AAPC - Chapter 14 Review Exam
What disease is characterized by enlarged skeletal parts? - correct answer Acromegaly
What is the term for uncontrolled muscle movements? - correct answer Dyskinesia
What is the term for paralysis affecting one side of the body? - correct answer Hemiplegia
What does contralateral mean? - correct answer Affecting or originating in the opposite side.
What specificity is added to Alzheimer's disease in ICD-10-CM? - correct answer The onset of Alzheimer's
disease.
How is Streptococcal A Meningitis reported in ICD-10-CM? - correct answer Streptococcal meningitis is reported first; Streptococcal, group A, as the cause of diseases classified elsewhere is reported second.
A patient has a right thyroid lobectomy for a thyroid follicular lesion. An incision is made 2 cm above the sternal notch and carried through the platysma. The right thyroid was dissected free from the surrounding tissues. The isthmus was divided from the left thyroid lobe. The left thyroid lobe was explored revealing a single nodule. The right thyroid lobe was completely removed from the trachea and surrounding tissues. It was marked and sent off the table as a specimen. What CPT® code is reported? - correct answer 60220
A patient with a status post (after or following) lumbar puncture headache receives an epidural blood patch. The patient's venous blood is injected into the lumbar epidural space; this blood forms a clot sealing the leak of CSF from the lumbar puncture. What CPT® and ICD-10-CM codes are reported? - correct answer 62273, G97.1
A patient has a total thyroidectomy to remove thyroid cancer. Removal of all the lymph nodes along with
the spinal accessory nerve, jugular vein and sternocleidomastoid muscles are performed to remove a malignant lymphatic chain. What CPT® and ICD-10-CM codes are reported? - correct answer 60254, C73 A patient is receiving pain management treatment for chronic cervical pain caused by a motor vehicle accident. What ICD-10-CM code(s) and sequencing is/are reported? - correct answer G89.21, M54.2
What ICD-10-CM code is reported for Ataxia telangiectasia? - correct answer G11.3
A patient with chronic lumbago is seen by the provider to have an epidural injection of a non-neurolytic substance at the sacral level. What CPT® code is reported for this procedure? - correct answer 62322
A provider is performing an experimental cervical sympathectomy on a patient with Raynaud's Syndrome. What CPT® and ICD-10-CM codes are reported? - correct answer 64802, I73.00
A 50 year-old male is diagnosed with a tumor of the skull base just below the occipital tonsils. The neurosurgeon performs a transpetrosal approach to the posterior cranial fossa. He then performs an intradural removal of the tumor of the posterior cranial fossa at the base of the skull. Dural repair is done and the area is closed with Neurolon. What CPT® code(s) is/are reported? - correct answer 61598, 61616-51
What ICD-10-CM code is used for intractable grand mal seizures without status epilepticus? - correct answer G40.419
A 36 year-old male suffered back pain after heavy lifting and was found to have bilateral disc herniation. The patient was placed prone and general anesthesia given. Incision was then made with a 10-blade knife and dissection was carried downward through the thick adipose tissue to the fascia in a subperiosteal plane. The paraspinous muscles were reflected off L5 and S1. A laminotomy was drilled with the Midas Tex AMB on the inferior end of L5. The thecal sac was retracted medially. The microscope
was brought in, direct with microdissection there was a massive disk herniation on the right side underneath the nerve root as well as the left. The disc was incised with an 11-blade knife and was cleaned out with a series of straight and angled curettes and rongeurs. The disc was intertwined with the
posterior longitudinal ligament. The space was cleaned out, the foramina were checked and no further compression was found o - correct answer 63030-50, 69990
A patient with McCune-Albright syndrome has a fibrous tissue neoplasm of the frontal bone (skull of cranium) extending into the orbit on the left. The surgeon excises the fibrous tissue neoplasm off the bone and down through the dura mater. Prophylactic decompression of the optic nerve was also performed. What CPT® and ICD-10-CM codes are reported? - correct answer 61564, Q78.1
What disease is characterized by enlarged skeletal parts? - correct answer Acromegaly
What is the term for uncontrolled muscle movements? - correct answer Dyskinesia
What is the term for paralysis affecting one side of the body? - correct answer Hemiplegia
What does contralateral mean? - correct answer Affecting or originating in the opposite side.
