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| Section | Weight | Objectives |
|---|---|---|
| Medicine | 5-10% | - Specialty Coding |
| Radiology | 5-10% | - Diagnostic Imaging |
| HCPCS Level II | 5-10% | - Modifiers - Supplies and Equipment |
| ICD-10-CM (Diagnosis Coding) | 10-15% | - Code Selection - Conventions and Guidelines |
| Anatomy & Physiology | 10-15% | - Medical Terminology - Body Systems |
| E/M (Evaluation and Management) | 10-15% | - Emergency Department - Office/Outpatient Visits |
| Laboratory / Pathology | 5-10% | - Organ and Disease Panels |
| Surgery Coding | 40-50% | - Integumentary System - Musculoskeletal System - Digestive System - Respiratory System - Genitourinary System - Cardiovascular System - Nervous System |
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NEW QUESTION # 88
A patient had surgery a year ago to repair two extensor tendons in his wrist. He is in surgery for a secondary repair for the same two tendons with free graft. What CPTcoding is reported?
Answer: D
Explanation:
1. Procedure Type: This scenario describes a secondary repair of two extensor tendons in the wrist with a free graft. According to CPTcoding guidelines, the secondary repair with a free graft suggests a more complex repair than primary closure.
2. CPTCode Selection:
Code 25270 is used for a primary repair of an extensor tendon in the forearm or wrist. Since this is a secondary repair, 25270 does not apply, ruling out options A and C.
Code 25272 represents the repair of a single extensor tendon in the forearm or wrist, which includes both primary and secondary repairs. However, it does not involve free grafts, ruling out option D.
Code 25274 specifically addresses the secondary repair of an extensor tendon with free graft in the forearm or wrist, which is the correct scenario described in the question.
3. Applying the Code for Multiple Tendons:
Since the procedure involves two tendons, 25274 should be reported twice (25274 x 2) to account for the secondary repair on each tendon individually.
4. Reference from AAPC CPC Guidelines:
In AAPC CPC and CPTcoding principles, tendon repair codes require careful distinction between primary repairs and secondary repairs with grafts. The guidelines specify that multiple tendons should be coded with individual codes when performed on separate anatomical structures, hence the use of 25274 twice for both tendons.
Therefore, the verified and precise answer based on CPTguidelines and AAPC coding standards is B.
25274 x 2.
NEW QUESTION # 89
A 65-year-old man had a right axillary block by the anesthesiologist. When the arm was totally numb, the arm was prepped and draped, and the surgeon performed tendon repairs of the right first, second, and third fingers.
The anesthesiologist monitored the patient throughout the case.
What anesthesia code is reported?
Answer: A
Explanation:
* The anesthesia code for an axillary block for procedures on the upper arm and elbow, which includes the monitoring by the anesthesiologist throughout the procedure, is 01830. This code is appropriate for anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of the shoulder and axilla.
References:
* CPT Professional Edition, AMA
* Anesthesia Coding Guidelines
NEW QUESTION # 90
A surgeon performs a complete bilateral mastectomy with insertion of breast prosthesis at the same surgical session.
What CPT@ coding is reported?
Answer: B
Explanation:
For a complete bilateral mastectomy with insertion of breast prosthesis performed during the same surgical session, the correct CPTcodes are:
1. 19303-50: This code represents a complete mastectomy (removal of breast tissue) performed bilaterally (indicated by the -50 modifier).
2. 19340-50: This code is for the immediate insertion of a breast prosthesis following mastectomy, also performed bilaterally.
Explanation of other options:
A: 19303-50, 19342-50: Incorrect because 19342 is for the insertion of a breast implant, which differs from a prosthesis.
B: 19305-50, 19340-50: 19305 describes a modified radical mastectomy, which is more extensive than what is documented here.
C: 19325-50: This code represents a breast augmentation procedure, not a mastectomy with prosthesis insertion.
Thus, the correct answer is D. 19303-50, 19340-50, which accurately describes a bilateral mastectomy with prosthesis insertion.
NEW QUESTION # 91
A cardiologist uses the hospital's equipment for a cardiac stress test as he doesn't own equipment for the test. He supervises the test and provides the interpretation and report of the test.
What CPT codes are reported?
Answer: C
NEW QUESTION # 92 
Refer to the supplemental information when answering this question:
View MR 000281
What anesthesia and diagnosis codes are reported for this case?
Answer: D
Explanation:
* CPT Code 00811: Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to the splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing
* This code is reported for anesthesia services provided during a colonoscopy that is diagnostic in nature.
* ICD-10-CM Code D62: Acute posthemorrhagic anemia
* This is the most accurate postoperative diagnosis. The operative report states "Anemia due to acute blood loss."
* ICD-10-CM Code N18.6: End stage renal disease
* This code captures the patient's documented history of ESRD.
* ICD-10-CM Code Z99.2: Dependence on renal dialysis
* This code is necessary to report the patient's dialysis status, as it affects the overall risk of the procedure.
Why other options are incorrect:
* 00812: This code is for therapeutic colonoscopies, not diagnostic.
* D64.9: This code is for anemia, unspecified. D62 is more specific to the patient's condition.
* K62.5: This code is for lower gastrointestinal bleeding, but the anemia is the primary diagnosis in this case.
References:
* CPT Code 00811: Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to the splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing
* ICD-10-CM Code D62: Acute posthemorrhagic anemia
* ICD-10-CM Code N18.6: End stage renal disease
* ICD-10-CM Code Z99.2: Dependence on renal dialysis
* AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
NEW QUESTION # 93
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