TAUC PF CORRECT FINAL EXAM QUESTIONS AND
ANSWERS SURE A+
✔✔Abscess Re-Check documentation - ✔✔- document whether the induration,
tenderness, or erythema are resolved/better/worse/no change from previous visit
- document any active drainage from the wound
- document any packing that was removed and check the "re-packed" checkbox if the
abscess was repacked
- use notes section to document any additional findings (and packing if needed)
✔✔For Burn Treatment, in the Burn Characteristic section, selecting the 1)____ box will
automatically generate the CPT code. If selecting either the 2)____ or 3)____ box, you
have to enter body surface area AND either "yes" to 4)____ or "yes" to 5)____ in order
to generate the CPT code. - ✔✔1) First Degree Burn
2) Second Degree Burn
3) Third Degree Burn
4) Debridement
5) Dressing
✔✔Burn Treatment documentation - ✔✔- if more than one burn site is treated, you must
document a separate procedure for each burn
- Use the notes section to note the location of the burn
✔✔What is Ear Irrigation/Wax Removal used to document? - ✔✔unilateral or bilateral
ear irrigation/wax removal
, ✔✔For Ear Irrigation/Wax Removal, in order for the CPT code to generate, you must
select 1)____, 2)____, and 3)____. - ✔✔1) either "Cerumen Impacted" or "Cerumen
Partial Obstruction of TM"
2) "Provider Performed" (above Curette)
3) Next to Curette, select "Complete Removal of Wax" or "Partially Removed Wax"
✔✔Ear Irrigation/Wax Removal documentation - ✔✔- after wax is removed, document
appearance of the canal and TM under "Post Procedure"
- always check "patient tolerated procedure well" box, unless the procedure was not
completed due to patient distress
✔✔Where can EKGs be documented? - ✔✔using EKG Interpretation, or typed in the
notes section under the EKG order bubble
✔✔For EKG Interpretation, the CPT code is generated when the ___ box is checked. -
✔✔EKG w/ Interpretation, under *Main
✔✔What are the 5 parts that must be included in EKG interpretations? - ✔✔Rate
(BPM), sinus rhythm, axis, intervals, ST-T
✔✔For Epistaxis Control, either ____ or ____ box must be selected for the CPT code to
be generated. - ✔✔"simple control of"/"complex control of"
✔✔____ is usually the first method tried to stop epistaxis. - ✔✔Direct pressure
✔✔What are some other techniques that can be tried if direct pressure fails to control
epistaxis? - ✔✔- injecting 1% lidocaine with Epi
- using Afrin/Neo-Synephrine
- cauterization using silver nitrate sticks
- nasal packing using plain gauze or Rhino-rocket (Rapid Rhino)
✔✔What is Foreign Body Removal used to document? - ✔✔foreign body removal from
any body part
✔✔For Foreign Body Removal, select ____ to generate the CPT code. - ✔✔the
procedure type
ANSWERS SURE A+
✔✔Abscess Re-Check documentation - ✔✔- document whether the induration,
tenderness, or erythema are resolved/better/worse/no change from previous visit
- document any active drainage from the wound
- document any packing that was removed and check the "re-packed" checkbox if the
abscess was repacked
- use notes section to document any additional findings (and packing if needed)
✔✔For Burn Treatment, in the Burn Characteristic section, selecting the 1)____ box will
automatically generate the CPT code. If selecting either the 2)____ or 3)____ box, you
have to enter body surface area AND either "yes" to 4)____ or "yes" to 5)____ in order
to generate the CPT code. - ✔✔1) First Degree Burn
2) Second Degree Burn
3) Third Degree Burn
4) Debridement
5) Dressing
✔✔Burn Treatment documentation - ✔✔- if more than one burn site is treated, you must
document a separate procedure for each burn
- Use the notes section to note the location of the burn
✔✔What is Ear Irrigation/Wax Removal used to document? - ✔✔unilateral or bilateral
ear irrigation/wax removal
, ✔✔For Ear Irrigation/Wax Removal, in order for the CPT code to generate, you must
select 1)____, 2)____, and 3)____. - ✔✔1) either "Cerumen Impacted" or "Cerumen
Partial Obstruction of TM"
2) "Provider Performed" (above Curette)
3) Next to Curette, select "Complete Removal of Wax" or "Partially Removed Wax"
✔✔Ear Irrigation/Wax Removal documentation - ✔✔- after wax is removed, document
appearance of the canal and TM under "Post Procedure"
- always check "patient tolerated procedure well" box, unless the procedure was not
completed due to patient distress
✔✔Where can EKGs be documented? - ✔✔using EKG Interpretation, or typed in the
notes section under the EKG order bubble
✔✔For EKG Interpretation, the CPT code is generated when the ___ box is checked. -
✔✔EKG w/ Interpretation, under *Main
✔✔What are the 5 parts that must be included in EKG interpretations? - ✔✔Rate
(BPM), sinus rhythm, axis, intervals, ST-T
✔✔For Epistaxis Control, either ____ or ____ box must be selected for the CPT code to
be generated. - ✔✔"simple control of"/"complex control of"
✔✔____ is usually the first method tried to stop epistaxis. - ✔✔Direct pressure
✔✔What are some other techniques that can be tried if direct pressure fails to control
epistaxis? - ✔✔- injecting 1% lidocaine with Epi
- using Afrin/Neo-Synephrine
- cauterization using silver nitrate sticks
- nasal packing using plain gauze or Rhino-rocket (Rapid Rhino)
✔✔What is Foreign Body Removal used to document? - ✔✔foreign body removal from
any body part
✔✔For Foreign Body Removal, select ____ to generate the CPT code. - ✔✔the
procedure type
