CPC PREP CODING TEST QUESTIONS AND ANSWERS AVAILABLE

CPC PREP TEST QUESTIONS AND ANSWERS AVAILABLE 1. What Modifier do you use for Discontinued Out-Patient Surgery prior to the Administration of Anesthesia? 73 2. What is the appropriate CPT code to report endoscopic nasal septoplasty? 30520 3. What modifier is used for multiple procedures? 51 4. What CPT Code is used for the initiation of ECMO (V-A) for cardiopulmonary insufficiency. The notes indicated that the heart as well as the lungs need to rest and heal. 33947 5. Cholecystectomy and appendectomy are surgeries that can be done via laparoscope. True 6. Internal fixation is always a closed treatment procedure. False 7. An endoscopic procedure is usually done under full anesthesia. False 8. Open treatment of a fracture means the fracture site is surgically opened. True Please apply the CPT/PCS codes to the following questions 9. External Repair of laceration of the hard palate in the mouth less than 2 cm? CPT: _42180 PCS: _0CQ2XZZ 10. The patient has an Austin bunion of the left great toe the physician performs a bunionectomy? CPT:_28296 PCS: 0QBR0ZZ Please apply ICD 10 Diagnosis and CPT/PCS codes for the following questions? 11. A 23 year old female who is 14 weeks pregnant has come in with cramping and bleeding. The doctor has diagnosed her with missed abortion and will perform a manual extraction of the fetus. DX: _O02.1, Z37.1, Z3A.14 CPT: 59821 PCS: 10D17ZZ 12. The patient has BPH and a complete TURP was performed? DX: _N40.0 CPT: 52601 PCS: 0VT08ZZ 13. A dermatologist excises a 3.5 cm benign lesion from a patient’s back. After the lesion is successfully removed, the dermatologist performs an intermediate 3.5 cm layered closure? DX: _D23.5 _ CPT: _ 11404, 12032-51 PCS: _0HC6XZZ 14. A patient comes in with Chronic Cholecystitis and the surgeon performs a Laparoscopic Cholecystectomy & CBD exploration? DX: _K81.1 CPT: 47564, 47562 PCS: 0FB40ZZ, _0FC90ZZ 15. The patient has diarrhea a colonoscopy was performed with multiple biopsies of the transverse colon and a 2 cm sessile polyp was found in the sigmoid colon which was removed utilizing a polypectomy with the snare technique the path report confirms a benign sigmoid polyp and ulcerative colitis. DX: D12.5, K51.80 CPT: 45378, 45385, 45380 PCS: 0DBN8ZX Observation Charts 16. A patient was admitted for observation and evaluation for possible intracranial injury following a collision with another car while he was driving to work. The patient had minor bruises on the upper back and abrasions of the skin of the left upper arm. The bruises did not appear to need any treatment; the abrasions were swabbed with disinfectant, and Neosporin was applied. Intracranial injury was ruled out. DX: S06.9, 17. A patient 25 weeks pregnant was diagnosed with having iron deficiency anemia and was admitted for observation for transfusion of non-autologous packed red blood cells via peripheral vein. DX: O99.012, D50.9 PCS DX: _ 30233N1 18. The patient presented to the emergency room with severe lower abdominal pain. The physician decided to admit patient to observation to rule out appendicitis. After abdominal CT scan showed extensive diverticulosis involving the descending and sigmoid portions of the colon, with obvious evidence of diverticulitis. Diagnosis: Diverticulitis DX: K57.90 19. Patient admitted to the hospital in Observation status. Patient admitted with UTI due to E. Coli. Patient has dementia due to early-onset Alzheimer’s. Patient also has been wandering off and leaving his home and forgetting where he is going. DX: N39.0, B96.20, G30.0, F02 20. Patient admitted to the hospital in Observation status. The patient is Type II Diabetes was admitted for evaluation of elevated liver function test. An abdominal ultrasound showed cholelithiasis. Her sugar levels stayed within normal range and the hepatitis profile was negative. At discharge, the physician was unable to determine whether the abnormal liver functions were due to diabetes mellitus or cholelithiasis. Discharge Diagnosis: Abnormal Liver function secondary to either diabetes mellitus Type II or cholelithiasis. DX: E11, K80, R94.5 Emergency Room 1. What are the three types