AAPC CPC Chapter 13 Test Review

Chapter 13 Test Review  Question 1_4 out of 4 points The patient presents with a recurrent infection of the Bartholin’s gland which has previously been treated with antibiotics and I&D. At this visit her gynecologist incises the cyst, draining the material from it and tacks the edges of the cyst open creating an open pouch to prevent recurrence. How is this procedure coded? Selected Answer: d. 56440 Correct Answer: d. 56440 Response Feedback: Rationale: Marsupialization is a procedure where a scalpel is used to cut an opening in the top of the abscess pocket. The leaflets created by this procedure are pulled away from the pocket and attached to the surrounding skin with stitches or glue. This creates an open pouch to help prevent recurrence of the abscess. Look in the CPT® Index look for Bartholin’s Gland/Cyst/Marsupialization or Marsupialization/Cyst/Bartholin’s Gland directing you to code 56440. Marsupialization of Bartholin’s gland cyst is reported with CPT® code 56440.  Question 2_4 out of 4 points A 40 year-old presents with vaginal bleeding for several weeks unrelated to her menstrual cycle. The gynecologist orders an ultrasound to obtain more information for a diagnosis. What diagnosis code is appropriate for this encounter? Selected Answer: c. N93.9 Correct Answer: c. N93.9 Response Feedback: Rationale: The bleeding is unrelated to the patient’s menstrual cycle and there is no indication of menopause. Look in the ICD-10-CM Alphabetic Index for Bleeding/vagina, vaginal (abnormal) directing you to N93.9.  Question 3_4 out of 4 points Patient with genital warts has cryotherapy of an extensive number of lesions on her mons pubis, labia and perineum. How is this procedure co