FULLY SOLVED GRADED A+
◍ Patient was seen in the Emergency Department with lacerations on
the left arm. Two lacerations, one 7 cm and one 9 cm, were closed
with layered sutures
12002 simple repair of superficial wounds of scalp, neck, axillae,
external genitalia, trunk and/or extremities(including hands and feet);
2.6-7.5cm
12004 simple repair of superficial wounds of scalp, neck, axillae,
external genitalia, trunk and/or extremities (including hands and feet);
7.6-12.5 cm
12035 Layer closure of wounds of scalp, axillae, trunk and/or
extremities (excluding hands and feet) 12.6-20.0cm
12045 Layer closure of wounds of neck, hands, feet and/or external
genitalia; 12-6-20.0 cm
a. 12045
b. 12035
c. 12002, 12004
d. 12004. Answer: b. 12035
◍ Office visit for 43-year old male, new patient, with no
complications. patient is applying for life insurance and requests a
physical examination. a detailed health and family history was
obtained and a basic physical was done. physician completed life
,insurance physical form at patient's request. blood and urine were
collected
99381- initial comprehensive preventive medicine evaluation and
management of an individual including an age and gender appropriate
history, examination, counseling/ anticipatory guidance/risk factor
reduction interventions, and the ordering of appropriate
immunizations, laboratory/diagnostic procedures, new patient; infant
(age under 1 year)
99386-initial comprehensive preventive medicine evaluation and
management of an individual including an age and gender appropriate
history, examination, counseling/ anticipatory guidance/risk factor
reduction interventions, and the ordering of appropriate. Answer: a.
99450
◍ Patient was seen today for regular hemodialysis. no problems
reported, tolerated procedure well.
90935- hemodialysis procedure with single physician evaluation
90937- hemodialysis procedure required repeated evalution with or
without substantial revision of dialysis prescription
90945- dialysis procedure other than hemodialysis (e.g., peritoneal
dialysis, hemofiltration, or other continuous renal replacemtn
therapies), with single physician evaluation
99354 prolonged physican service in the office or other outpatient
setting requiring direct (face-to-face) contact beyond the usual
service; first hour (list separately in addition to code for office or
other outpatient evaluation and management service)
a. 90937
b. 99354
,c. 90945
d. 90935. Answer: d. 90935
◍ an established patient was seen by the physician in the office for
DTaP vaccine and Hib
90471- immunization administration (includes percutaneous,
intradermal, subcutaneous, intramuscular injections); one vaccine
(single or combination vaccine/toxoid)
90700-diptheria, tetanus toxoids, and acellular pertussis vaccine
DTaP, when admistered to indivduals younger than 7 years, for
intramuscular use
90720-diptheria, tetanus toxoids, and whole cell pertussis vaccine and
hemophilus influenza B vaccine (DTP-Hib), for intramuscular use.
90721- diptheria, tetanus toxoids, and acellular pertussis vaccine and
hemophilus influenza B vaccine (DTaP-Hib), for intramuscular use
90748- Hepatitis B and Hemophilus influenza b vaccine (HepB-Hib),
for intramuscular use
99211- office or other outpatient visit for the evaluation and
management of an established patient, which may not require the
presence of a physician. usually, the present. Answer: d. 90471, 90721
◍ a patient with lung cancer and bone metastasis is seen for complex
treatment planning by a radiation oncologist
77236- therapeutic radiology treatment planning; complex
77290- therapeutic radiology simulation-aided field setting; complex
77315- teletherapy, isodose plan (whether hand or computer
calculated); complex (mantle or inverted Y, tangential ports, the use of
, wedges, compensators, complex blocking, rotational beam, or special
beam considerations)
77334- treatment devices, design and construction; complex(irregular
blocks, special shields, compensators, wedges, molds or casts)
a. 77315
b. 77263
c. 77290
d. 7734. Answer: b. 77263
◍ a 4-year-old had a repair of an incarcerated inguinal hernia. this is
the first time this child had been treated for this condition
49496- repair initial inguinal hernia full-term infant, under age 6
months, or preterm infant over 50 weeks' post
49501- repair initial inguinal hernia, age 6 months to under 5 years,
with or without hydrocelectomy; incarcerated or strangulated
49521- repair recurrent inguinal hernia, any age; incarcerated or
strangulated
49553- repair initial femoral hernia, any age; incarcerated or
strangulated
a. 49553
b. 49496
c. 49521
d. 49501. Answer: d. 49501
◍ a quantitative drug assay was performed for a patient to determine
digoxin level