Chapter 20 Review Questions and Answers Graded A+
A new patient with cystic fibrosis underwent items direct you to code 92950.
evaluation of lung function, including percussion,
vibration and cupping to the chest wall to
facilitate his lung function. A patient who has had two recent seizures
underwent a 3-hour continuous EEG recording,
What CPT® code(s) is/are reported for this without video. The physician interpreted the study
service? - ANSWER -94667 and documented a report in the patient's medical
Rationale : In the CPT® Index look for record.
Pulmonology/Therapeutic/Manipulation of Chest
Wall or Chest Wall/Manipulation. Code 94667 is What CPT® code is reported? - ANSWER -
the correct code because it includes the patient's 95705
first time, and it includes the evaluation. Rationale : In the CPT® Index look for EEG
directing you to See Electroencephalography
(EEG). Look for Electroencephalography
A 15-year-old underwent placement of a cochlear (EEG)/Recording/Detection. The patient had a 3
implant 1 year ago. It now needs to be hour continuous EEG without the use of video
reprogrammed. which the physician interpreted, not an EEG
technologist. The correct code to report is 95717.
What CPT® code is reported for the
reprogramming? - ANSWER -92604
Rationale : Cochlear implants differ from hearing A 5-year-old fell on broken glass and required
aids; they bypass the damaged part of the ear. suturing of a laceration. Due to the age and
The use of a cochlear implant involves relearning combative behaviour of the patient, the provider
how to hear and react to sounds. In the CPT® utilized moderate sedation while repairing the
Index look for Cochlear Device/Programming laceration. The provider gave the child 50 mg of
which directs you to codes 92602, 92604. The Ketamine IM. A nurse monitored the patient
code selection is based on the age of the patient during the procedure which took 30 minutes.
and whether it is the initial programming or
subsequent reprogramming. Code 92604 What CPT® code is reported for moderate
describes subsequent reprogramming for a sedation? - ANSWER -99152, 99153
patient age 7 or older. Rationale : Moderate sedation is often used for
pediatric patients in situations not normally
requiring sedation. In this case, the provider
A patient was brought to the emergency administered sedation with a nurse assisting in
department in cardiac arrest. The physician monitoring the patient. In the CPT® Index look for
immediately initiated CPR. Sedation/Moderate/with Independent
Observation. Code selection is based on the age
What CPT® code is reported for CPR? - of the patient and the length of time. Code 99152
ANSWER -92950 describes an encounter using moderate sedation,
Rationale : Medical personnel usually begin and the physician or other qualified health care
cardiopulmonary resuscitation (CPR) which professional rendering the diagnostic or
provides artificial breathing and chest therapeutic service also manages the sedation.
compressions for a person in cardiac arrest. In This code is specific for the age of the patient
the CPT® Index, you can look for either CPR or and up to 15 minutes of time. Add-on 99153 is for
Cardiopulmonary Resuscitation or each additional 15 minutes of intraservice time.
Resuscitation/Cardiopulmonary. All indexed
, Chapter 20 Review Questions and Answers Graded A+
S16.1XXA, V47.0XXA
A teenager has been chronically depressed Rationale : In the CPT® Index look for
since the separation of her parents 1 year ago Manipulation/Chiropractic. The neck is the
and moving to a new city. Her school grades cervical spine and code selection is based on the
continued to slip and she has not made new number of regions treated. In this case, 1 region
friends. She has frequent crying episodes and is is treated making 98940 is the correct code
no longer interested in her appearance. She has choice.
