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| Section | Objectives |
|---|---|
| Topic 1: Compliance and Regulatory Guidelines | - Fraud and abuse regulations - HIPAA and medical ethics |
| Topic 2: Medical Terminology and Anatomy | - Medical terminology structure - Human anatomy basics |
| Topic 3: CPT Coding | - CPT guidelines and conventions - Surgical, diagnostic, and procedural coding |
| Topic 4: HCPCS Level II Coding | - Medicare coding procedures - Durable medical equipment and supplies |
| Topic 5: ICD-10-CM Diagnosis Coding | - Diagnosis code selection and sequencing - ICD-10-CM guidelines |
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NEW QUESTION # 336
(A 50-year-old patient undergoesflexible bronchoscopy with bronchial biopsies. Five biopsies are taken and sent to the lab. What CPT coding is reported?)
Answer: A
Explanation:
For bronchoscopy coding, you report the CPT code that describes thetype of scopeand thekey procedure performed. When bronchoscopicbiopsiesare performed, the service is reported with the appropriate bronchoscopy-with-biopsy code, and youdo not multiply the code by the number of biopsy samples. CPT codes for endoscopy procedures generally represent theoverall service, regardless of how many specimens are obtained during that one session at the same anatomic site category. In this question set,31628is the correct code representingflexible bronchoscopy with transbronchial lung biopsy(the biopsy component is the coded element).31625describes bronchoscopy with a different work element (not the biopsy service intended here), making it an incorrect distractor. Options that apply "×5" reflect a common novice error-billing per specimen rather than per procedure. On CPC exams, the presence of multiple biopsies is usually included to test whether you understand that endoscopic biopsy codes arenot reported per sample.
NEW QUESTION # 337
(A physician performsexcisional debridementfor a patient with multiple wounds. A wound on thelower backmeasures12 cmand involves thefasciafor the debridement. A wound on theleft shouldermeasures8 cmand one on theleft lower legmeasures16 cminvolvessubcutaneous tissuefor the debridement. What CPT codes are reported?)
Answer: A
Explanation:
Debridement coding depends ondeepest tissue removedand thetotal surface areadebrided at each depth.
Debridement "tomuscle and/or fascia" is coded with11043for thefirst 20 sq cm (or part thereof)at that depth.
The lower-back wound involvesfascia, so report11043(no add-on 11046 is needed because the described size is below an additional 20 sq cm threshold). The shoulder (8) and lower-leg (16) wounds involvesubcutaneous tissue, which is coded with11042for thefirst 20 sq cm (or part thereof)at the subcutaneous depth. Their combined area is24 sq cm, so you report11042plus add-on11045for theadditional 4 sq cmbeyond the first 20.
Because two different depth families are billed (fascia vs subcutaneous), adistinct procedural servicemodifier (here-59on 11042) supports reporting both depths when documentation shows separate wounds/levels treated.
This matches optionD.
NEW QUESTION # 338
A CRNA independently administers MAC anesthesia for ICD replacement.
What CPT and ICD-10-CM codes are reported?
Answer: B
Explanation:
00534 = Anesthesia for pacemaker/defibrillator procedures
QZ = CRNA without medical direction
QS = MAC anesthesia
I49.01 = Ventricular fibrillation
NEW QUESTION # 339
A cardiologist performs remote monitoring for a 30-day period via a previously implanted hemodynamic pulmonary artery pressure monitor for a patient with congestive heart failure with resulting pulmonary edema.
The first month of monitoring includes weekly downloads, interpretations, trend analysis, and subsequent reports.
What CPTcode is reported?
Answer: B
Explanation:
1. Procedure and CPTCode Selection:
The cardiologist provided remote monitoring over a 30-day period for a hemodynamic pulmonary artery pressure monitor implanted in a patient with congestive heart failure.
CPTCode 93264 is appropriate for remote monitoring of a hemodynamic system for up to 30 days. This code includes services such as weekly data transmissions, interpretation, trend analysis, and reporting- exactly as described in this case.
2. Rationale for Excluding Other Options:
Code 93286 is for in-person interrogation and programming of pacemakers or defibrillators, not for remote monitoring of a hemodynamic monitor, making it incorrect.
Code 93288 is for interrogation device evaluation (remote), specifically for pacemakers or defibrillators, and does not apply to a pulmonary artery pressure monitor.
Code 93279 is for in-person programming of certain cardiac devices, which does not match the remote monitoring described in this scenario.
3. AAPC and CPTCoding Guidelines:
AAPC and CPTguidelines specify that 93264 is the correct code when reporting remote hemodynamic monitoring for a pulmonary artery pressure device over a period of up to 30 days, including data review and interpretation.
Therefore, the correct answer is B. 93264.
NEW QUESTION # 340
Miranda is in her provider's office for follow up of her diabetes. Her blood sugars remain at goal with continuing her prescribed medications.
When referring to the MDM Table in the CPT code book for number and complexity of problems addressed at the encounter, what type of problem is this considered?
Answer: B
NEW QUESTION # 341
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