Chapter 2 Review

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SUNY Westchester Community College *

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210

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Mechanical Engineering

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Apr 3, 2024

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HIT 220 January 28 th , 2024 Chapter 2 Review Answers to odd-numbered questions can be found in appendix C of this textbook. Answers to even- numbered questions are located in the instructor materials and are available to approved instructors. Answer the following questions in the spaces provided. 1. Which symbol indicates that a procedure code is new in CPT? A new procedure is indicated by a bullet next to the code EX:  22836 2. The surgeon documents surgical removal of metatarsophalangeal joint. What is the correct CPT code? (Hint: Translate the surgeon’s description into an index term.) Amputation, toe - 28820 3. Which category of CPT codes is reserved for emerging technology? Category III 4. Refer to CPT codes 11730 and 11732. Assume that a physician performed a complete avulsion of the nail plates of the thumb and index finger. What would be the correct code assignment? Both codes would be used. 11732 is the add one code for each additional nail plate avulsed. 5. Refer to CPT codes 40840 through 40844. Assume that a surgeon performed a unilateral, posterior vestibuloplasty. Which code should be assigned? 40842 6. Refer to CPT code 43275. If the surgeon performed an ERCP and removed two stents from the pancreatic duct, would you list the code twice? No. The instructional note after code 43275 states to code once during the same session.

7. What is the correct description of CPT code 44370? a. Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) b. Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) c. Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing, with transendoscopic stent placement (includes predilation) d. With transendoscopic stent placement (includes predilation) 8. Refer to CPT codes for ERCP beginning with 43260. If the surgeon fully examined the hepatobiliary system without performing any other procedure, what would be the correct code assignment? 25073 9. What action should the coding professional take when an entry such as the following is seen in the Index: 42810–42815? a. Assign both codes listed in the Index. b. Assign the first code listed in the Index. c. Review the codes in the Tabular to find the best code. d. Query the physician regarding which code to assign. 10. When completing a yearly code update on data collection forms, what source(s) could best help this process? a. Appendix B of CPT b. Appendix B and the Tabular of CPT c. Appendix L d. Appendix L and the Tabular of CPT 11. The physician develops a new technique for performing a procedure that is not currently described in the CPT or HCPCS book. How should the coding professional code this case? a. Ask the physician to select the code that most closely describes the procedure. b. Select the code number designated in that section for unlisted procedures. c. Select code 99199 to describe the procedure. d. Send a letter to the insurance carrier asking for advice on how to code the procedure. 12. The lightning bolt symbol (bolt) represents what information in the CPT book? a. A new code has been added for the current year. b. The code includes moderate sedation. c. The code is exempt from modifier -51 usage. d. The code is for a vaccine that is pending FDA approval.

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