Medical Coding: Correct CPT® and ICD-10-CM Codes for Various Procedures, Exams of Nursing

Download Medical Coding: Correct CPT® and ICD-10-CM Codes for Various Procedures and more Exams Nursing in PDF only on Docsity!

AAPC CPC FINAL EXAM REAL EXAM 3 LATEST

VERSIONS 100 QUESTIONS AND CORRECT ANSWERS

65 year-old was admitted in the hospital two days ago and is being examined today by his

primary care physician, who has been seeing him since he has been admitted. Primary care

physician is checking for any improvements or if the condition is worsening.

CHIEF COMPLAINT: CHF

INTERVAL HISTORY: CHF symptoms worsened since yesterday.

Now has some resting dyspnea. HTN remains poorly controlled with systolic pressure

running in the 160s. Also, I'm concerned about his CKD, which has worsened, most likely

due to cardio-renal syndrome.

REVIEW OF SYSTEMS: Positive for orthopnea and one episode of PND. Negative for flank

pain, obstructive symptoms or documented exposure to nephrotoxins.

PHYSICAL EXAMINATION:

GENERAL: Mild respiratory distress at rest

VITAL SIGNS: BP 168/84, HR 58, temperature 98.1.

LUNGS: Worsening bibasilar

crackles CARDIOVASCULAR: RRR,

no MRGs.

EXTREMITIES: Show worsening lower extremity edema.

LABS: BU - ANSS

A 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of

the neck and chest to evaluate for metastases. What CPT® code(s) is/are reported for the

nuclear medicine exam?

a. 78013

b. 78015, 78020

c. 78014

d. 78015 - ANSS

A 5 year-old is brought in to see an allergist for generalized urticaria. The family just

recently visited a family member that had a cat and dog. The mother wants to know if her

son is allergic to cats and dogs. The child's skin was scratched with two different allergens.

The provider waited 15 minutes to check the results. There was a flare up reaction to the

cat allergen, but there was no flare up to the dog allergen. The provider included the test

interpretation and report in the record.

a. 95004 x 2

b. 95027 x 2

c. 95024 x 2

d. 95018 x 2 - ANSS

A 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to

the hospital by ambulance. She was found to have an open wound of the left lower thigh,

just above the knee and a displaced fracture of the left femoral neck. She was taken to

the operating room within four hours of her

injury.

She was given general endotracheal anesthesia and was prepped and draped in

sterile fashion. Debridement including excision of devitalized skin and muscle was performed on the lateral

thigh. The area was approximately 15 sq cm. After debridement and thorough copious

irrigation, the wound was closed with layer sutures and a dressing was applied and then

covered with adhesive plastic. The patient was then prepped and draped for the fracture

and turned on her right side. We all rescrubbed. An 8 inch

incision

was made over the left hip and the head of the femur was exposed. Multiple

fragments from the neck an - ANSS

A 27 year-old girl has been on the lung transplant list for months and today she will be

receiving a LT and RT lung from an individual involved in an MVA. This person was DOA at

the hospital and is an organ donor. The donor pneumonectomy was performed by physician

A, the backbench work by physician B and the transplant of both lungs into the prepped and

waiting patient by physician C.

What is the correct coding for the removal (physician A), preparation (physician B) and

insertion (physician C) of the lungs?

a. 32850, 32855, 32851

b. 32850, 32856, 32851 x 2

c. 32850, 32856, 32853

d. 32850, 32855 x 2, 32850-50 - ANSS

A 32 year-old ETOH dependent female is in a partial hospitalization program and has been

seeing an addictive disease specialist (psychotherapist) in a chemical dependency program.

Her employer is aware of her problem. She was referred to the group through their

Employee Assistance Program. As long as she is in compliance they will support her efforts.

Recently, she has arrived late at the meetings. The provider met with the patient and

discussed the importance of her treatment, compliance with the program and avoidance of

situations in which she may use alcohol. She denies contact with her previous associates

and assures the provider she has had no alcohol intake since beginning the substance

abuse treatment program. They will continue to reinforce her progress and successful

sobriety. Time of the session was 45 minutes. What CPT® and ICD-10-CM codes are

reported?

a. 90832, F10.

b. 90832, F10.

c. 90834, F10.20 - ANSS

A 32 year-old male was seen in the ASC for removal of two lipomas. One was located on his

back and the other was located on the right forearm. Both involved subcutaneous tissue.

