Module 06 Final Exam

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Rasmussen College *

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1257

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Mechanical Engineering

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Dec 6, 2023

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Module 06 Final Exam HIM1257 Section 01 Ambulatory Coding (5.5 Weeks) - Online Plus - 2023 Fall Quarter Term 1 1. Question 1 1/1 Final Grade: 1 point out of 1 point possible Joan was referred to a physician for a second opinion consultation prior to a hysterectomy. The physician conducts a comprehensive history, comprehensive exam and MDM is moderate. The physician assigns the following EM code: Show answer choices 1. 99204 2. 99244 3. 99254 4. 99274 2. Question 2 0/1 Final Grade: 0 points out of 1 point possible Transurethral resection of prostate following urethral dilation: Show answer choices 1. 52601 CORRECT ANSWER 2. 52601-22 INCORRECT 3. 52601, 53600 4. 52601, 53665 3. Question 3 1/1 Final Grade: 1 point out of 1 point possible Removal of foreign body from cornea using a slit lamp Show answer choices 1. 65205 2. 65222 3. 65205, 65222 4. 65220 . 4. Question 4 1/1 Final Grade: 1 point out of 1 point possible Which set of percentages is correct for initial hospital services? 99221 was coded 65 times, 99222 was coded 296 times and code 99223 was coded 362 times. Show answer choices
1. 4%, 19%, 23% 2. 13%, 45%, 42% 3. 9%, 41%, 50% 4. 36%, 57%, 24% 5. Question 5 1/1 Final Grade: 1 point out of 1 point possible The modifier used to report therapeutic interventional procedures on the right coronary artery is: Show answer choices 1. RT 2. RC 3. 50 4. LC 6. Question 6 1/1 Final Grade: 1 point out of 1 point possible Closure of a 4.6cm wound of the hand. Single layer closure is used, after extensive cleaning and debridement. Show answer choices 1. 12002 2. 13132 3. 12053 4. 12042 7. Question 7 1/1 Final Grade: 1 point out of 1 point possible J1020 "injection, methylprednisolone acetate, 20 mg" is an example of a(an): Show answer choices 1. ICD-10-CM code 2. Level I code 3. Level II code 4. Level III code 8. Question 8 1/1 Final Grade: 1 point out of 1 point possible CT of maxillofacial area, with and without contrast Show answer choices 1. 70488 2. 70487 3. 70450 4. 70486, 70487 9. Question 9 1/1
Final Grade: 1 point out of 1 point possible The difference between a new patient and an established patient is whether the patient received professional services from the physician or another physician of the same specialty who belongs to the same group practice Show answer choices 1. Within the past year 2. Within the past two years 3. Within the past three years 4. Within the past four years 10. Question 10 1/1 Final Grade: 1 point out of 1 point possible Level II codes of the HCPCS coding system are maintained by the: Show answer choices 1. American Medical Association 2. CPT Editorial Panel 3. local fiscal intermediary 4. Center for Medicare and Medicaid Services 11. Question 11 1/1 Final Grade: 1 point out of 1 point possible The patient provides a kidney to a sibling who has renal failure. An open procedure is performed. How is this coded? Show answer choices 1. 50220 2. 50320 3. 50340 4. 50546 12. Question 12 1/1 Final Grade: 1 point out of 1 point possible A 14-year-old patient returns to her family physician for an annual well- child/preventative exam. She was last seen 1 yr ago. Show answer choices 1. 99384 2. 99202 3. 99394 4. 99391 13. Question 13 1/1 Final Grade: 1 point out of 1 point possible How do you code a retropubic subtotal prostatectomy? Show answer choices 1. 55821
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2. 55831 3. 55840 4. 52630 14. Question 14 1/1 Final Grade: 1 point out of 1 point possible Visual acuity screening Show answer choices 1. 99173 2. 99199 3. 99174 4. None of the answers 15. Question 15 1/1 Final Grade: 1 point out of 1 point possible Comprehensive ophthalmology evaluation for a new patient Show answer choices 1. 99204 2. 92012 3. 92004 4. 92002 16. Question 16 1/1 Final Grade: 1 point out of 1 point possible Initiation and management of continuous positive airway pressure ventilation Show answer choices 1. 94660 2. 94799 3. 94660, 94662 4. 94640 17. Question 17 1/1 Final Grade: 1 point out of 1 point possible Bischof procedure: Show answer choices 1. 63012 2. 63015 3. 63045 4. 63170 18. Question 18 1/1 Final Grade: 1 point out of 1 point possible What code is used to report anesthesia services for a Medicare patient undergoing a transurethral resection of the prostate?
