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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-
his right arm. The x-ray CM Code Book, under Fracture, ulna, proximal, the
showed fracture of ulna. coder is referred to Fracture, ulna, upper end. The
Patient underwent closed term "manipulation" is used to indicate reduction in
reduction of fracture CPT. According to CPT guidelines, cast application
right proximal ulna and or strapping (including removal) is only reported as
an elbow-to-finger cast a replacement procedure or when the cast
was applied. What application or strapping is an initial service
diagnostic and performed without a restorative treatment or
procedure codes should procedure (AMA CPT Professional Edition 2020, 182).
be assigned? (Note: Since this is an ambulatory surgery center
S52.101AUnspecified case, CPT codes are assigned rather than ICD-10-
fracture of upper end of 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,
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proximal end (eg,
olecranon or coronoid
process(es) ); without
manipulation
24675Closed treatment
of ulnar fracture,
proximal end (eg
A laparoscopic tubal Correct Answer: B
ligation is completed. The code that best reports the tubal ligation is
What is the correct CPT 58670 Laparoscopy, surgical; with fulguration of
code assignment? oviducts because there are no clips or excision of
49320Laparoscopy, lesion completed during the procedure (CPT
abdomen, peritoneum, Assistant Nov. 1999, 29; March 2000, 10).
and omentum,
diagnostic, with or
without collection of
specimen(s) by brushing
or washing (separate
procedure)
58662Laparoscopy,
surgical; with fulguration
or excision of lesions of
the ovary, pelvic viscera,
or peritoneal surface by
any method
58670Laparoscopy,
surgical; with fulguration
of oviducts (with or
without transection)
58671Laparoscopy,
surgical; with occlusion
of oviducts by device
(eg, band, clip, or Falope
ring)
a. 49320, 58662
b. 58670
c. 58671
d. 49320
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Normal twin delivery at Correct Answer: C
30 weeks. Both babies A code for preterm labor and delivery is assigned
were delivered vaginally for each fetus since both babies were born preterm
and were liveborn. What as noted in Coding Clinic. Additionally, a code from
conditions should have category O30, Multiple gestations, must be
codes assigned? assigned (Leon-Chisen 2020, 325; AHA Coding
O30.003Twin pregnancy, Clinic 2016 2nd Quarter, 10-11).
unspecified number of
placenta and unspecified
number of amniotic sacs,
third trimester
O30.009Twin pregnancy,
unspecified number of
placenta and unspecified
number of amniotic sacs,
unspecified trimester
O60.14X0Preterm labor
third trimester with
preterm delivery third
trimester, not applicable
or unspecified
O60.14X1 Preterm labor
third trimester with
preterm delivery third
trimester, fetus 1
O60.14X2Preterm labor
third trimester with
preterm delivery third
trimester, fetus
2O80Encounter for full-
term uncomplicated
delivery
Z3A.3030 weeks
gestation of pregnancy
Z37.0Single live birth
Z37.2Twins, both liveborn
a. O80, Z3A.30, Z37.0
b. O30.003, O60.14X0,
Z3A.30, Z37.2
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solutions|Already graded A+|Get it 100%
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Practice questions for this set
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Studied 7 terms
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Continue studying in Learn
Terms in this set (82)
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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-
his right arm. The x-ray CM Code Book, under Fracture, ulna, proximal, the
showed fracture of ulna. coder is referred to Fracture, ulna, upper end. The
Patient underwent closed term "manipulation" is used to indicate reduction in
reduction of fracture CPT. According to CPT guidelines, cast application
right proximal ulna and or strapping (including removal) is only reported as
an elbow-to-finger cast a replacement procedure or when the cast
was applied. What application or strapping is an initial service
diagnostic and performed without a restorative treatment or
procedure codes should procedure (AMA CPT Professional Edition 2020, 182).
be assigned? (Note: Since this is an ambulatory surgery center
S52.101AUnspecified case, CPT codes are assigned rather than ICD-10-
fracture of upper end of 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,
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proximal end (eg,
olecranon or coronoid
process(es) ); without
manipulation
24675Closed treatment
of ulnar fracture,
proximal end (eg
A laparoscopic tubal Correct Answer: B
ligation is completed. The code that best reports the tubal ligation is
What is the correct CPT 58670 Laparoscopy, surgical; with fulguration of
code assignment? oviducts because there are no clips or excision of
49320Laparoscopy, lesion completed during the procedure (CPT
abdomen, peritoneum, Assistant Nov. 1999, 29; March 2000, 10).
and omentum,
diagnostic, with or
without collection of
specimen(s) by brushing
or washing (separate
procedure)
58662Laparoscopy,
surgical; with fulguration
or excision of lesions of
the ovary, pelvic viscera,
or peritoneal surface by
any method
58670Laparoscopy,
surgical; with fulguration
of oviducts (with or
without transection)
58671Laparoscopy,
surgical; with occlusion
of oviducts by device
(eg, band, clip, or Falope
ring)
a. 49320, 58662
b. 58670
c. 58671
d. 49320
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Normal twin delivery at Correct Answer: C
30 weeks. Both babies A code for preterm labor and delivery is assigned
were delivered vaginally for each fetus since both babies were born preterm
and were liveborn. What as noted in Coding Clinic. Additionally, a code from
conditions should have category O30, Multiple gestations, must be
codes assigned? assigned (Leon-Chisen 2020, 325; AHA Coding
O30.003Twin pregnancy, Clinic 2016 2nd Quarter, 10-11).
unspecified number of
placenta and unspecified
number of amniotic sacs,
third trimester
O30.009Twin pregnancy,
unspecified number of
placenta and unspecified
number of amniotic sacs,
unspecified trimester
O60.14X0Preterm labor
third trimester with
preterm delivery third
trimester, not applicable
or unspecified
O60.14X1 Preterm labor
third trimester with
preterm delivery third
trimester, fetus 1
O60.14X2Preterm labor
third trimester with
preterm delivery third
trimester, fetus
2O80Encounter for full-
term uncomplicated
delivery
Z3A.3030 weeks
gestation of pregnancy
Z37.0Single live birth
Z37.2Twins, both liveborn
a. O80, Z3A.30, Z37.0
b. O30.003, O60.14X0,
Z3A.30, Z37.2
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