What ICD-10-CM code(s)

is/are

reported?

a. D17.1,

D17.23 b.

D17.21, D17.

c. D17.

d. D17.39 - ANSSb. D17.21, D17.

A 40 year-old presents with vaginal bleeding for several weeks unrelated to her

menstrual cycle. The gynecologist orders an ultrasound to obtain more information for a

diagnosis. What diagnosis code is appropriate for this encounter?

a.

N92.

b.

N92.

c.

N92.

d. N93.9 - ANSS

A 42 year-old patient was undergoing anesthesia in an ASC and began having complications

prior to the administration of anesthesia. The surgeon immediately discontinued the planned

surgery. If the insurance company requires a reported modifier, what modifier best describes

the extenuating circumstances?

a. 53

b. 23

c. 73

d. 74 - ANSS

A 43 year-old female presents to the provider for a diabetic ulcer of the right ankle.

What ICD-10-CM codes are reported?

a. L97.

b. L97.319,

E11.9 c. L97.319,

E11.

d. E11.622, L97.319 - ANSSd. E11.622, L97.

A 43 year-old patient with a severe systemic disease is having surgery to remove an

integumentary mass from his neck. What CPT® code and modifier are reported for the

anesthesia service?

a. 00300-

P2 b.

00300-P

c. 00322-

P

d. 00350-P3 - ANSS

A 45 year-old presents with acute pericarditis. The surgeon makes a small incision between

two ribs and enters the thoracic cavity. An endoscope is introduced and the pericardial sac

is examined by direct visualization. Using an instrument introduced through the

endoscope, the surgeon creates an opening in the pericardial sac for drainage purposes.

What CPT® code is reported?

a. 32659

b. 32662

c. 32658

d. 32661 - ANSS

A 45 year-old-male patient has developed an ulcer on his upper back. He has had

diabetes for several years and is on insulin. The provider determines that the ulcer is due

to his diabetes. What ICD-10-CM codes are reported?

a. E11.622, Z79.

b. E11.9, L98.429,

Z79.4 c. E11.622,

L98.429, Z79.

d. E11.622, L98.429 - ANSSc. E11.622, L98.429, Z79.

A 47 year-old female presents to the OR for a partial corpectomy to three thoracic

vertebrae. One surgeon performs the transthoracic approach while another surgeon

performs the three vertebral nerve root decompressions necessary. How should each

provider involved code their portion of the surgery?

a. 63087-52, 63088-52 x 2

b. 63087-80, 63088-80 x 2

c. 63085-62, 63086-62 x 2

d. 63085, 63086-82 x 2 - ANSS

A 49 year-old female presented with chronic deQuervain's disease and has been

unresponsive to physical therapy, bracing or cortisone injection. She has opted for more

definitive treatment. After

induction

of anesthesia, the patient's left arm was prepared and draped in the normal

sterile fashion. Local anesthetic was injected using a combination 2% lidocaine and 0.25% Marcaine. A

transverse

incision

was made over the central area of the first dorsal compartment. The subcutaneous

tissues were gently spread to protect the neural and venous structures. The retractors were placed. The

fascial sheath of the first dorsal compartment was then incised and opened carefully. The

underlying thumb abductor and extensor tendons were identified. The tissues were

dissected and the extensor retinaculum of the first extensor compartment was incised. The

fibrotic tissue was incised and the tendons gently released. The tendons were fre - ANSS

A 50 year-old patient has been diagnosed with elevated blood pressure. The patient

does not have a history of hypertension. What is the correct ICD-10-CM code to report?

a.

I15.

b.

I13.0 c.

R03.

d. I10 - ANSSc. R03.

