M132:HIM1126C_MODULE01.ASSIGNMENT.PCS.CODES.WORKSHEET

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Rasmussen College, Florida *

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1126C

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Mechanical Engineering

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Dec 6, 2023

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docx

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M132/HIM1126C Module 01 Assignment - PCS Codes Worksheet 1. Question 1 1/1 Esophagoscopy 0DJ08ZZ Correct Acceptable answer for BLANK-1 is 0DJ08ZZ Responses must be an exact match 2. Question 2 1/1 What is the root operation for vasectomy for sterilization? Hide answer choices 1. resection 2. restriction 3. Correct: occlusion Correct answer 4. excision 3. Question 3 0/1 A patient with undescended testes has an open bilateral orchiopexy 0VCSC4ZZ

Incorrect Acceptable answer for BLANK-1 is 0VSC0ZZ Responses must be an exact match 4. Question 4 1/1 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? Hide answer choices 1. Correct: B3.13 Correct answer 2. B3.14 3. B4.2 4. B4.1a 5. Question 5 1/1 Open reduction with internal fixation, fracture of right humeral shaft 0PSF04Z Correct Acceptable answer for BLANK-1 is 0PSF04Z Responses must be an exact match 6. Question 6 1/1 Which coding guideline describes the body part values for bypass procedures? Hide answer choices 1. B3.4a

2. Correct: B3.6a Correct answer 3. B3.7 4. B3.11a 7. Question 7 1/1 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? Hide answer choices 1. carpal ligament 2. Correct: median nerve Correct answer 3. wrist 4. upper arm 8. Question 8 1/1 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.) Hide answer choices 1. 0BJ14ZZ 2. Correct: 0BJ08ZZ Correct answer 3. 0BJ04ZZ 4. 0BJ07ZZ 9. Question 9 1/1

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What is the root operation for a cosmetic facelift? Hide answer choices 1. resection 2. Correct: alteration Correct answer 3. creation 4. revision 10. Question 10 0/1 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: Your Answer 0Y6M0Z1 11. Question 11 1/1 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.)

Hide answer choices 1. 0WJCXZZ 2. Correct: 0WJC4ZZ Correct answer 3. 0WJQ7ZZ 4. 0WJ80ZZ 12. Question 12 1/1 Percutaneous control of bleeding at operative site after a procedure done on the right lower arm 0X3D3ZZ Correct Acceptable answer for BLANK-1 is 0X3D3ZZ Responses must be an exact match 13. Question 13 1/1 Which coding guideline gives examples for the use of the external approach? Hide answer choices 1. B4.1a 2. B4.6 3. Correct: B5.3a Correct answer 4. B6.2 14. Question 14 0/1 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: Your Answer 0DBC8ZX , 0DJD8ZZ 15. Question 15 1/1 Laparoscopic adhesiolysis to release jejunal adhesions 0DNA4ZZ Correct Acceptable answer for BLANK-1 is 0DNA4ZZ Responses must be an exact match 16. Question 16 1/1 A patient with painful varicose veins in the lower leg underwent percutaneous vein stripping 06DY3ZZ Correct Acceptable answer for BLANK-1 is 06DY3ZZ

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Responses must be an exact match 17. Question 17 1/1 Partial glossectomy, external approach 0CB7XZZ Correct Acceptable answer for BLANK-1 is 0CB7XZZ Responses must be an exact match 18. Question 18 1/1 Repair of sclera, right eye 08Q6XZZ Correct Acceptable answer for BLANK-1 is 08Q6XZZ Responses must be an exact match 19. Question 19 1/1 What is the root operation for a diagnostic bronchoscopy (no specimen taken)? Hide answer choices 1. Correct: inspection Correct answer 2. alteration 3. drainage 4. revision 20. Question 20

1/1 Which approach value is selected for a laparoscopic appendectomy? Hide answer choices 1. 0- open 2. 3- percutaneous 3. Correct: 4- percutaneous endoscopic Correct answer 4. 8- via natural or artificial opening endoscopic 21. Question 21 1/1 What is the root operation for a total lobectomy of one lobe of the lung? Hide answer choices 1. Correct: resection Correct answer 2. alteration 3. excision 4. removal 22. Question 22 1/1 Extracorporeal shockwave lithotripsy of a stone in the bladder neck 0TFCXZZ Correct Acceptable answer for BLANK-1 is 0TFCXZZ Responses must be an exact match 23. Question 23

1/1 Refer to the 0HH table in your code book. Which of the following is an invalid PCS code? Hide answer choices 1. 0HHPXYZ 2. 0HHT71Z 3. Correct: 0HHT0ZZ Correct answer 4. 0HHW3NZ 24. Question 24 1/1 An exploratory laparotomy cannot be coded to which approach? Hide answer choices 1. 0- open 2. 3- percutaneous 3. 4- percutaneous endoscopic 4. Correct: 8- via natural or artificial opening endoscopic Correct answer 25. Question 25 1/1 Laparoscopic cholecystectomy (entire gallbladder removed) 0FT44ZZ Correct Acceptable answer for BLANK-1 is 0FT44ZZ Responses must be an exact match 26. Question 26

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1/1 Laryngoscopy with removal of polyps on the left vocal cord 0CBV8ZZ Correct Acceptable answer for BLANK-1 is 0CBV8ZZ Responses must be an exact match 27. Question 27 0/1 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: Your Answer 0DNS4ZZ 28. Question 28 1/1