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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: ICD-10-CM (Diagnosis Coding) | 10-15% | - Code Selection - Conventions and Guidelines |
| Topic 2: E/M (Evaluation and Management) | 10-15% | - Emergency Department - Office/Outpatient Visits |
| Topic 3: Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
| Topic 4: HCPCS Level II | 5-10% | - Modifiers - Supplies and Equipment |
| Topic 5: Medicine | 5-10% | - Specialty Coding |
| Topic 6: Anatomy & Physiology | 10-15% | - Body Systems - Medical Terminology |
| Topic 7: Surgery Coding | 40-50% | - Digestive System - Cardiovascular System - Respiratory System - Nervous System - Genitourinary System - Musculoskeletal System - Integumentary System |
| Topic 8: Radiology | 5-10% | - Diagnostic Imaging |
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NEW QUESTION # 432
A patient with Parkinson's has sialorrhea. The physician administers an injection of atropine bilaterally into a total of four submandibular salivary glands.
What CPT coding is reported?
Answer: B
NEW QUESTION # 433
Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1
Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.
Operation performed: Excision of right thigh benign congenital>1
nevus, excision size with margins 4.5 cm and closure size 5 cm.
Anesthesia: General.0
Intraoperative antibiotics: Ancef.0
Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.
Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.
This was passed to pathology for review. The wound required limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.
The patient was then cleaned and turned over to anesthesia for S extubation.
She was extubated successfully in the operating room and taken S to the recovery room in stable condition. There were no complications.
What is the radiology coding for this encounter?
Answer: D
Explanation:
73562 = Knee X-ray, 3 views
-26 = Professional component only
NEW QUESTION # 434
A 60-year-old male suffering from degenerative disc disease at the L3-L4 and L5-S1 levels was placed under general anesthesia. Using an anterior approach, the L3-L4 disc space was exposed. Using blunt dissection, the disc space was cleaned. The disc space was then sized and trialed. Excellent placement and insertion of the artificial disc at L3-L4 was noted. The area was inspected and there was no compression of any nerve roots. Same procedure was performed on L5-S1 level. Peritoneum was then allowed to return to normal anatomic position and entire area was copiously irrigated. The wound was closed in a layered fashion. The patient tolerated the discectomy and arthroplasty well and was returned to recovery in good condition. What CPT coding is reported for this procedure?
Answer: D
Explanation:
This scenario describes an anterior discectomy and arthroplasty at two levels (L3-L4 and L5-S1) using artificial discs. CPT code 22857 describes total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), single interspace, lumbar. Since the procedure was performed at two levels, the code should be reported twice.
Reference:
AMA's CPT Professional Edition (current year), Code 22857
NEW QUESTION # 435
The provider orders a bilirubin test for a patient with bowel flora disturbance. The lab determines the presence of bilirubin in a fecal sample.
What CPT code is reported for the test?
Answer: C
Explanation:
82252 = Bilirubin, feces
82247/82248 = Serum bilirubin
82239 = Fecal fat
NEW QUESTION # 436
Which place of service code is submitted on the claim for a service that is performed in an outpatient surgical floor?
Answer: D
Explanation:
The place of service code 22 is used for services performed in an outpatient hospital setting, including outpatient surgical floors. This code indicates that the procedure was done in a hospital but not requiring an inpatient admission.
AMA's CPT Professional Edition (current year), Place of Service Codes.
NEW QUESTION # 437
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