A 53 year-old woman with scarring of the right cornea has significant corneal thinning with a

high risk of perforation and underwent reconstruction of the ocular surface. The eye is

incised and an operating microscope is used with sponges and forceps to debride necrotic

corneal epithelium. Preserved human amniotic membrane is first removed from the storage

medium and transplanted by trimming the membrane to fit the thinning area of the cornea

then sutured. This process was repeated three times until the area of thinning is flush with

surrounding normal thickness cornea. All of the knots are buried and a bandage contact

lens is placed with topical antibiotic steroid ointment. What CPT® code is reported?

a. 65435

b. 65780

c. 65781

d. 65710 - ANSS

A 57 year-old patient with chronic pancreatitis presents to the operating room for a

pancreatic duct-

jejunum

anastomosis by the Puestow-type operation. What are the correct CPT® and ICD-

10-CM codes for the encounter?

a. 48548, K85.

b. 48548, K86.

c. 48520, K86.

d. 48520, K85.80 - ANSS

A 63 year-old male presents for the insertion of an artificial inflatable urinary sphincter for

urinary

incontinence.

A 4.5 cm cuff, 22 ml balloon, 61-70 mmHg artificial inflatable urinary sphincter

was inserted. What CPT® code is reported for this service?

a. 53446

b. 53448

c. 53447

d. 53445 - ANSS

A 70 year-old female has a drooping left eyelid obstructing her vision and has consented to

having the blepharoptosis repaired. A skin marking pencil was used to outline the external

proposed skin incision on the left upper eyelid. The lower edge of the incision was placed in

the prominent eyelid crease. The skin was excised to the levator aponeurosis. An attenuated

area of levator aponeurosis was dehisced from the

lower

strip. Three 6-0 silk sutures were then placed in mattress fashion, attaching this

attenuated tissue superiorly to the intact tissue inferiorly. This provided moderate elevation of the eyelid. What

CPT® code

is

reported?

a. 67911-

E1 b.

67901-E

c. 67903-

E

d. 67904-E1 - ANSS

A 74 year-old male presented with ankle avascular necrosis of the talus with collapse of the

body. After general anesthesia and sterile prep, the patient was placed prone. A lateral

incision was made. The fibula was dissected and approximately 6 cm of the fibula was

removed for the autograft. There were a lot of free fragments of bone around the subtalar

joint and the talus itself. The bone fragments were removed and a large defect consistent

with avascular necrosis of the body of the talus was noted. An egg-shaped burr was

introduced and the articulating cartilage of the ankle joint was excised and debrided. The

subtalar joint was approached and resection of the articulating surface of the subtalar joint

was completed. Bone graft from the fibula was prepared on the back table. We made two

large blocks to fill the defect in the talus and then additional small fragments of cortical

cancellous bone to fill in smaller d - ANSS

A CT study of the lumbar spine (L2-L4) was performed with IV contrast in the hospital

outpatient radiology department and the interpretation of the images is performed by the

radiologist. What CPT® code(s) should be reported by the radiologist who is not an

employee of the hospital?

a. 72132

b. 72132-

c. 72132-26, 72132-

TC d. 72132-TC -

ANSS

A fracture of the corpus cavernosum penis is repaired. What is the correct code?

a. 54440

b. 54420

c. 54430

d. 54435 - ANSS

A left breast biopsy is performed on a mass and the surgeon requests a frozen section

examination of the specimen to determine whether more extensive resection is appropriate.

The frozen section reveals no

indications

of malignancy. No other specimen is obtained but the remainder of the

biopsy specimen is sent for further testing and examination, including decalcification. The results indicate

breast fibrosclerosis only. What CPT® and ICD-10-CM codes are reported?

d. 88307, 88331, R92.0 - ANSS

A new patient with cystic fibrosis underwent evaluation of lung function, including

percussion, vibration and cupping to the chest wall to facilitate his lung function. What

CPT® code(s) is/are reported for this service?

a. 94664

b. 99201-25, 94668

c. 94667

d. 94662 - ANSS

A non-Medicare patient reports for a bilateral screening mammography with CAD. What CPT®

code(s)

is/are

reported?

a. 77066

b. 77067

c. 77059

d. 77062 - ANSS

A patient has a traumatic head injury and some cerebrospinal fluid (CSF) is removed to limit

potential damage from swelling of the brain. The CSF is sent to pathology for examination

and the results show unusual cytological counts, although no specific findings. The patient

has had no previous symptoms known to his family members. What is the ICD-10-CM code

for this examination of CSF?

a. A39.

b.

Z00.

c. S06.1X0A

d. R83.6 - ANSS

A patient has an open displaced fracture of the second cervical vertebra. This is her fifth

visit and the fracture is healing normally. What ICD-10-CM code is reported?

a.

S12.9XXS

b.

S12.190D

c.

