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| Section | Weight | Objectives |
|---|---|---|
| Radiology | 5-10% | - Diagnostic Imaging |
| Surgery Coding | 40-50% | - Respiratory System - Musculoskeletal System - Integumentary System - Digestive System - Nervous System - Genitourinary System - Cardiovascular System |
| E/M (Evaluation and Management) | 10-15% | - Office/Outpatient Visits - Emergency Department |
| Anatomy & Physiology | 10-15% | - Medical Terminology - Body Systems |
| ICD-10-CM (Diagnosis Coding) | 10-15% | - Conventions and Guidelines - Code Selection |
| Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
| HCPCS Level II | 5-10% | - Supplies and Equipment - Modifiers |
| Medicine | 5-10% | - Specialty Coding |
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NEW QUESTION # 195
What ICD-10-CM coding is reported for a patient who has hypertension and CKD stage 2?
Answer: C
Explanation:
When hypertension and chronic kidney disease (CKD) are documented together, ICD-10-CM assumes a cause-and-effect relationship.
I12.9 = Hypertensive chronic kidney disease with stage 1-4 CKD
N18.2 = CKD stage 2
I12.0 is only for CKD stage 5 or ESRD, which does not apply here.
Therefore, the correct code combination is I12.9, N18.2.
NEW QUESTION # 196
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: A
Explanation:
The procedure described involves a LeFort I reconstruction, which is a type of orthognathic surgery performed to correct deformities of the midface. In this scenario, the surgeon performed the reconstruction in two pieces, moving the upper jawbone forward and repositioning the teeth of the maxilla. According to the CPT guidelines, CPT code 21146 describes a LeFort I (maxilla only) osteotomy, two-piece segment, including bone grafts (includes obtaining autografts). This code matches the description provided.
References:
* AMA's CPT Professional Edition (current year), Code 21146
NEW QUESTION # 197
A physician conducts a 15-minute phone call discussing medication management.
How is this reported?
Answer: A
Explanation:
98012 = Telephone E/M, 11-20 minutes
99447 is for interprofessional consults, not patient calls
HCPCS LEVEL II
NEW QUESTION # 198
A patient arrives with stridor and in respiratory distress. The provider performs a micro laryngoscopy using a Parson's laryngoscope and magnifying telescope. A bronchoscopy was also performed using a 2.5 Stortz bronchoscope. The findings include subglottic web and stenosis with laryngeal edema suggestive of reflux. There was also significant collapse of the trachea at the carina and into the main bronchi bilaterally.
What CPTcoding is reported?
Answer: B
Explanation:
1. Procedure and CPTCode Selection:
The provider performed both a bronchoscopy and a microlaryngoscopy to evaluate the patient's airway due to respiratory distress and stridor.
Code 31622 is used for a diagnostic bronchoscopy, which includes the inspection of the trachea, carina, and bronchial structures. Since the bronchoscopy was diagnostic and no additional therapeutic procedures were performed, this is the appropriate code.
Code 31526 is for direct laryngoscopy with the use of an operating microscope or telescope (microlaryngoscopy). This code is appropriate given the use of a Parson's laryngoscope and magnifying telescope to inspect the larynx.
2. Modifier 51:
Modifier 51 is added to 31526 to indicate that it was performed in conjunction with another procedure (31622, bronchoscopy). Modifier 51 denotes multiple procedures without the necessity of a separate incision.
3. Exclusion of Code 69990:
Code 69990 is used for the use of an operating microscope in microsurgery but is not coded separately when the procedure (such as microlaryngoscopy) already includes visualization with a microscope or telescope as part of the CPTdescriptor. Thus, 69990 is not separately reported in this scenario, per CPTguidelines.
4. AAPC and CPTCoding Guidelines:
The guidelines specify that when visualization or microlaryngoscopy is inherently part of the procedure (as in
31526), 69990 should not be billed separately. Also, the use of Modifier 51 for multiple procedures in the same session is appropriate.
Therefore, the verified answer, following the CPTand AAPC coding rules, is A. 31622, 31526-51.
NEW QUESTION # 199
A patient suffers a ruptured infrarenal abdominal aortic aneurysm requiring emergent endovascular repair. An aorto-aortic tube endograft is positioned in the aorta and a balloon dilation is performed at the proximal and distal seal zones of the endograft. The balloon angioplasty is performed for endoleak treatment.
What CPT code does the vascular surgeon use to report the procedure?
Answer: D
Explanation:
The emergent endovascular repair of an infrarenal abdominal aortic aneurysm with an aorto-aortic tube endograft is coded with CPT 34702. This code includes the deployment of the endograft and the necessary balloon angioplasty for sealing the proximal and distal attachment zones.
Reference:
AMA's CPT Professional Edition (current year)
NEW QUESTION # 200
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