Chapter 20 Review Exam Questions and Answers Graded A+
A 15 year-old underwent placement of a cochlear
implant 1 year ago. It now needs to be A patient was brought to the emergency
reprogrammed. What CPT® code is reported for department in cardiac arrest. The physician
the reprogramming? - ANSWER -92604 immediately initiated CPR. What CPT® code is
Rationale: Cochlear implants differ from hearing reported for CPR? - ANSWER -92950
aids; they bypass the damaged part of the ear. Rationale: Medical personnel usually begin
The use of a cochlear implant involves relearning cardiopulmonary resuscitation (CPR) which
how to hear and react to sounds. In the CPT® provides artificial breathing and chest
Index look for Cochlear Device/Programming compressions for a person in cardiac arrest. In
which directs you to codes 92602, 92604. The the CPT® Index you can look for either CPR or
code selection is based on the age of the patient Cardiopulmonary Resuscitation or
and whether it is the initial programming or Resuscitation/Cardiopulmonary. All indexed
subsequent reprogramming. Code 92604 items direct you to code 92950.
describes subsequent reprogramming for a
patient age 7 or older.
A patient with coronary atherosclerosis
underwent a PTCA in the left anterior descending
A cardiologist provided an interpretation and and in the first diagonal of the LD. What CPT®
report of an EKG. What CPT® code is reported? code(s) is/are reported? - ANSWER -
- ANSWER -93010 92920-LD, 92921-LD
Rationale: In the CPT® Index look for EKG and Rationale: PTCA stands for percutaneous
you are directed to see Electrocardiography. For transluminal coronary angioplasty. In the CPT®
Electrocardiography/Evaluation. Codes 93000, Index look for PTCA directing you to see
93010. 93000 includes the 12 lead EKG in Percutaneous Transluminal Angioplasty. Under
addition to the interpretation and report. The Percutaneous Transluminal
provider only provided the interpretation and Angioplasty/Artery/Coronary. Code 92920 is used
report making 93010 the correct code choice. for the main coronary artery which is the left
Modifier 52 to report reduced services is not anterior descending. The add-on code 92921 is
appropriate because there are codes that can used to report the PTCA to a branch off of the left
specifically report each component. anterior descending - the first diagonal.
A patient who has had two recent seizures A patient has an open wound on his left lower leg
underwent a 3-hour continuous EEG recording, caused by a cat bite. The animal tested negative
without video. The physician interpreted the for rabies, but the wound has failed to heal and
study and documented a report in the patient's became infected by Clostridium perfringens. The
medical record. What CPT® code is reported? - patient underwent hyperbaric oxygen therapy
ANSWER -95717 attended and supervised by the provider. What
Rationale: In the CPT® Index look for EEG CPT® and ICD-10-CM codes are reported? -
directing you to See Electroencephalography ANSWER -99183, S81.852A, B96.7,
(EEG). Look for Electroencephalography W55.01XA
(EEG)/Recording/Detection. The patient had a 3 Rationale: In the CPT® Index look for Hyperbaric
hour continuous EEG without use of video which Oxygen Pressurization and you are directed to
the physician interpreted, not an EEG code 99183. The wound is complicated due to
technologist. The correct code to report is 95717. the infection. In the ICD-10-CM Alphabetic Index
look for Bite(s) (animal) (human)/leg (lower) and
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, Chapter 20 Review Exam Questions and Answers Graded A+
you are directed to S81.85-. Tabular List shows assessed. There was no evidence of thrombus.
seven characters are needed to complete the The study was normal. What CPT® and ICD-10-
code. The 6 th character 2 indicates the left leg. CM codes are reported? - ANSWER -
7 th character A indicates initial encounter for 93970, R60.0, I11.0, I50.9
receiving active treatment. The infectious agent Rationale: In the CPT® Index look for Duplex
is identified as Clostridium perfringens. Look for Scan/Venous Studies/Extremity. Code 93970
Infection/Clostridium/perfringens/as cause of indicates a complete bilateral study. For the ICD-
disease classified elsewhere directing you to 10-CM codes, since the study was normal, the
code B96.7. The external cause is the cat bite. symptoms indicating the test are reported. In the
Look in the ICD-10-CM External Cause of ICD-10-CM Alphabetic Index look for Edema/legs
Injuries Index for Bite, bitten by/cat which directs
or Edema/localized which refers you to code
you to code W55.01-. Tabular List shows seven R60.0. The hypertension and congestive heart
characters are needed to complete the code. A failure has a causal relationship. In the
placeholder X is assigned to the 6 th character Alphabetic Index, look for
and A is assigned for initial encounter for the 7 Hypertension/heart/with/heart failure (congestive)
thcharacter. referring you to I11.0. Instructional note in the
Tabular List for I11.0 indicates to also identify the
type of heart failure. Look for Failure,
A patient diagnosed with amyotrophic lateral failed/heart/congestive which refers you to I50.9.
