MOCK EXAM MEDICAL CODING 2023 UPDATE A+

MOCK EXAM MEDICAL CODING 2023 UPDATE A+ The suffix that means suturing and repairing is esis rhaphy trophy megaly - Answer-rhaphy "-rhaphy" refers to the processing of suturing. While the other choices are also suffixes, they do not refer to the process of suturing. The suffix "-esis" refers to a condition or process, while both "-trophy" and "-megaly" refer to enlargement. Cytoscopy and retrograde stent placement. Cystoscope was inserted into the bladder showing diffuse erythema throughout. 5 French stent was advanced into the right ureteral orifice. Foley catheter was placed. 52320-RT 52300-RT 52310-RT 52332-RT - Answer-52332-RT When ureteral stent is placed cytoscopically, assign code 52332-RT. The most common blood disorder in the United States, which occurs when blood has less than its normal oxygen carrying capacity, affecting more women than men is leukemia. anemia. fibromyalgia. jaundice. - Answer-anemia. Paravertebral joint injections were performed at the L1-L2 joint, L2-L3 joint. 64493, 64494 × 3 64490, 64492 64493, 64494 64493 - Answer-64493, 64494 Paravertebral joint injections are assigned per joint; therefore, 64493 and 64494 would be appropriate for two joints, lumbar. CPT codes 64490/64492 are for paravertebral joint injections, cervical or thoracic, which was not the case in this instance. he substance(s) created in the liver that is used in the digestion of fats is/are enzymes. bile. protein. feces. - Answer-bile When a radiology service is performed utilizing IV contrast only, how should it be coded? Without contrast modifier -22 modifier -51 With contrast - Answer-with contrast Per radiology guidelines in CPT, intravenous infusion of contrast is considered "with contrast" and, therefore, should be assigned the "with contrast" code for the services. Modifiers are not necessary for radiological services for these services, and therefore, modifier -52 and modifier -22 would be incorrect answers. When an intravenous infusion of medication is documented from 8:00 AM to 12:15 PM, what code(s) should be assigned? 96366 x 4 96365, 96366 x 3 units 96365 96365, 96366 x 4 - Answer-96365, 96366 x 3 units Infusion for 4 hours 15 minutes would be assigned 96365 for the initial hour and 96366 × 3 units for the three additional hours. The remaining 15 minutes is not assigned additional units as greater than 30 minutes is required for an additional unit of service. Therefore, codes 96365, 96366 × 3 units would be the most correct answer. Only one (1) initial code may be assigned per encounter, followed by subsequent code(s) for all additional services per CPT guidelines. The term "nocturia" refers to nighttime urination. painful urination. night sweats. frequent urination. - Answer-nighttime urination. Spinal cord stimulator array insertion. Small stab wound was made in the L1-L2 interspace above the spinous process. A 15-gauge Tuohy needle was inserted under fluoroscopic guidance and advanced until the epidural space was identified. A guidewire was inserted and advanced up into the epidural space. The system was then inserted through the Tuohy needle and advanced up into the epidural space with final positioning of the tip of the lead noted at the midbody of the T10 vertebra. 63685 63650 63688 63655 - Answer-63650 Electrode array for neurostimulator is assigned 63650 located in the Nervous System, Surgical Procedures Spine and Spinal Cord, Neurostimulator section. CPT code 63685 is for the insertion of the pulse generator, not an electrode array. CPT code 63688 is for the revision and/or removal of a spinal stimulator pulse generator, which also was not performed. Cystoscopy was introduced into the bladder. Tumor measuring 2 cm was located on the bladder. Using cutting current, this was resected and particles removed through the evacuator. Tumor measuring 1 cm was located on the bladder base, which was also resected along with a third tumor, 2 cm, located on the upper portion of the bladder. 52235, 52234-51 52235, 52235-59, 52235-55 52235 52235 x3 - Answer-52235 CPT coding guidelines per CPT Assistant indicate the largest lesion only should be assigned, therefore, 52235 should be assigned for the 2.0 cm lesion removed cystourethroscopically. Fracture, radial shaft, left 25515-LT 25607-LT 25500-LT 25600-LT - Answer-25500-LT Fracture not stated as open, therefore, assumed closed. Code 25500-LT would be assigned for closed fracture radial shaft. Since CPT codes 25607-LT and 25600-LT are for the distal radius, they would not be appropriate in this instance as the fracture was to the radial shaft. CPT code 25515-LT is for fracture repair of the radial shaft, however, open, which was not specified in this scenario, and, therefore, would also be inappropriate. Patient presents with diagnosis of breast cancer. Expanded problem-focused history and exam and low MDM are performed. Patient has had recurrent problems over the past 5-6 years and a lengthy discussion regarding treatment options was held with the patient. Thirty-five minutes were spent with patient and 20 minutes spent discussing surgical options, chemotherapy, and radiation treatment options. 99212 99215 99213 99214 - Answer-99214 CPT guidelines indicate that when counseling/coordination of care constitutes 50% or more of the visit time, the elements of history, exam, and medical decision making are not considered in arriving at the level. Therefore, the time indicated besides 99214 would be utilized to determine the level. When a diagnostic colonoscopy and colonoscopy with biopsy are performed during the same surgical session, what code(s) are reported?... CONTINUES...