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M132/HIM1126C Section 03 ICD-PCS Coding (5.5 Weeks) - Online Plus - 2024 Winter Quarter
Term 1
Module 01 Assignment - PCS Codes Worksheet
Module 01 Assignment - PCS Codes Worksheet
28
OF 28 QUESTIONS REMAINING
Module 01 Content
1.
This coding worksheet contains 28 questions. You can re-enter the worksheet unlimited times but submit only once.
Please use coding resources to complete the following worksheet.
2.
Question 1
1 Point
Laryngoscopy with removal of polyps on the left vocal cord
Blank 1
o
Blank 1
3.
Question 2
1 Point
Esophagoscopy
Blank 1
o
Blank 1
4.
Question 3
1 Point
Partial glossectomy, external approach Blank 1
o
Blank 1
5.
Question 4
1 Point
Code the following case study. One code is required.
Procedure: Right below the knee amputation
Indication for Procedure: Gangrene of the right foot due to diabetes
Preoperative Diagnosis: Gangrene of the right foot
Postoperative Diagnosis: Gangrene of the right foot
Procedure Notes: The patient was brought to the operating suite and
given general LMA anesthesia. The right foot was secluded in an isolation bag and the lower extremity circumferentially prepped and draped in its entirety. Beginning on the right side, the skin was marked
with a marking pen 4 fingerbreadths below the tibial tuberosity. (Check
the anatomy for this to determine your qualifier) anteriorly with a long posterior flap. The skin was incised circumferentially, and the anterior muscle was sharply divided exposing the tibia. The tibia was cleaned with a periosteal elevator and then transected with the Stryker saw. The fibula was exposed and transected with the bone cutter and the amputation completed by sharply incising the posterior muscles. Bleeding vessels were ligated. The wound was irrigated and ultimately closed without significant tension utilizing interrupted vicryl sutures and skin staples.
ICD-10-PCS code:
6.
Question 5
1 Point
Code the following case study. One code is required.
Procedure: Laparoscopic adhesiolysis (Think about what the objective
of this procedure is to determine the root operation)
Indication for Procedure: Previous pelvic surgery and personal history of ovarian cysts
Preoperative Diagnosis: Pelvic pain and a history of previous pelvic surgery and ovarian cysts
Postoperative Diagnosis: Adhesions due to prior surgery of the greater omentum to the anterior abdominal wall. No ovarian cysts were found.
Procedure Notes: A supraumbilical incision (small incision as this is laparoscopic) was made with a scalpel and elevated up with towel clamps. A long Veress needle was placed and CO2 gas was used to insufflate the abdomen and pelvis. A 10-12 trocar and sleeve were then placed and confirmed via the laparoscope. The dense greater omental adhesions to the anterior abdominal wall were noted immediately. At that time, we were not able to see into the pelvic region. A second 5mm trocar and sleeve were placed in the left mid quadrant under direct visualization. The ligature device was then placed developing a plane between the omentum and the anterior abdominal wall. The adhesiolysis (What is the objective of a lysis of adhesions?) took place and took approximately 25 minutes to release all of the omental adhesions from the anterior abdominal wall. The ovary was visualized with no evidence of ovarian cyst or pathology and
no evidence of pelvic endometriosis. The uterus appeared normal. The procedure was terminated at this time. The ports were removed the CO2 gas allowed to escape. The incisions were closed with Vicryl suture. The patient tolerated the procedure well with no complications.
ICD-10-PCS code:
7.
Question 6
1 Point
What is the root operation for a total lobectomy of one lobe of the lung?
o
resection
o
alteration
o
excision
o
removal
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8.
Question 7
1 Point
Repair of sclera, right eye Blank 1
o
Blank 1
9.
Question 8
1 Point
A patient had carpal tunnel surgery cutting through the transverse carpal ligament releasing the median nerve. Which body part value should be chosen when building this code?
o
carpal ligament
o
median nerve
o
wrist
o
upper arm 10.
Question 9
1 Point
A patient with undescended testes has an open bilateral orchiopexy Blank 1
o
Blank 1
11.
