{"id":110748,"date":"2023-07-27T15:15:26","date_gmt":"2023-07-27T15:15:26","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=110748"},"modified":"2023-07-27T15:15:34","modified_gmt":"2023-07-27T15:15:34","slug":"ccs-exam-prep-questions-and-answers-latest-update-2023-verified-answers-95-questions","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/07\/27\/ccs-exam-prep-questions-and-answers-latest-update-2023-verified-answers-95-questions\/","title":{"rendered":"CCS Exam prep Questions and Answers Latest Update 2023 (Verified Answers) (95 Questions)"},"content":{"rendered":"\n<p><a>Carcinoma in situ<\/a><\/p>\n\n\n\n<p><a>Tumor cells that are undergoing malignant changes but are still confined to the point of origin without invasion of the surrounding normal tissue<\/a><\/p>\n\n\n\n<p><a>Examples of carcinoma in situ<\/a><\/p>\n\n\n\n<p><a>Intraepithelial infiltrating<\/a><\/p>\n\n\n\n<p>The patient was admitted from the emergency department because of chest pain. Following blood work, it was determined that the patient had elevated CPKs and MB enzymes. The EKG shows nonspecific ST changes.<br><br>What type of diagnosis might this indicate?<br>a. Unstable angina<br>b. Myocardial infarction<br>c. Congestive heart failure<br>d. Mitral valve stenosis<\/p>\n\n\n\n<p><a>b<br>The CPK elevation with MB enzymes elevated and the EKG ST changes denote a possible Ml (Leon-Chisen 2013, 386-387).<\/a><\/p>\n\n\n\n<p>A patient is admitted and diagnosed with fever and urinary burning. The discharge diagnosis\u00b7 is Escherichia coli, urinary tract infection.<br><br>Which of the following represents the correct diagnoses and appropriate sequence of those conditions?<br>a. Fever, urinary burning, urosepsis<br>b. Fever, urinary burning, sepsis<br>c. Escherichia coli, urinary tract infection<br>d. Urinary tract infection, Escherichia coli<\/p>\n\n\n\n<p><a>d<br>Symptoms are not coded when a definitive diagnosis is present on discharge. The patient discharge diagnosis of urinary tract infection. The organism (E. coli) is coded with a seco diagnosis code (B96.20) which is to be added as an additional code to identify the bacterial agent (HHS 2014, Section II.A., 98).<\/a><\/p>\n\n\n\n<p>A patient was admitted with heart failure within one week of a heart transplant. Due to the timing, the coder thought that it may represent a postoperative transplant rejection following heart transplant.<br><br>What action(s) should the coding staff take?<br>a. Query the physician.<br>b. Assign the codes for the postoperative transplant rejection.<br>c. Assign only the code for the transplant rejection.<br>d. Assign only the code for heart failure.<\/p>\n\n\n\n<p><a>a<br><br>When the documentation is not clear regarding a potential complication, it is appropriate query the physician (HHS 2014, Section I.B.16, 16; Leon-Chisen 2013, 43-44).<\/a><\/p>\n\n\n\n<p>A patient is admitted to a psychiatric unit of an acute-care facility. The patient experienced the following symptoms almost every day for the last month: loss of interest or pleasure in most or all activities, which is a change from her prior level of functioning. She has also gained 15 lbs, has difficulty falling asleep, feels fatigued, and has difficulty making decisions.<br><br>What potential diagnosis most closely fits the patient&#8217;s overall symptoms?<br>a. Insomnia<br>b. Major depression<br>c. Reye&#8217;s syndrome<br>d. Bipolar disorder<\/p>\n\n\n\n<p><a>b<br><br>The symptoms provided are indicative of a depressive disorder (Leon-Chisen 2013, 175).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br>Admission for inguinal hernia repair. This 30-year-old patient has acquired immunodeficiency syndrome (AIDS) but is not symptomatic at this time due to medication regimen. The procedure performed was a right indirect inguinal herniorrhaphy via open approach.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: K40.90, B20,<br><br>ICD-10-PCS: OYQ50ZZ (Schraffenberger 2013, 82-84,252)<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>A 75-year-old male patient was admitted from a nursing home with dehydration and dysphagia due to a previous stroke. During hospitalization the patient was rehydrated and transferred back to the nursing home.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: E86.0, I69.391<br><br>(Schraffenberger 2013, 131, 209-210).<br>Stroke= cerebral infarction<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>A patient is admitted to an acute care facility for detoxification from alcohol and barbiturate intoxication with chronic alcoholism and barbiturate abuse. The patient also has cirrhosis of the liver due to alcoholism.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: F10.229, F13.129, K70.30,<br><br>(Schraffenberger 2013, 140-143.)<br><br>ICD-10-PCS HZ2ZZZZ<br><br>(Leon-Chisen 2014, 186).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>A 30-year-old patient was seen in the emergency department for recurrent epileptic seizures. The patient also had tic douloureux.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: G40.909, G50.0<br><br>(Schraffenberger 2013,158-159).<\/a><\/p>\n\n\n\n<p>Inpatient:<br><br>A patient was admitted to an acute care facility with a temperature of 102 and atrial fibrillation. The chest x-ray reveals pneumonia with subsequent documentation by the physician of pneumonia in the progress notes and discharge summary. The patient was treated with oral antiarrhythmia medications and IV antibiotics.<\/p>\n\n\n\n<p>ICD-10-CM: J18.9, 148.91-<br><br>In accordance with the UHDDS, both conditions are not equally treated. The pneumonia was treated with IV antibiotics. This diagnosis had greater utilization of resources of medications and staff time compared with the atrial fibrillation, which was treated with oral medication. Because of this, the pneumonia is sequenced first (HHS 2014, Section II, C).<\/p>\n\n\n\n<p><a>Inpatient:<br><br>A patient with chronic cholecystitis and gallbladder stones underwent a laparoscopic cholecystectomy in an acute care facility. However, due to extensive gallbladder adhesions the procedure was converted to an open cholecystectomy.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: K80.10, K82.8 (Schraffenberger 2013, 249-250, 454); HHS 2011, Section I, 18. d, 14), ICD-10-PCS: OFT40ZZ, OFJ44ZZ (Leon-Chisen 2014, 250).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>A patient is admitted to the inpatient setting with hydronephrosis and a staghorn calculus of the right kidney. The patient underwent an uretetoscopy with placement of bilateral ureteral stents for dilation purposes and removal of calculus of right kidney.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: N13.2,<br>ICD-10-PCS: OT788DZ, OTC08ZZ<br><br>(Leon-Chisen 2013, 269).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>A 77-year-old nursing home patient was admitted to the acute care setting for excisional debridement of decubitus stage 3 ulcer of the right heel via surgical excision in the OR. The patient also has degenerative joint disease of both knees.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: L89.613, M17.0,<br>ICD-10-PCS: OJBQOZZ<br><br>(Schraffenberger 2013, 265-266, 278, 282-284).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>45-year-old woman was admitted to the inpatient setting for a displacement of a lumbar intervertebral disk. This was treated with a laminectomy and diskectomy.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: M51.26,<br>ICD-10-PCS: OSB20ZZ, OQBOOZZ<br><br>(Schraffenberger 2013,279, 282-284).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>A 34-year-old woman delivered a live born, term baby boy (39 weeks) with macrosomia. She had a hemorrhage following an episiotomy with a low forceps delivery but prior to expulsion of the placenta.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: 067.9, 033.7, Z37.0, Z3A.39, ICD-10-PCS: 10D07Z3, OW8NXZZ-<br><br>The patient had a hemorrhage that occurred after delivery but before the expulsion of the placenta. This hemorrhage, by definition, occurred in the third stage of labor (Schraffenberger 2013, 270, 278-283, 313).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>A single, newborn, term live-born baby boy, born in hospital via vaginal delivery.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: Z38.00<br><br>(Schraffenberger 2013, 340).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>Twin newborns, both born prematurely at 32 weeks via cesarean section, 1,002 g was the birth weight of the first twin, whose mate was stillborn. The baby was admitted to the nursery from the delivery room. The baby also was treated for jaundice due to ABO incompatibility.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: Z38.31, P07.14, P07.35, P55.1<br><br>(Schraffenberger 2013, 337).<\/a><\/p>\n\n\n\n<p>Inpatient:<br><br>A patient is admitted to the acute care facility with chest pain. The patient was awakened from sleep; this was ;:he patient&#8217;s first experience with chest pain. The patient was given two nitroglycerin tablets in the emergency department. The chest pain was not relieved, resulting in the diagnosis of new onset unstable angina. Serial CPK was normal. Following a left cardiac catheterization with angiogram of multiple coronary arteries with low osmolar contrast, the patient is found to have arteriosclerotic coronary artery disease.<\/p>\n\n\n\n<p><a>ICD-10-CM: 125.110,<br><br>ICD-10-PCS: 4A023N7, B2111ZZ<br><br>(Schraffenberger 2013, 202-204).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>This is the first admission for a patient with adenocarcinoma of the right lower lung who was also found with metastasis to the brain. The patient underwent a right lower lung lobectomy via laparotomy.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: C34.31, C79.31,<br><br>ICD-10-PCS: OBTFOZZ<br><br>(Schraffenberger 2013, Chapter 5, 99).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>A patient has metastatic adenocarcinoma of bone.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: C80.1, C79.51<br><br>(Schraffenberger 2013, 99).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>A patient is admitted with metastatic carcinoma from breast to liver with previous bilateral mastectomy and no reoccurrence at the primary site.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: C78.7, Z85.3, Z90.13<br><br>(Schraffenberger 2013, 478).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>A young woman was admitted after a car hit her from behind while she waited for a bus on the sidewalk. She sustained a fractured fibula shaft and patella on the left leg with a break in the skin at the midcalf. The patient<br>required an open reduction of the left fibula fracture.