COC 2020 Final Exam Study Questions - Set 10 (Complete Solutions, Answered)

COC 2020 Final Exam Study Questions - Set 10 (Complete Solutions, Answered) What ICD-10-CM is reported for fatigue during a patient's 26th week of pregnancy? O26.812, Z3A.26 What ICD-10-PCS code should be assigned for total excision of pituitary gland, open? 0GT00ZZ What ICD-10-PCS codes should be assigned for laparoscopic vaginal assisted hysterectomy with bilateral salpingo-oophorectomy for dysplasia? 0UT9FZZ, 0UT7FZZ, 0UT2FZZ What information can be found on the RA from Medicare? Payment amount, adjusted amount and patient responsibility Rationale: A Remittance Advice (RA) from Medicare or other insurance carriers is a notice of payments and adjustments sent to the billing department after a claim has been processed. If payment is denied, the RA includes the reason for the denial. The RA also includes the patient's responsibility for the claim. What is a default code? Refer to ICD-10-CM guideline I.A.18. The code that represents the condition most commonly associated with the main term. What is a PATH Audit? OIG audits performed on medical schools. What is a revenue code? The code reported to identify the department Rationale: A revenue code identifies a specific revenue center, accommodation, and ancillary charges. The revenue code identifies where, within the hospital's revenue, or cost center, the service was where the services were performed What is a tendon sheath? A tube shaped sheath that lines the compartment where some tendons pass-through, such as those found around the ankle and wrist What is a term for enlargement of the heart? Cardiomegaly What is a thoracotomy? Incision into the chest wall What is a TRUE statement when reporting outpatient observation care? Observation services for Medicare are reported with HCPCS Level II code G0378. What is affected by mysathenia gravis? Neuromuscular jumction What is an abscess? Cavity created by localized infection that contains a purulent exudate What is an acute exacerbation of asthma or COPD? (Reference ICD-10-CM guideline I.C.10.a.l) Worsening or decompensation of asthma or COPD What is an example of a long bone? Metacarpals Long bones are named for their shape, not their size. Metacarpals are long bones found in the hand that form the skeletal structure of the palm. What is an example of an eponym? Paget's disease What is an MDC? Major Diagnostic Category What is an ovum? An oocyte or egg What is another word for the sclerocorneal junction? Limbus What is Bowman's capsule? C-shaped structure partially surrounding the glomerulus What is colporrhaphy? Surgical repair of the vagina What is considered a partial-thickness wound? Damage does not penetrate below the dermis and may be limited to the epidermal layers only. What is COPD and what category is it found under in the ICD-10-CM code book? Chronic airway obstruction that is not elsewhere classified. A nonspecific condition characterized by a chronic and recurrent reduction in expiratory airflow within the lung;J44 What is in vivo? Studies performed within the living body. What is modifier JW used for? To indicate part of a vial was used on a patient requiring the rest to be discarded. What is NOT an example of active treatment for pathological fractures? Surgical treatment What is one of the major differences when coding DX for inPt admission vs outPt admission reported by the facility? Suspected Dx are reported for inPt hospital if not definitive Dx was determined in this hospital stay with the exception of HIV/AIDs coding. What is repair of a coronary vessel called? Angioplasty What is the complete description of CPT ® code 45307? Proctosigmoidoscopy, rigid; with removal of foreign body What is the CPT ® code for a flexible bronchoscopy with placement of catheters for remote after loading high dose rate brachytherapy (radiotherapeutic agents). 31643 What is the CPT ® code for a Keller Procedure? 28292 What is the CPT ® code for a modified radical mastectomy? 19307 What is the CPT ® code for excision of the parathyroid gland? 60500 What is the CPT ® code for incision and drainage of postoperative wound infection, complex, with removal mesh with from the abdominal wall? 10180, 11008 What is the CPT ® code for laparoscopic removal of 6 uterine leiomyomata (myomas/fibroids) weighing more than 250g? 58546 What is the CPT" code for open treatment of a humeral shaft using an intramedullary implant and locking screws? 24516 What is the CPT" code for repair of nonunion of carpal bone? 25431 What is the CPT° code for closed treatment of a tibial shaft fracture with manipulation? 27752