APPENDICITIS CHAPTER #16 REVIEW
EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
Rationale: The preoperative diagnosis of abdominal pain in the right lower quadrant is
not reported because there is definitive diagnosis listed post-operatively. The
postoperative diagnosis specifies acute appendicitis with peritoneal abscess. Look in
the ICD-10-CM Alphabetic Index for Abscess/peritoneum, peritoneal (perforated)/with
appendicitis or Appendicitis/acute/with/peritoneal abscess which directs you to K35.33.
Verify code selection in the Tabular List.
Following labor and delivery, the mother developed acute kidney failure. What ICD-10-
CM code is reported?
a. O90.4
b. O26.839
c. N19
d. O35.8XX0 - Answer-A
What is the anesthesia code for an insertion of a penile prosthesis performed via a
perineal approach?
a. 00934
b. 00938
c. 00936
d. 00932 - Answer-B
A 42 year-old patient was undergoing anesthesia in an ASC and began having
complications prior to the administration of anesthesia. The surgeon immediately
discontinued the planned surgery. If the insurance company requires a reported
modifier, what modifier best describes the extenuating circumstances?
a. 53
b. 73
c. 74
d. 23 - Answer-B
Rationale: The preoperative diagnosis of abdominal pain in the right lower quadrant is
not reported because there is definitive diagnosis listed post-operatively. The
postoperative diagnosis specifies acute appendicitis with peritoneal abscess. Look in
the ICD-10-CM Alphabetic Index for Abscess/peritoneum, peritoneal (perforated)/with
appendicitis or Appendicitis/acute/with/peritoneal abscess which directs you to K35.33.
Verify code selection in the Tabular List.
What is the anesthesia code for an appendectomy?
a. 00860
, b. 00862
c. 00790
d. 00840 - Answer-D
What is the ICD-10-CM code for personal history of colonic polyps?
a. Z83.71
b. K63.5
c. Z86.010
d. K51.418 - Answer-C
A patient undergoes heart surgery for angina decubitus and coronary artery disease
(CAD). What ICD-10-CM code is reported?
a. I25.10
b. I25.118
c. I20.9
d. I25.119 - Answer-B
Rationale: In the ICD-10-CM Alphabetic Index look for Disease/coronary (artery) which
states see Disease/heart/ischemic/atherosclerotic (of) with angina pectoris which directs
you to see Arteriosclerosis, coronary (artery). Look for Arteriosclerosis/coronary
(artery)/native vessel/with/angina/specified type NEC which directs you to I25.118.
Verify code selection in the Tabular List.
A patient with diabetic peripheral circulatory disorder is having a lower leg amputation
due to gangrene. What ICD-10-CM code(s) is/are reported?
a. I96 b. E11.52 c. E11.52, I96 d. I96, E11.52, I79.8 - Answer-B
A 59 year-old patient is having surgery on the pericardial sac, without use of a pump
oxygenator. The perfusionist placed an arterial line. What CPT® code(s) is/are reported
for anesthesia?
a. 00562
b. 00560
c. 00561
d. 00560, 36620 - Answer-B
Anesthesia start time is reported as 7:14 am, and the surgery began at 7:26 am. The
surgery finished at 8:18 am and the patient was turned over to PACU at 8:29 am, which
was reported as the ending anesthesia time. What is the anesthesia time reported?
a. 7:14 am to 8:29 am (75 minutes)
b. 7:26 am to 8:18 am (52 minutes)
c. 7:14 am to 8:18 am (64 minutes)
d. 7:26 am to 8:29 am (63 minutes) - Answer-A
A 72 year-old patient is undergoing a corneal transplant. An anesthesiologist is
personally performing monitored anesthesia care. What CPT® code and modifier(s) are
reported for anesthesia?
EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
Rationale: The preoperative diagnosis of abdominal pain in the right lower quadrant is
not reported because there is definitive diagnosis listed post-operatively. The
postoperative diagnosis specifies acute appendicitis with peritoneal abscess. Look in
the ICD-10-CM Alphabetic Index for Abscess/peritoneum, peritoneal (perforated)/with
appendicitis or Appendicitis/acute/with/peritoneal abscess which directs you to K35.33.
Verify code selection in the Tabular List.
Following labor and delivery, the mother developed acute kidney failure. What ICD-10-
CM code is reported?
a. O90.4
b. O26.839
c. N19
d. O35.8XX0 - Answer-A
What is the anesthesia code for an insertion of a penile prosthesis performed via a
perineal approach?
a. 00934
b. 00938
c. 00936
d. 00932 - Answer-B
A 42 year-old patient was undergoing anesthesia in an ASC and began having
complications prior to the administration of anesthesia. The surgeon immediately
discontinued the planned surgery. If the insurance company requires a reported
modifier, what modifier best describes the extenuating circumstances?
a. 53
b. 73
c. 74
d. 23 - Answer-B
Rationale: The preoperative diagnosis of abdominal pain in the right lower quadrant is
not reported because there is definitive diagnosis listed post-operatively. The
postoperative diagnosis specifies acute appendicitis with peritoneal abscess. Look in
the ICD-10-CM Alphabetic Index for Abscess/peritoneum, peritoneal (perforated)/with
appendicitis or Appendicitis/acute/with/peritoneal abscess which directs you to K35.33.
Verify code selection in the Tabular List.
What is the anesthesia code for an appendectomy?
a. 00860
, b. 00862
c. 00790
d. 00840 - Answer-D
What is the ICD-10-CM code for personal history of colonic polyps?
a. Z83.71
b. K63.5
c. Z86.010
d. K51.418 - Answer-C
A patient undergoes heart surgery for angina decubitus and coronary artery disease
(CAD). What ICD-10-CM code is reported?
a. I25.10
b. I25.118
c. I20.9
d. I25.119 - Answer-B
Rationale: In the ICD-10-CM Alphabetic Index look for Disease/coronary (artery) which
states see Disease/heart/ischemic/atherosclerotic (of) with angina pectoris which directs
you to see Arteriosclerosis, coronary (artery). Look for Arteriosclerosis/coronary
(artery)/native vessel/with/angina/specified type NEC which directs you to I25.118.
Verify code selection in the Tabular List.
A patient with diabetic peripheral circulatory disorder is having a lower leg amputation
due to gangrene. What ICD-10-CM code(s) is/are reported?
a. I96 b. E11.52 c. E11.52, I96 d. I96, E11.52, I79.8 - Answer-B
A 59 year-old patient is having surgery on the pericardial sac, without use of a pump
oxygenator. The perfusionist placed an arterial line. What CPT® code(s) is/are reported
for anesthesia?
a. 00562
b. 00560
c. 00561
d. 00560, 36620 - Answer-B
Anesthesia start time is reported as 7:14 am, and the surgery began at 7:26 am. The
surgery finished at 8:18 am and the patient was turned over to PACU at 8:29 am, which
was reported as the ending anesthesia time. What is the anesthesia time reported?
a. 7:14 am to 8:29 am (75 minutes)
b. 7:26 am to 8:18 am (52 minutes)
c. 7:14 am to 8:18 am (64 minutes)
d. 7:26 am to 8:29 am (63 minutes) - Answer-A
A 72 year-old patient is undergoing a corneal transplant. An anesthesiologist is
personally performing monitored anesthesia care. What CPT® code and modifier(s) are
reported for anesthesia?