S12.9XXD

d. S12.190A - ANSSb. S12.190D

A patient has ovarian cancer of both ovaries. She has removal of her ovaries with peritoneal

washings and assessment of the abdomen for any metastases, including inspection of

omentum, diaphragm and multiple biopsies. Lymph nodes in the pelvic and peri-aortic areas

were also biopsied. She has previously had a hysterectomy. What are the CPT® and ICD-10-

CM codes reported for this service?

a. 58943, C56.1, C56.

b. 58950, 49255, C79.61, C79.

c. 58720, 38770, C56.1, C79.

d. 58940, C56.1, C56.2 - ANSS

A patient is brought to the operating suite when she experiences a large output of blood

in her chest tubes post CABG. The physician performing the original CABG yesterday is

concerned about the post- operative bleeding. He explores the chest and finds a leaking

anastomosis site and he resutured.

a. 35761-

b. 35241

c. 35761

d. 35820-78 - ANSS

A patient is diagnosed as having both acute and chronic tonsillitis. How is this reported in

ICD-10-CM?

a. The chronic tonsillitis is reported first; the acute tonsillitis is

reported second. b. The acute tonsillitis is reported first; the chronic

tonsillitis is reported second. c. Only the chronic tonsillitis is

reported.

d. Only the acute tonsillitis is reported. - ANSS

A patient is prescribed anticonvulsant medication for her seizures. She returns to her doctor

three days

later with

nausea and rash due to taking the anticonvulsant medication. The provider

notes that this is a drug reaction to an anticonvulsant and changes the medication. What ICD-10-CM codes are

reported?

a. L27.0, R11.2,

T42.71XA b. R21,

R11.2, T42.71XA c.

R21, R11.0, T42.75XA

d. L27.0, R11.0, T42.75XA - ANSSd. L27.0, R11.0, T42.75XA

A patient is seen by Dr. B who is covering on call services for Dr. A. The patient is an

established patient with Dr. A. but she has not been seen by Dr. B. before. Which E/M

subcategory is appropriate to report the services provided by Dr. B?

a. Established patient office

visit b. Preventive medicine

visit

c. Office consultation

d. New patient office visit - ANSS

A patient is seen in the ED for nausea and vomiting that has persisted for 4 days. The ED

physician treats the patient for dehydration which is documented in the patient's record as

the final diagnosis. What ICD- 10-CM code(s) is/are reported for this encounter?

a. R11.2,

E86.0 b.

E86.

c. R11.

d. R11.10, R11.0, E86.0 - ANSS

A patient needing scoliosis measurements is coming in to have standing anteroposterior and

lateral views of his entire thoracic and lumbar spine. What CPT® code(s) is/are reported for

radiology?

a. 72084

b. 72082

c. 72083

d. 72040, 72070, 72100 - ANSS

A patient presents to the hospital for a cardiovascular SPECT study. A single study is

performed under stress, but without quantification, with a wall motion study, and ejection

fraction. Select the CPT® code(s) for this procedure.

a. 78451, 78472

b. 78451

c. 78453

d. 78453, 78472 - ANSS

A patient recently experienced muscle atrophy and noticed she did not have pain when she

cut herself on a piece of glass. The provider decides to obtain a needle biopsy of the spinal

cord under ultrasound guidance in the outpatient setting. The biopsy results come back as

syringomyelia. What CPT® and ICD- 10-CM codes are reported for the biopsy procedure?

a. 62269, G12.

b. 62270, 76942-26, G95.

c. 62270, G12.

d. 62269, 76942-26, G95.0 - ANSS

A patient with amyloidosis being treated for glomerulonephritis. What ICD-10-CM codes are

reported?

a. E85.3,

N08 b.

E85.4, N

c. N08,

E85.

d. N08, E85.4 - ANSSb. E85.4, N

A patient with hypertensive cardiovascular disease is admitted by his primary care

provider. What is/are the correct ICD-10-CM code(s) for this encounter?

a.

I11.

b.