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: S82.402A, S82.002A, T14.8, Y92.480, V03.10XA,<br><br>ICD-10-PCS: OQSKOZZ<br><br>(Schraffenberger 2013, 380-381, 443, 428).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>Syncope; bradycardia ruled out; due to taking Valium as prescribed by a physician. Patient also took an antihistamine as directed on the package without consulting a healthcare provider.<\/a><\/p>\n\n\n\n<p>ICD-10-CM: T42.4X1A, T45.0X1A, R55-The patient took over-the-counter medications with a prescription medication without consulting the prescribing physician. This is a poisoning.<br><br>Per the Official ICD-10-CM Guidelines for Coding and Reporting, I.C.19.e.5.b.: Nonprescribed drug taken with correctly prescribed and properly administered drug: If a nonprescribed drug or medicinal agent was taken in combination jVith a correctly prescribed and properly administered drug, any drug toxicity or other reaction resulting from the interaction of the two drugs would be classified as a poisoning (HHS 2014, Section I, 19, e, Sa; Schraffenberger 2013, 406-407).<\/p>\n\n\n\n<p><a>Inpatient:<br><br>Sepsis due to the presence of an indwelling urinary catheter with a positive blood culture reflected in the progress notes of Staphylococcus aureus sepsis.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: T83.51XA, A41.01<br><br><br>(Leon-Chisen 2013, 150, 154, 535).<\/a><\/p>\n\n\n\n<p><a>Inpatient:<br><br>Respiratory distress syndrome, 26-day-old baby, temporary tracheostomy completed.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: P22.0,<br><br>ICD-10-PCS: OB110F4<br><br>(Schraffenberger 2013, 339; Coding Clinic 1986 Nov.-Dec., 6; 1&#8243; Quarter 1989, 10)<\/a><\/p>\n\n\n\n<p><a>Ambulatory\/Outpatient<br><br>Noncardiac chest pain, esophageal acid reflux test.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: R07.89; CPT: 91034<br><br>(Schraffenberger 2013, 362-363; CPT Assistant May 2005,3)<\/a><\/p>\n\n\n\n<p><a>Ambulatory\/Outpatient<br><br>Annual screening mammogram.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: Z12.31<br>CPT:77057<br><br>(Schraffenberger 2013, 462; CPT Assistant March 2007, 7)<\/a><\/p>\n\n\n\n<p><a>Ambulatory\/Outpatient<br><br>Excision of basal cell carcinoma, 1.9-cm lesion left upper eyelid.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: C44.119;<br>CPT: 11642<br><br>(Schraffenberger 2013, 99-100; CPT Assistant Fa11199-. _ May 1996, 11; Feb. 2008, 8; Feb. 2010, 3; CPT Changes: An Insider&#8217;s View 2003).<\/a><\/p>\n\n\n\n<p><a>Ambulatory\/Outpatient<br><br>Hallux valgus repair with resection of the joint with implant in the first left toe proximal phalanx.<\/a><\/p>\n\n\n\n<p><a>CD-10-CM: M20.12;<br>CPT: 28293-TA<br>(Schraffenberger 2013, 305; CPT Assistant Dec. 1996. 6; CPT Assistant Jan. 2007, 31).<\/a><\/p>\n\n\n\n<p><a>Ambulatory\/Outpatient<br><br>Metastatic ovarian cancer to the pleura. Thoracoscopic pleurodesis.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: C78.2, C56.9;<br>CPT: 32650<br><br>(Schraffenberger 2013, 100-101; CPT Assistant F 1994, 1, 6; CPT Changes: An Insider&#8217;s View 2002).<\/a><\/p>\n\n\n\n<p><a>Ambulatory\/Outpatient<br><br>Symptomatic bradycardia due to sick sinus syndrome with replacement of dual chamber pacemaker generator with removal of old generator.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: 149.5; CPT: 33228 (Schraffenberger 2013, 206, 362-363; CPT Changes: An In-sider&#8217;s View 2003; CPT Assistant Summer 1994, 10, 19; CPT Assistant Nov. 1999, 16; CPT CHANGES 200,2013<\/a><\/p>\n\n\n\n<p><a>Ambulatory\/Outpatient<br><br>Esophagogastroduodenoscopy with sclerotherapy of esophageal varices.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: 185.00;<br><br>CPT: 43243<br><br>Leon-Chisen 2013, 246; Smith 2015, 115; CPT assistant Spring 1994, 4).<\/a><\/p>\n\n\n\n<p><a>Ambulatory\/Outpatient<br><br>Transurethral resection of the prostate for benign prostatic hypertrophy with electrocautery.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: N40.0;<br>CPT: 52601 (<br><br>Schraffenberger 2013, 294-295; Smith 2015, 134; CPT Assistant Nov. 1997, 20; CPT Assistant April2001, 4; CPT Assistant June 2003, 6).<\/a><\/p>\n\n\n\n<p><a>Ambulatory\/Outpatient<br><br>Cryosurgical destruction of simple papilloma of the penis.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: D29.0;<br>CPT: 54056<br><br>(Schraffenberger 2013, 103; Smith 2015, 134).<\/a><\/p>\n\n\n\n<p><a>Ambulatory\/Outpatient<br><br>Dysfunctional uterine bleeding for which hysteroscopy with endometrial ablation was undertaken.<\/a><\/p>\n\n\n\n<p><a>CD-10-CM: N93.8;<br>CPT: 58563<br><br>(Schraffenberger 2013, 296; CPT Assistant Nov. 1999,2 : March 2000, 10; March 2002, 11; CPT Changes: An Insider&#8217;s View 2000, 2002).<\/a><\/p>\n\n\n\n<p><a>Ambulatory\/Outpatient<br><br>Incompetent cervix in second trimester with removal of cervical cerclage under spinal anesthesia in a pregnant woman.<\/a><\/p>\n\n\n\n<p><a>ICD-10-CM: 034.32;<br>CPT: 59871<br><br>(Leon-Chisen 2013, 343; CPT Assistant Nov. 1997, 2 CPT Assistant Nov. 2006, 21; CPT Assistant Feb. 2007, 10)<\/a><\/p>\n\n\n\n<p>A patient is admitted to the hospital complaining of abdominal pain. Following evaluation, it was determined that the patient had an intestinal obstruction of the left colon due to adhesions from a prior abdominal surgery. The patient underwent an exploratory laparotomy with lysis of adhesions.<br><br>What conditions should be coded?<br><br>a. Abdominal pain, abdominal adhesions, abdominal obstruction, laparotomy, lysis of adhesions<br><br>b. Abdominal adhesions, abdominal obstruction, postoperative complications of the digestive system, laparotomy, lysis of adhesions<br><br>c. Abdominal adhesions with obstruction, lysis of adhesions<br><br>d. Abdominal adhesions and abdominal obstruction, postoperative complications of the digestive system, lysis of adhesions<\/p>\n\n\n\n<p><a>c<br><br>The patient has abdominal adhesions with obstruction, and lysis of adhesions was performed. The abdominal pain is not coded as it is a symptom (HHS 2014, Section I.B.4, 13; Leon-Chisen 2013,140)<\/a><\/p>\n\n\n\n<p>A patient has a principal diagnosis of pneumonia (118.9) (MS-DRG 195).<br><br>Which of the following may legitimately change the coding of the pneumonia in accordance with the UHDDS and relevant clinical documentation?<br><br>a. Sputum culture reflects growth of normal flora.<br>b. Patient has a positive gram stain.<br>c. Patient is found to have dysphagia with aspiration.<br>d. Patient has nonproductive sputum.<\/p>\n\n\n\n<p>c<br><br>Patient is found to have dysphagia with aspiration is the correct answer because it changes the coding to aspiration pneumonia and would result in MS-DRG 179 RESPIRATORY INFECTIONS &amp; INFLAMMATIONS W\/0 CC\/MCC, which has a weight of 0.9718 (Medicare Grouper Version Used: 31). This is in comparison to MS-DRG 0195, SIMPLE PNEUMONIA &amp; PLEURISY W\/0 CC\/MCC MDC: 04 which has a DRG weight of 0.6978 (Medicare Grouper Version Used: 31).<\/p>\n\n\n\n<p>A patient is diagnosed with infertility due to endometriosis and undergoes an outpatient laparoscopic laser destruction of pelvic endometriosis.<br><br>In order to code this encounter accurately, what steps must the coder take?<br><br>a. Review the operative report to determine what procedure codes to use and also to determine the site or sites of endometriosis so codes with the highest specificity may be assigned, and use infertility as a principal diagnosis.<br><br>b. Review the operative report to determine where the laser was used in the pelvis so the site or sites of endometriosis can be specified, and assign a principal diagnosis of infertility.<br><br>c. Review the operative report to determine where the laser was used in the pelvis so the site or sites of endometriosis can be specified as principal, and assign a secondary diagnosis of infertility.<br><br>d. Review the operative report to determine what procedure codes to use and also to determine the site or sites of endometriosis so codes with the highest specificity may be assigned, and use the diagnosis of infertility as a secondary condition.<\/p>\n\n\n\n<p>d<br><br><br>There may be endometrial implants throughout the pelvic cavity which may attach to various anatomic structures such as the fallopian tube, ovary, and omentum. These locations should be identified so that the appropriate diagnostic codes can be assigned and the appropriate procedure codes can be assigned based on the destruction of the endometrial implants. Therefore, the correct answer is to review the operative report to determine what procedure codes to use and determine the site or sites of endometriosis so that codes with the highest specificity may be assigned. Also, use the diagnosis of infertility as a secondary condition (Schraffenberger 2013, 296; Leon-Chisen 2013, 33, 271).<\/p>\n\n\n\n<p><a>In order to establish the adequacy of documentation in the medical record the following must be reflected:<br><br>a. Decisions of patient&#8217;s caregivers<br><br>b. Quantitative analysis of the number of pages<br><br>c. Ancillary forms and consents<br><br>d. Care rendered to the patient and the patient&#8217;s response<\/a><\/p>\n\n\n\n<p><a>d<br><br>The care rendered to the patient and the patient&#8217;s response must be documented in the medical record (LaTour and Eichenwald Maki 2013, 264; Sayles 2013, 70).<\/a><\/p>\n\n\n\n<p><a>Authentication of health record entries means to:<br><br>a. Create facsimiles of documents<br><br>b. Prove authorship of documents<br><br>c. Develop documents<br><br>d. Use a rubber stamp on random sets of documents<\/a><\/p>\n\n\n\n<p><a>b<br><br>Authentication is the act of verifying a claim of identity (Sayles 2013, 381). In order to prove authorship of documents they are required to be authenticated by a signature (LaTour and Eichenwald Maki 2013, 264).<\/a><\/p>\n\n\n\n<p><a>The requirements for documentation and record completion (documents such as history and physicals, discharge summaries, and consultations) as well as penalties for non-adherence must be specified in:<br><br>a. Hospital rules and regulations<br><br>b. Conditions of nonparticipation<br><br>c. Medical staff bylaws<br><br>d. Nursing staff policies<\/a><\/p>\n\n\n\n<p><a>c<br><br>The medical staff bylaws are required by accreditation and regulatory organizations to refer to the timeline required for completion (LaTour and Eichenwald Maki 2013, 240; Sayles 2014, 353).<\/a><\/p>\n\n\n\n<p>A patient was admitted to the emergency department for abdominal pain with diarrhea and was diagnosed with infectious gastroenteritis. The patient also had angina and chronic obstructive pulmonary disease.<br><br>List the diagnoses that would be coded in the order of sequence.