions and Guidelines - Code Selection |
| Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
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NEW QUESTION # 161
Refer to the supplemental information when answering this question:
View MR 000281
What anesthesia and diagnosis codes are reported for this case?
Answer: D
Explanation:
CPT Code 00811: Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to the splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing This code is reported for anesthesia services provided during a colonoscopy that is diagnostic in nature.
ICD-10-CM Code D62: Acute posthemorrhagic anemia
This is the most accurate postoperative diagnosis. The operative report states "Anemia due to acute blood loss." ICD-10-CM Code N18.6: End stage renal disease This code captures the patient's documented history of ESRD.
ICD-10-CM Code Z99.2: Dependence on renal dialysis
This code is necessary to report the patient's dialysis status, as it affects the overall risk of the procedure.
Why other options are incorrect:
00812: This code is for therapeutic colonoscopies, not diagnostic.
D64.9: This code is for anemia, unspecified. D62 is more specific to the patient's condition.
K62.5: This code is for lower gastrointestinal bleeding, but the anemia is the primary diagnosis in this case.
Reference:
CPT Code 00811: Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to the splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing ICD-10-CM Code D62: Acute posthemorrhagic anemia ICD-10-CM Code N18.6: End stage renal disease ICD-10-CM Code Z99.2: Dependence on renal dialysis AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
NEW QUESTION # 162
A 30-year-old patient with a scalp defect is having plastic surgery to insert tissue expanders. The provider inserts the implants, closes the skin, and increases the volume of the expanders by injecting saline solution.
Tissue is expanded until a satisfactory aesthetic outcome is obtained to repair the scalp defect.
What CPT code is reported?
Answer: A
Explanation:
The CPT code 11960 is used for the insertion of tissue expanders for other than breast, which includes the scalp in this case. The procedure involves inserting the tissue expanders, closing the skin, and gradually increasing the volume of the expanders until a satisfactory outcome is achieved for repairing the scalp defect.
The other options do not accurately describe the procedure performed on the scalp.
AMA's CPT Professional Edition (current year)
NEW QUESTION # 163
A business requires drug testing for cocaine and methamphetamines prior to hiring a job candidate. A single analysis with direct optical observation is performed, followed by a confirmation for cocaine.
Which codes are used for reporting the testing and confirmation?
Answer: A
NEW QUESTION # 164
A 42-year-old male is diagnosed with a left renal mass. An abdominal incision along with rib resection is made to expose and access the kidney. The left kidney is removed, along with surrounding fat, adrenal gland, lymph nodes in the area, and the incision site is sutured. What CPT code is reported for this procedure?
Answer: A
Explanation:
50230 - Radical nephrectomy, including removal of kidney, perirenal fat, adrenal gland, and regional lymph nodes Open approach with rib resection Correct for extensive removal beyond simple nephrectomy Why Other Options Are Incorrect:
50545 / 50543 - Laparoscopic/robotic approaches
50220 - Simple nephrectomy only
NEW QUESTION # 165
A 5-year-old patient has a fractured radius. The orthopedist provides moderate sedation and the reduction. The time is documented as 21 minutes.
What CPT code is reported for the moderate sedation?
Answer: D
Explanation:
99152 - Moderate sedation, same physician, patient under 5 years, initial 15 minutes Time documented: 21 minutes First 15 minutes = 99152 Additional 15 minutes (99153) not reported separately in CPT exam context Why others are incorrect:
99151 - Minimal sedation
99155 / 99156 - Different age/provider scenarios
NEW QUESTION # 166
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