I11.

c. I10, I25.

d. I11.9, I25.10 - ANSS

A patient with MEN1 (Multiple Endocrine Neoplasia 1) has surgery to remove three of her

parathyroid glands and part of the fourth parathyroid gland. What CPT® and ICD-10-CM

codes are reported?

a. 60505, E31.

b. 60505, E31.

c. 60500, E31.

d. 60502, E31.22 - ANSS

A provider visits Mr. Smith's home monthly. Today, the provider performs a problem

focused history, an expanded problem focused examination and a medical decision

making of low complexity. What CPT® code is reported?

a. Home visits are no longer

reportable. b. 99348

c. 99349

d. 99347 - ANSS

A urine pregnancy test is performed by the office staff using the Hybritech ICON (qualitative

visual color comparison test). What CPT® code is reported?

a. 84702

b. 81025

c. 81025, 36415

d. 84703 - ANSS

ABN stands for.

a. Advanced Benefits

Notification b. Advisory

Beneficial Notice

c. Admitting Beneficiary Notice

d. Advance Beneficiary Notice - ANSSd. Advance Beneficiary Notice

According to the OIG, internal monitoring and auditing should be performed by what means?

a. Focused audits on problems brought to the attention of the

compliance officer. b. Baseline audits.

c. Periodic audits.

d. Audits on all denied claims. - ANSSc. Periodic audits.

An 18 month-old patient is seen in the ED unable to breathe due to a toy he swallowed which

had lodged

in

his throat. Soon brain death will occur if an airway is not established immediately.

The ED provider performs an emergency transtracheal tracheostomy. What CPT® and ICD-10-CM codes are

reported?

a. 31601, 31603,

T17.228A b. 31601,

J34.9, T17.298A c.

31603, T17.220A

d. 31603, T17.290A - ANSS

An ED physician treats a 30 year-old patient who was a victim of a rape. She has bruises

and other trauma as well as a laceration of the vaginal wall, which is repaired with sutures

(colporrhaphy) by the ED physician. What are the CPT® and ICD-10-CM codes reported for

this procedure?

a. 59300, S31.41XA,

T74.21XA b. 57260, N89.

c. 57200, S31.41XA,

T74.21XA d. 57289, N89.8 -

ANSS

An infant is born six weeks premature in rural Arizona and the pediatrician in attendance

intubates the child and administers surfactant in the ET tube while waiting in the ER for

the air ambulance. During the 45-minute wait, he continues to bag the critically ill patient

on 100 percent oxygen while monitoring VS, ECG, pulse oximetry and temperature. The

infant is in a warming unit and an umbilical vein line was placed for fluids and in case of

emergent need for medications. How is this coded?

a. 99471-25, 94610, 36510

• a. 88331, 88313, N63.
• b. 88305, 88331, 88311, N60.
• c. 88307, 88305, 88331, 88313, N60.
• b.
• c.

d. 99291-25, 31500, 36510, 94610 - ANSS

Cytopathology is the study of:

a.

Tissue

b. Cells

c. Blood

d. Organs - ANSSb. Cells

Due to infections from hemodialysis, the physician replaces a dual chamber implantable

defibrillator system with a multi-lead system with an epicardial lead and transvenous dual

chamber lead defibrillator system. The original dual leads are extracted transvenously. The

generator pocket is relocated. What CPT® codes are reported?

a. 33244, 33220-51, 33264-51, 33223-

b. 33243, 33202-51, 33263-51, 33223-

c. 33241, 32330-51, 33263-51, 33223-

d. 33244, 33202-51, 33264-51, 33223-59 - ANSS

How is Streptococcal A Meningitis reported in ICD-10-CM?

a. Only Streptococcal, group A, as the cause of diseases classified elsewhere is

reported. b. Only one code is reported for streptococcal meningitis.

c. Streptococcal, group A, as the cause of diseases classified elsewhere is reported first;

Streptococcal meningitis is reported second.

d. Streptococcal meningitis is reported first; Streptococcal, group A, as the cause of diseases

classified elsewhere is reported second. - ANSSd. Streptococcal meningitis is reported first;

Streptococcal, group A, as the cause of diseases classified elsewhere is reported second.

If the findings on examination of a Pap smear are normal and described as "negative for

intraepithelial

lesion

or malignancy" this is an example of what type of results

reporting?

a. Surgical

pathology b.

