WGU D254 ACTUAL KEY QUESTIONS (Passed First Attempt) Actual Exam Key Questions Review with Verified Solutions|| Already Graded!!!

WGU D254 ACTUAL KEY QUESTIONS (Passed First Attempt) Actual Exam Key Questions Review with Verified Solutions|| Already Graded!!! 1) When will modifier be necessary? - ANSWER Procedure is done on both sides 2) Evaluation and mgmt cpt code - ANSWER 3) Anesthesia cpt code - ANSWER 00100-01999 4) surgery cpt code - ANSWER 5) radiology cpt code - ANSWER 6) Pathology and lab cpt code - ANSWER 7) medicine cpt code - ANSWER 8) category 2 cpt codes - ANSWER 0001F-6005F 9) Category 3 cpt code - ANSWER 0003T-0170T 10) ICD-10-PCS - ANSWER consists of procedures used for hospital inpatient billing only 11) CPT code category 1 - ANSWER procedures, services, devices and drugs including vaccines. 12) CPT category 2 - ANSWER Performance measures and quality care 13) CPT category 3 - ANSWER services and procedures using emerging technology 14) PLA codes - ANSWER for lab testing 15) ICD pcs section 0 - ANSWER Medical and Surgical 16) ICD pcs section 1 - ANSWER Obstetrics 17) ICD pcs section 2 - ANSWER placement 18) ICD pcs section 3 - ANSWER administration 19) ICD pcs section 4 - ANSWER measurement and monitoring 20) ICD pcs sec 5 - ANSWER Extra corporeal assistance and performance 21) ICD pcs sec 6 - ANSWER enxtracorporeal therapies 22) ICD pcs sec 7 - ANSWER Osteopathic 23) ICD pcs sec 8 - ANSWER other procedures 24) ICD pcs sec 9 is - ANSWER chiropractic 25) ICD pcs sec B - ANSWER Imagining 26) ICD pcs sec c - ANSWER nuclear medicine 27) ICD pcs sec d - ANSWER radiation therapy 28) ICD pcs sec f - ANSWER physical rehab and diagnostic audiology 29) ICD pcs sec G - ANSWER Mental health 30) ICD pcs section H - ANSWER substance abuse and treatment 31) procedures that eliminate or take out a body part - ANSWER excision resection extraction destruction detachment 32) procedures that involve putting in or on, putting back or moving living body parts - ANSWER Transplantation Reattachment Reposition Transfer 33) Debridement - ANSWER • Method for removing dead tissue, dirt, or debris from infected skin, burn or wound • Code Based on percent of body surface area 34) Debridement of necrotizing soft tissue - ANSWER • Code Based on area of body being debrided 35) Repair - ANSWER • Simple - superficial wound/simple onelayer closure/includes local anesthesia • Intermediate - elements of simple repair plus layered closure of deeper layers of sub-q tissue • Complex - complicated wound closure/includes debridement/stents/more than a layered closure 36) Escharotomy - ANSWER · cutting through dead skin covering the surface of full-thickness burn to promote healing 37) Fracture treatments - ANSWER o Manipulation is a treatment for broken bones whereby the broken ends of bone are approximated for healing.  Reduction is the correction through manipulation or surgery of a fracture to a normal anatomical position.  Fixation of broken bones can be internal and external. External fixation is holding together of a broken bone by means of a plaster or fiberglass cast encircling the injured part while healing occurs. Internal fixation is use of devices such as pins, screws, wires, or plates applied directly to the bony fragments to hold them in proper alignment for healing.  Open treatment requires an incision, either at the fracture site or remotely. Internal fixation involves placement of "hardware" such as screws or nails.  Percutaneous skeletal fixation is fracture treatment neither open nor closed. The fracture fragments a not visualized, fixation is placed across the fracture site usually with X-ray imaging 38) Segmental - ANSWER o Attachment at each end of repair area and at least one other attachment in the area being repaired 39) Non-segmental - ANSWER o Attachment of device at each end of the area being repaired 40) Endoscopy/Arthroscopy - ANSWER · An endoscopic or arthroscopic procedure is examination of a joint using a scope. · Arthroscopic procedures of joints include procedures on the shoulder, wrist, spine, hip, knee, ankle, hand, and foot. 41) The first grouping includes the following root operations: - ANSWER · Excision · Resection · Detachment · Destruction · Extraction 42) Excision - ANSWER is used when a sharp instrument is used to cut out or off a portion of a body part without replacement. All root operations employing cutting to accomplish the objective allow the use of any sharp instrument, including but not limited to: · Scalpel · Wire · Scissors · Bone saw · Electrocautery tip 43) Examples of excision are partial nephrectomy, liver biopsy, breast lumpectomy, excision of cyst, sigmoid polypectomy, or excision of melanoma. 44) Resection - ANSWER similar to excision except it involves cutting out or off, without replacement, all of a body part. Resection includes all of a body part or any subdivision of a body part having its own body part value in ICD-10-PCS, while excision includes only a portion of a body part. 45) Examples of resection are total nephrectomy, total lobectomy of lung, total mastectomy, resection cecum, prostatectomy, or cholecystectomy. 46) Resection of a specific anatomical subdivision body part is coded whenever possible, rather than excision of the less specific body part (e.g., right upper lung lobectomy is coded to resection of upper lung lobe, right, and not to excision of lung, right). 47) The important distinction between excision and resection is if a portion or the entire body part is excised. A body part in ICD-10-PCS is not always an entire organ with some body part values being a subdivision of a particular organ. However, the body part value may be an entire organ, such as the organs of the gallbladder, prostate, or appendix. 48) When a procedure is performed on the body part, it is necessary to know if the entire body part was excised. A prostatectomy is the removal of the prostate, while a transurethral resection of the prostate removes the section of the prostate causing symptoms. 49) Some organs such as the liver, stomach, and lung have subdivisions of body parts. The liver contains right lobe and left lobe, the stomach includes the pylorus as a specific body part, and the lung has multiple body parts such as right and left upper lobe, right middle lobe, and right and left lower lobe. 50) Therefore if the entire right middle lobe of the lung was removed, resection would be assigned rather than excision 51) Destruction - ANSWER is defined as the physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent. Common terms that may be documented are ablation, destruction, fulguration, cryotherapy, and cautery. 52) In destruction, none of the body part is physically taken out, instead it obliterates a body part so it is no longer there. This root operation defines a broad range of common procedures, since it can be used anywhere in the body to treat a variety of conditions, including skin and genital warts, nasal and colon polyps, esophageal varices, endometrial implants, and nerve lesions. 53) Examples of destruction are fulguration of rectal polyp, cautery of skin lesion, fulguration of endometrium, ablation of endometriosis, or cryotherapy of warts. 54) Extraction - ANSWER is defined as pulling or stripping out or off all or a portion of a body part by the use of force. Minor cutting, such as that used in vein stripping procedures, is included in extraction if the objective of the procedure is met by pulling or stripping. 55) As with all applicable ICD-10-PCS codes, cutting used to reach the procedure site is specified in the approach value. Extraction procedures that are biopsies may also be identified with the qualifier "diagnostic." 56) Examples of extraction are dilation and curettage, vein stripping, suction dilation and curettage, phacoemulsification without intraocular lens implant, nonexcisional debridement of skin, extraction of teeth, bone marrow biopsy, endometrial biopsy, or liposuction for medical purposes. 57) Coding professionals should be careful of terminology when coding in ICD-10-PCS. Coding professionals should convert common terminology to the appropriate root operation according to the intent of the procedure based on its definition.