Show answer choices 1. 00910 2. 00912 3. 00914 4. 52601 19. Question 19 1/1 Final Grade: 1 point out of 1 point possible A rapid influenza test is performed with a commercial test kit. When complete, the technician visually reads the result as positive. How is this procedure coded? Show answer choices 1. 87275 2. 87276 3. 87400 4. 87804 20. Question 20 1/1 Final Grade: 1 point out of 1 point possible Replacement of a nonprogrammable epidural drug infusion pump Show answer choices 1. 62360 2. 62362 3. 62360, 62361 4. 62361 21. Question 21 1/1 Final Grade: 1 point out of 1 point possible The inclusion of a code in CPT indicates: Show answer choices 1. Only performed across the country 2. Endorsed by the AMA 3. Reimbursed by third party payers 4. All of the answers 22. Question 22 1/1 Final Grade: 1 point out of 1 point possible Treatment of a missed abortion, completed surgically at 22 weeks is coded as: Show answer choices 1. 59812 2. 59820 3. 59821 4. 59840 23. Question 23 1/1
Final Grade: 1 point out of 1 point possible A catheter is placed into the renal pelvis for injection, for radiographic studies. The same physician performs both the injection and the supervision and interpretation. How is this coded? Show answer choices 1. 50432-26 2. 50432, 74475 3. 50432 4. 74475 24. Question 24 1/1 Final Grade: 1 point out of 1 point possible The physician performs an arthroscopic débridement of the shoulder, extensive, with chondroplasty and abrasion arthroplasty. An arthroscopic Mumford procedure is also performed. How is this coded? Show answer choices 1. 11044-RT, 23120-RT 2. 29823-RT, 29824-RT 3. 11044-RT, 29824-RT 4. 29823-RT, 23120-RT 25. Question 25 1/1 Final Grade: 1 point out of 1 point possible Modified radical mastectomy Show answer choices 1. 19307 2. 19305 3. 19307, 19342 4. 19303 26. Question 26 1/1 Final Grade: 1 point out of 1 point possible Esophagoscopy for removal of foreign body is coded: Show answer choices 1. 43045 2. 43200, 43215 3. 43215 4. 43247 27. Question 27 1/1 Final Grade: 1 point out of 1 point possible A patient presents with a closed fracture of the supracondylar humerus and receives open treatment with intercondylar extension. How should this be coded? Show answer choices
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1. 24530 2. 24535 3. 24538 4. 24546 28. Question 28 1/1 Final Grade: 1 point out of 1 point possible A claim is denied because the CPT code and place of service code do not match. Where would the coder look to solve this problem for the future? Show answer choices 1. CMS 1500 Form 2. Fee Schedule Database 3. Explanation of benefits 4. Advanced Beneficiary Notice 29. Question 29 1/1 Final Grade: 1 point out of 1 point possible Open reduction of fracture of the distal fibula with internal fixation: Show answer choices 1. 27766 2. 27786 3. 27788 4. 27792 30. Question 30 1/1 Final Grade: 1 point out of 1 point possible Linking the diagnosis to the service/procedure is required on the CMS-1500 claim form for what reason? Show answer choices 1. It is an AMA requirement 2. To prove medical necessity 3. For service distribution reports 4. None of the answers 31. Question 31 1/1 Final Grade: 1 point out of 1 point possible Barium enema with KUB Show answer choices 1. 74280 2. 74160 3. 74270 4. 74283 32. Question 32 1/1