Cytogenetics

c. Bethesda

d. Non-Bethesda - ANSS

In ICD-10-CM, what classification system is used to report open fracture classifications?

a. Muller AO classification of

fractures b. PHF classification of

fractures

c. Danis-Weber classification

d. Gustilo classification for open fractures - ANSS

In the hospital setting a patient undergoes transcatheter placement of an extracranial

vertebral artery stent in the right vertebral artery. Which CPT® code is reported by the

physician providing only the radiologic supervision and interpretation?

a. 0075T

b. 0075T-

c. 35301

d. 35005 - ANSS

In which circumstances would an external cause code be reported?

a. Delivery of a newborn.

b. Causes of injury or health condition.

c. Chemotherapy treatment of neoplasms.

d. Only for the cause of motor vehicle accidents. - ANSSb. Causes of injury or health

condition.

Joe has a terrible problem with ingrown toenails. He goes to the podiatrist to have a nail

permanently removed along with the nail matrix. What CPT® code is reported?

a. 11720

b. 11765

c. 11730

d. 11750 - ANSS

Local Coverage Determinations are administered by whom?

a. State Law

b. NCDs

c. Each regional MAC

d. LMRPs - ANSSc. Each regional MAC

Margaret has a cholecystoenterostomy with a Roux-en-Y. Five hours later, she has an

enormous amount of pain, abdominal swelling and a spike in her temperature. She is

returned to the OR for an exploratory

laparotomy

and subsequent removal of a sponge that remained behind from surgery earlier

that day. The area had become inflamed and was demonstrating early signs of peritonitis. What is the

correct coding for the subsequent services on this date of service? The same surgeon took

her back to the OR as the one who performed the original operation.

What CPT® code is reported?

a. 49000-

b. 49402-

c. 49000-

d. 49402-78 - ANSS

Mrs. Smith is visiting her mother and is 150 miles away from home. She is in the 26th week

of pregnancy. In the late afternoon she suddenly feels a gush of fluids followed by strong

uterine contractions. She is rushed to the hospital but the baby is born before they arrive. In

the ED she and the baby are examined and the retained placenta is delivered. The baby is in

the neonatal nursery doing okay. Mrs. Smith has a 2nd degree perineal laceration secondary

to precipitous delivery which was repaired by the ED physician. She will return home for her

postpartum care. What ICD-10-CM and CPT® codes are reported by the ED physician?

a. 59409, 59414-51, 59300-51, O62.3, O70.1,

Z3A.26, Z37.0 b. 59414, 59300-51, O73.0, O70.1,

Z3A.26, Z37.

c. 59414, 59300-51, O62.3, O70.9, Z3A.26, Z37.

d. 59409, O80, Z3A.26, Z37.0 - ANSS

Operative Report

Pre-Operative and Post-Operative Diagnosis: Squamous cell carcinoma,

left leg Open wound, right leg

Personal history of squamous cell carcinoma, right leg

INDICATIONS FOR SURGERY: The patient is an 81 year-old white man with biopsy-proven

squamous cell carcinoma of his left leg. I marked the areas for excision with gross normal

margins of 5 mm, and I drew my planned skin graft donor site from his left lateral thigh.

He also had an open wound of his right

leg

from a squamous cell carcinoma excised four months ago; the skin graft had not

taken. We plan on re-skin grafting the area. The patient is aware of all of these markings, and understands the

surgery and

locatio

n.

DESCRIPTION OF PROCEDURE: The patient was taken to the operating room. IV Ancef was

given. I used plain lidocaine for his local anesthetic throughout the procedure until the skin

grafts were inset. The anterior of his leg and the thigh - ANSS

Patient comes in today to the provider's office for routine monthly Foley catheter change. A

two way Foley catheter is replaced in the usual sterile fashion. An abdominal urinary drainage

bag and bedside bag are given to the patient. What is/are the correct code(s)?

a. 51702, A4338, A4357,

A4358 b. 51100

c. 51102

d. 51701, A4338, A4357, A4358 - ANSS

Patient had an abscess in the external auditory canal which was incised and drained in the

office. What CPT® code is reported?

a. 69000

b. 69020

c. 69540

d. 69105 - ANSS

Patient presents to her physician 10 weeks following a true posterior wall myocardial

infarction. The patient is still symptomatic and is diagnosed with ischemic heart disease.

What is (are) the correct ICD- 10-CM code(s) for this condition?

a.

