AAPC CPC Chapter 12 Test Review QUESTIONS AND ANSWERS 2022/2023| GRADED A

Chapter 12 Test Review  Question 1_4 out of 4 points Left ureteral stent placement and Extracorporeal Shock Wave Therapy or Lithotripsy (ESWL) of the left kidney are performed. What CPT® code(s) is/are reported for this service? Selected Answer: d. 50590-LT, 52332-51-LT Correct Answer: d. 50590-LT, 52332-51-LT Response Feedback: Rationale: Two procedures are performed. CPT® 52353 describes laser lithotripsy and does not include ESWL. CPT® 52332 describes the stent placement, but does not include the ESWL. CPT® 50590 describes the ESWL but not the placement of the stent. CPT® 50590 and 52332 describe both procedures performed. Modifier LT is appended to 50590 to indicate the lithotripsy was performed on the left kidney. Modifiers 51 and LT are appended to code 52332 to indicate more than one procedure was performed on the left side. Look in the CPT® Index for Lithotripsy/Kidney and Insertion/Stent/Ureteral.  Question 2_4 out of 4 points Patient is a 40 year-old female presenting for repeat urethral dilation for urethral stricture using the instillation of a saline solution. What CPT® code is reported for this service? Selected Answer: a. 53661 Correct Answer: a. 53661 Response Feedback: Rationale: In the CPT® Index look for Urethra/Dilation/Suppository and/or Instillation. CPT® 53660 is for the initial dilation. CPT® 53605 and 53665 are reported when general or spinal anesthesia is provided. No type of anesthesia is indicated in the note. This is a repeat procedure and the subsequent CPT® code 53661 is reported.  Question 3_4 out of 4 points Transurethral resection of a medium-size (3.0 cm) bladder tumor was performed in an outpatient setting. What CPT® code is reported for this service? Selected Answer: c. 52235 Correct Answer: c. 52235 Response Rationale: Transurethral resection of bladder tumors are coded by the size of the tumor; less Feedback: than 0.5 cm (52224), 0.5 cm- up to 2.0 cm (52234), 2.0 cm up to 5.0 cm (52235), 5.0 cm or larger (52240). In the CPT® Index see Resection/Tumor/Bladder or Tumor/Bladder.  Question 4_0 out of 4 points A patient comes in for removal of a calculus from the renal pelvis via renal endoscopy through an established nephrostomy. What CPT® code is reported? Selected Answer: a. 50060 Correct Answer: b. 50561 Response Feedback: Rationale: Renal endoscopy codes are