Test Yourself

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Des Moines Area Community College *

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547

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Medicine

Date

Dec 6, 2023

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docx

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Test Yourself 1. Patient presents for knee arthroscopy after several months of left knee pain. Arthroscope is introduced and the medial joint has some synovium and a torn complex medial meniscus that was repaired. a. S83.209A b. S83.232A c. S83.207A d. S83.242A 2. EGD with biopsy of gastric polyp. Gastroscope was advanced into the duodenum. Biopsies of the antrum are taken, and a small polyp in the stomach was also biopsied with biopsy forceps. a. 43239 b. 43239, 45251-59 c. 43251 d. 43251, 43239-51 3. A 13-year-old presents for removal of tonsils. Tonsils are grasped and removed. a. 42825 b. 42830 c. 42821 d. 42826 4. Patient presents with left lower knee pain. An arthrocentesis is performed with the injection of 10 mg of Kenalog. Code the Kenalog (triamcinolone acetonide). a. J3301 X 2 units b. J3300 c. J3301 d. J3301 X 10 units 5. Patient has burns noted on both hands and arms, blisters intact on left hand as well as right hand. Silvadene and nonadherent dressing applied and wrapped in kling. a. 16020 b. E/M only c. 16025 d. 16030 6. Modifier -26 indicates a. Supervision and interpretation only was performed for the service described in the CPT code description b. Radiology codes for supervision/interpretation c. May be used in all sections of CPT d. Only utilized in E/M section 7. X-ray, knee, 3 V, right a. 73562 b. 73560 c. 73562-RT d. 73564-RT

8. Supervision and interpretation aortography thoracic a. 75630 b. 75600 c. 75625 d. 75605 9. A semicircular incision was made in the margin of the umbilicus of this 6-year-old. Dissection was carried down to the fascia. Posterior part of the umbilical skin was detached, and examination showed pinpoint opening in which omentum was stuck. Opening was enlarged, and the omentum was adhesed to the umbilical opening. It was excised and the hernia repaired. a. 49600 b. 49582 c. 49585 d. 49587 10.Ca brain mets from the lung a. C79.31, C71.9 b. C71.9, C79.31 c. C79.31, C34.90 d. C71.9, C34.90 11.A 38-year-old patient with BPH has his prostate removed via a laser enucleation. During this procedure he also has a vasectomy. a. 52647 b. 52648 c. 52649 d. 52649, 55250-51 12.Under HIPAA, all patients are entitled to a. request copies of their records. b. all records be kept confidential except as specified by the patient. c. review of their records. d. all of those listed. 13.Antibody for Epstein-Barr virus, nuclear antigen a. 86665 b. 86658 c. 86663 d. 86664 14.An intravenous push injection that takes place while the nurse is present the entire time is known as a. Intravenous push injection (IVP) b. Level 1 established patient c. IV piggyback d. Intracavitary delivery

15.Cervical epidural steroid injection and epidurogram were performed under fluoroscopic guidance. Would the epidurogram be separately codeable in conjunction with the cervical epidural steroid injection? a. No b. Depends on whether epidurogram performed by surgeon or radiologist c. Yes d. Depends on whether epidurogram performed by same physician 16.A patient has been definitively diagnosed with Meniere's disease. The patient presents for a transcanal chemical labyrinthotomy to the right ear. Dr. Miller visualizes the tympanic membrane with an operating microscope, cleans the ear canal, and makes a small incision into the tympanic membrane. Gentamicin is delivered into the right ear. The perfusion is repeated to achieve the maximum result. a. 69905, 69990 b. 69801, 69990 c. 69801 × 2, 69990-51 d. 69905 x2, 69990-51 17.Patient scheduled for possible TAH/BSO, however, surgical abdomen is explored and no additional procedures performed. a. 58120 b. 58150-52 c. 49000 d. 49000, 58150-52 18.A patient with a large colonic tumor, identified by CT, presented for surgical resection. During the surgery, the physician also excised a soft tissue mass from the abdomen. The pathologist performed a gross and microscopic examination of the following specimens: (a) colon, terminal ileum, submitted in one cassette and (b) mass, soft tissue, submitted in one cassette. a. 88309, 88307 b. 88309 × 3 c. 88307, 88309 × 2 d. 88307 × 3 19.Neurosurgeon and otolaryngologist both participate in performing a cochlear implant on a 6-year-old female. Neurosurgeon codes and submits 69930-RT and is paid 100% of the fee schedule allowance. Otolaryngologist submits code 69930-RT and is denied payment for "services paid to another provider." What was incorrect in regard to the coding for these services? a. ENT should append modifier -66 b. Billed appropriately, only one provider should be paid c. Neurosurgeon should append modifier -62 d. Both providers must append modifier -62 for both providers to be paid appropriately

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20.Hemostasis refers to a. the control of bleeding. b. the collection of blood. c. the collection of blood. d. a blood vessel spasm. 21.Anesthesia services for radical perineal prostatectomy on a 75-year-old patient with severe CAD, HTN, COPD a. 00904-P3, 99100 b. 00914-P3, 99100 c. 00920-P3, 99100 d. 00904-P3 22.Patient presents with concerns of rectal bleeding and diarrhea. Patient has a past history of colon cancer diagnosed 12 years ago, treated with surgery and has remained cancer free. Patient will undergo colonoscopy. Until that time, patient will refrain from anti- diarrhea medications and use Preparation H for what are believed to be hemorrhoids. a. K62.5, R19.7, K64.9 b. K62.5, R19.7, Z85.038 c. Z85.038 d. K64.9 23.Breast prosthesis, mastectomy sleeve a. L8039 b. L8032 c. L8000 d. L8010 24.Code 29880 was performed in the medial compartment as well as 29875. What modifier(s), if any, would be appropriate for 29875? a. None b. -51 c. -50 d. -59 25.IV infusion for a total of 3 hours a. 96365, 96366 × 2 b. 96365, 96366, 96366 c. 96365 × 3 d. 96366 × 3 26.In order for physician supervision requirements to be met for non-provider staff, what conditions must be met? a. Provider must be present in the same building. b. Provider must review non-provider staff documentation and sign/date "reviewed and concur" within 24 hours of service. c. Provider must be in the physician suite. d. Provider must be available for contact if needed.

27.A patient was referred by primary care to GI for rectal bleeding. The colonoscope was advanced into the cecum. The patient had a polyp removed by snare, another polyp was hot biopsied, and a separate area of questionable inflammation was also biopsied. The base of the polyps was cauterized to control bleeding. a. 45385, 45380-51, 45382-51 b. 45385, 45380-51 c. 45385, 45380-59 d. 45385, 45380-59, 45384-51, 45382-51 28.Per NCCI guidelines, when multiple lesions are excised through the same incision, how many lesion codes are reportable? a. 1 b. 2 c. 3 d. No minimum 29.Specific E & M guidelines utilized by Medicare/CMS may be found where? a. Current edition of CPT b. Coding Clinic c. CMS website d. OIG Workplan 30.What additional criteria for a Medicare claim should be considered in the final assignment of E/M codes that are not contained in the CPT manual? a. individual judgment of CMS b. overarching medically necessary criteria as defined by CMS c. time d. individual criteria by the practice/facility

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