1. A 32-year-old patient has a colonoscopy with
45385, 99156, 99157
removal of three polyps by snare. Moderate
sedation was used and provided by the
A code of 45385
physician. The intraservice time was 30
should be used for the
minutes.
colonoscopy
procedure with the
re- moval of polpys.
No ad- ditional codes
needed for the
colonscopy since it
included the
colonoscopy and
removal of polyps. The
moderate sedation
also needs to be
coded. A code of
99156 should be
used to code the
moderate se- dation
services provided by
a physician for the intial
15 minutes of
intraservice time. An
additional code of
99157 should be
coded for the
additional 15 min- utes
2. The diagnosis is as follows: "Carcinoma of
of intraservice time for
axillary lymph nodes and lungs, metastatic from
the moderate sedation
breast." Given this which are the primary
cancer site(s)? since the patient was
se- dated for a total of
30 min- utes. No
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, CCA Mock Exam Questions Correctly Answered.
additional codes needed. breast
3. 33430
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, CCA Mock Exam Questions Correctly Answered.
Patient has a year history of mitral valve
regurgitation and now presents for a mitral
valve replacement with bypass. (Code for
physician using CPT procedure codes only.)
33425 Valvuloplasty, mitral valve, with
cardiopul- monary bypass
33430 Replacement, mitral valve, with
cardiopul- monary bypass
33460 Valvectomy, tricuspid valve, with
cardiopul- monary bypass
35231 Repair blood vessel with vein graft; neck
4. You are conducting an educational session on improve your depart-
bench-
marking. You tell your audience that the key to bench- ment's
processes
marking is to use the comparison to
5. Your facility would like to improve physician documen- feedback on
specific in-
tation in order to allow improved coding. As stances when improved
coding supervisor, you have found it very documentation would
effective to provide the physicians with im- prove coding
6. Which of the following procedures can be identified as laser removal
of condylo-
"destruction" of lesions? that is
organized
7. The practice of using a code that results in a in such a
higher payment to the provider than the code way that
that more ac- curately reflects the service its
provided is known as contents
can be
8. A is a collection of information or data
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