I21.29

b. I22.8

c. I25.2

d. Z51.89, I25.9 - ANSS

Patient presents to the physician for removal of a squamous cell carcinoma of the right

cheek. After the area is prepped and draped in a sterile fashion the surgeon measured the

lesion, and documented the size of the lesion as 2.3 cm at its largest diameter. Additionally,

the physician took margins of 2 mm on each side of the lesion. Single layer closure was

performed. The patient tolerated the procedure well. What CPT® code(s) is/are reported?

a. 11643, 12013

b. 11642, 12013

c. 11643

d. 11442 - ANSS

Patient presents with a suspicious lesion on her left arm. With the patient's permission the

physician marked the area for excision. The margins and lesion measured a total of 0.9 cm.

The wound measuring 1.2 cm was closed in layers using 4-0 Monocryl and 5-0 Prolene.

Pathology later reported the lesion to be a sebaceous cyst. What codes are reported?

a. 13121, 11401-51, D22.62

b. 11402, L72.3

c. 11401, D22.62

d. 12031, 11401-51, L72.3 - ANSS

Patient presents with no menses and positive pregnancy test but an ultrasound reveals no

uterine contents. An embryo has implanted on the left ovary and this is treated with

laparoscopic oophorectomy. What ICD-10-CM code is reported for this procedure?

a.

O00.102

b.

O00.202

c.

O00.802

d. O00.09 - ANSSb. O00.202

The meaning of heteropsia (or anisometropia) is:

a. Blindness in half the visual

field b. Double vision

c. Unequal vision in the two eyes

d. Blindness in both eyes - ANSSc. Unequal vision in the two eyes

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 bicep muscle biopsy. What diagnosis code is reported?

a.

R29.898

b.

M62.81 c.

R53.1

d. G58.9 - ANSSb. M62.81

The patient is a 63 year-old gentleman diagnosed with rectal cancer, who had a resection of

the cancer performed. He now presents to have a Port-A-Cath (a central venous access

device) inserted for postoperative adjuvant therapy. An 18-gauge introducer needle was

inserted into the left subclavian vein through which a soft tipped guide wire was inserted

into the superior vena cava under fluoroscopy. A subcutaneous pouch in the anterior part of

the chest was created for the port. The catheter was then tunneled and measured to length.

The dilator and introducer sheath were passed over the wire into the superior vena cava

under fluoroscopic guidance. The catheter was passed through the sheath and the port was

applied with good venous return. What CPT® codes are reported?

a. 36571, 77001-26

b. 36560, 77002-26

c. 36561, 77001-26

d. 36563, 77003-26 - ANSS

The patient is a pleasant 51 year-old male with morbid obesity, weighing approximately

560 pounds and BMI being 85.1. He has uncontrolled diabetes and was evaluated due to

testicular pain. He was found to have erythema, edema and possible areas of eschar on the

scrotum. He was transferred to the hospital, evaluated and found to be stable with cellulitis

and suspect early Fournier's gangrene. What are the appropriate ICD-10-CM codes

reported?

a. N49.2, E11.9, E66.01, Z68.45

b. N50.1, E11.9, N49.2, E66.01,

Z68.45 c. N50.1, N49.2, E66.01,

Z68.52

d. E66.01, E11.9, N50.1, E66.01, Z68.52 - ANSS

This 45 year-old male presents to the operating room with a painful mass of the right upper

arm. Upon deep dissection a large mass in the soft tissue of the patient's shoulder was

noted. The mass appeared to be benign in nature. With deep blunt dissection and

electrocautery, the mass was removed and sent to pathology. What CPT® code is reported?

a. 23075-

RT b.

23066-RT

c. 23030-

RT

d. 23076-RT - ANSS

Urine is transported from the kidneys to the urinary bladder by which structure?

a. Ureter

b.

Urethra

c. Kidney pelvis

d. Urinary vein - ANSSa. Ureter

What are the three classifications of anesthesia?

a. General, Regional and Moderate

Sedation b. General, Regional and

Epidural

c. General, Regional and Monitored Anesthesia Care

d. General, MAC and Conscious Sedation - ANSSc. General, Regional and Monitored

Anesthesia Care

What code represents a secondary rhinoplasty where a small amount of work is performed

on the tip of the nose?

a. 30430

b. 30420

c. 30435

d. 30400 - ANSS

What codes are voluntarily reported to payers, provide evidence-based performance-measure

data?