<br><br>a. Abdominal pain, infectious gastroenteritis, chronic obstructive pulmonary disease, angina<br><br>b. Infectious gastroenteritis, chronic obstructive pulmonary disease, angina<br><br>c. Gastroenteritis, abdominal pain, angina<br><br>d. Diarrhea, chronic obstructive pulmonary disease, angina<\/p>\n\n\n\n<p><a>b<br><br>The abdominal pain and diarrhea are not coded as they are symptoms integral to the diagnosis of infectious gastroenteritis. Review Coding Guideline II.A, 98 for additional information on coding of symptoms, signs, and ill-defined conditions.<\/a><\/p>\n\n\n\n<p>A patient was admitted to the endoscopy unit for a screening colonoscopy. During the colonoscopy, polyps of the colon were found and a polypectomy was performed.<br><br>What diagnostic codes should be used and how should they be sequenced?<br><br>Z12.11 Encounter for screening for malignant neoplasm of colon<br><br>D12.6 Benign neoplasm of colon, unspecified<br><br>a. Z12.11<br><br>b. Dl2.6 Encounter for screening for malignant neoplasm of colon Benign neoplasm of colon, unspecified<br><br>c. Zl2.ll,Dl2.6<br><br>d. D12.6, Z12.11<\/p>\n\n\n\n<p><a>c<br><br><br>The circumstances of the encounter are for a screening colonoscopy. Because of this the screening, colonoscopy is listed first, followed by a code for the polyps (HHS 2014, Section I.C.21.c.5, 88).<\/a><\/p>\n\n\n\n<p>023-Other benign neoplasms of skin Includes: Benign neoplasm of hair follicles Benign neoplasm of sebaceous glands Benign neoplasm of sweat glands Excludes 1: benign lipomatous neoplasms of skin (017.0-017.3) melanocytic nevi (022.-)<br><br>When coding benign neoplasm of the skin, the section noted above directs the coder to:<br><br>a. Use category D23 for benign neoplasm of sweat glands<br><br>b. Use category D23 for melanocytic nevi<br><br>c. Use category D23 for benign lipomatous neoplasms of skin<br><br>d. Use category D23 for malignant neoplasm of the skin<\/p>\n\n\n\n<p><a>a<br><br>Excludes note 1 is defined as never code here (HHS 2014, I.A.12.a, 10).<\/a><\/p>\n\n\n\n<p>023-Other benign neoplasms of skin Includes: Benign neoplasm of hair follicles Benign neoplasm of sebaceous glands Benign neoplasm of sweat glands Excludes 1: benign lipomatous neoplasms of skin (017.0-017.3) melanocytic nevi (022.-)<br><br>When coding benign lipomatous neoplasms of skin, the section noted above directs the coder to:<br><br>a. Use category D23<br><br>b. Use a code from D17.0-D17.3<br><br>c. Use code E88.2<br><br>d. Use category D22<\/p>\n\n\n\n<p><a>b<br><br>Excludes note 1 is defined as never code here (HHS 2014, I.A.12.a, 10).<\/a><\/p>\n\n\n\n<p>A patient was discharged from the same-day-surgery unit with the following diagnoses: posterior subcapsular mature incipient senile cataract right eye, diabetes mellitus, hypertension, and was treated for mild acute renal failure. Which codes are correct?<br><br>E11.9 -Type 2 diabetes mellitus without complications<br>E11.29 -Type 2 diabetes mellitus with other diabetic kidney complication H25.9 -Unspecified age-related cataract<br>H25.21 -Age-related cataract, morgagnian type, right eye<br>H25.041 -Posterior subcapsular polar age-related cataract, right eye<br>I10-Essential hypertension<br>112.9 -Hypertensive chronic kidney disease with stage 1 through stage 4, or unspecified chronic kidney disease N17.9 -Acute kidney failure, unspecified<br><br>a. H25.21, E11.29, 112.9, N17.9<br><br>b. H25.041, E11.9, 110, N17.9<br><br>c. H25.9, E11.29, 112.9, N17.9<br><br>d. H25.041, E11.9, !12.9<\/p>\n\n\n\n<p>b<br><br>The patient has posterior subcapsular mature incipient senile cataract right eye, diabetes mellitus (with no designated causal relationship to the cataracts), hypertension, acute renal failure. The hypertension is not related to the renal failure as it is acute and not chronic. Because of this, a combination code for hypertension and chronic renal failure is not coded (HHS 2014, Section I.B.9, 14).<\/p>\n\n\n\n<p><a>d Acute exacerbation of COPD is coded as J44.1. The hypertension is present with the chronic renal disease. Because of this, a combination code for hypertension and chronic renal disease is coded. In addition, the stage of the kidney disease is also coded (HHS 2014, Section I.B.9, 14).<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/0Vhlcsji26FkEqBgMfU3gw.jpg\" alt=\"Image: d Acute exacerbation of COPD is coded as J44.1. The hypertension is present with the chronic renal disease. Because of this, a combination code for hypertension and chronic renal disease is coded. In addition, the stage of the kidney disease is also coded (HHS 2014, Section I.B.9, 14).\"\/><\/figure>\n\n\n\n<p><strong>While in the hospital, an external, single read, EKG was performed on the patient. The root operation term used for this ICD-10-PCS code is:<\/strong><\/p>\n\n\n\n<p><strong>Monitoring:<\/strong>&nbsp;determining the level of a physiological or physical function repetitively over a period of time<\/p>\n\n\n\n<p><strong>Performance<\/strong>: completely taking over a physiological function by extracorporeal means<\/p>\n\n\n\n<p><strong>Measurement<\/strong>: determining the level of a physiological or physical function at a point in time<\/p>\n\n\n\n<p><strong>Assistance<\/strong>: taking over a portion of a physiological function by extracorporeal means<\/p>\n\n\n\n<p><a><strong>Measurement<\/strong>: determining the level of a physiological or physical function at a point in time<\/a><\/p>\n\n\n\n<p><a><strong>Myringoplasty<\/strong><\/a><\/p>\n\n\n\n<p><a>69610<\/a><\/p>\n\n\n\n<p><a>69420<\/a><\/p>\n\n\n\n<p><a>69635<\/a><\/p>\n\n\n\n<p><a>69620<\/a><\/p>\n\n\n\n<p><a><strong>69620-<\/strong>Myringoplasty (surgery confined to drumhead &amp; donor area)<\/a><\/p>\n\n\n\n<p><a><strong>A patient is admitted with acute respiratory failure with hypercapnia due to chronic asthmatic bronchitis with acute exacerbation. Treatment consisted of IV steroids.<\/strong><\/a><\/p>\n\n\n\n<p><a>J96.02, J45.902<\/a><\/p>\n\n\n\n<p><a>J45.901, J96.02<\/a><\/p>\n\n\n\n<p><a>J44.1, J96.02<\/a><\/p>\n\n\n\n<p><a>J44.9, J96.02<\/a><\/p>\n\n\n\n<p><a><strong>J44.1<\/strong>&#8211; Chronic asthmatic bronchitis with acute exacerbation<\/a><\/p>\n\n\n\n<p><a><strong>J96.02-<\/strong>Acute respiratory failure with hypercapnia<\/a><\/p>\n\n\n\n<p><strong>Randy has been home from Iraq for three months and comes in to see Dr. Jones for his weekly appointment. He has recurring flashbacks of his time in the war zone, and he is having difficulty sleeping. Dr. Jones is providing therapy for his on-going PTSD. The correct code is<\/strong>:<\/p>\n\n\n\n<p>F43.10 Post-traumatic stress disorder, unspecified<\/p>\n\n\n\n<p>F51.02 Adjustment insomnia<\/p>\n\n\n\n<p>F43.11 Post-traumatic stress disorder acute<\/p>\n\n\n\n<p>F43.12 Post-traumatic stress disorder chronic<\/p>\n\n\n\n<p>A) F43.12<\/p>\n\n\n\n<p>B) F43.10<\/p>\n\n\n\n<p>C) F51.02<\/p>\n\n\n\n<p>D) F43.11<\/p>\n\n\n\n<p><a><strong>F43.12 &#8211;<\/strong>Post-traumatic stress disorder chronic<\/a><\/p>\n\n\n\n<p><a><strong>Trauma patient is rushed to the operating room with multiple injuries. The patient had his spleen removed due to a massive rupture, with repair of the lacerated diaphragm.<\/strong><\/a><\/p>\n\n\n\n<p><a>38102, 39540<\/a><\/p>\n\n\n\n<p><a>38115, 39501<\/a><\/p>\n\n\n\n<p><a>38100, 39501<\/a><\/p>\n\n\n\n<p><a>38120, 39599<\/a><\/p>\n\n\n\n<p><a><strong>38100-<\/strong>Splenectomy; total (separate procedure)<\/a><\/p>\n\n\n\n<p><a><strong>39501-<\/strong>Repair laceration of diaphragm any approach<\/a><\/p>\n\n\n\n<p><a><strong>A patient has malignant melanoma of the skin of the back, nose, and scalp. The patient will be scheduled to undergo a radical excision of the melanoma.<\/strong><\/a><\/p>\n\n\n\n<p><a>C44.300, C44.509<\/a><\/p>\n\n\n\n<p><a>C4A.59, C4A.4<\/a><\/p>\n\n\n\n<p><a>C43.59, C43.31, C43.4<\/a><\/p>\n\n\n\n<p><a>C43.9<\/a><\/p>\n\n\n\n<p><a><strong>C43.59<\/strong>-Malignant melanoma of other part of trunk<\/a><\/p>\n\n\n\n<p><a><strong>C43.31<\/strong>-Malignant melanoma of nose<\/a><\/p>\n\n\n\n<p><a><strong>C43.4-<\/strong>Malignant melanoma of scalp &amp; neck<\/a><\/p>\n\n\n\n<p><a><strong>Patient has been diagnosed with uterine fibroids and undergoes a total abdominal hysterectomy with bilateral salpingo-oophorectomy.<\/strong><\/a><\/p>\n\n\n\n<p><a>58200<\/a><\/p>\n\n\n\n<p><a>58150<\/a><\/p>\n\n\n\n<p><a>58262<\/a><\/p>\n\n\n\n<p><a>58150, 58720<\/a><\/p>\n\n\n\n<p><a><strong>58150-<\/strong>Total abdominal hysterectomy (corpus &amp; cervix) with or without removal of tubes, with or without removal of ovary(s).<\/a><\/p>\n\n\n\n<p><a><strong>In ICD-10-PCS, a PET imaging of the myocardium using Rubidium 82?<\/strong><\/a><\/p>\n\n\n\n<p><a>C23GQZZ<\/a><\/p>\n\n\n\n<p><a>C25YYZZ<\/a><\/p>\n\n\n\n<p><a>C22GYZZ<\/a><\/p>\n\n\n\n<p><a>C03YYZZ<\/a><\/p>\n\n\n\n<p><a><strong>C23GQZZ<\/strong><\/a><\/p>\n\n\n\n<p><a>PET imaging, myocardium using Rubidium 82<\/a><\/p>\n\n\n\n<p><a>1. Section = C (The Nuclear Medicine Section)<\/a><\/p>\n\n\n\n<p><a>2. Body system = 2 (Heart)<\/a><\/p>\n\n\n\n<p><a>3. Root operation = 3 (Positron Emission Tomographic &#8212;(PET) Imaging)<\/a><\/p>\n\n\n\n<p><a>4. Body Part = G (Myocardium)<\/a><\/p>\n\n\n\n<p><a>5. Radionuclide = Q (Rubidium 82)<\/a><\/p>\n\n\n\n<p><a>6. Device = Z (None)<\/a><\/p>\n\n\n\n<p><a>7. Qualifier = Z (None)<\/a><\/p>\n\n\n\n<p><a><strong>Injection of anesthesia for nerve block of the brachial plexus.<\/strong><\/a><\/p>\n\n\n\n<p><a>64530<\/a><\/p>\n\n\n\n<p><a>64510<\/a><\/p>\n\n\n\n<p><a>64413<\/a><\/p>\n\n\n\n<p><a>64415<\/a><\/p>\n\n\n\n<p><a><strong>64415<\/strong>-Brachial plexus<\/a><\/p>\n\n\n\n<p><a><strong>A patient is admitted with a non-displaced fracture of the left medial malleolus, initial encounter. The fracture was treated with a cast.<\/strong><\/a><\/p>\n\n\n\n<p><a>S82.62xA<\/a><\/p>\n\n\n\n<p><a>S82.63xA<\/a><\/p>\n\n\n\n<p><a>S82.55xA<\/a><\/p>\n\n\n\n<p><a>S82.52xB<\/a><\/p>\n\n\n\n<p><a><strong>S82.55XA<\/strong>-Non-displaced fracture of medial malleolus of left tibia, initial encounter<\/a><\/p>\n\n\n\n<p><a><strong>A preterm infant, 34 weeks gestation, is born via cesarean section and has severe birth asphyxia.<\/strong><\/a><\/p>\n\n\n\n<p><a>Z38.01, P84, R09.2, P07.37<\/a><\/p>\n\n\n\n<p><a>Z38.01, P84, R09.01<\/a><\/p>\n\n\n\n<p><a>Z38.01, P84, P07.37<\/a><\/p>\n\n\n\n<p><a>Z38.01, P84, R09.02<\/a><\/p>\n\n\n\n<p><a><strong>Z38.01-<\/strong>Single live-born infant, delivered via cesarean<strong>&nbsp;<\/strong><\/a><\/p>\n\n\n\n<p><a><strong>P84-<\/strong>Severe birth asphyxia<\/a><\/p>\n\n\n\n<p><a><strong>P07.37-<\/strong>Preterm infant, 34 weeks<\/a><\/p>\n\n\n\n<p><a><strong>A woman has a vaginal delivery of a full-term live-born infant after 38 weeks gestation.