Final Grade: 1 point out of 1 point possible Prosthetic aortic valve placement, using CP bypass Show answer choices 1. 0259T 2. 33983 3. 33405 4. 33926 33. Question 33 1/1 Final Grade: 1 point out of 1 point possible The physician performs an open repair of the medial meniscus of the right knee. How is this coded? Show answer choices 1. 27405-RT 2. 27407 3. 27403-RT 4. 27409-RT 34. Question 34 1/1 Final Grade: 1 point out of 1 point possible RS&I of bilateral extremity angiography Show answer choices 1. 75716 2. 75710 3. 73725 4. 73206 35. Question 35 1/1 Final Grade: 1 point out of 1 point possible A tangential biopsy of skin and subcutaneous tissue (3 Lesions) would be coded: Show answer choices 1. 11102, 11103 2. 11106, 11107, 11107 3. 11102, 11103, 11103 4. 11200 36. Question 36 1/1 Final Grade: 1 point out of 1 point possible Two-view x-ray of sacrum and coccyx Show answer choices 1. 72200 2. 73542 3. 72220 4. 72100
37. Question 37 1/1 Final Grade: 1 point out of 1 point possible With the use of imaging, the patient had a percutaneous needle core biopsy of the left breast. What modifier needs to be added? Show answer choices 1. 25 2. 52 3. None 4. LT 38. Question 38 1/1 Final Grade: 1 point out of 1 point possible EEG, awake and asleep Show answer choices 1. 95827 2. 95819 3. 95816 4. 95813 39. Question 39 1/1 Final Grade: 1 point out of 1 point possible What is the place of service code for services provided in a hospice facility? Show answer choices 1. 16 2. 54 3. 63 4. 34 40. Question 40 1/1 Final Grade: 1 point out of 1 point possible The physician performed a partial avulsion of the nail plate of the left thumb. Show answer choices 1. FA 2. TA 3. LT 4. F5 41. Question 41 1/1 Final Grade: 1 point out of 1 point possible An independent radiologist interprets x-rays for local hospitals. What modifier should the radiologist append to his CPT codes? Show answer choices
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1. 26 2. TC 3. 59 4. 52 42. Question 42 1/1 Final Grade: 1 point out of 1 point possible The physician treats a patient who has osteomyelitis of the left scapula following a past injury. A piece of dead bone is removed from the body of the scapula. How is this coded? Show answer choices 1. 23172-LT 2. 23170-52 3. 23170-LT 4. 23172-52 43. Question 43 1/1 Final Grade: 1 point out of 1 point possible Open Revision of an AV Fistula Show answer choices 1. 36832 2. 35331 3. 92973 4. 36825 44. Question 44 1/1 Final Grade: 1 point out of 1 point possible Diagnostic lumbar puncture, with CT guidance Show answer choices 1. 62270 2. 62267 3. 62328 4. 62272 45. Question 45 1/1 Final Grade: 1 point out of 1 point possible In addition to the claim submitted by the surgeon, the assistant surgeon bills for his or her services. What modifier does the assistant surgeon attach to the procedure code? Show answer choices 1. 62 2. 52 3. 81 4. 80 46. Question 46
1/1 Final Grade: 1 point out of 1 point possible A debridement of the skin, subcutaneous tissue and muscle is coded: Show answer choices 1. 11045 2. 11042 3. 11043 4. 11044 47. Question 47 1/1 Final Grade: 1 point out of 1 point possible Tympanoplasty with mastoidectomy; radical, with ossicular chain reconstruction. Show answer choices 1. 69645 2. 69502-50 3. 69646-50 4. 69949 48. Question 48 1/1 Final Grade: 1 point out of 1 point possible In the HCPCS J codes, under what name would you find Advil? Show answer choices 1. Motrin 2. Advil 3. Acetaminophen 4. Ibuprofen 49. Question 49 1/1 Final Grade: 1 point out of 1 point possible What is the correct code for a blood glucose level? Show answer choices 1. 82945 2. 82947 3. 82943 4. 82952 50. Question 50 1/1 Final Grade: 1 point out of 1 point possible Which of the following CPT codes should be used for an emergency curettage due to retained placenta after normal vaginal delivery? Show answer choices 1. 58120 2. 59160 3. 49320
