When coding in operative report what action would NOT be recommended?
Coding from the header with out reading the body of the report
If an NCD
... [Show More] doesn't exist for a particular service/procedure performed on a Medicare patient who determines coverage?
Medicare administrative contractor (MAC)
MAC stands for what!?
Medicare administrative contractor
What is the definition of coding?
Translating documentation into numerical/alphabetical codes used to obtain reimbursement.
How many components should be included in an effective compliance plan?
7
Which of the following is NOT a function of the skin?
Acts as a gland by synthesizing vitamin A.
What is affected by myasthenia gravis?
Neuromuscular junction
The term "episiotomy" Best describes a procedure of what type?
An incision made into the perineum to enlarge the passage for the fetus during delivery
A patient is diagnosed with inflammation of the testes and epididymis. The medical term for this condition is:
Orchiepididymitis
A condition where the thyroid is overactive is called:
Thyrotoxicosis
What does ICD 10 CM stand for?
International classification of diseases - 10th revised - clinical modification
What is the sequencing order when coding a sequela (late effect)?
The residual condition is coded first, in the code(s) for the cause of the late effect are coded as secondary
What is the ICD 10 CM code for hives?
L50.9
20-year-old comes into the ED with symptoms of a severe headache, vomiting, stiff neck, and fever. The ED physician suspects that the meningitis is bacterial and performs a lumber puncture. The ED physician reviews the results in the patient is admitted in the hospital for meningitis. The ED physician suspects that the meningitis is bacterial. Which ICD 10 CM code is reported by the ED physician?
G03.9
45 year old female with malignant Mullerian duct cancer is receiving her first treatment of chemotherapy. What diagnosis codes are reported?
Z51.11, C57.7
The patient is a 12 month old with a history of muscle weakness. Unfortunately his etiology is unknown and to help delineate the diagnosis neurology has consulted us to obtain a right biceps muscle biopsy. What diagnosis code is reported?
M62.81
The provider orders the following serum blood tests as part of a pre-employment physical exam. The patient goes to the local hospital for the following tests: CBC automated and automated differential WBC count (85025), comprehensive metabolic panel (80053), and a thyroid stimulating hormone assay (84443), all part of the general health panel. A drug screen for multiple drug classes was also collected (80100). What diagnosis code is reported?
Z02.1
What ICD 10 CM code is reported for a patient who is a habitual abuser of cannabis?
F12.10
What codes, according to ICD 10 CM sequencing guidelines, describe a patient that has heart disease due to malignant hypertension with left heart failure?
I11.0, 150.1
A 45-year-old male patient has developed in ulcer on his upper back. He has had diabetes for many years and is on insulin. The physician determines that the ulcer is due to his diabetes. What ICD 10 CM code are reported?
E11.622, L98.429, Z79.4
What does the root word cool/o stand for?
Vagina
What does the abbreviation CKD stand for?
Chronic kidney disease
The patient is in for in initial replacement of a leaking dialysis catheter. What ICD 10 CM code is reported?
T82.43XA
What is/are the external cause code(s) for a passenger involved in a MVA that lost control on the highway and hit a guardrail?
Y92.411
A patient was admitted three weeks following a normal vaginal delivery with a postpartum breast abscess. What ICD 10 code should be reported?
O91.12
A 28-year-old male was rushed to the ED after being found unconscious. Information from family members indicated that the patient had left a suicide note and taking a large amount of LSD (a hallucinogenic). What ICD 10 CM codes are reported?
T40.8X2A, R40.20
A 63-year-old fractured her scaphoid bone in her right wrist three months ago in an accident. She now presents with a non-union of the scaphoid bone. What ICD 10 CM code is reported?
S62.001K
What three components are considered when relative value units are established?
Physician work, practice expense, malpractice insurance
What is the correct HCPCS Level II code for a removable metatarsal foot arch support which is pre-molded?
L3050
What is another term for hives?
Urticaria
The patient has a suspicious lesion of the left Jolle line. Clinical diagnosis of this lesion is unknown but due to the appearance malignancy is a realistic concern. The lesion was excised into the suspicious that measuring .8 cm and margins of .1 cm on each side. Hemostasis was achieved using light pressure. The wound was closed in layers using 5.0 Monocryl and 6.0 Prolene. Pathology revealed a benign nevus with clear margins. What CPT and ICD 10 CM codes are reported?
12051, 11441-51, D23.39
44-year-old male with biplanar deformity acquired limb length discrepancies in tibial nonunion has undergone deformity correction. He now requires exchange of an external fixation strut 45 days postoperatively. The intraoperative mounting parameter deformity parameters and initial strut settings are inserted into the computer prior to Jim's discharge and a daily schedule is generated for him to perform the gradual deformity correction necessary. What CPT code should reported?
20697
A young female patient was taken to the operative suite, and was placed under appropriate anesthesia. She has been suffering from pain and a potential rotator cuff tear of the right shoulder. The right arm was sterilely draped and prepped. Arthroscopic portals were created anteriorly- posteriorly. The joint line was carefully examined. The biceps insertion was noted to be normal. The middle and inferior glenohumeral ligaments were visualized in noted to be normal. The undersurface of the rotator cuff was clearly visualized and also noted to be normal. There was a large anterior spur formation. The blur was introduced through a lateral portal and the anterior lip of the acromion was resected. The undersurface of the clavicle was noted to be quite prominent and part of the impinging process. There was intense bursitis and a bursectomy was performed, allowing for acromial decompression and release. Spurs were removed from the distal clavicle. All instruments were removed skin incisions were closed and a dress was applied. The patient was placed in a sling and returned to the recovery room. What CPT code is reported?
23415-RT
What modifier must always be applied to medicare claims for test performed in a site with CLIA Waived certificate?
QW
What does "in vivo" mean?
in the living body
what is the code for gross and microscopic examination (surgical pathology) of the breast tissue from a simple mastectomy?
88307 [Show Less]