<\/strong><\/a><\/p>\n\n\n\n<p><a>O80, Z37.0<\/a><\/p>\n\n\n\n<p><a>O80, Z37.0, Z3A.38<\/a><\/p>\n\n\n\n<p><a>Z3A.38, O80, Z37.0<\/a><\/p>\n\n\n\n<p><a>Z37.0, Z3A.38, O80<\/a><\/p>\n\n\n\n<p><a><strong>O80-<\/strong>Vaginal, full-term live-born delivery<\/a><\/p>\n\n\n\n<p><a><strong>Z37.0-<\/strong>[Outcome of delivery] single live-born infant<\/a><\/p>\n\n\n\n<p><a><strong>Z3A.38-<\/strong>After 38-week gestation<\/a><\/p>\n\n\n\n<p><strong>A patient is admitted for control of exacerbation of chronic obstructive lung disease. The patient had stopped taking the prednisone as prescribed due to gaining weight, a known side effect for this drug<\/strong>.<\/p>\n\n\n\n<p>T38.0x6A, J44.1, Z91.14<\/p>\n\n\n\n<p>T38.0x6A, Z91.14, J44.0<\/p>\n\n\n\n<p>J44.0, T38.0x6A, Z91.14<\/p>\n\n\n\n<p>J44.1, T38.0x6A, Z91.128<\/p>\n\n\n\n<p><a><strong>J44.1-<\/strong>Chronic obstructive lung\/pulmonary disease with exacerbation COPD<\/a><\/p>\n\n\n\n<p><a><strong>T38.0x6A<\/strong>-Under-dosing of prednisone (classified as glucocorticoid and synthetic analogue) initial encounter<\/a><\/p>\n\n\n\n<p><a><strong>Z91.128<\/strong>-Intentional under-dosing<\/a><\/p>\n\n\n\n<p><a><strong>A 32-year-old female patient presents with right arm (dominant) paralysis due to childhood poliomyelitis.<\/strong><\/a><\/p>\n\n\n\n<p><a>G83.21, B91<\/a><\/p>\n\n\n\n<p><a>A80.39, G83.21<\/a><\/p>\n\n\n\n<p><a>A80.39<\/a><\/p>\n\n\n\n<p><a>A80.39<\/a><\/p>\n\n\n\n<p><a><strong>G83.21<\/strong>-Right arm [dominant] paralysis (monoplegia)<\/a><\/p>\n\n\n\n<p><a><strong>B91<\/strong>-Due to childhood [sequela] poliomyelitis&nbsp;<em>Sequela=Poliomyelitis (acute)=B91<\/em><\/a><\/p>\n\n\n\n<p><a><strong>A patient is admitted with fever and severe headache. The physician\u2019s diagnostic statement at discharge is: fever and severe headache possibly due to viral meningitis.<\/strong><\/a><\/p>\n\n\n\n<p><a>A87.9<\/a><\/p>\n\n\n\n<p><a>A87.8<\/a><\/p>\n\n\n\n<p><a>A87.8, R50.9, R51<\/a><\/p>\n\n\n\n<p><a>A87.9, R50.9, R51<\/a><\/p>\n\n\n\n<p><a><strong>A87.9&nbsp;<\/strong>&#8211; Viral meningitis, unspecified<\/a><\/p>\n\n\n\n<p><a><strong>Patient is admitted to the hospital with facial droop and left-sided paralysis. CT scan of the brain shows subdural hematoma. Burr holes were performed to evacuate the hematoma<\/strong>.<\/a><\/p>\n\n\n\n<p><a>61314<\/a><\/p>\n\n\n\n<p><a>61150<\/a><\/p>\n\n\n\n<p><a>61156<\/a><\/p>\n\n\n\n<p><a>61154<\/a><\/p>\n\n\n\n<p><a><strong>61154&nbsp;<\/strong>-Burr holes with evacuation and\/or drainage of hematoma extradural or subdural<\/a><\/p>\n\n\n\n<p><a><strong>Identify the correct root operation for the following:<\/strong><\/a><\/p>\n\n\n\n<p><a><strong>Uterine dilation and curettage<\/strong><\/a><\/p>\n\n\n\n<p><a>dilation<\/a><\/p>\n\n\n\n<p><a>destruction<\/a><\/p>\n\n\n\n<p><a>extraction<\/a><\/p>\n\n\n\n<p><a>excision<\/a><\/p>\n\n\n\n<p><a><strong>extraction<\/strong><\/a><\/p>\n\n\n\n<p><a><strong>Patient comes in through the emergency room with a wound that was caused by an electric saw. Patient is taken to the operating room where two ulna nerves are sutured.<\/strong><\/a><\/p>\n\n\n\n<p><a>64836, 64837<\/a><\/p>\n\n\n\n<p><a>64892, 69990<\/a><\/p>\n\n\n\n<p><a>64837<\/a><\/p>\n\n\n\n<p><a>64856, 64859<\/a><\/p>\n\n\n\n<p><a><strong>64836<\/strong>-Suture of distal nerve ulna motor<\/a><\/p>\n\n\n\n<p><a><strong>64837<\/strong>-Suture of each additional nerve hand or foot<\/a><\/p>\n\n\n\n<p><a><strong>Patient undergoes total thyroidectomy with parathyroid auto-transplantation<\/strong>.<\/a><\/p>\n\n\n\n<p><a>60520, 60500<\/a><\/p>\n\n\n\n<p><a>60260, 60512<\/a><\/p>\n\n\n\n<p><a>60240, 60512<\/a><\/p>\n\n\n\n<p><a>60650, 60500<\/a><\/p>\n\n\n\n<p><a><strong>60240<\/strong>-Thyroidectomy total or complete<\/a><\/p>\n\n\n\n<p><a><strong>60512<\/strong>-Parathyroid autotransplantation&nbsp;<\/a><\/p>\n\n\n\n<p><strong>The baby was having trouble passing through the vaginal canal, so Dr. Jones use forceps to help him along. Baby Boy was born at 12:57 pm. The root operation term used for this ICD-10-PCS code is:<\/strong><\/p>\n\n\n\n<p>-Extraction: pulling or stripping out or off all or a portion of a body part by the use of force<\/p>\n\n\n\n<p>-Delivery: assisting the passage of the products of conception from the genital canal<\/p>\n\n\n\n<p>-Abortion: artificially terminating a pregnancy<\/p>\n\n\n\n<p>-Drainage: taking or letting out fluids and\/or gases from a body part<\/p>\n\n\n\n<p><a><strong>Extraction<\/strong>: pulling or stripping out or off all or a portion of a body part by the use of force<\/a><\/p>\n\n\n\n<p><a><strong>A patient is admitted for chemotherapy for treatment of liver metastasis from previous breast cancer. She had a mastectomy 4 months ago. Chemotherapy is given today.<\/strong><\/a><\/p>\n\n\n\n<p><a>Z51.11, C78.7, Z85.3<\/a><\/p>\n\n\n\n<p><a>C78.7, C85.3, Z51.11<\/a><\/p>\n\n\n\n<p><a>C85.3, C78.7, Z51.11<\/a><\/p>\n\n\n\n<p><a>C78.7, Z85.3<\/a><\/p>\n\n\n\n<p><a><strong>Z51.11<\/strong>&#8211; Admitted for chemotherapy<\/a><\/p>\n\n\n\n<p><a><strong>C78.7<\/strong>&#8211; Metastasis [secondary] neoplasm of liver<\/a><\/p>\n\n\n\n<p><a><strong>Z85.3<\/strong>-[Personal history] breast cancer<\/a><\/p>\n\n\n\n<p><a><strong>Patient has a history of hiatal hernia for many years, which has progressively gotten worse. The decision to repair the hernia was made, and the patient was sent to the operating room where the repair took place via the thorax and abdomen.<\/strong><\/a><\/p>\n\n\n\n<p><a>43332<\/a><\/p>\n\n\n\n<p><a>43336<\/a><\/p>\n\n\n\n<p><a>39545<\/a><\/p>\n\n\n\n<p><a>39503<\/a><\/p>\n\n\n\n<p><a><strong>43336<\/strong>-(repair, para esophageal hiatal hernia via thoracoabdominal incision)<\/a><\/p>\n\n\n\n<p><a><strong>Face-lift utilizing the superficial musculoaponeurotic system (SMAS) flap technique.<\/strong><\/a><\/p>\n\n\n\n<p><a>15829<\/a><\/p>\n\n\n\n<p><a>15825<\/a><\/p>\n\n\n\n<p><a>15788<\/a><\/p>\n\n\n\n<p><a>15828<\/a><\/p>\n\n\n\n<p><a><strong>15829<\/strong>&#8211; Superficial musculoaponeurotic system (SMAS) flap<\/a><\/p>\n\n\n\n<p><a><strong>A patient is admitted with an exercise-induced bronchospasm<\/strong>.<\/a><\/p>\n\n\n\n<p><a>J45.902<\/a><\/p>\n\n\n\n<p><a>J45.901<\/a><\/p>\n\n\n\n<p><a>J45.32<\/a><\/p>\n\n\n\n<p><a>J45.990<\/a><\/p>\n\n\n\n<p><a><strong>J45.990-<\/strong>Exercised-induced bronchospasm<\/a><\/p>\n\n\n\n<p><a><strong>Patient with chronic otitis media requiring trans tympanic Eustachian tube catheterization.<\/strong><\/a><\/p>\n\n\n\n<p><a>69424<\/a><\/p>\n\n\n\n<p><a>69420<\/a><\/p>\n\n\n\n<p><a>69421<\/a><\/p>\n\n\n\n<p><a>69799<\/a><\/p>\n\n\n\n<p><a><strong>69799<\/strong>-unlisted procedure, middle ear<\/a><\/p>\n\n\n\n<p><a><strong>A patient is admitted with anemia due to end-stage renal disease. The patient is treated for anemia.<\/strong><\/a><\/p>\n\n\n\n<p><a>N18.6, D63.8<\/a><\/p>\n\n\n\n<p><a>D63.1<\/a><\/p>\n\n\n\n<p><a>D63.1, N18.5<\/a><\/p>\n\n\n\n<p><a>N18.6, D63.1<\/a><\/p>\n\n\n\n<p><a><strong>N18.6<\/strong>&#8211; End-stage renal disease<\/a><\/p>\n\n\n\n<p><a><strong>D63.1<\/strong>&#8211; Anemia<\/a><\/p>\n\n\n\n<p><a><strong>A patient admitted with gross hematuria and benign prostatic hypertrophy.<\/strong><\/a><\/p>\n\n\n\n<p><a>R31.0, N40.0<\/a><\/p>\n\n\n\n<p><a>R31.0, N40.1<\/a><\/p>\n\n\n\n<p><a>N40.1, R31.0<\/a><\/p>\n\n\n\n<p><a>N40.0, R31.0<\/a><\/p>\n\n\n\n<p><a><strong>R31.0<\/strong>&#8211; Gross hematuria<\/a><\/p>\n\n\n\n<p><a><strong>N40.0<\/strong>-Benign prostatic hypertrophy<\/a><\/p>\n\n\n\n<p><a><strong>Patient has been on the bone marrow transplant recipient list for 3 months. A perfect match was made, and the patient came in and received a peripheral stem cell transplant.<\/strong><\/a><\/p>\n\n\n\n<p><a>38240<\/a><\/p>\n\n\n\n<p><a>38230<\/a><\/p>\n\n\n\n<p><a>38242<\/a><\/p>\n\n\n\n<p><a>38241<\/a><\/p>\n\n\n\n<p><a><strong>38240<\/strong>-hematopoietic progenitor cell (HPC) allogenic transplantation per donor<\/a><\/p>\n\n\n\n<p><a><strong>Patient presents to the hospital with ulcer of the right foot. Patient is taken to the operating room where a revision of the right metatarsal head is performed.<\/strong><\/a><\/p>\n\n\n\n<p><a>28111-RT<\/a><\/p>\n\n\n\n<p><a>28104-RT<\/a><\/p>\n\n\n\n<p><a>28288-RT<\/a><\/p>\n\n\n\n<p><a>28899-RT<\/a><\/p>\n\n\n\n<p><a><strong>28899-RT<\/strong>-Unlisted procedure foot &amp; toes<em>&nbsp;(Right side)<\/em><\/a><\/p>\n\n\n\n<p><a><strong>Laparoscopic repair of umbilical hernia<\/strong><\/a><\/p>\n\n\n\n<p><a>49585<\/a><\/p>\n\n\n\n<p><a>49580<\/a><\/p>\n\n\n\n<p><a>49654<\/a><\/p>\n\n\n\n<p><a>49652<\/a><\/p>\n\n\n\n<p><a><strong>49652<\/strong>-Laparoscopy surgical repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion when performed). reducible<\/a><\/p>\n\n\n\n<p><strong>Patient was admitted with hemoptysis and underwent a bronchoscopy with transbronchial lung biopsy. Following the bronchoscopy, the patient was taken to the operating room where a left lower lobe lobectomy was performed without complications. Pathology reported large cell carcinoma of the left lower lobe.<\/strong><\/p>\n\n\n\n<p>31628, 32480<\/p>\n\n\n\n<p>32405, 32484<\/p>\n\n\n\n<p>31625<\/p>\n\n\n\n<p>32440<\/p>\n\n\n\n<p><a><strong>31628<\/strong>-Bronchoscopy with transbronchial lung biopsy single lobe.&nbsp;<\/a><\/p>\n\n\n\n<p><a><strong>32480<\/strong>-Removal of lung, other than pneumonectomy, single lobe (lobectomy)<\/a><\/p>\n\n\n\n<p><a><strong>Patient comes into his physician&#8217;s office complaining of wrist pain. Physician gives the patient an injection and sends the patient to the hospital for an arthrography. Code the complete procedure.<\/strong><\/a><\/p>\n\n\n\n<p><a>73110<\/a><\/p>\n\n\n\n<p><a>25246, 73115<\/a><\/p>\n\n\n\n<p><a>73115<\/a><\/p>\n\n\n\n<p><a>73100<\/a><\/p>\n\n\n\n<p><a><strong>25246<\/strong>-Injection procedure for wrist arthrography&nbsp;<\/a><\/p>\n\n\n\n<p><a><strong>73115-<\/strong>Radiologic examination wrist arthrography radiological supervision &amp; interpretation&nbsp;<\/a><\/p>\n\n\n\n<p><a><strong>In ICD-10-PCS, after being in the Substance Abuse Rehabilitation Clinic for a week, the patient met with the physician to discuss the adjustment of the psychiatric medication being prescribed.