of suture repairs? Non-absorbable, absorbable and monofilament 2. Can you apply a diagnosis code if a physician states possible, rule out, or suspected condition for a final diagnosis in the Emergency Room? No, False 3. Codes that describe signs and symptoms, as opposed to diagnoses, are acceptable for reporting when a definitive diagnosis has not been confirmed by the provider. Yes, True 4. If a patient is admitted for a human immunodeficiency virus (HIV)-related condition, the principal diagnosis should be B20: HIV disease followed by additional diagnosis codes for all reported HIV-related conditions. True 5. A three-character code in ICD-10 is invalid. False 6. Patient presented to the emergency room with acute onset of anterior chest wall pain. The patient has a history of CAD, status post PTCA. Diagnosis: Anterior Chest Wall Pain, probably angina Principle DX: _R07.89__ Principle Proc: Other DXs: Other Proc: 7. Patient presents to the emergency room with burns to face and chest that were acquired from a tanning bed. Diagnosis: Superficial burns of face of chest from a tanning bed. Principle DX: T20.00XA, T21.01XA Principle Proc: Other DXs:W89.1XXA Other Proc: 8. Patient presented to the emergency room with elevated blood sugar. Patient has a known history of diabetes with nephropathy and has been maintained on insulin for 2 years. Diagnosis: Diabetes-out of control Principle DX: E11.65 Principle Proc: Other DXs: Other Proc: 9. 10-year old mail presented to the emergency room after a fall from his bicycle in the parking lot of his apartment complex. Patient complained of left wrist pain. X-ray revealed fracture of ulna, distal end. A short arm dynamic splint was applied with recommendations for patient to follow-up with orthopedic surgeon. Diagnosis: Fracture, Left Ulna distal end Principle DX: S52.602A Principle Proc: Other DX: V18.0XXA PCS. Proc: 2W3DX1Z 10. Patient had been drinking heavily in recent weeks. He reduced his alcohol intake the past 24 hours and suffered a seizure. In the Emergency Room he seemed normal. No neurological or physical abnormalities were noted and he was released after receiving Dilantin. Diagnosis: Seizure, probably due to decrease in alcohol consumption. Principle DX: R56.9 Principle Proc: Other DX: Other Proc: 11.35 year old female presented to the emergency room with spontaneous epistaxis. Bilateral anterior nasal packs were applied and the patient was discharged home with instructions to return to the ER if bleeding began. Diagnosis: Epistaxis Principle DX: R04.0 Principle Proc: Other DX: PCS Proc: 2Y41X5Z 12. Patient presented to Emergency Room with a 1cm laceration of the chin. The wound was repaired with a simple closure. Diagnosis: 1 CM Laceration to Chin Principle DX: S01.81XA Principle Proc: Other DX: PCS Proc: 0JQ13ZZ 13. 20 year old male presented to the Emergency Room with apparent overdose of Ibuprofen and alcohol ingestion. Patient was monitored for several hours and released to parents after studies were obtained. Diagnosis: Overdose of Ibuprofen and acute alcohol intoxication Principle DX: T39.311A Principle Proc: Other DX: F10.129 Other Proc: 14. 26 year old male, involved in a car crash, was taken to the local ED in a coma, where he was diagnosed with a traumatic brain injury with a loss of consciousness of one hour. Glascow coma scale (GCS) was 6 on arrival in the ED. Patient was transferred to a trauma center for further care. Diagnosis: Traumatic Brain Injury Principle DX: S06.2X9A Principle Proc: Other DX: V89.2XXA Other Proc: 15. Patient come in the Emergency Room because of a new rash on his body. The thrush, previously diagnosed and being treated with Dapsone, is improving. Diagnosis: Skin Rash due to an allergic reaction to Dapsone taken as prescribed and Thrush Principle DX: L50.0 Principle Proc: Other DX: B37.9 Other Proc: 16. Patient came into the Emergency Room with severe joint pain affecting both hands and hips. The Physician’s diagnosis is Rheumatoid arthritis with sympathetic inflammatory myopathy. Principle DX: M05.40 Principle Proc: Other DX: Other Proc: 17. An HIV-infected patient was suffering from an acute lymphadenitis due to his HIV infection. The