Question 10
1 Point
An exploratory laparotomy cannot be coded to which approach?
o
0- open
o
3- percutaneous
o
4- percutaneous endoscopic
o
8- via natural or artificial opening endoscopic
12.
Question 11
1 Point
Laparoscopic cholecystectomy (entire gallbladder removed) Blank 1
o
Blank 1
13.
Question 12
1 Point
What is the root operation for a diagnostic bronchoscopy (no specimen taken)?
o
inspection
o
alteration
o
drainage
o
revision
14.
Question 13
1 Point
A patient with painful varicose veins in the lower leg underwent percutaneous vein stripping Blank 1
o
Blank 1
15.
Question 14
1 Point
Which coding guideline gives examples for the use of the external approach?
o
B4.1a
o
B4.6
o
B5.3a
o
B6.2
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16.
Question 15
1 Point
What is the root operation for vasectomy for sterilization?
o
resection
o
restriction
o
occlusion
o
excision 17.
Question 16
1 Point
Laparoscopic adhesiolysis to release jejunal adhesions Blank 1
o
Blank 1
18.
Question 17
1 Point
Extracorporeal shockwave lithotripsy of a stone in the bladder neck Blank 1
o
Blank 1
19.
Question 18
1 Point
Percutaneous control of bleeding at operative site after a procedure done on the right lower arm Blank 1
o
Blank 1
20.
Question 19
1 Point
What is the root operation for vein stripping? o
resection
o
alteration
o
removal
o
extraction
21.
Question 20
1 Point
What is the root operation for a cosmetic facelift?
o
resection
o
alteration
o
creation
o
revision
22.
Question 21
1 Point
A patient had carpal tunnel surgery cutting through the transverse carpal ligament releasing the median nerve. Which coding guidelines describes the body part values for release procedures?
o
B3.13
o
B3.14
o
B4.2
o
B4.1a 23.
Question 22
1 Point
Open reduction with internal fixation, fracture of right humeral shaft
Blank 1
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o
Blank 1
24.
Question 23
1 Point
Code the following case study. One code is required.
Procedure: Colonoscopy
Indication for Procedure: Evaluation (diagnostic) of a patient with a history of colon polyps
Preoperative Diagnosis:
Patient with a history of colon polyps
Postoperative Diagnosis:
A large polyp was found in the ileocecal valve. The polyp was removed and sent to pathology for a biopsy. Pathology results are pending at the time of this dictation.
Procedure Notes: After informed consent was obtained, the risks and
benefits of the procedure were explained to the patient. The patient was placed in a left lateral decubitus position. The colonoscope (endoscope used for the colon) was passed to the cecum with adequate visualization. The cecum appeared normal. On the ileocecal valve, there was found a 1.5 cm polyp that was removed by polypectomy by hot snare and submitted to pathology for biopsy. The remainder of the ascending colon appeared to be normal as were the transverse, descending, and sigmoid colon. The rectum has internal hemorrhoids that were left intact. The colonoscope was withdrawn and the patient tolerated the procedure with no complications.
ICD-10-PCS code:
25.
Question 24
1 Point
Using the coding table below, choose the correct code for a Bronchoscopy. (Be sure you know how a Bronchoscopy is done and what body part is involved.) o
0BJ14ZZ
o
0BJ08ZZ
o
0BJ04ZZ
o
0BJ07ZZ
26.
Question 25
1 Point
Using the coding table below, choose the correct code for Mediastinoscopy. (Be sure you know what this procedure is and what body part is involved.) o
0WJCXZZ
o
0WJC4ZZ
o
0WJQ7ZZ
o
0WJ80ZZ
27.
Question 26
1 Point
Which coding guideline describes the body part values for bypass procedures?
o
B3.4a
o
B3.6a
o
B3.7 o
B3.11a
28.
Question 27
1 Point
Which approach value is selected for a laparoscopic appendectomy?
o
0- open
o
3- percutaneous
o
4- percutaneous endoscopic
o
8- via natural or artificial opening endoscopic
29.
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Question 28
1 Point
Refer to the 0HH table in your code book. Which of the following is an invalid PCS code?
o
0HHPXYZ
o
0HHT71Z
o
0HHT0ZZ
o
0HHW3NZ
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