4. 59840 51. Question 51 1/1 Final Grade: 1 point out of 1 point possible EGD with Laser Destruction of a pedunculated polyp in the duodenum: Show answer choices 1. 43250 2. 43243, 43258 3. 43239 4. 43270 52. Question 52 1/1 Final Grade: 1 point out of 1 point possible Tonsillectomy of a 3-year-old patient Show answer choices 1. 42825 2. 42821 3. 42831 4. None of the answers 53. Question 53 1/1 Final Grade: 1 point out of 1 point possible Which of the following is not coded separately from the coronary artery bypass procedure? Show answer choices 1. Upper extremity artery 2. Upper extremity vein 3. Saphenous vein 4. Femoropopliteal segment of a vein 54. Question 54 1/1 Final Grade: 1 point out of 1 point possible Some reconstructive plastic surgical procedures are performed in multiple stages. What modifier should the surgeon report when the patient is returned to surgery for a planned staged procedure? Show answer choices 1. 55 2. 51 3. 58 4. 52 55. Question 55 1/1 Final Grade: 1 point out of 1 point possible Principles of ICD-10-CM coding for ambulatory care encounters include:
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Show answer choices 1. Ambulatory care diagnoses should be coded to the physician's highest degree of certainty at the conclusion of the encounter. 2. Code "suspected" diagnoses as if the disease or injury existed. 3. Conditions previously treated and no longer existing are coded. 4. Only the most significant diagnosis should be coded. 56. Question 56 0/1 Final Grade: 0 points out of 1 point possible Which of the following CPT codes describes the surgical removal of kidney stones through an incision in the body of the kidney? Show answer choices 1. 50205 2. 0130 3. 50080 INCORRECT 4. 50060 CORRECT ANSWER 57. Question 57 1/1 Final Grade: 1 point out of 1 point possible A patient develops difficulty during surgery and the physician discontinues the procedure. Identify the modifier that may be reported by the physician to indicate that the procedure was discontinued. Show answer choices 1. -52 2. -53 3. -73 4. -74 58. Question 58 1/1 Final Grade: 1 point out of 1 point possible When clinical laboratory tests are repeated on the same day, what modifier should be assigned? Show answer choices 1. 77 2. 91 3. 76 4. 24 59. Question 59 1/1 Final Grade: 1 point out of 1 point possible Two facial lacerations are repaired with layer closure. One is 10 cm and the other is 3 cm. Show answer choices 1. 12016 2. 12035
3. 12052, 12054 4. 12055 60. Question 60 1/1 Final Grade: 1 point out of 1 point possible Psychiatric Diagnostic Evaluation, including medical services Show answer choices 1. 90845 2. 90792 3. 90833 4. 90791 61. Question 61 0/1 Final Grade: 0 points out of 1 point possible What is the correct code assignment for: ligation of four hemorrhoid groups, no imaging used? Show answer choices 1. 46945, 46946 INCORRECT ANSWER 2. 46946 CORRECT ANSWER 3. 46900, 46910 4. 46924 62. Question 62 1/1 Final Grade: 1 point out of 1 point possible Simple hemorrhoidectomy, internal and external with fistulectomy: Show answer choices 1. 46255 2. 46255, 46270 3. 46257 4. 46258 63. Question 63 1/1 Final Grade: 1 point out of 1 point possible If J0131 is the HCPCS code for an injection of 10mg of acetaminophen, what would the code be for an injection of 40mg of acetaminophen? Show answer choices 1. J0131x10 2. J0131x2 3. J0131x4 4. J0131x1 64. Question 64 1/1 Final Grade: 1 point out of 1 point possible The three key components used in defining the levels of E/M services are:
