Weekly Assignment 4

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Question #1

Which code BEST capture the following Case Study:
How would this procedure be reported?

A 50-year-old male undergoes anterior arthrodesis of the cervical, thoracic, and/or lumbar spine for degenerative disc disease. After one disc is excised and the end plates are prepared for fusion, a similar excision procedure of an additional disc and preparation of the end plates for fusion are performed.

Description of Procedure: The incision and dissection of superficial muscles are extended to accommodate additional retraction of deep tissues. Additional segmental vessels are ligated and cut to provide further reflection of the great vessels. Muscle attachments to the anteromedial edges of the vertebral bodies are reflected over the additional segment, and retractors are repositioned. The periosteum is reflected from the bone of the additional segments. A marker is placed at the disc to confirm by X ray whether there is any question as to the location. The anterior longitudinal ligament and anterior fibers of the annulus are removed by sharp dissection. The nucleus and cartilaginous end plates are removed by curettage. The bony end plates are removed using bone-cutting instruments. The cancellous bone of the vertebral bodies is exposed with the prepared site under distraction and with the space stability and absence of protrusion against surrounding soft tissues.

A 63077 51

B 122585 62

C 22556 62

D 22845

Question #2

What is the duration of the global period for code 28046 (Radical resection of a 2.5 cm sarcoma of the foot)?

A 10 days

B 0 days

C 90 days

D Global period concept does not apply to code 28046.

Question #3

What is the definition of psoriasis?

A A chronic, noncontagious disease that affects the digestive system and causes abdominal pain and diarrhea.

B A chronic, noncontagious disease characterized by inflamed lesions covered with silvery-white scabs of dead skin.

C A contagious disease caused by a virus that attacks the liver.

D A chronic, noncontagious disease that affects the lungs and causes difficulty in breathing.

Question #4

What is the definition of a fibroadenoma?

A A tumor formed of mixed fibrous and glandular tissue, typically occurring as a benign growth in the breast.

B A tumor formed of muscle tissue, typically occurring in the heart.

C A tumor formed of bone tissue, typically occurring in the limbs.

D A tumor formed of nerve tissue, typically occurring in the brain.

Question #5

What is the definition of a sebaceous gland?

A A gland that produces saliva in the mouth.

B A gland in the skin that produces sweat.

C A gland that produces hormones in the thyroid.

D A gland in the skin that secretes a lubricating oily matter into the hair follicles.

Question #6

What is the definition of aspiration?

A The removal of fluid or tissue from a body cavity or organ using suction.

B The removal of a tumor using a scalpel.

C The removal of a bone fracture using a cast.

D The removal of a foreign object from the eye using a cotton swab.

Question #7

Which of the following best describes the definition of debridement?

A The removal of scar tissue from a surgical site.

B The removal of foreign material and devitalized or contaminated tissue from a wound to expose healthy tissue.

C The removal of healthy tissue from a wound to prevent infection.

D The application of a dressing to a wound to promote healing.

Question #8

What is necrosis?

A The inflammation of a joint, typically accompanied by pain, swelling, and stiffness.

B The death of cells or tissues from severe injury or disease, especially in a localized area of the body.

C The abnormal growth of cells, which may be cancerous or noncancerous.

D The formation of scar tissue in response to injury or disease.

Question #9

What is benign?

A Denoting a contagious character of an illness or neoplasm.

B Denoting a severe character of an illness or malignant character of a neoplasm.

C Denoting a hereditary character of an illness or neoplasm.

D Denoting a mild character of an illness or nonmalignant character of a neoplasm.

Question #10

What is a biopsy?

A The process of removing tissue from a patient for diagnostic examination.

B The process of surgically removing a portion of the liver.

C The process of visualizing the inside of a joint or body cavity using an endoscope.

D The process of repairing a hernia by placing a mesh patch over the weakened area.

Question #11

Which term best describes the following definition? The joining of two bones into a single unit, obliterating motion between the two.

A Synarthrosis

B Fibrosis

C Amphiarthrosis

D Diarthrosis

Question #12

Which of the following best describes the definition of a ganglion?

A A cyst containing mucopolysaccharide-rich fluid within fibrous tissue, usually attached to a tendon sheath in the hand, wrist, or foot, or connected with the underlying joint.

B A noncancerous growth that develops in the skin or subcutaneous tissue

C A type of tumor that originates in the connective tissue

D A fluid-filled sac that develops in the synovial lining of a joint

Question #13

How many times should code 20550 be reported when multiple injections are administered to the same tendon?

A It depends on the number of injections given.

B One time

C Two times

D Three times

Question #14

What is arthrocentesis?

A The insertion of a scope into a joint to visualize the joint cavity

B The removal of a joint for surgical repair

C The aspiration of fluid from a joint performed by needle puncture

D The injection of a fluid into a joint for therapeutic purposes

Question #15

What surface area What is the definition of a discectomy?

A Excision of the appendix.

B Excision of the thyroid gland.

C Excision, in part or whole, of an intervertebral disk.

D Excision of the gallbladder.

Question #16

What is cryosurgery?

A Use of electricity in surgery to destroy abnormal or diseased tissue.

B Use of radiation to destroy abnormal or diseased tissue.

C Use of heat in surgery to destroy abnormal or diseased tissue.

D Use of extreme cold in surgery to destroy abnormal or diseased tissue.

Question #17

When a tissue-cultured autograft along with debridement are performed, is the debridement reported separately?

A It depends on the extent of the debridement performed.

B Yes, the debridement is reported separately when a tissue-cultured autograft is performed.

C No, the debridement is not reported separately when a tissue-cultured autograft is performed.

D It depends on the size of the wound being treated.

Question #18

A chronic ulcer of the calf measures 10 cm x 11 cm (110 sq cm). Approximately 30% (33 sq cm) of the ulcer requires debridement of slough and eschar at the dermis (code 97597). The physician cleans the entire wound, debrides 33 sq cm, dresses the entire wound appropriately, and applies a multilayer compression bandage system to the lower leg below the knee. How is this reported?

A Report the debridement code 97597 for 33 sq cm and the wound care management code 97598 for the entire wound.

B Report the debridement code 97597 for 33 sq cm and the application of a compression bandage code 29581.

C Report only the debridement code 97597 for 33 sq cm.

D Report the debridement code 97597 for 33 sq cm, the wound care management code 97598 for the entire wound, and the application of a compression bandage code 29581.

Question #19

If a wound was only partially cleaned and partially debrided, how would you report the measurement?

A Report only the surface area of the wound that was debrided.

B Report both the surface area of the wound and the surface area that was debrided.

C Report the total surface area of the wound.

D Report only the surface area of the wound that was not debrided.

Question #20

What surface area should the debridement codes (11042-11047) be based on according to the guidelines?

A The surface area of the surrounding skin

B The surface area of the wound plus the surrounding skin

C The surface area of the wound after debridement

D The surface area of the wound before debridement