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NEW QUESTION # 288
Refer to the supplemental information when answering this question:
View MR 903096
What CPT and ICD-10-CM coding is reported?
Answer: A
Explanation:
CPT Code 62290: Discography, lumbar, single or multiple levels, radiological supervision and interpretation This code accurately describes the procedure performed. The documentation indicates a lumbar discography was performed at a single level (L3-4) with radiological supervision (C-arm visualization).
ICD-10-CM Code M54.50: Low back pain, unspecified
This code is the most appropriate diagnosis based on the documentation. The preoperative diagnosis states "Low back pain possible spinal stenosis L3-4." While spinal stenosis was considered, it was not confirmed. The postoperative diagnosis indicates no evidence of spinal stenosis or discogenic pathology. Therefore, the definitive diagnosis is low back pain.
Why other options are incorrect:
62292: This code is for a discography with injection of contrast and/or medication for therapeutic purposes. The documentation doesn't indicate any therapeutic injection was performed.
M48.061 and M48.07: These codes represent spinal stenosis, which was not confirmed in the postoperative diagnosis.
Reference:
CPT Code 62290: Discography, lumbar, single or multiple levels, radiological supervision and interpretation ICD-10-CM Code M54.50: Low back pain, unspecified AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
NEW QUESTION # 289
An inpatient, suffering from hypertension and chronic kidney disease, is administered continuous venovenous hemofiltration. The on-duty nephrologist performs a series repeated low-level evaluation and management services to monitor the patient's status.
What is the CPT and ICD-10-CM coding'
Answer: B
Explanation:
Procedure Code:
90945 - Continuous renal replacement therapy (CRRT), daily
Includes repeated low-level E/M monitoring
Correct for CVVH
Diagnosis Codes:
I10 - Essential hypertension
N18.9 - Chronic kidney disease, unspecified
Why others are incorrect:
90935 / 90937 - Intermittent hemodialysis
90947 - Pediatric CRRT
ICD-9 codes (112.9, 110) are invalid
NEW QUESTION # 290
A physician prescribes carbamazepine to treat a patient with epileptic seizures. After six months, the physician performs a therapeutic drug test to monitor the total level of the drug in the patient.
What CPT and ICD-10-CM coding is used for the six month-evaluation?
Answer: A
NEW QUESTION # 291
When a provider's documentation refers to use, abuse, and dependence of the same substance (e.g., alcohol), which statement is correct?
Answer: A
Explanation:
Per ICD-10-CM guidelines, when dependence is documented with either use or abuse, only the dependence code is assigned, as it takes precedence.
NEW QUESTION # 292
The gastroenterologist performs a simple excision of three external hemorrhoids and one internal hemorrhoid, each lying along the left lateral column. The operative report indicates that the internal hemorrhoid is not prolapsed and is outside of the anal canal.
What CPT and ICD-10CM codes are reported?
Answer: B
Explanation:
CPT code 46255 describes the excision of both internal and external hemorrhoids, which matches the procedure described. The ICD-10-CM codes K64.0 (First degree hemorrhoids) and K64.4 (Residual hemorrhoids) describe the conditions treated.
Reference:
AMA's CPT Professional Edition (current year), Code 46255
ICD-10-CM (current year), Codes K64.0, K64.4
NEW QUESTION # 293
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