Show answer choices 1. Examination, medical decision making, nature of presenting problem 2. History, examination, medical decision making 3. History, medical decision making, time 4. Medical decision making, counseling, coordination of care 65. Question 65 1/1 Final Grade: 1 point out of 1 point possible Patient had a left femoral herniorrhaphy for a recurrent reducible hernia. What is the correct code assignment? Show answer choices 1. 49550 2. 49553 3. 49555 4. 49557 66. Question 66 1/1 Final Grade: 1 point out of 1 point possible An asthmatic patient is treated with two nebulizer inhalation treatments on the same day by the same physician, using prefilled vials of 1mg of Albuterol and 2.5mg of normal saline. How should this be coded? Show answer choices 1. 94640, 94640-76, J7611, J7611 2. 94664-76 3. 94664, 94664-22, J7611 x6 4. 94640, 94640 67. Question 67 1/1 Final Grade: 1 point out of 1 point possible Mary returns to her family physician for a checkup to ensure her pneumonia is clearing up. The physician spent approximately 10 minutes with the patient. The medical decision was straightforward. Show answer choices 1. 99201 2. 99202 3. 99211 4. 99212 68. Question 68 1/1 Final Grade: 1 point out of 1 point possible A patient was taken to the endoscopy suite. The endoscope was passed into the esophagus and continued into the stomach and into the duodenal bulb. Based on this documentation, what CPT code would be selected to represent this procedure? Show answer choices
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1. 43200 2. 43234 3. 43235 4. 43260 69. Question 69 1/1 Final Grade: 1 point out of 1 point possible Cystourethroscopy with fulguration of bladder tumor (2.5 cm in size) is coded: Show answer choices 1. 52224 2. 52234 3. 52235 4. 52240 70. Question 70 0/1 Final Grade: 0 points out of 1 point possible Urine, Bacterial Culture, including quantitative colony count Show answer choices 1. 87076 INCORRECT ANSWER 2. 87086 CORRECT ANSWER 3. 87040 4. 81015 71. Question 71 1/1 Final Grade: 1 point out of 1 point possible Planned sigmoidoscopy with removal of foreign body under conscious sedation, procedure not completed due to hypotension. Which modifier would the physician use to report this? Show answer choices 1. 73 2. 26 3. 53 4. 52 72. Question 72 1/1 Final Grade: 1 point out of 1 point possible Level I of HCPCS con: Level I of HCPCS consists of: Show answer choices 1. CPT codes 2. ICD-10-CM codes 3. Local codes 4. National codes 73. Question 73 1/1
Final Grade: 1 point out of 1 point possible Repeat cryocautery of the cervix. Show answer choices 1. 57510 2. 57511 3. 57511, 57511 4. 57513 74. Question 74 1/1 Final Grade: 1 point out of 1 point possible A female patient about to undergo chemotherapy decided to harvest and store eggs for later attempts at pregnancy. How is the laboratory service of storage coded? Show answer choices 1. 89342 2. 89346 3. 89343 4. 89258 75. Question 75 1/1 Final Grade: 1 point out of 1 point possible Binaural hearing aid check Show answer choices 1. 92593 2. 92591 3. 92590 4. 92591, 92593 76. Question 76 1/1 Final Grade: 1 point out of 1 point possible Magnetic resonance imaging cholangiopancreatography on a 25-year-old male Show answer choices 1. 74185 2. 76498 3. 74181 4. 74183 77. Question 77 1/1 Final Grade: 1 point out of 1 point possible Surgical sinus endoscopy with sphenoidotomy Show answer choices 1. 31235 2. 31288 3. 31287
4. 31291 78. Question 78 1/1 Final Grade: 1 point out of 1 point possible Which of the following is vital for determining why an insurance company paid less than expected? Show answer choices 1. CPT codebook 2. The explanation of benefits 3. Knowledge of the insurance regulation 4. Talking to the patient 79. Question 79 1/1 Final Grade: 1 point out of 1 point possible The patient undergoes the closure of a nephrocutaneous fistula. How is this coded? Show answer choices 1. 50500 2. 50520 3. 50525 4. 50526 80. Question 80 1/1 Final Grade: 1 point out of 1 point possible Arthroscopy of knee with synovial biopsy: Show answer choices 1. 01382 2. 27330 3. 29870 4. 29875
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