sclerosis has increasing muscle weakness in the Verification in the Tabular List confirms code
upper extremities. The provider orders needle selections.
electromyography (EMG) to record electrical
activity of the muscles. What CPT® and ICD-10-
CM codes are reported? - ANSWER - What ICD-10-CM code is reported when a flu
95861, G12.21 vaccine is administered? - ANSWER -Z23
Rationale: In the CPT® Index look for Rationale: In the ICD-10-CM Alphabetic Index
Electromyography/Needle/Extremities. Code look for Vaccination (prophylactic)/encounter
selection is based on the number of extremities which refers you to Z23. Verification in the
studied. In this case, two extremities (upper) are Tabular List confirms Z23 is for an encounter for
studied making 95861 the correct code selection. immunization. This code is nonspecific as to the
Amyotrophic lateral sclerosis (ALS) is also known type of vaccination that is given. The type of
as Lou Gehrig's disease. In the ICD-10-CM vaccination given (i.e. influenza, MMR, DPT) will
Alphabetic Index, look for Amyotrophia, be specified by the CPT® or HCPCS codes.
amyotrophy, amyotrophic/lateral sclerosis or
Sclerosis/amyotrophic (lateral) which directs you
to code G12.21. Verification in the Tabular List A patient with chronic respiratory failure is visited
confirms code selection. at home by a certified respiratory therapist to
manage his home oxygen therapy. What CPT®
and ICD-10-CM codes are reported? -
A 70 year-old male presents with localized ANSWER -99503, J96.10
edema in his legs. He has hypertension and Rationale: In the CPT® Index look for Home
congestive heart failure and is currently on Services/Respiratory Therapy and you are
medication for both conditions. The provider directed to 99503. In the ICD-10-CM Alphabetic
ordered a complete venous duplex scan of his Index, look for Failure, failed/respiration,
lower extremities. The femoral, superficial respiratory/chronic which refers you to J96.10.
femoral, posterior tibial and popliteal veins were Verification in the Tabular List confirms code
2/7
A 15 year-old underwent placement of a cochlear
implant 1 year ago. It now needs to be A patient was brought to the emergency
reprogrammed. What CPT® code is reported for department in cardiac arrest. The physician
the reprogramming? - ANSWER -92604 immediately initiated CPR. What CPT® code is
Rationale: Cochlear implants differ from hearing reported for CPR? - ANSWER -92950
aids; they bypass the damaged part of the ear. Rationale: Medical personnel usually begin
The use of a cochlear implant involves relearning cardiopulmonary resuscitation (CPR) which
how to hear and react to sounds. In the CPT® provides artificial breathing and chest
Index look for Cochlear Device/Programming compressions for a person in cardiac arrest. In
which directs you to codes 92602, 92604. The the CPT® Index you can look for either CPR or
code selection is based on the age of the patient Cardiopulmonary Resuscitation or
and whether it is the initial programming or Resuscitation/Cardiopulmonary. All indexed
subsequent reprogramming. Code 92604 items direct you to code 92950.
describes subsequent reprogramming for a
patient age 7 or older.
A patient with coronary atherosclerosis
underwent a PTCA in the left anterior descending
A cardiologist provided an interpretation and and in the first diagonal of the LD. What CPT®
report of an EKG. What CPT® code is reported? code(s) is/are reported? - ANSWER -
- ANSWER -93010 92920-LD, 92921-LD
Rationale: In the CPT® Index look for EKG and Rationale: PTCA stands for percutaneous
you are directed to see Electrocardiography. For transluminal coronary angioplasty. In the CPT®
Electrocardiography/Evaluation. Codes 93000, Index look for PTCA directing you to see
93010. 93000 includes the 12 lead EKG in Percutaneous Transluminal Angioplasty. Under
addition to the interpretation and report. The Percutaneous Transluminal
provider only provided the interpretation and Angioplasty/Artery/Coronary. Code 92920 is used
report making 93010 the correct code choice. for the main coronary artery which is the left
Modifier 52 to report reduced services is not anterior descending. The add-on code 92921 is
appropriate because there are codes that can used to report the PTCA to a branch off of the left
specifically report each component. anterior descending - the first diagonal.
