QUESTIONS (SET 6) 2025 QUESTIONS|
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Each page of the medical record should contain the patient's or . - 🧠
ANSWER ✔✔name, patient ID number.
Electrocautery - 🧠 ANSWER ✔✔Instrument for directing electrical energy
through tissue for lesion destruction
Electrodessication - 🧠 ANSWER ✔✔The use of monopolar high frequency
electrical current for lesion removal
Exam: CT Abdomen Admitting Diagnosis: Pt states gallbladder problem
Clinical History: Right upper quadrant abdominal pain; history of colon
cancer; colostomy Comparison: None Result: The study was performed
with oral and intravenous contrast material (Isovue 300, 150 mL). The lung
,bases appear normal. The liver, spleen, both kidneys and adrenal glands
appear normal. There is faint calcification density in the dependent portion
of the gallbladder, suspicious for a possible gallstone. Recommend
ultrasound correlation. Visualized portions of the pancreas appear
unremarkable. There is no retroperitoneal lymphadenopathy. Opacified
bowel loops are unremarkable. Note is made of left lower quadrant
colostomy. No abnormality is noted within the pelvis. Impression: Small
calcification-appearing density in the dependent portion of the gallbladder,
suspicious for gallstone. Recommend ultrasound correlation. What CPT ®
and ICD-10 - 🧠 ANSWER ✔✔74160, Q9967 x 150, R10.11, Z85.038, Z93.3
Exam: CT Maxillofacial Admitting Diagnosis: Allergic rhinitis nasal
congestion Clinical History: Allergic rhinitis; nasal congestion; no
comparison Result: The paranasal sinuses are clear except for a small
mucus retention cyst in the base of the right maxillary sinus. This measures
about 5 mm. The osteomeatal complexes are patent. There are no air fluid
levels. There is mild nasal septal deviation towards the left side. The bones
appear intact. There are no soft tissue masses. Impression: Mild acute right
maxillary sinusitis, mild nasal septal deviation towards the left side. What
CPT ® and ICD-10-CM codes are reported by the facility? - 🧠 ANSWER
✔✔70486, J01.00, J34.2
, Exam: CT Maxillofacial WO contrast Admitting Diagnosis: Chronic Sinusitis
Clinical History: Chronic sinusitis Result: There has been a mild increase in
the amount of mucosal thickening seen anteriorly in the right sphenoid
sinus. There is opacification of multiple bilateral ethmoid air cells mildly
increased as well over the interval. There is an increasing amount of
lobulated mucosal disease seen along the floor of the frontal sinuses.
There is less than 1 cm of mucosal thickening seen along the floor of the
left maxillary sinus, probably not significantly changed. The left osteomeatal
unit is patent. There are a few millimeters of mucosal thickening along the
floor and lateral wall of the right maxillary sinus, slightly increased. The
osteomeatal unit is patent. There is bowing of the nasal septum to the right.
Impression: Sinusitis, mildly increased What CPT ® and ICD-10-CM codes
are reported by the facility? - 🧠 ANSWER ✔✔70486, J32.9
Exam: CT of the chest with intravenous contrast (Omnipaque 350, 150 mL)
Admitting Diagnosis: Difficulty swallowing Result: The transverse aorta is
prominent in size and measures approximately 3 centimeters in transverse
dimension. There are a couple of small right peritracheal lymph nodes
measuring a centimeter or less in size. No infiltrate or evidence of effusion
is seen. There is evidence of old granulomatous exposure. Impression:
Slight dilatation of the thoracic aorta. What CPT ®, HCPCS and ICD-10-CM
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