<\/strong><\/a><\/p>\n\n\n\n<p><a>HZ86ZZZ<\/a><\/p>\n\n\n\n<p><a>HZ99ZZZ<\/a><\/p>\n\n\n\n<p><a>HZ88ZZZ<\/a><\/p>\n\n\n\n<p><a>HZ98ZZZ<\/a><\/p>\n\n\n\n<p><a><strong>HZ88ZZZ<\/strong>-(Substance Abuse Treatment program, psychiatric medication evaluation)<\/a><\/p>\n\n\n\n<p><a>1. Section = H (The Substance Abuse Treatment Section)<\/a><\/p>\n\n\n\n<p><a>2. Body system = Z (None)<\/a><\/p>\n\n\n\n<p><a>3. Root operation = 8 (Medication Management)<\/a><\/p>\n\n\n\n<p><a>4. Qualifier = 8 (Psychiatric Medication)<\/a><\/p>\n\n\n\n<p><a>5. Qualifier = Z (None)<\/a><\/p>\n\n\n\n<p><a>6. Qualifier = Z (None)<\/a><\/p>\n\n\n\n<p><a>7. Qualifier = Z (None)<\/a><\/p>\n\n\n\n<p><a><strong>Caloric vestibular test using air, monothermal<\/strong><\/a><\/p>\n\n\n\n<p><a>92537, 92700<\/a><\/p>\n\n\n\n<p><a>92537<\/a><\/p>\n\n\n\n<p><a>92537, 92537<\/a><\/p>\n\n\n\n<p><a>92538<\/a><\/p>\n\n\n\n<p><a><strong>92538<\/strong>-caloric vestibular test with recording, bilateral; monothermal<\/a><\/p>\n\n\n\n<p><a><strong>Open I&amp;D of a deep abscess of the cervical spine<\/strong><\/a><\/p>\n\n\n\n<p><a>22015<\/a><\/p>\n\n\n\n<p><a>10140<\/a><\/p>\n\n\n\n<p><a>22010<\/a><\/p>\n\n\n\n<p><a>10060<\/a><\/p>\n\n\n\n<p><a><strong>22010-<\/strong>incision and drainage, open, of deep abscess, spine, cervical<\/a><\/p>\n\n\n\n<p><a><strong>Patient was admitted to the hospital for cosmetic surgery due to massive weight loss. Liposuction of the abdomen and bilateral thighs was performed.<\/strong><\/a><\/p>\n\n\n\n<p><a>15830<\/a><\/p>\n\n\n\n<p><a>15839<\/a><\/p>\n\n\n\n<p><a>15830, 15833, 15833<\/a><\/p>\n\n\n\n<p><a>15877, 15879-50<\/a><\/p>\n\n\n\n<p><a><strong>15877-<\/strong>suction assisted lipectomy of trunk<\/a><\/p>\n\n\n\n<p><a><strong>15879-50-<\/strong>suction assisted lipectomy of lower extremity (thighs)<em>&nbsp;Modifier 50 for bilateral procedure<\/em><\/a><\/p>\n\n\n\n<p><a><strong>Trauma patient was rushed to the operating room with multiple injuries. Open reduction with internal fixation of intertrochanteric femoral fracture and open reduction of the tibial and fibula shaft with internal fixation were performed.<\/strong><\/a><\/p>\n\n\n\n<p><a>27244, 27758<\/a><\/p>\n\n\n\n<p><a>27245, 27759<\/a><\/p>\n\n\n\n<p><a>27248, 27756<\/a><\/p>\n\n\n\n<p><a>20690<\/a><\/p>\n\n\n\n<p><a><strong>27244<\/strong>-Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture with plate\/screw type implant, with or without cerclage<\/a><\/p>\n\n\n\n<p><a><strong>27758-&nbsp;<\/strong>Open treatment of tibial shaft fracture with or without fibular fracture. With plate\/screws with or without cerclage<\/a><\/p>\n\n\n\n<p><strong>A woman experienced third-degree burns to her left thigh and second-degree burns to her right and left foot, initial encounter. She stated that the burns were from an accidental spill of hot coffee at a nearby caf\u00e9.<\/strong><\/p>\n\n\n\n<p>T24.312A, T25.221A, T25.222A, X10.0xxA, Y92.511<\/p>\n\n\n\n<p>T24.31xA, T24.331A, T24.332A<\/p>\n\n\n\n<p>T24.719A, T25.222A, T25.221A<\/p>\n\n\n\n<p>T24.319A, T25.229A, Y92.511<\/p>\n\n\n\n<p><a><strong>T24.312A<\/strong>&#8211; Third-degree burns, left thigh, initial encounter<\/a><\/p>\n\n\n\n<p><a><strong>T25.221A<\/strong>-Second-degree burns, right foot, initial encounter<\/a><\/p>\n\n\n\n<p><a><strong>T25.222A<\/strong>-Second-degree burns, left foot, initial encounter<\/a><\/p>\n\n\n\n<p><a><strong>X10.0XXA<\/strong>&#8211; Contact with hot liquid [hot coffee], initial encounter<\/a><\/p>\n\n\n\n<p><a><strong>Y92.511-<\/strong>Caf\u00e9 [restaurant]<\/a><\/p>\n\n\n\n<p><a><strong>A 67-year-old man is admitted with acute dehydration secondary to lymphocytic colitis previously diagnosed as acute gastroenteritis. He is treated with IV fluids for the dehydration.<\/strong><\/a><\/p>\n\n\n\n<p><a>E86.0, E11.9, K52.832<\/a><\/p>\n\n\n\n<p><a>E86.0, K52.832<\/a><\/p>\n\n\n\n<p><a>E11.2, K52.9, E86.0<\/a><\/p>\n\n\n\n<p><a>K52.9, E86.0<\/a><\/p>\n\n\n\n<p><a><strong>E86.0<\/strong>-Dehydration&nbsp;<\/a><\/p>\n\n\n\n<p><a><strong>K52.832<\/strong>-Lymphocytic colitis<\/a><\/p>\n\n\n\n<p><a><strong>Dr. Smith replaced the patient\u2019s L2 vertebra with a prosthetic vertebra during this open procedure. The ICD-10-PCS code to report is<\/strong>:(Check image at right)<\/a><\/p>\n\n\n\n<p><a>0QR00JZ<\/a><\/p>\n\n\n\n<p><a>0QR00KZ<\/a><\/p>\n\n\n\n<p><a>0QR107Z<\/a><\/p>\n\n\n\n<p><a>0QR03JZ<\/a><\/p>\n\n\n\n<p><a><strong>0QR00JZ<\/strong>-(Replacement of L2 vertebra, open)<\/a><\/p>\n\n\n\n<p><a>1. Section = 0 (The Surgery Section)<\/a><\/p>\n\n\n\n<p><a>2. Body system = Q (Lower bones)<\/a><\/p>\n\n\n\n<p><a>3. Root operation = R (Replacement)<\/a><\/p>\n\n\n\n<p><a>4. Body Part = 0 (Lumbar vertebra)<\/a><\/p>\n\n\n\n<p><a>5. Approach = 0 (Open)<\/a><\/p>\n\n\n\n<p><a>6. Device = J (Synthetic substitute)<\/a><\/p>\n\n\n\n<p><a>7. Qualifier = Z (No qualifier)<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/kV1Gya06ZzsBXavtNTTCjg.png\" alt=\"Image: Dr. Smith replaced the patient's L2 vertebra with a prosthetic vertebra during this open procedure. The ICD-10-PCS code to report is:(Check image at right)\n0QR00JZ\n0QR00KZ\n0QR107Z\n0QR03JZ\"\/><\/figure>\n\n\n\n<p><strong>Sophie came in to see her regular physician to ask him to complete the paperwork so Medicare will pay for her wheelchair. The code for this is:<\/strong><\/p>\n\n\n\n<p><strong>Z00.00<\/strong>&nbsp;Encounter for general adult medical examination without abnormal findings<\/p>\n\n\n\n<p><strong>Z02.79<\/strong>&nbsp;Encounter for issue of other medical certificate<\/p>\n\n\n\n<p><strong>Z04.2<\/strong>&nbsp;Encounter for examination and observation following work accident<\/p>\n\n\n\n<p><strong>Z07.1<\/strong>&nbsp;Encounter for disability determination [Encounter for issue of medical certificate of incapacity]<\/p>\n\n\n\n<p>A) Z04.2<\/p>\n\n\n\n<p>B) Z07.1<\/p>\n\n\n\n<p>C) Z00.00<\/p>\n\n\n\n<p>D) Z02.79<\/p>\n\n\n\n<p><a><strong>Z07.1<\/strong>-Encounter for disability determination [Encounter for issue of medical certificate of incapacity]<\/a><\/p>\n\n\n\n<p><a><strong>A physician orders a lipid panel on a 54-year-old male with hypercholesterolemia, hypertension, and a family history of heart disease. The lab employee in his office performs and reports the total cholesterol and HDL cholesterol only.<\/strong><\/a><\/p>\n\n\n\n<p><a>82465, 84478<\/a><\/p>\n\n\n\n<p><a>82465, 83718<\/a><\/p>\n\n\n\n<p><a>80061<\/a><\/p>\n\n\n\n<p><a>80061-52<\/a><\/p>\n\n\n\n<p><a><strong>82465-<\/strong>Cholesterol, serum or whole blood total<\/a><\/p>\n\n\n\n<p><a><strong>83718-<\/strong>Lipoprotein direct measurement high density cholesterol, (HDL)<\/a><\/p>\n\n\n\n<p><a><strong>Patient undergoes enucleation of left eye, and muscles were reattached to an implant.<\/strong><\/a><\/p>\n\n\n\n<p><a>65730-LT<\/a><\/p>\n\n\n\n<p><a>65103-LT<\/a><\/p>\n\n\n\n<p><a>65105-LT<\/a><\/p>\n\n\n\n<p><a>65135-LT<\/a><\/p>\n\n\n\n<p><a><strong>65105-LT&nbsp;<\/strong>enucleation of eye; with implant, muscles attached to implant..&nbsp;<em>A modifier of -LT should be added to this code to indicate it was the left eye.<\/em><\/a><\/p>\n\n\n\n<p><a><strong>In ICD-10-PCS, percutaneous radio frequency ablation of the left vocal cord<\/strong><\/a><\/p>\n\n\n\n<p><a>0C5V3ZZ<\/a><\/p>\n\n\n\n<p><a>0CPS30Z<\/a><\/p>\n\n\n\n<p><a>0CBV3ZZ<\/a><\/p>\n\n\n\n<p><a>0CVC0ZZ<\/a><\/p>\n\n\n\n<p><a><strong>0C5V3ZZ<\/strong>&#8211; (Percutaneous radio-frequency ablation of the left vocal cord)<\/a><\/p>\n\n\n\n<p><a>1. Section = 0 (The Surgery Section)<\/a><\/p>\n\n\n\n<p><a>2. Body system = C (Mouth and Throat) (The vocal cords are in the throat .)<\/a><\/p>\n\n\n\n<p><a>3. Root operation = 5 (Destruction) (Ablation = surgical destruction of a body part)<\/a><\/p>\n\n\n\n<p><a>4. Body part = V (Vocal cord, left)<\/a><\/p>\n\n\n\n<p><a>5. Approach = 3 (Percutaneous approach)<\/a><\/p>\n\n\n\n<p><a>6. Device = Z (No device)<\/a><\/p>\n\n\n\n<p><a>7. Qualifier = Z (No Qualifier)<\/a><\/p>\n\n\n\n<p><a><strong>In ICD-10-PCS, percutaneous endoscopic clipping cerebral aneurysm<\/strong><\/a><\/p>\n\n\n\n<p><a>03VG4CZ<\/a><\/p>\n\n\n\n<p><a>03LG0DZ<\/a><\/p>\n\n\n\n<p><a>03CG0ZZ<\/a><\/p>\n\n\n\n<p><a>03BG0ZZ<\/a><\/p>\n\n\n\n<p><a><strong>03VG4CZ-(<\/strong>Percutaneous endoscopic clipping cerebral aneurysm)<\/a><\/p>\n\n\n\n<p><a>1. Section = 0 (The Surgery Section)<\/a><\/p>\n\n\n\n<p><a>2. Body system = 3 (Upper arteries) Cerebral arteries are in the brain<\/a><\/p>\n\n\n\n<p><a>3. Root operation = V (Restriction)<\/a><\/p>\n\n\n\n<p><a>4. Body part = G (Intracranial artery)<\/a><\/p>\n\n\n\n<p><a>5. Approach = 4 (Percutaneous endoscopic approach)<\/a><\/p>\n\n\n\n<p><a>6. Device = C (Extraluminal device)<\/a><\/p>\n\n\n\n<p><a>7. Qualifier = Z (No Qualifier)<\/a><\/p>\n\n\n\n<p><a><strong>A patient is admitted with dermatitis due to prescription topical antibiotic cream used as directed by a physician, initial encounter.<\/strong><\/a><\/p>\n\n\n\n<p><a>T49.0x5, L25.1<\/a><\/p>\n\n\n\n<p><a>L25.1, T49.0x5A<\/a><\/p>\n\n\n\n<p><a>L08.89, T49.0x5<\/a><\/p>\n\n\n\n<p><a>L02.91, T49.0x5<\/a><\/p>\n\n\n\n<p><a><strong>L25.1<\/strong>-Dermatitis due to drugs in contact with skin<\/a><\/p>\n\n\n\n<p><a><strong>T49.0x5A-<\/strong>Topical antibiotic cream causing an adverse effect, initial encounter<\/a><\/p>\n\n\n\n<p><a><strong>A patient is admitted with acute ST inferolateral wall myocardial infarction. Several days later during the same episode of care, the patient sustained a subsequent non-ST subendocardial myocardial infarction.<\/strong><\/a><\/p>\n\n\n\n<p><a>I21.19, I22.2<\/a><\/p>\n\n\n\n<p><a>I21.09, I22.8<\/a><\/p>\n\n\n\n<p><a>I22.2, I21.02<\/a><\/p>\n\n\n\n<p><a>I21.02, I22.8<\/a><\/p>\n\n\n\n<p><a><strong>I21.19-<\/strong>ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall<\/a><\/p>\n\n\n\n<p><a><strong>I22.2-&nbsp;<\/strong>Subsequent Non-ST elevation (NSTEMI) myocardial infarction<\/a><\/p>\n\n\n\n<p><a><strong>In ICD-10-PCS, EGD with removal FB from duodenum<\/strong><\/a><\/p>\n\n\n\n<p><a>0D898ZZ<\/a><\/p>\n\n\n\n<p><a>0DC98ZZ<\/a><\/p>\n\n\n\n<p><a>0DF98ZZ<\/a><\/p>\n\n\n\n<p><a>0D798ZZ<\/a><\/p>\n\n\n\n<p><a><strong>0DC98ZZ<\/strong>-(EGD with removal FB from duodenum)<\/a><\/p>\n\n\n\n<p><a>1. Section = 0 (The Surgery Section)<\/a><\/p>\n\n\n\n<p><a>2. Body system = D (Gastrointestinal System) \u2013 An EGD (Esophogastroduodenoscopy)<\/a><\/p>\n\n\n\n<p><a>3. Root operation = C (Extirpation) \u2013 Removal of the FB (foreign body)<\/a><\/p>\n\n\n\n<p><a>4. Body part = 9 (Duodenum)<\/a><\/p>\n\n\n\n<p><a>5. Approach = 8 (Via natural or artificial opening endoscopic approach)<\/a><\/p>\n\n\n\n<p><a>6. Device = Z (No device)<\/a><\/p>\n\n\n\n<p><a>7. Qualifier = Z (No Qualifier)<\/a><\/p>\n\n\n\n<p><a><strong>In ICD-10-PCS, administration of a concentrated bone marrow aspirate, performed percutaneously in the muscle<\/strong><\/a><\/p>\n\n\n\n<p><a>XN54332<\/a><\/p>\n\n\n\n<p><a>XK02303<\/a><\/p>\n\n\n\n<p><a>XR2G021<\/a><\/p>\n\n\n\n<p><a>XRGC092<\/a><\/p>\n\n\n\n<p><a><strong>XK02303-<\/strong>&nbsp;(Administration, concentrated bone marrow aspirate, percutaneously in muscle)<\/a><\/p>\n\n\n\n<p><a>1. Section = X (The New Technology Section)<\/a><\/p>\n\n\n\n<p><a>2. Body system = K (Muscles, Tendons, Bursae, and Ligaments)<\/a><\/p>\n\n\n\n<p><a>3. Root operation = 0 (Introduction)<\/a><\/p>\n\n\n\n<p><a>4. Body Part = 2 (Muscle)<\/a><\/p>\n\n\n\n<p><a>5. Approach = 3 (Percutaneous)<\/a><\/p>\n\n\n\n<p><a>6. Device\/Substance\/Technology = 0 (Concentrated bone marrow aspirate)<\/a><\/p>\n\n\n\n<p><a>7. Qualifier = 3 (New Technology Group 3)<\/a><\/p>\n\n\n\n<p><a><strong>A D&amp;C is performed for postpartum hemorrhage.