What specificity is added to Alzheimer's disease in ICD-10-CM? - correct answer The onset of Alzheimer's
disease.
How is Streptococcal A Meningitis reported in ICD-10-CM? - correct answer Streptococcal meningitis is reported first; Streptococcal, group A, as the cause of diseases classified elsewhere is reported second.
A patient has a right thyroid lobectomy for a thyroid follicular lesion. An incision is made 2 cm above the sternal notch and carried through the platysma. The right thyroid was dissected free from the surrounding tissues. The isthmus was divided from the left thyroid lobe. The left thyroid lobe was explored revealing a single nodule. The right thyroid lobe was completely removed from the trachea and surrounding tissues. It was marked and sent off the table as a specimen. What CPT® code is reported? - correct answer 60220
A patient with a status post (after or following) lumbar puncture headache receives an epidural blood patch. The patient's venous blood is injected into the lumbar epidural space; this blood forms a clot sealing the leak of CSF from the lumbar puncture. What CPT® and ICD-10-CM codes are reported? - correct answer 62273, G97.1
A patient has a total thyroidectomy to remove thyroid cancer. Removal of all the lymph nodes along with
the spinal accessory nerve, jugular vein and sternocleidomastoid muscles are performed to remove a malignant lymphatic chain. What CPT® and ICD-10-CM codes are reported? - correct answer 60254, C73 A patient is receiving pain management treatment for chronic cervical pain caused by a motor vehicle accident. What ICD-10-CM code(s) and sequencing is/are reported? - correct answer G89.21, M54.2
What ICD-10-CM code is reported for Ataxia telangiectasia? - correct answer G11.3
A patient with chronic lumbago is seen by the provider to have an epidural injection of a non-neurolytic substance at the sacral level. What CPT® code is reported for this procedure? - correct answer 62322
A provider is performing an experimental cervical sympathectomy on a patient with Raynaud's Syndrome. What CPT® and ICD-10-CM codes are reported? - correct answer 64802, I73.00
A 50 year-old male is diagnosed with a tumor of the skull base just below the occipital tonsils. The neurosurgeon performs a transpetrosal approach to the posterior cranial fossa. He then performs an intradural removal of the tumor of the posterior cranial fossa at the base of the skull. Dural repair is done and the area is closed with Neurolon. What CPT® code(s) is/are reported? - correct answer 61598, 61616-51
What ICD-10-CM code is used for intractable grand mal seizures without status epilepticus? - correct answer G40.419
A 36 year-old male suffered back pain after heavy lifting and was found to have bilateral disc herniation. The patient was placed prone and general anesthesia given. Incision was then made with a 10-blade knife and dissection was carried downward through the thick adipose tissue to the fascia in a subperiosteal plane. The paraspinous muscles were reflected off L5 and S1. A laminotomy was drilled with the Midas Tex AMB on the inferior end of L5. The thecal sac was retracted medially. The microscope
was brought in, direct with microdissection there was a massive disk herniation on the right side underneath the nerve root as well as the left. The disc was incised with an 11-blade knife and was cleaned out with a series of straight and angled curettes and rongeurs. The disc was intertwined with the
posterior longitudinal ligament. The space was cleaned out, the foramina were checked and no further compression was found o - correct answer 63030-50, 69990
A patient with McCune-Albright syndrome has a fibrous tissue neoplasm of the frontal bone (skull of cranium) extending into the orbit on the left. The surgeon excises the fibrous tissue neoplasm off the bone and down through the dura mater. Prophylactic decompression of the optic nerve was also performed. What CPT® and ICD-10-CM codes are reported? - correct answer 61564, Q78.1
