1. Surgical removal The suffix -ectomy means 2. Magnetic Reso- nance Imaging 3. The removal of the fallopi- an tubes and ovaries MRI stands for
... [Show More] The term "Salpingo-Oophorectomy" refers to 4. Freezing Cryopreservation is a means of preserving something through 5. Paracentesis Which of the following describes the removal of fluid from a body cavity 6. Gastrotomy If a surgeon cuts into a patient's stomach he has per- formed a 7. Muscle In the medical term myopathy the term pathy means disease. What is diseased? 8. Measles, Mumps, The acronym MMRV stands for Rubella, and Vari- cella 9. Outer bone locat- ed in the forearm 10. Hemic and Lym- phatic 11. The distal por- tion The Radius is the The spleen belongs to what organ system? The portion of the femur bone that helps makes up the knee cap is considered what? 12. Middle The Midsagittal plane refers to what portion of the body? 13. Cecum Which of the following is not part of the small intestine? 14. Teres One of the six major scapulohumeral muscles 15. Where to esoph- agus joins the stomach 16. Amputation, arm through humerus; secondary closure or scar revision 17. The condition of the patient justi- fies the service provided The cardia fundus is The full description of CPT code 24925 is: Medical necessity means what? 18. 45392 Which of the following codes allows the use of modifier 51? 19. It helps cov- er outpatient charges 20. External cause codes are only used in the initial encounter. 21. Exploration, in- cluding en- largement, de- bridement, re- moval of foreign body(ies), minor vessel ligation, and repair Which of the following statements is not true regarding Medicare Part A Which of the following statements is false? Wound exploration codes include the following service (s) : 22. I12.9, N18.3 What is the correct ICD-10-CM code(s) for malignant hypertension with stage III kidney disease? 23. S51.822A, W07.XXXA, W25.XXXA, Y93.E9, Y92.030 24. T20.30XA, T24.319A, T22.299A, T31.42, X03.0XXA 25. O63.0, O09.513, Z37.0 26. S62.632A, Y93.64, W51.XXXA, Y92.320 27. F15.20, F10.20, F41.1, F43.10 Lucy was standing on a chair in her apartment's kitchen trying to change a light bulb when she slipped and fell. She struck the glass top stove, which shattered. She presents to the ER with a simple laceration to her left forearm that has embedded glass particles. Which is the correct code(s)? Jim was at a bonfire when he tripped and fell into the flames and sustained multiple burns. He came to the emergency room via an ambulance and was treated for second and third degree burns on his face, second de- gree burns on his upper arms and forearms, and third degree burns on the fronts of his thighs Which is the correct code(s)? . A 35 year old woman who is pregnant in her 38th week with her first child is admitted to the hospital. She experiences a prolonged labor during the first stage and eventually births a healthy baby boy. Which is the correct code(s)? Henry was playing baseball at the town's sports field and slid for home base where he collided with another player. He presents to the emergency department complaining of pain in the distal portion of his right middle finger. It is swollen and deformed. The physician orders an x-ray and diagnoses Henry with a displaced tuft fracture. He splints the finger, provides narcotics for pain, and instructs Henry to follow-up with his orthopedist in two weeks. Which is the correct code(s)? A 60 year old male is admitted for detoxification and reha- bilitation. He has continuously abused amphetamines to the point that he cannot voluntarily stop on his own and has become dependent upon them. He also has a long documented history of alcohol abuse and alcoholism. He experiences high levels of anxiety due to PTSD, which causes him to use and abuse substances. Which is the correct code(s)? 28. E11.319 A patient with uncontrolled type II diabetes is experienc- ing blurred vision and an increase in floaters appearing in her vision. She is diagnosed with diabetic retinopathy. Which is the correct code(s)? 29. Z21 A patient who is known to be HIV positive but who has no documented symptoms would be assigned code 30. L55.1 A patient fell asleep on the beach and comes in with blis- tering on her back. She is diagnosed with second degree solar radiation burns. Which is the correct code(s)? 31. True Signs and symptoms that are associated routinely with a disease process should not be assigned as additional codes, unless otherwise instructed by classification. 32. A6252, A6219 A patient has a home health aide come to his home to clean and dress a burn on his lower leg. The aide uses a special absorptive, sterile dressing to cover a 20 sq. cm. area. She also covers a 15sq. cm. area with a self-adhesive sterile gauze pad. 33. Q4010 A 12 year old arrives in his pediatrician's office after colliding with another player during a soccer game. He is complaining of pain in his right wrist. The physician orders an x-ray and diagnoses him with a hairline fracture of the distal radius. He has a short arm fiberglass cast applied and discharges him with follow up instructions. 34. J9070 A patient with Hodgkin's disease takes Neosar as part of his chemotherapy regiment. He receives 100 mg once a week through intravenous infusion. Which is the correct code(s)? 35. A5500-A5513 A patient with diabetes is fitted for custom molded shoes. What is the code range for such a fitting? Which is the correct code(s)? 36. E1222 A 300lb. paraplegic needs a special sized wheelchair with fixed arm rests and elevating leg rests. Which is the correct code(s)? 37. 99211 A patient comes into her doctor's office for her weekly blood sugar check. Her blood is drawn by the LPN on staff, the visit takes about 5 minutes total. Which is the correct code(s)? 38. 99234 A three year old child is brought into the ER after swal- lowing a penny. A detailed history and exam are taken on the child and medical decision making is of moderate complexity. The child is admitted to observation for three hours and is then discharged home. Which is the correct code(s)? 39. 99471; J80; J18.9 A 20 month old child is admitted to the hospital with pneumonia and acute respiratory distress. The physician spends 3 minutes intubating the child and spends 90 minutes of Critical Care time stabilizing the patient. Which is the correct code(s)? 