<\/strong><\/a><\/p>\n\n\n\n<p><a>59160<\/a><\/p>\n\n\n\n<p><a>58558<\/a><\/p>\n\n\n\n<p><a>58578<\/a><\/p>\n\n\n\n<p><a>58120<\/a><\/p>\n\n\n\n<p><a><strong>59160-&nbsp;<\/strong>Curettage, postpartum<\/a><\/p>\n\n\n\n<p><a><strong>Patient is admitted for a blepharoplasty of the left lower eyelid and a repair for a tarsal strip of the left upper lid.<\/strong><\/a><\/p>\n\n\n\n<p><a>67917-E1, 15822-E2<\/a><\/p>\n\n\n\n<p><a>67917-E1, 15820-E2<\/a><\/p>\n\n\n\n<p><a>67917-E1, 15823-E2<\/a><\/p>\n\n\n\n<p><a>67917-E1<\/a><\/p>\n\n\n\n<p><a><strong>67917-E1-<\/strong>repair of the tarsal strip (ectropion). (<em>E1 is a modifier meaning left upper eyelid).<\/em><\/a><\/p>\n\n\n\n<p><a><strong>15820-E2-<\/strong>Blepharoplasty, lower eyelid.<em>(E2 is a modifier meaning lower left eyelid).<\/em><\/a><\/p>\n\n\n\n<p><a><strong>Creatinine clearance<\/strong><\/a><\/p>\n\n\n\n<p><a>82565<\/a><\/p>\n\n\n\n<p><a>82575<\/a><\/p>\n\n\n\n<p><a>82550<\/a><\/p>\n\n\n\n<p><a>82585<\/a><\/p>\n\n\n\n<p><a><strong>82575&nbsp;<\/strong>creatinine clearance.<\/a><\/p>\n\n\n\n<p><strong>Dr. Gastron fulgurated a rectal polyp of the patient. The root operation term used for this ICD-10-PCS code is:<\/strong><\/p>\n\n\n\n<p>A)&nbsp;<strong>Extraction<\/strong>: pulling or stripping out or off all or a portion of a body part by the use of force<\/p>\n\n\n\n<p>B)&nbsp;<strong>Destruction<\/strong>: physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent<\/p>\n\n\n\n<p>C)&nbsp;<strong>Extirpation<\/strong>: taking or cutting out solid matter from a body part<\/p>\n\n\n\n<p>D)&nbsp;<strong>Removal<\/strong>: taking out or off a device from a body part<\/p>\n\n\n\n<p><a><strong>Destruction<\/strong>: physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent<\/a><\/p>\n\n\n\n<p><a><strong>The patient was brought into the ED with an embolism in her right pulmonary vein. Dr. Rogers brought her into the procedure room to fragment the clot. This is reported from the ______ Body System character of the ICD-10-PCS code.<\/strong><\/a><\/p>\n\n\n\n<p><a>Upper veins<\/a><\/p>\n\n\n\n<p><a>Lower arteries<\/a><\/p>\n\n\n\n<p><a>Upper arteries<\/a><\/p>\n\n\n\n<p><a>Heart and great vessels<\/a><\/p>\n\n\n\n<p><a><strong>Heart and great vessels<\/strong><\/a><\/p>\n\n\n\n<p><a><strong>A patient is admitted with withdrawal delirium tremens with alcohol dependence.<\/strong><\/a><\/p>\n\n\n\n<p><a>F10.229<\/a><\/p>\n\n\n\n<p><a>F10.221<\/a><\/p>\n\n\n\n<p><a>F10.121<\/a><\/p>\n\n\n\n<p><a>F10.231<\/a><\/p>\n\n\n\n<p><a><strong>F10.231<\/strong>-Withdrawal delirium tremens with alcohol dependence<\/a><\/p>\n\n\n\n<p><a><strong>A male patient is admitted with gastrointestinal hemorrhage resulting in acute blood-loss anemia. A bleeding scan fails to reveal the source of the bleeding.<\/strong><\/a><\/p>\n\n\n\n<p><a>K92.2, D63.8<\/a><\/p>\n\n\n\n<p><a>K92.0, D63.8<\/a><\/p>\n\n\n\n<p><a>K92.2, D62<\/a><\/p>\n\n\n\n<p><a>K92.1, D62<\/a><\/p>\n\n\n\n<p><a><strong>K92.2<\/strong>-Gastrointestinal hemorrhage<\/a><\/p>\n\n\n\n<p><a><strong>D62-<\/strong>Acute blood-loss anemia<\/a><\/p>\n\n\n\n<p><a><strong>In ICD-10-PCS, laparoscopic appendectomy<\/strong><\/a><\/p>\n\n\n\n<p><a>0DNJ4ZZ<\/a><\/p>\n\n\n\n<p><a>0DTJ4ZZ<\/a><\/p>\n\n\n\n<p><a>0DBJ4ZZ<\/a><\/p>\n\n\n\n<p><a>0DTJ8ZZ<\/a><\/p>\n\n\n\n<p><a><strong>0DTJ4ZZ- (<\/strong>Laparoscopic appendectomy)<\/a><\/p>\n\n\n\n<p><a>1. Section = 0 (The Surgery Section)<\/a><\/p>\n\n\n\n<p><a>2. Body system = D (Gastrointestinal system) (The appendix is part of the lower gastrointestinal system.)<\/a><\/p>\n\n\n\n<p><a>3. Root operation = T (Resection) (The entire appendix was removed, so it is resection<\/a><\/p>\n\n\n\n<p><a>4. Body part = J (Appendix)<\/a><\/p>\n\n\n\n<p><a>5. Approach = 4 (Percutaneous endoscopic approach)) Laparoscopy is a percutaneous endoscopic procedure<\/a><\/p>\n\n\n\n<p><a>6. Device = Z (No device)<\/a><\/p>\n\n\n\n<p><a>7. Qualifier = Z (No Qualifier)<\/a><\/p>\n\n\n\n<p><a><strong>Patient presents to the operating room for excision of a 4.5 cm malignant melanoma of the left forearm. A 6 cm x 6 cm (36 sq cm) rotation flap was created for closure<\/strong>.&nbsp;<\/a><\/p>\n\n\n\n<p><a>14301<\/a><\/p>\n\n\n\n<p><a>11606, 14020<\/a><\/p>\n\n\n\n<p><a>14021<\/a><\/p>\n\n\n\n<p><a>11606, 15100<\/a><\/p>\n\n\n\n<p><a><strong>14301-&nbsp;<\/strong>Adjacent tissue transfer or rearrangement any area defect 30.1 sq cm to 60.0 sq cm<\/a><\/p>\n\n\n\n<p><a><strong>Patient has been diagnosed with prostate cancer. Patient arrived in the operating room where a therapeutic orchiectomy is performed.<\/strong><\/a><\/p>\n\n\n\n<p><a>54530<\/a><\/p>\n\n\n\n<p><a>55899<\/a><\/p>\n\n\n\n<p><a>54520<\/a><\/p>\n\n\n\n<p><a>54560<\/a><\/p>\n\n\n\n<p><a><strong>54520&nbsp;<\/strong>&#8211; orchiectomy, simple<\/a><\/p>\n\n\n\n<p><a><strong>Young child presents with cleft lip and cleft palate. This is the first attempt of repair, which includes major revision of the cleft palate and unilateral cleft lip repair<\/strong>.<\/a><\/p>\n\n\n\n<p><a>42220, 40720<\/a><\/p>\n\n\n\n<p><a>42225, 40700<\/a><\/p>\n\n\n\n<p><a>42200, 40701<\/a><\/p>\n\n\n\n<p><a>42215, 40700<\/a><\/p>\n\n\n\n<p><a><strong>42215 &#8211;&nbsp;<\/strong>Palatoplasty for cleft palate, major revision<\/a><\/p>\n\n\n\n<p><a><strong>40700-&nbsp;<\/strong>Plastic repair of cleft lip\/nasal deformity, primary partial or complete unilateral<\/a><\/p>\n\n\n\n<p><a><strong>Chlamydia culture<\/strong><\/a><\/p>\n\n\n\n<p><a>87110<\/a><\/p>\n\n\n\n<p><a>87109, 87168<\/a><\/p>\n\n\n\n<p><a>87118<\/a><\/p>\n\n\n\n<p><a>87106<\/a><\/p>\n\n\n\n<p><a><strong>87110<\/strong>&nbsp;&#8211; culture, chlamydia<\/a><\/p>\n\n\n\n<p><a><strong>A 10 sq cm epidermal auto-graft to the face from the back<\/strong><\/a><\/p>\n\n\n\n<p><a>15110<\/a><\/p>\n\n\n\n<p><a>15110, 15115<\/a><\/p>\n\n\n\n<p><a>15115<\/a><\/p>\n\n\n\n<p><a>15120<\/a><\/p>\n\n\n\n<p><a><strong>15115-<\/strong>Epidermal autograph, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and\/or multiple digits. First 100 sq cm or less, or 1% of body area of infants and children.<\/a><\/p>\n\n\n\n<p><a><strong>A woman has a Pap smear that detected cervical high-risk human papillomavirus (HPV). The DNA test was positive.<\/strong><\/a><\/p>\n\n\n\n<p><a>R87.811<\/a><\/p>\n\n\n\n<p><a>R87.820<\/a><\/p>\n\n\n\n<p><a>R87.810<\/a><\/p>\n\n\n\n<p><a>R87.9<\/a><\/p>\n\n\n\n<p><a><strong>R87.810-<\/strong>&nbsp;Cervical Pap smear, DNA positive<\/a><\/p>\n\n\n\n<p><a><strong>A patient developed a malunion of the left medial condyle humeral fracture. The original injury occurred 4 months ago<\/strong>.<\/a><\/p>\n\n\n\n<p><a>S42.462D<\/a><\/p>\n\n\n\n<p><a>S42.462P<\/a><\/p>\n\n\n\n<p><a>S42.462G<\/a><\/p>\n\n\n\n<p><a>S42.462K<\/a><\/p>\n\n\n\n<p><a><strong>S42.462P-&nbsp;<\/strong>Fracture, medial condyle humeral fracture, malunion, (P)=subsequent encounter<\/a><\/p>\n\n\n\n<p><a><strong>In the Medical Surgical Section of ICD-10-PCS, the second character position represents which of the following?<\/strong><\/a><\/p>\n\n\n\n<p><a>body part<\/a><\/p>\n\n\n\n<p><a>approach<\/a><\/p>\n\n\n\n<p><a>body system<\/a><\/p>\n\n\n\n<p><a>qualifier<\/a><\/p>\n\n\n\n<p><a><strong>body system<\/strong><\/a><\/p>\n\n\n\n<p><a><strong>Identify the correct root operation term used in ICD-10-PCS for the following:<\/strong><\/a><\/p>\n\n\n\n<p><a><strong><em>A transfusion of whole blood was administered to the patient.<\/em><\/strong><\/a><\/p>\n\n\n\n<p><a>administration<\/a><\/p>\n\n\n\n<p><a>transfusion<\/a><\/p>\n\n\n\n<p><a>irrigation<\/a><\/p>\n\n\n\n<p><a>introduction<\/a><\/p>\n\n\n\n<p><a><strong>transfusion<\/strong><\/a><\/p>\n\n\n\n<p><strong>An established patient returns to the physician&#8217;s office for follow-up on his hypertension and diabetes. The physician takes the blood pressure and references the patient&#8217;s last three glucose tests. The patient is still running above-normal glucose levels, so the physician decides to adjust the patient&#8217;s insulin. An expanded history was taken, and a physical examination was performed.<\/strong><\/p>\n\n\n\n<p>99213<\/p>\n\n\n\n<p>99202<\/p>\n\n\n\n<p>99232<\/p>\n\n\n\n<p>99214<\/p>\n\n\n\n<p><a><strong>99213-<\/strong>office visit for an already-established patient being seen for a follow-up visit. An expanded problem-focused history and medical decision making of low complexity<\/a><\/p>\n\n\n\n<p><a><strong>In the Medical Surgical Section of ICD-10-PCS, the fourth character position represents which of the following?<\/strong><\/a><\/p>\n\n\n\n<p><a>body part<\/a><\/p>\n\n\n\n<p><a>approach<\/a><\/p>\n\n\n\n<p><a>section<\/a><\/p>\n\n\n\n<p><a>body system<\/a><\/p>\n\n\n\n<p><a><strong>body part<\/strong><\/a><\/p>\n\n\n\n<p><strong>Patient has been followed by his primary care physician for elevated PSA. Patient underwent prostate needle biopsy in the physician&#8217;s office 2 weeks ago, and the final pathology was positive for carcinoma. Patient is admitted for prostatectomy. The frozen section of the prostate and one lymph node is positive for prostate cancer with metastatic disease to the lymph node. Prostatectomy became a radical perineal with bilateral pelvic lymphadenectomy.<\/strong><\/p>\n\n\n\n<p>55815<\/p>\n\n\n\n<p>55815, 38562<\/p>\n\n\n\n<p>38770<\/p>\n\n\n\n<p>55845<\/p>\n\n\n\n<p><a><strong>55815-<\/strong>&nbsp;Prostatectomy with a radical perineal and bilateral pelvic lymphadenectomy (prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy).&nbsp;<em>This code includes everything that was performed. No additional codes are needed<\/em><\/a><\/p>\n\n\n\n<p><a><strong>Patient presents to the operating room where a CABG x 3 is performed using the mammary artery and two sections of the saphenous vein.<\/strong><\/a><\/p>\n\n\n\n<p><a>33535<\/a><\/p>\n\n\n\n<p><a>33534, 33518, 33511<\/a><\/p>\n\n\n\n<p><a>33534, 33511<\/a><\/p>\n\n\n\n<p><a>33533, 33518<\/a><\/p>\n\n\n\n<p><a><strong>33533<\/strong>&#8211; Coronary artery bypass using arterial graft(s) single&nbsp;<\/a><\/p>\n\n\n\n<p><a><strong>33518<\/strong>&#8211; 2 venous grafts (list separately in addition to code for primary procedure)&nbsp;<\/a><\/p>\n\n\n\n<p><a><strong>Laparoscopic retroperitoneal lymph node biopsy<\/strong><\/a><\/p>\n\n\n\n<p><a>38589<\/a><\/p>\n\n\n\n<p><a>49323<\/a><\/p>\n\n\n\n<p><a>38780<\/a><\/p>\n\n\n\n<p><a>38570<\/a><\/p>\n\n\n\n<p><a><strong>38570-<\/strong>&nbsp;Laparoscopy with retroperitoneal lymph node biopsy<\/a><\/p>\n\n\n\n<p><a><strong>Laser destruction of extensive herpetic lesions of the vulva<\/strong><\/a><\/p>\n\n\n\n<p><a>56501<\/a><\/p>\n\n\n\n<p><a>56515<\/a><\/p>\n\n\n\n<p><a>17106<\/a><\/p>\n\n\n\n<p><a>17004<\/a><\/p>\n\n\n\n<p><a><strong>56515<\/strong>&#8211; Destruction of lesions, vulva; extensive<\/a><\/p>\n\n\n\n<p><a><strong>Identify the correct approach term used in ICD-10-PCS for the following:<\/strong><\/a><\/p>\n\n\n\n<p><a><strong><em>Laparoscopic cholecystectomy<\/em><\/strong><\/a><\/p>\n\n\n\n<p><a>percutaneous<\/a><\/p>\n\n\n\n<p><a>open<\/a><\/p>\n\n\n\n<p><a>percutaneous endoscopic<\/a><\/p>\n\n\n\n<p><a>external<\/a><\/p>\n\n\n\n<p><a><strong>percutaneous endoscopic<\/strong><\/a><\/p>\n\n\n\n<p><a><strong>In ICD-10-PCS, identify the approach for a needle biopsy.