Chapter Review Questions - CPC

Chapter Review Questions - CPC Which Z code can only be reported as a first listed code? a) Z37.9 b) Z79.890 c) Z87.710 d) Z00.129 - ANS-d) Z00.129 RATIONALE: In the ICD-10-CM guidelines I.C.21.c.16, there is a list of Z codes that can only be reported as first-listed diagnosis code. When coding for a patient who has had a primary malignancy of the thyroid gland that was completely excised a year ago, and there is no current treatment directed at that site, which of the following statements is TRUE? a) When no further treatment is provided and there is no evidence of any existing primary malignancy, code Z85.850. b) When further treatment is provided and there is evidence of an existing metastasis, code first Z85.50 and then C23.3. c) Any mention of extension, invasion, or metastasis to another site is coded as a D49.1. d) When further treatment is provided and there is evidence of an existing metastasis, code first C78.39. - ANS-a) When no further treatment is provided and there is no evidence of any existing primary malignancy, code Z85.850. Rationale: According to the ICD-10-CM guidelines I.C.2.d., when the patient has completed treatment for cancer and there is not an existing malignancy, select a personal history of malignancy by site. From the ICD-10-CM alphabetic Index, look for History/personal (of)/malignant neoplasm(of)/thyroid. Verify code selection in the Tabular List. Which anatomic site would you look under in the CPT Index to find carinal reconstruction? a) Breast b) Chest c) Esophagus d) Trachea - ANS-d) Trachea Rationale: To find this code in the CPT Index, it is important to know the carina is part of the trachea. Look in the index under Trachea/Reconstruction/Carina When the entry point for a catheterization is the aorta, what order would the right brachial artery be considered when using Appendix L? a) First Order b) Second Order Branch c) Third Order Branch d) Beyond Third Order Branch - ANS-c) Third order Branch Rationale: In Appendix L, the vascular families are given based on the assumption the aorta is the starting point for the catheterization. The R. Brachial is a third order branch to the Innominate. According to the National Correct Coding Initiative, what edit is placed on codes 11042 and 10060? (Refer to the NCCI table provided in the chapter, page 71 of the 2022 Official Study Guide CPC Certification) a) CCM 0; a modifier will not bypass the edit b) CCM 1; a modifier will bypass the edit c) CCM 9; a modifier will not bypass the edit d) CCM 9; a modifier will bypass the edit - ANS-b) CCM1; a modifier will bypass the edit Rationale: Refer to the NCCI Table provided in this chapter. The edit for 11042 and 10060 has a modifier indicator of 1 listed next to the edit, indicating a modifier is allowed if supported by the documentation and will bypass the edit. When coding for a surgical service, which of the following is NOT included in the global surgical package? a) Digital block b) General anesthesia c) Talking with the family d) E/M encounter on the date immediately prior to a major procedure - ANS-b) General anesthesia Rationale: a digital block or topical anesthesia, talking with the family and other physicians, and the E/M prior to a major surgery and during the postoperative care are all considered included in a CPT surgical code. General anesthesia would be reported separately. How often does CMS release updates for HCPCS Level II codes?...