glands in the neck area were most affected. Antibiotics were prescribed, but the patient refused antiretroviral treatment at this time. He was of the opinion that his religion would eventually make antiretroviral medication unnecessary. Another consideration was his narcotic dependency. He was encouraged to continue participation in both the narcotic addiction and HIV support groups. Principle DX: B20 Principle Proc: Other DX: Other Proc: 18. A 59 year old male patient was brought to the Emergency Room by his wife. He has a history of paranoid-schizophrenia has had constant conflict with his family and co-workers for years. His wife reported that he was in danger of losing his job because he threatened his supervisor’s life. A psych consult was ordered and the patient was prescribed medication. He was ordered to Follow-up with his Psychiatrist. Principle DX: Z09 Principle Proc: Other DX: Z86.59 Other Proc: Injections / Infusion Coding Test 1. What are the CPT codes for the following infusions given in ED for the same patient and during the same visit? Pepcid 10-11 A.M Demerol 10-11 A.M Ativan 10-11 A.M Ringer Lactate 10-11 A.M Choose the answer: d. 96365 and 96368 2. What are the CPT codes for the following infusions given in ED for the same patient and during the same visit? Pepcid IVP at 10 A.M Demerol IVP 10 at A.M Choose the answer: b. 96374 and 96375 3. What are the CPT codes for the following infusions given in ED for the same patient and during the same visit? Pepcid IVP at 10 A.M NSS IVP 10 at A.M _96374 4. What are the CPT codes for the following infusions given in ED for the same patient and during the same visit? Pepcid IVP at 10 A.M Pepcid IVP 10:20 at A.M _96374 5. What are the CPT codes for the following infusions given in ED for the same patient and during the same visit? Pepcid IVP at 10 A.M Pepcid IVP at 11 A.M Choose the answer: a. 96374 and 96376 6. What are the CPT codes for the following infusions given in ED for the same patient and during the same visit? Pepcid 10-11 A.M Pepcid 11-12 A.M Choose the answer: b. 96365 and 96366 7. What are the CPT codes for the following infusions given in ED for the same patient and during the same visit? Pepcid 10-11 A.M Demerol11-12 A.M Choose the answer: d. 96365, 96367 8. A patient who has cancer metastatic to lymph nodes comes in for chemotherapy. IV access: Port Site: with 20 gauge Huber needle using lidocaine protocol. Chemo drugs were given: Taxotere 120 mg IV 250 ml DSW over 95 minutes 9:10 am-10:45 am Post chemotherapy, the catheter port were flushed with 10cc NS, followed by 20 units of Heparin, and catheter/needle were removed. CPT: _96413, 96315, 96367, 96375 9. Patient presents to the ER with vomiting. Provider orders an IV push of Zofran and IV hydration for dehydration. The nurse documents that the IV push of Zofran was administered at 1:44 pm and hydration was administered from 2:05 pm to 4:10 pm. CPT: _96374, 96361, 96361 10. A bilateral facet joint nerve injection with marcaine and fluoroscopy guidance performed at L3-L4 and L4- L5 for spondylosis. CPT: _ 64493 Ancillaries 1. Admitting Diagnosis: Screening mammography, Family history of CA of Breast Service: Radiology DX: _77055_Z12.31, Z80.9 2. Admitting Diagnosis Recurrent dislocation of the Patella Service: Radiology DX: M22.00 3. Admitting diagnosis: COPD Exacerbation with Mild Persistent Asthma with Asthmaticus Service: Respiratory DX: J44, J45.32 4. Admitting diagnosis: Shortness of breath, rule out Pneumonia Service: Radiology DX: R06.02, J18.9 5. Admitting diagnosis: Unspecified fracture of right femur, subsequent encounter for closed fracture with routine healing. Service: Ortho Clinic DX: S72.301D, S72.90XD 6. Admitting diagnosis: Headache and Dizziness Service: Radiology: CT DX: _R51, R42 7. Admitting Diagnosis: Painful urination, R/O UTI Service: Lab – Urine DX: R30.9, N39.0_ 8. Admitting Diagnosis: Preoperative EKG, Cataracts Service: EKG DX: Z01.818, H26.9_ 9. Admitting Diagnosis: Elevated Liver enzymes Service: Lab – Liver Panel DX: R74.8 10. Admitting diagnosis: Hemiplegia on Right (dominant) side due to old cerebral Thrombosis with infarction. Service: Physical Therapy DX: _I69.351