<\/strong><\/a><\/p>\n\n\n\n<p><a>percutaneous endoscopic<\/a><\/p>\n\n\n\n<p><a>percutaneous<\/a><\/p>\n\n\n\n<p><a>external<\/a><\/p>\n\n\n\n<p><a>opening<\/a><\/p>\n\n\n\n<p><a><strong>percutaneous<\/strong><\/a><\/p>\n\n\n\n<p><a><strong>A patient is admitted for rectal bleeding. The laboratory results reveal chronic blood-loss anemia. The CT and the bleeding scan results of the abdomen revealed that the rectal bleeding is due to Crohn\u2019s disease of the descending colon.<\/strong><\/a><\/p>\n\n\n\n<p><a>K50.011, D62<\/a><\/p>\n\n\n\n<p><a>K50.911, D50.0<\/a><\/p>\n\n\n\n<p><a>K50.111, D50.0<\/a><\/p>\n\n\n\n<p><a>K50.118, D50.0<\/a><\/p>\n\n\n\n<p><a><strong>K50.111<\/strong>&#8211; Crohn&#8217;s disease of large intestine with rectal bleeding.<\/a><\/p>\n\n\n\n<p><a><strong>D50.0<\/strong>&#8211; Iron deficiency anemia, secondary to blood loss (Chronic)<\/a><\/p>\n\n\n\n<p><a><strong>A patient is admitted for observation for a head injury. The patient was struck while playing football. The patient also suffered a minor laceration to the forehead. Head injury was ruled out.<\/strong><\/a><\/p>\n\n\n\n<p><a>S01.81xA<\/a><\/p>\n\n\n\n<p><a>Z71.4<\/a><\/p>\n\n\n\n<p><a>S01.81xA, Z71.4<\/a><\/p>\n\n\n\n<p><a>Z04.3, S01.81xA<\/a><\/p>\n\n\n\n<p><a><strong>Z04.3 &#8211;&nbsp;<\/strong>Observation, head injury, ruled out<\/a><\/p>\n\n\n\n<p><a><strong>S01.81xA-&nbsp;<\/strong>Minor laceration, forehead, (A)= initial encounter<\/a><\/p>\n\n\n\n<p><strong>Services were provided to a patient in the emergency room after the patient twisted her ankle stepping down from a curb. The emergency room physician ordered X-rays of the ankle, which came back negative for a fracture. A problem-focused history\/physical examination with straight forward decision making were performed, and ankle strapping was applied. A prescription for pain was given to the patient. Code the emergency room visit only.<\/strong><\/p>\n\n\n\n<p>99281<\/p>\n\n\n\n<p>99282<\/p>\n\n\n\n<p>99211<\/p>\n\n\n\n<p>99201<\/p>\n\n\n\n<p><strong>99281<\/strong>&nbsp;&#8211; physician completed a problem-focused history, problem-focused examination, and straightforward medical decision-making for an emergency department visit.<\/p>\n\n\n\n<p><em>(Code 99201 should not be used since it is for an office or other outpatient visit for a new patient. Code 99211 should not be used since it is for an office or other outpatient visit for an established patient. Although code 99282 is for an emergency room visit, it should not be used because it requires 3 components: expanded problem-focused history, expanded problem-focused examination, and medical decision-making of low complexity).<\/em><\/p>\n\n\n\n<p><strong>Patient was involved in an accident and has been sent to the hospital. During transport, the patient develops breathing problems and, upon arrival at the hospital, an emergency transtracheal tracheostomy was performed. Following various X-rays, the patient was diagnosed with traumatic pneumothorax. A thoracentesis with insertion of tube was performed<\/strong>.<\/p>\n\n\n\n<p>31610, 32555<\/p>\n\n\n\n<p>31610, 32554<\/p>\n\n\n\n<p>31603, 32554<\/p>\n\n\n\n<p>31603, 31612<\/p>\n\n\n\n<p><strong>31603, 32554&nbsp;<\/strong><em>(A code of 31603 is needed for the transtracheal tracheostomy procedure (tracheostomy, emergency procedure; transtracheal). An additional code of 32554 is needed for the thoracentesis procedure that was performed (thoracentesis, needle or catheter). Code 31610 should not be used since it is for tracheostomy, fenestration procedure with skin flaps. Code 32555 should not be used since it is for needle or catheter thoracentesis with aspiration of the pleural space with imaging guidance. Code 31612 should not be used since it is for percutaneous tracheal puncture with transtracheal aspiration and\/or injection)<\/em>.<\/p>\n\n\n\n<p><a><strong>A patient is admitted for gestational diabetes, insulin-controlled, 28 weeks gestation<\/strong>.<\/a><\/p>\n\n\n\n<p><a>O24.414, Z3A.28<\/a><\/p>\n\n\n\n<p><a>O24.414<\/a><\/p>\n\n\n\n<p><a>E11.69, O09.892<\/a><\/p>\n\n\n\n<p><a>O24.419, Z3A.28<\/a><\/p>\n\n\n\n<p><a><strong>O24.414<\/strong>&nbsp;&#8211; Gestational diabetes, insulin-controlled<\/a><\/p>\n\n\n\n<p><a><strong>Z3A.28<\/strong>&#8211; 28-week gestation<\/a><\/p>\n\n\n\n<p><a><strong>In ICD-10-PCS, left knee arthroscopy with reposition of the anterior horn medial meniscus<\/strong><\/a><\/p>\n\n\n\n<p><a>0MQP4ZZ<\/a><\/p>\n\n\n\n<p><a>0SSC4ZZ<\/a><\/p>\n\n\n\n<p><a>0MQP3ZZ<\/a><\/p>\n\n\n\n<p><a>0SSP0ZZ<\/a><\/p>\n\n\n\n<p><a><strong>0SSC4ZZ-&nbsp;<\/strong>Left knee arthroscopy with reposition of the anterior horn medial meniscus<\/a><\/p>\n\n\n\n<p><a>1. Section = 0 (The Surgery Section)<\/a><\/p>\n\n\n\n<p><a>2. Body system = S (Lower Joints)<\/a><\/p>\n\n\n\n<p><a>3. Root operation = S (Reposition)<\/a><\/p>\n\n\n\n<p><a>4. Body part = D (Knee Joint, Left)<\/a><\/p>\n\n\n\n<p><a>5. Approach = 4 (Percutaneous endoscopic approach)<\/a><\/p>\n\n\n\n<p><a>6. Device = Z (No device)<\/a><\/p>\n\n\n\n<p><a>7. Qualifier = Z (No Qualifier)<\/a><\/p>\n\n\n\n<p><a><strong>In ICD-10-PCS, removal FB left cornea<\/strong><\/a><\/p>\n\n\n\n<p><a>08D8XZZ<\/a><\/p>\n\n\n\n<p><a>08B8XZZ<\/a><\/p>\n\n\n\n<p><a>0858XZZ<\/a><\/p>\n\n\n\n<p><a>08C9XZZ<\/a><\/p>\n\n\n\n<p><a><strong>08C9XZZ<\/strong>&nbsp;&#8211; Removal FB left cornea<\/a><\/p>\n\n\n\n<p><a>1. Section = 0 (The Surgery Section)<\/a><\/p>\n\n\n\n<p><a>2. Body system = 8 (Eye) The cornea is a part of the eye<\/a><\/p>\n\n\n\n<p><a>3. Root operation = C (Extirpation) removing a FB (foreign body)<\/a><\/p>\n\n\n\n<p><a>4. Body part = 9 (Cornea, left)<\/a><\/p>\n\n\n\n<p><a>5. Approach = X (External approach)<\/a><\/p>\n\n\n\n<p><a>6. Device = Z (No device)<\/a><\/p>\n\n\n\n<p><a>7. Qualifier = Z (No Qualifier)<\/a><\/p>\n\n\n\n<p><strong>Patient arrives in the emergency room via a medical helicopter. The patient has sustained multiple life-threatening injuries due to a multiple-car accident. The patient goes into cardiac arrest 10 minutes after arrival. An hour and 30 minutes of critical care time is spent trying to stabilize the patient. Code only critical care.<\/strong><\/p>\n\n\n\n<p>99291, 99292<\/p>\n\n\n\n<p>99285, 99288, 99291<\/p>\n\n\n\n<p>99291, 99292, 99285<\/p>\n\n\n\n<p>99282<\/p>\n\n\n\n<p><strong>99291, 99292<\/strong><\/p>\n\n\n\n<p>Code&nbsp;<em>99291&nbsp;<\/em>should be used for the first 74 minutes of critical care in the emergency department. An additional code&nbsp;<em>99292&nbsp;<\/em>should also be reported for the remaining 16 minutes of critical care given to the patient in the emergency department.Code&nbsp;<em>99282&nbsp;<\/em>and code&nbsp;<em>99285&nbsp;<\/em>should not be used since these are codes for emergency department visits, not specifically critical care.<\/p>\n\n\n\n<p><a><strong>Identify the correct root operation term, used in ICD-10-PCS, for the following:<\/strong><\/a><\/p>\n\n\n\n<p><a><strong><em>Removal deep left vein thrombosis<\/em><\/strong><\/a><\/p>\n\n\n\n<p><a>excision<\/a><\/p>\n\n\n\n<p><a>resection<\/a><\/p>\n\n\n\n<p><a>removal<\/a><\/p>\n\n\n\n<p><a>extirpation<\/a><\/p>\n\n\n\n<p><a><strong>Extirpation<\/strong><\/a><\/p>\n\n\n\n<p><a><strong><em>(<\/em><\/strong>Excision: Cutting out or off, without replacement, a portion of a body part<\/a><\/p>\n\n\n\n<p><a>Extirpation: Taking or cutting out solid matter from a body part<\/a><\/p>\n\n\n\n<p><a>Removal: Taking out or off a device from a body part<\/a><\/p>\n\n\n\n<p><a>Resection: Cutting out or off, without replacement, all of a body part)<\/a><\/p>\n\n\n\n<p><a><strong>Ureterolithotomy completed laparoscopically<\/strong><\/a><\/p>\n\n\n\n<p><a>50600<\/a><\/p>\n\n\n\n<p><a>50945<\/a><\/p>\n\n\n\n<p><a>52325<\/a><\/p>\n\n\n\n<p><a>52352<\/a><\/p>\n\n\n\n<p><a><strong>50945&nbsp;<\/strong><\/a><\/p>\n\n\n\n<p><a>(Since a ureterolithotomy was performed laparoscopically, it is important to capture CPT code&nbsp;<em>50945<\/em>, which is ureterolithotomy that was completed by laparoscopy. Code&nbsp;<em>50600&nbsp;<\/em>should not be used since it is for ureterotomy with exploration or drainage. Code&nbsp;<em>52325&nbsp;<\/em>should not be used since it is for cystourethroscopy with fragmentation of ureteral calculus. Code&nbsp;<em>52352&nbsp;<\/em>should not be used since it is for cystourethroscopy with ureteroscopy and\/or pyeloscopy with removal or manipulation of calculus).<\/a><\/p>\n\n\n\n<p><a><strong>Patient presents to the hospital with right ureteral calculus. Patient is taken to the operating room where a cystoscopy with ureteroscopy is performed to remove the calculus.<\/strong><\/a><\/p>\n\n\n\n<p><a>52310-RT<\/a><\/p>\n\n\n\n<p><a>52353-RT<\/a><\/p>\n\n\n\n<p><a>52352-RT<\/a><\/p>\n\n\n\n<p><a>51065-RT<\/a><\/p>\n\n\n\n<p><a><strong>52352-RT<\/strong><\/a><\/p>\n\n\n\n<p><a>A code of&nbsp;<em>52352&nbsp;<\/em>should be used for the cystoscopy with ureteroscopy in order to remove the patient&#8217;s calculus (cystourethroscopy, with ureteroscopy; with removal or manipulation of calculus). This code includes all three procedures, so no additional codes are needed.<\/a><\/p>\n\n\n\n<p><a><strong>After being brought back to his hospital room following chemotherapy, the patient developed epistaxis. Packing material was placed. The ICD-10-PCS code reported is _____.<\/strong><\/a><\/p>\n\n\n\n<p><a>2W41X5Z<\/a><\/p>\n\n\n\n<p><a>2W11X6Z<\/a><\/p>\n\n\n\n<p><a>2Y41X5Z<\/a><\/p>\n\n\n\n<p><a>2Y01X5Z<\/a><\/p>\n\n\n\n<p><a><strong>2Y41X5Z<\/strong><\/a><\/p>\n\n\n\n<p><a><strong><em>Packing for epistaxis<\/em><\/strong><\/a><\/p>\n\n\n\n<p><a>1. Section = 2 (The Placement Section)<\/a><\/p>\n\n\n\n<p><a>2. Body system = Y (Anatomical Orifices)<\/a><\/p>\n\n\n\n<p><a>3. Root operation = 4 (Packing)<\/a><\/p>\n\n\n\n<p><a>4. Body Region = 1 (Nasal)<\/a><\/p>\n\n\n\n<p><a>5. Approach = X (External)<\/a><\/p>\n\n\n\n<p><a>6. Device = 5 (Packing material)<\/a><\/p>\n\n\n\n<p><a>7. Qualifier = Z (No Qualifier)<\/a><\/p>\n\n\n\n<p><a><strong>Patient undergoes X-ray of the foot with three views.<\/strong><\/a><\/p>\n\n\n\n<p><a>73620<\/a><\/p>\n\n\n\n<p><a>73630<\/a><\/p>\n\n\n\n<p><a>27648, 73615<\/a><\/p>\n\n\n\n<p><a>3610<\/a><\/p>\n\n\n\n<p><a><strong>73630<\/strong><em>&nbsp;<\/em>Radiologic examination; complete, minimum of 3 views. No additional codes are needed as this code is good for up to three views.