BC3030X cpt mock exam QUESTIONS AND ANSWERS WELL ELABORATED

Question 1 1.2 out of 1.2 points 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 peritonitis was setting in. 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? Selected Answer: 49402-78 Correct Answer: 49402-78 Response Feedback: CPT? code 49402 represents the removal of a foreign body (sponge from previous surgery) from the peritoneal cavity. In the CPT? Index, look for Removal/Foreign Body/Peritoneum. Modifier 78 indicates this was an unplanned return to the OR, by the same physician for a related procedure following an initial procedure during the initial procedures postoperative period. • Question 2 • 0 out of 1.2 points The process of preserving cells or whole tissues at extremely low temperatures is known as: Selected Answer: Cryotherapy Correct Answer: Cryopreservation 2 7 5 0 6 - R T , 1 1 0 1 2 - 5 1 - R T , S 7 2 . 3 0 1 B , V 0 3 . 1 0 X A• Question 3 • 1.2 out of 1.2 points A patient has a history of chronic venous embolism in the superior vena cava (SVC) and is having a radiographic study to visualize any abnormalities. In outpatient surgery the physician accesses the subclavian vein and the catheter is advanced to the superior vena cava for injection and imaging. The supervision and interpretation of the images is performed by the physician. What codes are reported for this procedure? Selected Answer: 36010, 75827-26 Correct Answer: 36010, 75827-26 Response Feedback: A radiographic study of the superior vena cava is performed to visualize and evaluate any abnormalities. For the insertion of the catheter look in the CPT® Index for Catheterization/Vena Cava referring you to code 36010. For the radiology code look in the CPT® Index for Venography/Vena Cava guiding you to code range 75825- 75827. Radiology code 75827 is correct for the superior vena cava. Modifier 26 is appended to the radiology code, because the physician is performing the procedure in an outpatient facility setting. • Question 4 • 1.2 out of 1.2 points A physician uses cryotherapy for removal trichiasis. What CPT? and ICD-10-CM codes are reported? Selected Answer: 67825, H02.059 Correct Answer: 67825, H02.059 Response Feedback: In the CPT? Index, look for Trichiasis/Repair/Epilation, by Other than Forceps. Verify this code in the numerical Index. Code 67825 describes the correction of trichiasis by other than forceps, eg cryotherapy. In the ICD-10- CM Index to Diseases, look for Trichiasis/eyelid that directs to code H02.059 and is verified in the Tabular List as Trichiasis without entropian. • Question 5 • 1.2 out of 1.2 points A patient with primary hyperparathyroidism undergoes parathyroid sestamibi (nuclear medicine scan) and ultrasound and is found to have only one diseased parathyroid. A minimally invasive parathyroidectomy is performed. What CPT? and ICD-10-CM codes are reported for the surgery? Selected Answer: 60500, E21.0 Correct Answer: 60500, E21.0 Response Feedback: In the CPT ? Index, look for Parathyroidectomy or Parathyroid Gland/Excision and you are directed to code range . The diseased gland is determined prior to the surgery, so only the parathyroidectomy is coded with 60500. In the ICD-10-CM Index to Diseases, look for Hyperparathyroidism/primary and you are directed to E21.0. Verification in the Tabular list confirms code selection.