Exam 2

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Question #1

Approaches for breast procedures can be:

A Laparoscopic

B Percutaneous and open

C With preoperative radiological markers

D With fluoroscopy

Question #2

Surgical procedures performed on the breast are considered to be:

A Malignant

B Unilateral

C Bilateral

D Benign

Question #3

If a patient is admitted to the hospital for care, the visit or episode is considered which of the following?

A Subsequent hospital care

B Initial hospital or inpatient admission

C Observation

D All of these

Question #4

If a patient is sent to the hospital for observation, the hospital staff determines whether that patient should be:

A All of these

B Sent home

C Admitted to the hospital

D Transferred to another facility

Question #5

Which of the following categories pertain to hospital services?

A Initial Hospital Care (99221-99223)

B Home Services (99341-99350)

C Hospital Observation Services (99217-99220, 99224-99226)

D Emergency Department Services (99281-99288)

Question #6

Critical Care Services codes (99291, 99292) may be reported on the same day for a patient by the same physician as subsequent hospital care codes (99231, 99232, 99233). Which of the following codes might also be reported by that physician for that patient on that same day?

A 99304

B 92950

C 99241

D 99281

Question #7

Which of the following is the correct physical status modifier to use when reporting a patient with a severe systemic disease that is a constant threat to life?

A P2

B P6

C P4

D P3

Question #8

Special anesthesia modifiers may be used along with other CPT modifiers to accurately report a patient’s physical status through the period of anesthesia. How many levels of physical status modifiers are there?

A Three

B Five

C Six

D Eight

Question #9

Which of the following covers all aspects of anesthesia care including a preprocedure visit, intraprocedural care, and postprocedure anesthesia management?

A General anesthesia

B Oximetry

C Local anesthesia

D Monitored Anesthesia Care (MAC)

Question #10

Which of the following terms describes the passing of a thin tube or catheter into the right side of the heart and the arteries leading to the lungs?

A Swan Ganz

B Oximetry

C Mass Spectrometry (MS)

D Capnography

Question #11

Which of the following terms describes blood oxygen concentration?

A Mass spectrometry (MS)

B Swan Ganz

C Oximetry

D Capnography

Question #12

An anesthesiologist performs monitored anesthesia care for bronchoscopy with biopsy on a patient with a history of congestive heart failure. What is the correct coding for this situation?

A 00522

B 00520

C 00523

D 00521

Question #13

An excision of a lesion is a full-thickness removal including margins and includes which of the following types of repairs?

A Complex repairs

B Intermediate repairs

C Simple repairs

D Layered repairs

Question #14

Shaving, the removal by sharp transverse incision or horizontal slicing of lesions without full-thickness excision are limited to which of the following lesions?

A Intra-organ lesions

B Dermal lesions

C Epidermal lesions

D Subcutaneous lesions

Question #15

Methods of removing skin tags can include which of the following?

A Electrosurgical destruction

B Scissors or sharp tool

C All of these

D Ligature strangulation

Question #16

How is paring or cutting benign hyperkeratotic lesions reported?

A One code from the series for paring or cutting is reported per episode.

B Separate codes are reported per site.

C None of these

D One code for a total of the sq cm removed is reported.

Question #17

In a debridement process, how is the depth of debridement defined?

A None of these

B A diameter/radius of the area being debrided

C As extending from the skin level to the bone

D A sq cm formula for the combined depth, width, and length of the affected area

Question #18

A process used to remove necrotic and/or foreign material from body tissue by invasive methods is called:

A Shaving

B Closed excision

C Debridement

D Open incision

Question #19

Cutting into body tissue or an organ is referred to as a(n):

A Wound shaving

B Excision

C Incision

D Debridement

Question #20

In which of the following cases would a coder add the lengths of the defects?

A Simple and intermediate closures of lacerations on arm and face

B Full- and split-thickness skin grafts

C Removal of benign lesions from neck

D Simple closure of two lacerations on the trunk

Question #21

A patient with two malignant lesions on the neck, one 0.5 cm and the other 0.8 cm, had them both destroyed by electrosurgery. What is the correct code(s) to report?

A 11620, 11621

B 17272

C 17270, 17271

D 17000, +17003

Question #22

What may a left ventricular pacing catheter be called?

A Coronary sinus lead

B Biventricular lead

C None of the choices

D Coronary sinus lead and Biventricular lead

Question #23

When reporting skin pocket relocation codes during a repositioning of a previously implanted pacemaker, which of the following procedures are reported separately?

A Transvenous dual electrode replacement

B Incision and drainage, debridement, and complex repairs

C Atrial dual electrode replacement

D Backbench work to prepare the new pocket

Question #24

Certain CPT codes used to report the treatment or evaluation of cardiovascular patients are found in which of the following codebook sections?

A Surgery section

B Medicine section

C Radiology section

D Integumentary System section

Question #25

It is common to insert permanent pacemakers using which of the following approaches?

A Atrial

B Open abdominal

C Open thoracic

D Transvenous

Question #26

Defibrillator threshold testing performed when a subcutaneous ICD is inserted is:

A Included in the initial ICD implantation code

B None of the choices

C Not reported separately

D Included in the initial ICD implantation code and not reported separately

Question #27

For a CABG procedure, the left internal mammary artery was anastomosed to the left anterior descending coronary artery and to the diagonal. A venous graft from the aorta to the marginal circumflex artery completes the procedure. What is the correct code(s) to report?