attended the community mental health centre
and participates in group sessions. Recently her In the ICD-10-CM Alphabetic Index look for
depression exacerbated to the point inpatient Strain/cervical or Strain/neck and you are
admission was required. The provider diagnosed directed to code S16.1-. The Tabular List shows
adjustment disorder with emotional and conduct seven characters are needed to complete the
disturbances. Due to the length of the depression code. X is used as a placeholder for the 5th and
and no real improvement, the provider discussed 6th characters. A is the 7th character for the
electroconvulsive therapy with her mother. After initial encounter receiving active treatment. Next,
discussing the benefits and risks, the mother report the external cause. The patient was the
consented to the procedure. driver in a non-collision vehicle accident when he
lost control of the car. Look in the ICD-10-CM
What CPT® and ICD-10-CM codes are reported External Cause of Injuries Index for Accident/car
for electroconvulsive therapy? - ANSWER - which states to see Accident, transport, car
90870, F43.25 occupant. Look for Accident/transport/car
Rationale : In the CPT® Index look for occupant/driver/collision (with)/stationary
Electroconvulsive Therapy which directs you to object/nontraffic.
90870.
When referring to the Tabular List, subcategory
For the diagnosis, in the ICD-10-CM Alphabetic code V47.0 is used and it shows seven
Index look for Disorder/adjustment/with/conduct characters are needed to complete this code. X is
disturbance/with emotional disturbance and you used as the 5th and 6th characters and A, initial
are directed to F43.25. F43.25 includes encounter, is used for the 7th character.
disturbances of conduct, so F43.24 is not
reported separately.
A patient diagnosed with amyotrophic lateral
Verification in the Tabular List confirms code sclerosis has increasing muscle weakness in the
selection. upper extremities. The provider orders needle
electromyography (EMG) to record the electrical
activity of the muscles.
A patient sustained a neck strain as a driver in an
automobile accident, losing control, hydroplaning What CPT® and ICD-10-CM codes are reported?
and hitting a tree off the highway which caused - ANSWER -95861, G12.21
the car to overturn. He has continued to have Rationale : In the CPT® Index look for
neck pain and stiffness. He sees a chiropractor Electromyography/Needle/Extremities. Code
who assesses the patient and manipulates his selection is based on the number of extremities
neck. The diagnosis is neck strain. studied. In this case, two extremities (upper) are
studied making 95861 the correct code selection.
What CPT® and ICD-10-CM codes are reported Amyotrophic lateral sclerosis (ALS) is also known
for the chiropractor? - ANSWER -98940, as Lou Gehrig's disease.
A new patient with cystic fibrosis underwent items direct you to code 92950.
evaluation of lung function, including percussion,
vibration and cupping to the chest wall to
facilitate his lung function. A patient who has had two recent seizures
underwent a 3-hour continuous EEG recording,
What CPT® code(s) is/are reported for this without video. The physician interpreted the study
service? - ANSWER -94667 and documented a report in the patient's medical
Rationale : In the CPT® Index look for record.
Pulmonology/Therapeutic/Manipulation of Chest
Wall or Chest Wall/Manipulation. Code 94667 is What CPT® code is reported? - ANSWER -
the correct code because it includes the patient's 95705
first time, and it includes the evaluation. Rationale : In the CPT® Index look for EEG
directing you to See Electroencephalography
(EEG). Look for Electroencephalography
A 15-year-old underwent placement of a cochlear (EEG)/Recording/Detection. The patient had a 3
implant 1 year ago. It now needs to be hour continuous EEG without the use of video
reprogrammed. which the physician interpreted, not an EEG
technologist. The correct code to report is 95717.
What CPT® code is reported for the
reprogramming? - ANSWER -92604
Rationale : Cochlear implants differ from hearing A 5-year-old fell on broken glass and required
aids; they bypass the damaged part of the ear. suturing of a laceration. Due to the age and
The use of a cochlear implant involves relearning combative behaviour of the patient, the provider
how to hear and react to sounds. In the CPT® utilized moderate sedation while repairing the
Index look for Cochlear Device/Programming laceration. The provider gave the child 50 mg of
which directs you to codes 92602, 92604. The Ketamine IM. A nurse monitored the patient
code selection is based on the age of the patient during the procedure which took 30 minutes.