<\/a><\/p>\n\n\n\n<p><a><strong>Radial keratotomy<\/strong><\/a><\/p>\n\n\n\n<p><a>65855<\/a><\/p>\n\n\n\n<p><a>65771<\/a><\/p>\n\n\n\n<p><a>65767<\/a><\/p>\n\n\n\n<p><a>92071<\/a><\/p>\n\n\n\n<p><a><strong>65771<\/strong><em>&nbsp;<\/em>Radial keratotomy procedure.<\/a><\/p>\n\n\n\n<p><a>(Code&nbsp;<em>65767&nbsp;<\/em>should not be used since it is for epikeratoplasty. Code&nbsp;<em>65855&nbsp;<\/em>should not be used since it is for trabeculoplasty by laser surgery. Code&nbsp;<em>92071&nbsp;<\/em>should not be used since it is for fitting of contact lenses for treatment of ocular surface disease).<\/a><\/p>\n\n\n\n<p><a><strong>In ICD-10-PCS, patient admitted after experiencing seizure. CT of brain, high osmolar contrast taken with and without contrast<\/strong><\/a><\/p>\n\n\n\n<p><a>BN070ZZ<\/a><\/p>\n\n\n\n<p><a>B02000Z<\/a><\/p>\n\n\n\n<p><a>B030Y0Z<\/a><\/p>\n\n\n\n<p><a>B532Y0Z<\/a><\/p>\n\n\n\n<p><a><strong>B02000Z &#8211;&nbsp;<\/strong><em>CT scan of brain, high osmolar contrast taken with and without contrast<\/em><\/a><\/p>\n\n\n\n<p><a>1. Section = B (The Imaging Section)<\/a><\/p>\n\n\n\n<p><a>2. Body system = 0 (Central Nervous System) (Brain is part of the CNS.)<\/a><\/p>\n\n\n\n<p><a>3. Root operation = 2 (Computerized Tomography, CT Scan)<\/a><\/p>\n\n\n\n<p><a>4. Body Part = 0 (Brain)<\/a><\/p>\n\n\n\n<p><a>5. Contrast = 0 (High Osmolar)<\/a><\/p>\n\n\n\n<p><a>6. Qualifier = 0 (Unenhanced and Enhanced)<\/a><\/p>\n\n\n\n<p><a>7. Qualifier = Z (No Qualifier)<\/a><\/p>\n\n\n\n<p><a><strong>A patient is admitted with a fracture to the L1 vertebrae secondary to postmenopausal senile osteoporosis, initial encounter.<\/strong><\/a><\/p>\n\n\n\n<p><a>M80.08xA<\/a><\/p>\n\n\n\n<p><a>M80.88<\/a><\/p>\n\n\n\n<p><a>M80.08<\/a><\/p>\n\n\n\n<p><a>M80.88xA<\/a><\/p>\n\n\n\n<p><a><strong>M80.08xA<\/strong><\/a><\/p>\n\n\n\n<p><a>(Fracture, L1 [lumbar] vertebrae secondary to [caused by] postmenopausal senile osteoporosis = pathological fracture, initial encounter =&nbsp;<em>M80.08xA)<\/em><\/a><\/p>\n\n\n\n<p><a><strong>Identify the correct root operation, used in ICD-10-PCS, for the following:<\/strong><\/a><\/p>\n\n\n\n<p><a><strong><em>Excision gallbladder<\/em><\/strong><\/a><\/p>\n\n\n\n<p><a>removal<\/a><\/p>\n\n\n\n<p><a>excision<\/a><\/p>\n\n\n\n<p><a>incision<\/a><\/p>\n\n\n\n<p><a>resection<\/a><\/p>\n\n\n\n<p><a><strong>Resection:&nbsp;<\/strong>Cutting out or off, without replacement, all of a body part<\/a><\/p>\n\n\n\n<p><a><strong>Patient underwent anoscopy followed by colonoscopy. The physician examined the colon to 60 cm.<\/strong><\/a><\/p>\n\n\n\n<p><a>45378<\/a><\/p>\n\n\n\n<p><a>46600, 45378-59<\/a><\/p>\n\n\n\n<p><a>45999<\/a><\/p>\n\n\n\n<p><a>46600, 45378<\/a><\/p>\n\n\n\n<p><a><strong>45378 &#8211;&nbsp;<\/strong>colonoscopy, flexible; diagnostic, including collection of specimens.&nbsp;(A separate code is not needed for the anoscopy as the code for the colonoscopy includes an anoscopy. Code&nbsp;<em>46600&nbsp;<\/em>should not be used since it is for a diagnostic anoscopy with collection of specimens. Code&nbsp;<em>45999&nbsp;<\/em>should not be used since it is for an unlisted procedure of the colon because a more specific code exists).<\/a><\/p>\n\n\n\n<p><strong>The patient is on vacation and presents to a physician&#8217;s office with a lacerated finger. The physician repairs the laceration and gives a prescription for pain control and has the patient follow up with his primary physician when he returns home. The physician completes problem-focused history and physical examination with straightforward medical decision making. Also checked is a laceration repair for a 1.5 cm finger wound.<\/strong><\/p>\n\n\n\n<p>99201, 12001<\/p>\n\n\n\n<p>99212, 13131<\/p>\n\n\n\n<p>12001<\/p>\n\n\n\n<p>99201-51<\/p>\n\n\n\n<p><strong>99201, 12001<\/strong>&nbsp;&#8211; Since a new patient had an office visit for the simple repair of a laceration, code&nbsp;<em>99201&nbsp;<\/em>for the new patient office visit and&nbsp;<em>12001&nbsp;<\/em>for the simple repair of the 1.5 cm laceration.<\/p>\n\n\n\n<p>Code&nbsp;<em>99212&nbsp;<\/em>should not be used since it is for an established patient office visit with a problem-focused history and examination and straightforward medical decision-making\u2014the scenario was for a new patient, not an established patient. Code&nbsp;<em>13131&nbsp;<\/em>should not be used since it is for complex repair of the hands 1.1 cm to 2.5 cm\u2014the scenario identified a simple repair, not a complex repair.<\/p>\n\n\n\n<p><a><strong>Identify the correct root operation term used in ICD-10-PCS for the following:<\/strong><\/a><\/p>\n\n\n\n<p><a><strong><em>Endometrial ablation of cervical polyps<\/em><\/strong><\/a><\/p>\n\n\n\n<p><a>extraction<\/a><\/p>\n\n\n\n<p><a>removal<\/a><\/p>\n\n\n\n<p><a>excision<\/a><\/p>\n\n\n\n<p><a>destruction<\/a><\/p>\n\n\n\n<p><a><strong>Destruction &#8211;&nbsp;<\/strong>Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.&nbsp;Ablation is the surgical destruction of a body part.<\/a><\/p>\n\n\n\n<p><a><strong>Patient with a traumatic rupture of the eardrum. Repaired with tympanoplasty with incision of the mastoid. Repair of ossicular chain not required.<\/strong><\/a><\/p>\n\n\n\n<p><a>69642<\/a><\/p>\n\n\n\n<p><a>69646<\/a><\/p>\n\n\n\n<p><a>69641<\/a><\/p>\n\n\n\n<p><a>69635<\/a><\/p>\n\n\n\n<p><strong>69635 &#8211;&nbsp;<\/strong>Tympanoplasty with incision of the mastoid (tympanoplasty with mastoidotomy). This code includes the tympanoplasty as well as the mastoid incision. No additional codes are needed.<\/p>\n\n\n\n<p>Code&nbsp;<em>69646&nbsp;<\/em>should not be used since it is for radical or complete tympanoplasty with mastoidectomy and ossicular chain reconstruction\u2014it does not cover mastoidotomy. Code&nbsp;<em>69642&nbsp;<\/em>should not be used since it is for tympanoplasty with mastoidectomy and ossicular chain reconstruction\u2014it does not cover mastoidotomy. Code&nbsp;<em>69641&nbsp;<\/em>should not be used since it is for tympanolasty with mastoidectomy without ossicular chain reconstruction\u2014it does not cover mastoidotomy.<\/p>\n\n\n\n<p><a><strong>The patient had a calcification in his common bile duct. The procedure would be reported from the ______ Body System character of the ICD-10-PCS code.<\/strong><\/a><\/p>\n\n\n\n<p><a>Hepatobiliary system and pancreas<\/a><\/p>\n\n\n\n<p><a>Endocrine system<\/a><\/p>\n\n\n\n<p><a>Lymphatic and hemic systems<\/a><\/p>\n\n\n\n<p><a>Gastrointestinal system<\/a><\/p>\n\n\n\n<p><strong>Hepatobiliary system and pancreas<\/strong>&nbsp;The common bile duct is part of the&nbsp;<em>Hepatobiliary System and Pancreas.<\/em><\/p>\n\n\n\n<p><em>Gastrointestinal system<\/em>: While the liver and pancreas are accessory organs to the gastrointestinal system, the duct is considered part of the hepatobiliary system because it connects the liver (hepato-) to the gallbladder to carry the bile (-biliary).<\/p>\n\n\n\n<p><em>Endocrine system<\/em>: This system of hormones has no connection to the bile duct.<\/p>\n\n\n\n<p><em>Lymphatic and hemic systems<\/em>: The lymph node system or the blood (hemic) are related.<\/p>\n\n\n\n<p><a><strong>A patient is admitted with acute gastric ulcer with hemorrhage and perforation.<\/strong><\/a><\/p>\n\n\n\n<p><a>K25.6<\/a><\/p>\n\n\n\n<p><a>K25.4, K25.6<\/a><\/p>\n\n\n\n<p><a>K25.0, K25.1<\/a><\/p>\n\n\n\n<p><a>K25.2<\/a><\/p>\n\n\n\n<p><a><strong>K25.2 &#8211;<\/strong>Acute gastric ulcer with hemorrhage and perforation.<\/a><\/p>\n\n\n\n<p><a>This one combination code includes all of the key details.<\/a><\/p>\n\n\n\n<p><a><strong>Identify the correct root operation term used in ICD-10-PCS for the following:<\/strong><\/a><\/p>\n\n\n\n<p><a><strong><em>Removal of cardiac pacemaker<\/em><\/strong><\/a><\/p>\n\n\n\n<p><a>change<\/a><\/p>\n\n\n\n<p><a>revision<\/a><\/p>\n\n\n\n<p><a>excision<\/a><\/p>\n\n\n\n<p><a>removal<\/a><\/p>\n\n\n\n<p><a><strong>Removal<\/strong>: Taking out or off a device from a body part<\/a><\/p>\n\n\n\n<p><a><strong>In ICD-10-PCS, thoracentesis right pleural effusion<\/strong><\/a><\/p>\n\n\n\n<p><a>0W9C30Z<\/a><\/p>\n\n\n\n<p><a>0W993ZZ<\/a><\/p>\n\n\n\n<p><a>0W9C3ZZ<\/a><\/p>\n\n\n\n<p><a>0W930ZZ<\/a><\/p>\n\n\n\n<p><strong>0W993ZZ&nbsp;<\/strong>&#8211;&nbsp;<em>Thoracentesis, right pleural effusion<\/em><\/p>\n\n\n\n<p>1. Section = 0 (The Surgery Section)<\/p>\n\n\n\n<p>2. Body system = W (Anatomical Regions, General) The pleural cavity is the space between the lung and the chest wall. Plural effusion is a condition when this space accumulates too much fluid, preventing the lungs from expanding completely.<\/p>\n\n\n\n<p>3. Root operation = 9 (Drainage) (The suffix \u201c-centesis\u201d means puncture.)<\/p>\n\n\n\n<p>4. Body part = 9 (Pleural cavity, right))<\/p>\n\n\n\n<p>5. Approach = 3 (Percutaneous approach) (The suffix \u201c-centesis\u201d means puncture.)<\/p>\n\n\n\n<p>6. Device = Z (No device)<\/p>\n\n\n\n<p>7. Qualifier = Z (No Qualifier)<\/p>\n\n\n\n<p><strong>Joan\u2019s mother had breast cancer, so she is getting a mammogram. The code to report the medical necessity for this encounter is:<\/strong><\/p>\n\n\n\n<p><strong>C50.919<\/strong>&nbsp;Malignant neoplasm of unspecified site of unspecified female breast.&nbsp;<\/p>\n\n\n\n<p><strong>Z12.31<\/strong>&nbsp;Encounter for screening mammogram for malignant neoplasm of breast<\/p>\n\n\n\n<p><strong>Z80.3<\/strong>&nbsp;Family history of malignant neoplasm of breast<\/p>\n\n\n\n<p><strong>Z85.3<\/strong>&nbsp;Personal history of malignant neoplasm of breast<\/p>\n\n\n\n<p>A) C50.919<\/p>\n\n\n\n<p>B) Z80.3<\/p>\n\n\n\n<p>C) Z85.3<\/p>\n\n\n\n<p>D) Z12.31<\/p>\n\n\n\n<p><a><strong>Z80.3 &#8211;&nbsp;<\/strong>Family history, malignant neoplasm, breast<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Carcinoma in situ Tumor cells that are undergoing malignant changes but are still confined to the point of origin without invasion of the surrounding normal tissue Examples of carcinoma in situ Intraepithelial infiltrating The patient was admitted from the emergency department because of chest pain. Following blood work, it was determined that the patient had [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-110748","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/110748","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=110748"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/110748\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=110748"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=110748"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=110748"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}