CPC Chapter 17 Review Practice Test.

CPC Chapter 17 Review Practice Test. A non-Medicare patient reports for a bilateral screening mammography with CAD. What CPT® code(s) is/are reported? - CORRECT ANSWER 77067 Response Feedback: Rationale: In the CPT® Index look for Mammography/Screening Mammography and you are guided to 77067. A 40 year-old female is scheduled for a routine screening baseline bilateral mammogram with computer-aided detection (CAD). What are the CPT® and ICD-10-CM codes reported? - CORRECT ANSWER d. 77067, Z12.31 Response Feedback: Rationale: In the CPT® Index look for Mammography/Screening Mammography or Mammography/ with Computer-Aided Detection (CAD). Code 77067 is for the screening mammography with computer aided detection. Look in the ICD-10-CM Alphabetic Index for Screening/neoplasm (malignant) (of)/breast/routine mammogram and you are guided to Z12.31. What ICD-10-CM code is reported for a routine chest X-ray? - CORRECT ANSWER Z00.00 Response Feedback: Rationale: Look in the ICD-10-CM Alphabetic Index for Encounter/X-ray of chest (as part of general medical examination) Z00.00. There is no mention of abnormal findings making Z00.00 the correct code choice. Verify code selection in the Tabular List. A patient arrives at the urgent care facility with a swollen ankle. Anteroposterior and lateral view X-rays of the ankle are taken to determine whether the patient has a fractured ankle. What CPT® code(s) is/are reported? - CORRECT ANSWER 73600 Response Feedback: Rationale: In the CPT® Index look for X-ray/Ankle and you are guided to range . There were two views taken (anteroposterior and lateral views), so CPT® code 73600 is correct. AP and Lateral chest X-rays were performed for a cough. What CPT® and ICD-10-CM codes are reported? - CORRECT ANSWER 71046, R05 Response Feedback: Rationale: In the CPT® Index look for X-ray/Chest and you are guided to code range . In looking at the descriptions, this is a 2-view chest X-ray. In the AP (Anteroposterior) position the X-ray beam enters the front of the body and exits through the back. In the lateral position, the X-ray beam enters through the side of the body. This is reported with 71046. Look in the ICD-10-CM Alphabetic Index for cough and you are directed to R05. A 56 year-old patient who has been admitted requires a tunneled CV catheter insertion. The physician uses ultrasound guidance to perform the insertion. The physician documented vessel patency and that permanent recordings are in the patient's record. What CPT® codes are reported for the physician's services? - CORRECT ANSWER 36558, 76937-26 Response Feedback: Rationale: The physician inserts a tunneled CV catheter (central venous). The patient is 56 years-old and there is no indication that a port or pump is involved. In the CPT® Index look for Central Venous Catheter Placement/Insertion/Central/Tunneled without Port or Pump , 36565. The correct code is 36558. The physician uses ultrasound guidance, which is reported with 76937. In the coding guidelines for Central Venous Access Procedures, it states that imaging can be reported separately. The codes you are referred to are 76937 and 77001. Because the imaging used is ultrasound, report with 76937. Note that 76937 is an add-on code and it can only be reported if the physician documents selected vessel patency and permanent ultrasound recordings are in the patient records. Modifier 26 is appended to report the professional component.