and whether it is the initial programming or
subsequent reprogramming. Code 92604 What CPT® code is reported for moderate
describes subsequent reprogramming for a sedation? - ANSWER -99152, 99153
patient age 7 or older. Rationale : Moderate sedation is often used for
pediatric patients in situations not normally
requiring sedation. In this case, the provider
A patient was brought to the emergency administered sedation with a nurse assisting in
department in cardiac arrest. The physician monitoring the patient. In the CPT® Index look for
immediately initiated CPR. Sedation/Moderate/with Independent
Observation. Code selection is based on the age
What CPT® code is reported for CPR? - of the patient and the length of time. Code 99152
ANSWER -92950 describes an encounter using moderate sedation,
Rationale : Medical personnel usually begin and the physician or other qualified health care
cardiopulmonary resuscitation (CPR) which professional rendering the diagnostic or
provides artificial breathing and chest therapeutic service also manages the sedation.
compressions for a person in cardiac arrest. In This code is specific for the age of the patient
the CPT® Index, you can look for either CPR or and up to 15 minutes of time. Add-on 99153 is for
Cardiopulmonary Resuscitation or each additional 15 minutes of intraservice time.
Resuscitation/Cardiopulmonary. All indexed
, Chapter 20 Review Questions and Answers Graded A+
S16.1XXA, V47.0XXA
A teenager has been chronically depressed Rationale : In the CPT® Index look for
since the separation of her parents 1 year ago Manipulation/Chiropractic. The neck is the
and moving to a new city. Her school grades cervical spine and code selection is based on the
continued to slip and she has not made new number of regions treated. In this case, 1 region
friends. She has frequent crying episodes and is is treated making 98940 is the correct code
no longer interested in her appearance. She has choice.
attended the community mental health centre
and participates in group sessions. Recently her In the ICD-10-CM Alphabetic Index look for
depression exacerbated to the point inpatient Strain/cervical or Strain/neck and you are
admission was required. The provider diagnosed directed to code S16.1-. The Tabular List shows
adjustment disorder with emotional and conduct seven characters are needed to complete the
disturbances. Due to the length of the depression code. X is used as a placeholder for the 5th and
and no real improvement, the provider discussed 6th characters. A is the 7th character for the
electroconvulsive therapy with her mother. After initial encounter receiving active treatment. Next,
discussing the benefits and risks, the mother report the external cause. The patient was the
consented to the procedure. driver in a non-collision vehicle accident when he
lost control of the car. Look in the ICD-10-CM
What CPT® and ICD-10-CM codes are reported External Cause of Injuries Index for Accident/car
for electroconvulsive therapy? - ANSWER - which states to see Accident, transport, car
90870, F43.25 occupant. Look for Accident/transport/car
Rationale : In the CPT® Index look for occupant/driver/collision (with)/stationary
Electroconvulsive Therapy which directs you to object/nontraffic.
90870.
When referring to the Tabular List, subcategory
For the diagnosis, in the ICD-10-CM Alphabetic code V47.0 is used and it shows seven
Index look for Disorder/adjustment/with/conduct characters are needed to complete this code. X is
disturbance/with emotional disturbance and you used as the 5th and 6th characters and A, initial
are directed to F43.25. F43.25 includes encounter, is used for the 7th character.
disturbances of conduct, so F43.24 is not
reported separately.
A patient diagnosed with amyotrophic lateral
Verification in the Tabular List confirms code sclerosis has increasing muscle weakness in the
selection. upper extremities. The provider orders needle
electromyography (EMG) to record the electrical
activity of the muscles.
A patient sustained a neck strain as a driver in an
automobile accident, losing control, hydroplaning What CPT® and ICD-10-CM codes are reported?
and hitting a tree off the highway which caused - ANSWER -95861, G12.21
the car to overturn. He has continued to have Rationale : In the CPT® Index look for
neck pain and stiffness. He sees a chiropractor Electromyography/Needle/Extremities. Code
who assesses the patient and manipulates his selection is based on the number of extremities
neck. The diagnosis is neck strain. studied. In this case, two extremities (upper) are
studied making 95861 the correct code selection.
What CPT® and ICD-10-CM codes are reported Amyotrophic lateral sclerosis (ALS) is also known
for the chiropractor? - ANSWER -98940, as Lou Gehrig's disease.