40. 99360;99465; 99460 At the request of a physician who is delivering for a high risk pregnancy, Dr. Smith, a pediatrician, is present in the delivery room to assist the infant if needed. After thirty minutes the infant is born, but is not breathing. The delivering physician hands the infant to Dr. Smith who provides chest compressions and resuscitates the infant. The pediatrician then performs the initial evaluation and management and admits the healthy newborn to the nursery. What codes should Dr. Smith submit on a claim? 41. 99397, 99215 Mr. Johnson is a 79 year old established male patient that is seen by Dr. Anderson for his annual physical exam. During the examination Dr. Anderson notices a suspicious mole on Mr. Johnson's back. The Doctor completes the annual exam and documents a detailed history and exam and the time discussing the patient's need to quit smok- ing. Dr. Anderson then turns his attention to the mole and does a complete work up. He documents a compre- 42. History, Exam, Medical Decision hensive history and examination and medical decision making of moderate complexity. He also called a local dermatologist and made an appointment for Mr. Johnson to see him the next day for an evaluation and biopsy. Which is the correct code(s)? An E/M is made up of seven components six of which are used in defining the levels of E/M services. The sev- Making, Coun- en components include History, Exam, Medical Decision seling, Coordina- Making, Counseling, Coordination of Care, Nature of Pre- tion of Care, and senting Problem, and Time. Which six of these seven Nature of Pre- parts help define the level of the E/M service? senting Problem 43. The upper cen- When a patient complains.of epigastric pain. Where is the tral region of the pain located? abdomen 44. 99382-25, 90471, A 2 year-old comes in for an initial WCE, Morn doesn't 90710 have the child's immunization record. She states the child's last shot was when he was 5 months old. Med- ical review and documentation of a new patient supports one element of HPI, five-elements of the ROS, and a complete PFSH. The examination was 8+ organ systems. The physician orders the immunizations to be given in the office today. Immunizations given subcutaneously: MMRV. What CPT codes are reported? 45. Musculoskeletal Which system is given credit in the exam component when the provider documents "range of motion, strength, and stability" are adequate in both legs?" 46. 99285 A 25 year-old male is brought in by the EMS to the ER for nausea and vomiting. The patient has elevated blood sugars per EMS. EMS and the physician are unable to get a history due to patient's altered mental status. The ED physician performed a comprehensive eight organ system exam and a high level MDM. Patient was trans- ferred to ICU in stable condition. Total critical care time 25 minutes. What CPT code is reported? 47. 00832 The correct anesthesia code for a ventral hernia repair on a 13 month old child is 48. 01829 A patient is placed under anesthesia to have an explorato- ry surgery done on her wrist. The surgeon utilizes a small fiber optic scope and investigates the radius, ulna, and surrounding wrist bones. What should the anesthesiolo- gist code for? 49. When the anes- When does anesthesia time begin? thesiologist be- gins preparing the patient for the induction of anesthesia 50. 00561 A five month old is brought into the operating room for open heart surgery. The surgeon performs a repair of a small hole that was found in the lining surrounding the patient's heart. Anesthesia was provided as well as the assistance of an oxygenator pump. Which is the correct code(s)? 51. 01714-P3, 99100 A 72 year old male with a history of severe asthma is placed under anesthesia to have a long tendon in his upper arm repaired. Which is the correct code(s)? 52. Capnography Which of the following procedures can be coded sepa- rately when performed by the anesthesiologist? 53. 00126-P1 A healthy five year old male is placed under anesthesia to have a biopsy taken from his left ear drum. Which is the correct code(s)? 54. 00851-P5, 99140 A female who is 17 weeks pregnant is rushed into the OR due to a ruptured tubal pregnancy. She has a severe hemorrhage and has an emergency laparoscopic tubal ligation. Which is the correct code(s)? 55. 12032, 12013-59, John was in a fight at the local bar and presents to S51.802A, the ER with multiple lacerations. The physician evaluates S41.001A, John and determines that he has a 2.5 cm gash to his S01.81XA left forearm and a 4cm gash on his right shoulder, both which require layered closure. He also has a simple 3cm laceration on his forehead that requires simple closure. What are the correct codes for the laceration repairs? 56. 17273, 17000, A patient presents to her dermatologists office with three 17110 suspicious looking lesions. The dermatologist evaluates them and determines that the 1.3cm lesion of the scalp is benign and the 1.5cm lesion of the neck is premalignant. The 2.5 cm on the dorsal surface of the patient's hand is also evaluated and is determined to be malignant. The dermatologist chooses to ablate all three lesions using electrosurgery. Which is the correct code(s)? 57. 19000 An 18 year old female presents with a cyst of her left breast and her physician performs a puncture aspiration. Which is the correct code(s)? 58. 17311, 17315, OPERATIVE REPORT 17312, 12002 Preoperative Diagnosis: Basal Cell Carcinoma Postoperative Diagnosis: Basal Cell Carcinoma Location: Mid Parietal Scalp Procedure: Prior to each surgical stage, the surgical site was tested for anesthesia and re-anesthetized as need- ed, after which it was prepped and draped in a sterile fashion. The clinically-apparent tumor was carefully defined and de-bulked prior to the first stage, determining the extent of the surgical excision. With each stage, a thin layer of tumor-laden tissue was excised with a narrow margin of normal appearing skin, using the Mohs fresh tissue technique. A map was prepared to correspond to the area of skin from which it was excised. The tissue was prepared for the cryostat and sectioned. Each section was coded, cut and stained for microscopic examination. The entire base and margins of the excised piece of tissue were [Show Less]