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| Section | Objectives |
|---|---|
| Topic 1: Medical Terminology and Anatomy | - Medical terminology structure - Human anatomy basics |
| Topic 2: Compliance and Regulatory Guidelines | - Fraud and abuse regulations - HIPAA and medical ethics |
| Topic 3: ICD-10-CM Diagnosis Coding | - ICD-10-CM guidelines - Diagnosis code selection and sequencing |
| Topic 4: CPT Coding | - CPT guidelines and conventions - Surgical, diagnostic, and procedural coding |
| Topic 5: HCPCS Level II Coding | - Medicare coding procedures - Durable medical equipment and supplies |
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NEW QUESTION # 98
The human shoulder is made of which three bones?
Answer: D
Explanation:
The human shoulder is composed of three main bones: the clavicle (collarbone), scapula (shoulder blade), and humerus (upper arm bone). These bones form the shoulder joint, which is one of the most flexible and mobile joints in the human body, allowing for a wide range of motion.References: AMA's CPT Professional Edition (current year), Musculoskeletal System section.
NEW QUESTION # 99
In rhinoplasty:
Answer: C
NEW QUESTION # 100
Ten-year-old boy has a painful felon abscess of the deep tissues of the palmar surface of his right thumb. The provider makes an incision on one side of the nail and then across the fingertip parallel to the end of the nail.
He identifies the area of abscess and drains it. A drainage tube is inserted.
What CPTand ICD-10-CM is reported?
Answer: D
Explanation:
1. Procedure and CPTCode Selection:
The procedure involves an incision and drainage (I&D) of a deep abscess (felon) on the palmar surface of the right thumb. A felon is an abscess in the pulp of the fingertip, often involving deep tissue.
Code 26010 is specific for incision and drainage of a finger abscess, which includes the thumb. This code applies to cases where the abscess is drained from a deep tissue level.
Code 26011 is similar but involves the use of extensive drainage or debridement, which is not indicated in this case. Therefore, 26011 is not appropriate here.
Code 10061 refers to incision and drainage of abscesses at different locations on the body but not for specific areas such as the thumb, making it inappropriate in this context.
Code 10140 pertains to the evacuation of hematoma, seroma, or fluid but does not apply to abscesses, so it is not suitable for this scenario.
2. Modifier:
Modifier F5 is added to specify that the procedure was performed on the right thumb.
3. Diagnosis and ICD-10-CM Code Selection:
ICD-10-CM Code L02.511 is appropriate for cutaneous abscess of the right finger, as it accurately describes the diagnosis of a felon on the thumb.
L03.011 would represent cellulitis but does not specify an abscess, making it less precise for this case.
4. AAPC and CPTCoding Guidelines:
The AAPC guidelines for coding finger abscess drainage emphasize the selection of specific codes for deep tissue drainage procedures in extremities. Additionally, correct laterality should be included with the use of modifiers and specific ICD-10-CM codes for an accurate representation of the site and nature of the condition.
Thus, based on the coding standards and guidelines, the verified answer is B. 26010-F5, L02.511.
NEW QUESTION # 101
(From the left femoral artery, the catheter was advanced into the abdominal aorta, andaortographywas performed to view the location of the left inferior phrenic artery. Next the catheter was advanced into theleft inferior phrenicand into theleft superior suprarenal (adrenal) arteryand angiography was performed. The angiography showed no blockage of the left adrenal artery. What CPT codes are reported?)
Answer: B
Explanation:
Selective catheter placement coding follows thehighest-order selective catheterization achievedwithin a vascular family, plus additional selective placements when adifferent vascular familyis entered. Here, access is via femoral artery into theabdominal aorta(nonselective aortic position), then selective advancement into theleft inferior phrenicand further into theleft superior suprarenal (adrenal) artery. The code set offered indicates reporting36245(selective, first-order or initial selective placement as represented by the item's structure) and36246(additional selective advancement). Imaging is also reported:75731represents the angiographic imaging component matching the described abdominal/visceral angiography in the options.
Options with-50are incorrect because the study is on theleftside only, not bilateral. Option C omits a necessary catheter placement level from the option set, and option D substitutes a different catheter placement code while still incorrectly using bilateral imaging. Therefore, optionAbest reflects the catheter placement progression and associated angiography per the question's choices.
NEW QUESTION # 102
Eric is buying his first life insurance policy from XYZ Life Insurance Company. The company requires Eric have a physical exam prior to issuance of the policy. Eric sees his primary care provider who completes the required documentation and forms provided by the insurance company.
How does the primary care provider report his services?
Answer: D
Explanation:
CPT code 99450 is used for the examination of a patient for the purpose of establishing medical baseline information or for insurance purposes. Since Eric's primary care provider completed the required physical exam documentation for his life insurance policy, this is appropriately reported with code 99450. Reference: CPT Professional Edition (current year), AMA.
NEW QUESTION # 103
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