A patient who has had two recent seizures A patient has an open wound on his left lower leg
underwent a 3-hour continuous EEG recording, caused by a cat bite. The animal tested negative
without video. The physician interpreted the for rabies, but the wound has failed to heal and
study and documented a report in the patient's became infected by Clostridium perfringens. The
medical record. What CPT® code is reported? - patient underwent hyperbaric oxygen therapy
ANSWER -95717 attended and supervised by the provider. What
Rationale: In the CPT® Index look for EEG CPT® and ICD-10-CM codes are reported? -
directing you to See Electroencephalography ANSWER -99183, S81.852A, B96.7,
(EEG). Look for Electroencephalography W55.01XA
(EEG)/Recording/Detection. The patient had a 3 Rationale: In the CPT® Index look for Hyperbaric
hour continuous EEG without use of video which Oxygen Pressurization and you are directed to
the physician interpreted, not an EEG code 99183. The wound is complicated due to
technologist. The correct code to report is 95717. the infection. In the ICD-10-CM Alphabetic Index
look for Bite(s) (animal) (human)/leg (lower) and
1/7
, Chapter 20 Review Exam Questions and Answers Graded A+
you are directed to S81.85-. Tabular List shows assessed. There was no evidence of thrombus.
seven characters are needed to complete the The study was normal. What CPT® and ICD-10-
code. The 6 th character 2 indicates the left leg. CM codes are reported? - ANSWER -
7 th character A indicates initial encounter for 93970, R60.0, I11.0, I50.9
receiving active treatment. The infectious agent Rationale: In the CPT® Index look for Duplex
is identified as Clostridium perfringens. Look for Scan/Venous Studies/Extremity. Code 93970
Infection/Clostridium/perfringens/as cause of indicates a complete bilateral study. For the ICD-
disease classified elsewhere directing you to 10-CM codes, since the study was normal, the
code B96.7. The external cause is the cat bite. symptoms indicating the test are reported. In the
Look in the ICD-10-CM External Cause of ICD-10-CM Alphabetic Index look for Edema/legs
Injuries Index for Bite, bitten by/cat which directs
or Edema/localized which refers you to code
you to code W55.01-. Tabular List shows seven R60.0. The hypertension and congestive heart
characters are needed to complete the code. A failure has a causal relationship. In the
placeholder X is assigned to the 6 th character Alphabetic Index, look for
and A is assigned for initial encounter for the 7 Hypertension/heart/with/heart failure (congestive)
thcharacter. referring you to I11.0. Instructional note in the
Tabular List for I11.0 indicates to also identify the
type of heart failure. Look for Failure,
A patient diagnosed with amyotrophic lateral failed/heart/congestive which refers you to I50.9.
sclerosis has increasing muscle weakness in the Verification in the Tabular List confirms code
upper extremities. The provider orders needle selections.
electromyography (EMG) to record electrical
activity of the muscles. What CPT® and ICD-10-
CM codes are reported? - ANSWER - What ICD-10-CM code is reported when a flu
95861, G12.21 vaccine is administered? - ANSWER -Z23
Rationale: In the CPT® Index look for Rationale: In the ICD-10-CM Alphabetic Index
Electromyography/Needle/Extremities. Code look for Vaccination (prophylactic)/encounter
selection is based on the number of extremities which refers you to Z23. Verification in the
studied. In this case, two extremities (upper) are Tabular List confirms Z23 is for an encounter for
studied making 95861 the correct code selection. immunization. This code is nonspecific as to the
Amyotrophic lateral sclerosis (ALS) is also known type of vaccination that is given. The type of
as Lou Gehrig's disease. In the ICD-10-CM vaccination given (i.e. influenza, MMR, DPT) will
Alphabetic Index, look for Amyotrophia, be specified by the CPT® or HCPCS codes.
amyotrophy, amyotrophic/lateral sclerosis or
Sclerosis/amyotrophic (lateral) which directs you
to code G12.21. Verification in the Tabular List A patient with chronic respiratory failure is visited
confirms code selection. at home by a certified respiratory therapist to
manage his home oxygen therapy. What CPT®
and ICD-10-CM codes are reported? -
A 70 year-old male presents with localized ANSWER -99503, J96.10
edema in his legs. He has hypertension and Rationale: In the CPT® Index look for Home
congestive heart failure and is currently on Services/Respiratory Therapy and you are
medication for both conditions. The provider directed to 99503. In the ICD-10-CM Alphabetic
ordered a complete venous duplex scan of his Index, look for Failure, failed/respiration,
lower extremities. The femoral, superficial respiratory/chronic which refers you to J96.10.
femoral, posterior tibial and popliteal veins were Verification in the Tabular List confirms code
2/7
