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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
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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. 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?
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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. 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
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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-E 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?
a. 88331, 88313, N63. b. 88305, 88331, 88311, N60. c. 88307, 88305, 88331, 88313, N60.
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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. 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
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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, N 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
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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-
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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. b. 59414, 59300-51, O73.0, O70.1, Z3A.26, Z37. c. 59414, 59300-51, O62.3, O70.9, Z3A.26, Z37.
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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. b. 11402, L72. c. 11401, D22. 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. b. O00. c. O00. d. O00.09 - ANSSb. O00.
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. b. M62. c. R53. d. G58.9 - ANSSb. M62.
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-
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b. 36560, 77002- c. 36561, 77001- 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. b. N50.1, E11.9, N49.2, E66.01, Z68. c. N50.1, N49.2, E66.01, Z68. 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?
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What ICD-10-CM code is reported for a reaction to anesthesia, initial encounter?
a. T88.59XA b. T88.2XXA c. T88.52XA d. T88.4XXA - ANSS
What ICD-10-CM code is reported when a flu vaccine is administered?
a. J11. b. Z28. c. Z28. d. Z23 - ANSSd. Z
What ICD-10-CM codes are reported for postoperative pulmonary edema due to fluid overload from an infusion?
a. T80.89XA, J81.1, Y63. b. J95.89, E87.70, Y63. c. J81.0, E87.70, Y63. d. T81.9XXA, J81.1, Y63.0 - ANSS
What is a function of the alveoli in the lungs?
a. Oxygen exchange b. Nicotine is destroyed c. Fluid in the lungs absorbed d. Providing an airway to breathe - ANSSa. Oxygen exchange
What is the appropriate modifier to use when two surgeons perform separate distinct portions of the same procedure?
a. 59 b. 66 c. 62 d. 80 - ANSS
What is the correct CPT® code for a percutaneous pyelostolithotomy with dilation and basket extraction measuring 1 cm?
a. 50080 b. 50130 c. 50040 d. 50081 - ANSS
What is the correct CPT® coding for a cystourethroscopy with brush biopsy of the renal pelvis?
a. 52005, 52007 b. 52007
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c. 52000, 52007 d. 52005 - ANSS
What is the correct ICD-10-CM coding for diverticulosis of the small intestine which has been present since birth?
a. K57.90, Q43. b. Q43. c. K57. d. K57.10 - ANSS
What is the ICD-10-CM code for eyestrain?
a. H53.10, H53. b. H57. c. H57.8, H57. d. H53.10 - ANSSd. H53.
What is the ICD-10-CM code for hay fever?
a. J30. b. J30. c. J30. d. J45.909 - ANSSa. J30.
What is the largest single mass of lymphatic tissue?
a. Spleen b. Peyer's Patches c. Tonsils d. Thymus - ANSSa. Spleen
What is the meaning of provider in the ICD-10-CM guidelines?
a. Insurance company b. The hospital c. The physician d. The patient - ANSSc. The physician
What is the time frame defining when pain becomes chronic?
a. After the global period b. One year c. The 30th day d. No time frame - ANSSd. No time frame
What modifier must always be applied to Medicare claims for tests performed in a site with a CLIA Waived certificate?
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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
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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. 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?
