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Outpatient Coding Chapter 20 Test Questions
Typology: Exams
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Complex cystometrogram with calibrated electronic equipment. CPT Code: ____________________ - ANSWER - 51726 Bilateral epididymectomy. - ANSWER - 54861 The patient requires the lysis of post- circumcision penile adhesions. CPT Code: ____________________ - ANSWER - 54162 What is the name of the system (coding manual) that is used for coding the clinical procedures and services provided by physicians and other clinical professionals? - ANSWER - CPT or Current Procedural Terminology Urethral biopsy. CPT Code: ____________________ - ANSWER - 53200 A complete transurethral electrosurgical resection of the prostate. CPT Code: ___________________ - ANSWER - 52601 Location: Outpatient Hospital OPERATIVE REPORT PREOPERATIVE DIAGNOSIS: Minimal change disease POSTOPERATIVE DIAGNOSIS: Same. PROCEDURE PERFORMED: Native kidney biopsy. PROCEDURE: After providing consent, the patient was taken to ultrasound room. She was put in the prone position. Both kidneys were difficult to visualize. The right kidney was chosen. Skin was prepped in the usual fashion. Lidocaine was used for local anesthesia. Using real-time ultrasound guidance, the right kidney was accessed multiple times. At least six core biopsies were obtained and were sent for light and electromicroscopy in addition to immune fluorescence. Postbiopsy ultrasound showed no evidence of hematoma. The patient tolerated the procedure well without immediate complication. She was sent back to the procedure area. CPT Codes: ____________________, ____________________ - ANSWER - 50200 - RT, 76942- 26 The surgical opening into the seminal vesicle is referred to as what? - ANSWER - Vesiculotomy The patient had a 3.8 cm testicular laceration repair from a baseball injury. CPT Code: ____________________ - ANSWER - 54670 Location: Inpatient Hospital OPERATIVE REPORT PRE/POSTOPERATIVE DIAGNOSIS: Recurrent balanitis and phimosis. PROCEDURE PERFORMED: Circumcision.
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PROCEDURE: The child was given general mask anesthetic as well as caudal block for postoperative pain control. He was prepped and draped in the supine position, foreskin retracted, prepucial adhesions broken down. Circumcision was then performed using a dorsal slit technique. Hemostasis was achieved with judicious use of electrocautery and chromic ties. Prepuce was re- anastomosed to the penile skin using 5- 0 chromic catgut. Vaseline gauze dressing was applied. The patient tolerated the procedure well and transferred to the recovery room in good condition. CPT Code: ____________________ - ANSWER - 54150 The National Correct Coding Initiative (NCCI) was developed to control proper coding leading to inappropriate payment for: - ANSWER - Part B Medicare Claims A nephrectomy with a total ureterectomy and bladder cuff, through different incisions. CPT Code: ____________________ - ANSWER - 50236 ICD- 10 - CM utilizes a placeholder character at certain codes to allow for future expansion of the classification system. What letter is used to represent this placehold character? - ANSWER - X A radical retropubic prostatectomy with nerve sparing. CPT Code: ____________________ - ANSWER - 55840 Identify the modifier that may be used to indicate a physician performed the postoperative management of a patient but another physician performed the surgical procedure. - ANSWER -- 55 If a stent is placed during another procedure (cystourethroscopy) and left in during the procedure, a code needs assigned for the stent placement. - ANSWER - True