2025 ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES| (ALREADY GRADED A+)
|BRANDNEW
Terms in this set (82)
,A 12-year-old boy was Correct Answer: D
seen in an ambulatory The patient has a fracture of the right proximal ulna
surgical center for pain in and closed reduction is necessary. In the ICD-10-CM
his right arm. The x-ray Code Book, under Fracture, ulna, proximal, the coder
showed fracture of ulna. is referred to Fracture, ulna, upper end. The term
Patient underwent closed "manipulation" is used to indicate reduction in CPT.
reduction of fracture right According to CPT guidelines, cast application or
proximal ulna and an strapping (including removal) is only reported as a
elbow-to-finger cast was replacement procedure or when the cast application
applied. What diagnostic or strapping is an initial service performed without a
and procedure codes restorative treatment or procedure (AMA CPT
should be assigned? Professional Edition 2020, 182). (Note: Since this is an
S52.101AUnspecified ambulatory surgery center case, CPT codes are
fracture of upper end of assigned rather than ICD-10-PCS codes.)
right radius, initial
encounter for closed
fracture
S52.101BUnspecified
fracture of upper end of
right radius, initial
encounter for open
fracture
S52.001AUnspecified
fracture of upper end of
right ulna, initial encounter
for closed fracture
S52.001BUnspecified
fracture of upper end of
right ulna, initial encounter
for open fracture
0PSH0ZZReposition right
radius, open approach
0PSK0ZZReposition right
ulna, open approach
24670Closed treatment of
ulnar fracture, proximal
end (eg, olecranon or
,coronoid process(es) );
without manipulation
24675Closed treatment of
ulnar fracture, proximal
end (eg
, A 64-year-old female is Correct Answer: C
admitted to the hospital The patient should have a diagnosis related to taking
with nausea, vomiting, and the medication Lisinopril, which is usually
edema. Lab values hypertension (Brinda 2020, 186-187).
indicate the patient has
dehydration. The patient
takes Lisinopril as
prescribed along with
Levothyroxine for
hypothyroidism. On the
discharge summary, the
final diagnoses of acute
renal failure,
hypothyroidism and
dehydration are
documented. What
discrepancy should a
coding professional note
in this documentation?
a. There is not enough
detail in the
documentation to assign
the dehydration.
b. There is no explanation
for the patient's vomiting.
c. There is no correlating
diagnosis for the Lisinopril.
d. The nausea, vomiting,
and edema are indicative
of chronic renal failure not
acute.