A 33534

B 33534, 33517

C 33517

D 33535, 33516

Question #28

A 32-month-old toddler has been diagnosed with leukemia and will need staged chemotherapy. To perform this chemotherapy in the best manner for the child’s comfort, a PICC line needs to be placed. How is the placement of the PICC line coded?

A 36555

B 36580

C 36569

D 36568

Question #29

If an operative report reads, “Valvuloplasty, mitral valve and patient maintain on cardiopulmonary bypass during the procedure,” what is the correct code to report?

A 33426

B 33425

C 33420

D 33427

Question #30

If an operative report reads, “triple coronary artery bypass (left internal mammary artery to left anterior descending: saphenous vein to diagonal: saphenous vein to right posterior descending),” what is the correct code(s) to report?

A 33533, +33518

B +33518 x 2

C 33533

D 33534, +33518

Question #31

A removal of an appendix may be considered which of the following procedures?

A None of these

B All of these

C Open surgical appendectomy

D Incidental appendectomy

E Laparoscopic appendectomy

Question #32

When it is necessary to lyse multiple adhesions when performing another surgical procedure, the adhesions should be:

A Reported separately

B Reported with one code regardless of the number or location

C Not reported unless their removal constitutes the only surgical procedure in that session

D Considered as a part of the main code and not reported separately

Question #33

Standard backbench work to prepare a pancreas allograft includes which of the following procedures?

A Y-graft arterial anastomoses

B Ligation of mesenteric vessels

C Splenectomy, duodenotomy, and ligation of bile duct

D All of these

Question #34

The operative report for backbench preparation for an intestine allograft should document the mobilization and fashioning of which of the following anatomical structures?

A Gallbladder ductwork

B Mesenteric artery and vein

C Pancreas and bile duct

D Pancreas and spleen

Question #35

When coding for a liver transplant, a coder must choose from which of the following options?

A Two different types of backbench work

B Two types of allotransplantation

C Three different types of backbench work

D Four different types of backbench work

Question #36

Esophageal repair may include which of the following procedures?

A Open paraesophageal repairs

B Open laparoscopic esophagogastric fundoplasty

C None of these

D Esophagomyotomy

Question #37

How is laser destruction of polyps during a proctosigmoidoscopy reported?

A 45320

B 45321

C 45315

D 45308

Question #38

If fluid from the peritoneal cavity is drained by the use of a laparoscope after being detected through ultrasound, what is the correct code to report?

A 49322

B 49040

C 49020

D 49320

Question #39

A diagnostic colonoscopy and a diagnostic EGD are performed on the same patient by the same physician on the same day, but not during the same session. How would the physician code for both procedures?

A 45378, 43235 59

B 45330, 43200 59

C 45330, 43200 51

D 45378, 43235 51

Question #40

A surgeon performs a repair of bilateral strangulated recurrent femoral hernias. What is the correct code to report?

A 49550 50

B 49557 50

C 49555 51

D 49553 26

Question #41

Which of the following is a common cause of stricture or blockage in different sites within the urinary tract?

A None of these

B Chemically induced calculi and Concretion of mineral salts forming inside an organ or duct

C Chemically induced calculi

D Concretion of mineral salts forming inside an organ or duct

Question #42

Cystourethroscopy codes may be described as including:

A Fulguration and/or resection

B None of these

C Removal of obstructive calculi

D Stricture release

Question #43

When a preliminary endoscopic procedure of the urinary system is performed followed by a more extensive endoscopic procedure due to anatomical locations, what is the correct coding procedure?

A Use an add-on code for the second more extensive procedure

B Code with one CPT code using the more complex procedure

C Append modifier 51 for multiple procedures to the second CPT code

D Append modifier 59 for separate sections to each of the codes used

Question #44

Why are endoscopic procedures of the urinary structures most often performed?

A To investigate renal insufficiency

B To perform diagnostic and therapeutic procedures

C To remove obstructions and strictures

D To determine whether obstructions are benign or malignant

Question #45

Codes for the insertion of a bladder catheter depend upon whether the catheter is used for:

A Intermittent catheterization

B Catheterization for instillation of medication

C Insertion of permanent catheter

D None of these

Question #46

How many cores does the standard prostate biopsy using a transrectal approach involve?

A 6 to 12 cores for tissue sampling

B 3 cores for tissue sampling

C 35 to 60 cores for tissue sampling

D 1 core for tissue sampling

Question #47

Which of the following terms is used to code the swelling of a kidney due to a build-up of urine?

A Hydrocephalus

B Urethrotomy

C Hypospadias

D Hydronephrosis

Question #48

Simple and complex uroflowmetry procedures are performed to gather information on:

A Bladder sensation and capacity

B The scope of urine production

C The volume of urine storage

D The pressure of flow from the bladder

Question #49

Which of the following refers to the recording of electrical activity generated in muscle that is often used for diagnostic purposes within the urinary tract?

A Complex uroflowmetry

B Hydronephrosis

C Electromyography

D Complex cystometrogram

Question #50

Codes and guidelines for reporting renal allotransplantation are structured to include:

A Backbench work

B Unilateral or bilateral nephrectomy of the donor

C Unilateral or bilateral nephrectomy of the donor and Backbench work

D None of the choices

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