Exam 2

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Question #1

Approaches for breast procedures can be:

A With fluoroscopy

B With preoperative radiological markers

C Laparoscopic

D Percutaneous and open

Question #2

Surgical procedures performed on the breast are considered to be:

A Unilateral

B Malignant

C Benign

D Bilateral

Question #3

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

A All of these

B Subsequent hospital care

C Initial hospital or inpatient admission

D Observation

Question #4

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

A Sent home

B Admitted to the hospital

C All of these

D Transferred to another facility

Question #5

Which of the following categories pertain to hospital services?

A Home Services (99341-99350)

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

C Emergency Department Services (99281-99288)

D Initial Hospital Care (99221-99223)

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 99281

B 99304

C 92950

D 99241

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 P3

B P4

C P6

D P2

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 Six

B Five

C Eight

D Three

Question #9

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

A Monitored Anesthesia Care (MAC)

B Local anesthesia

C Oximetry

D General anesthesia

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 Mass Spectrometry (MS)

C Capnography

D Oximetry

Question #11

Which of the following terms describes blood oxygen concentration?

A Oximetry

B Mass spectrometry (MS)

C Swan Ganz

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 00520

B 00521

C 00522

D 00523

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 Layered repairs

D Simple 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 Subcutaneous lesions

B Intra-organ lesions

C Dermal lesions

D Epidermal lesions

Question #15

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

A All of these

B Ligature strangulation

C Scissors or sharp tool

D Electrosurgical destruction

Question #16

How is paring or cutting benign hyperkeratotic lesions reported?

A None of these

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

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

D Separate codes are reported per site.

Question #17

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

A A diameter/radius of the area being debrided

B None of these

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 Open incision

B Closed excision

C Shaving

D Debridement

Question #19

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

A Incision

B Excision

C Debridement

D Wound shaving

Question #20

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

A Removal of benign lesions from neck

B Simple and intermediate closures of lacerations on arm and face

C Simple closure of two lacerations on the trunk

D Full- and split-thickness skin grafts

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 17000, +17003

D 17270, 17271

Question #22

What may a left ventricular pacing catheter be called?

A None of the choices

B Coronary sinus lead

C Biventricular lead

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 Atrial dual electrode replacement

B Backbench work to prepare the new pocket

C Incision and drainage, debridement, and complex repairs

D Transvenous dual electrode replacement

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 Integumentary System section

C Radiology section

D Medicine section

Question #25

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

A Transvenous

B Open abdominal

C Open thoracic

D Atrial

Question #26

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

A None of the choices

B Not reported separately

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

D Included in the initial ICD implantation code

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 33517

B 33535, 33516

C 33534, 33517

D 33534

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 36569

C 36568

D 36580

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 33420

C 33425

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

B 33533, +33518

C 33534, +33518

D +33518 x 2

Question #31

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

A Incidental appendectomy

B None of these

C Open surgical appendectomy

D All of these

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

C Reported with one code regardless of the number or location

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

Question #33

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

A Ligation of mesenteric vessels

B Splenectomy, duodenotomy, and ligation of bile duct

C All of these

D Y-graft arterial anastomoses

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 Mesenteric artery and vein

B Gallbladder ductwork

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 Four different types of backbench work

B Two different types of backbench work

C Two types of allotransplantation

D Three different types of backbench work

Question #36

Esophageal repair may include which of the following procedures?

A Esophagomyotomy

B Open laparoscopic esophagogastric fundoplasty

C None of these

D Open paraesophageal repairs

Question #37

How is laser destruction of polyps during a proctosigmoidoscopy reported?

A 45321

B 45315

C 45308

D 45320

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 49040

B 49020

C 49320

D 49322

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 45330, 43200 51

B 45330, 43200 59

C 45378, 43235 59

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 49557 50

B 49555 51

C 49550 50

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 Chemically induced calculi

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

C None of these

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 Stricture release

C Removal of obstructive calculi

D None of these

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 determine whether obstructions are benign or malignant

B To remove obstructions and strictures

C To investigate renal insufficiency

D To perform diagnostic and therapeutic procedures

Question #45

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

A None of these

B Insertion of permanent catheter

C Catheterization for instillation of medication

D Intermittent catheterization

Question #46

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

A 35 to 60 cores for tissue sampling

B 6 to 12 cores for tissue sampling

C 1 core for tissue sampling

D 3 cores 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 Hypospadias

C Hydronephrosis

D Urethrotomy

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 Hydronephrosis

B Electromyography

C Complex uroflowmetry

D Complex cystometrogram

Question #50

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

A Unilateral or bilateral nephrectomy of the donor and Backbench work

B None of the choices

C Unilateral or bilateral nephrectomy of the donor

D Backbench work

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