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| Section | Objectives |
|---|---|
| HCPCS Level II Coding | - Supply and Service Codes
|
| Compliance and Regulatory | - Healthcare Regulations
|
| Anatomy | - Human Body Systems
|
| ICD-10-CM Coding Guidelines | - Diagnosis Coding
|
| CPT Coding | - Medicine
|
| Medical Terminology | - Medical Terms
|
1. Code the following procedure note:
A 45-year-old female was referred for a urodynamics study due to complaints of bladder pain and weak urination. The provider places a rectal catheter simultaneously with a urethral catheter and begins to fill the bladder with water.
Using calibrated equipment, cytometry was done with a medium fill rate of 40 cc/ minute. A strong desire to void occurred at 84 cc. and the patient is instructed to void. The provider determines that the maximum urinary flow rate is 12 cc per second with a voiding time of 45 seconds and a voided volume of 102 cc. She voided with a sustained detrusor pressure. An abdominal pressure measurement was also taken, indicating no urinary leaking with abdominal straining. EMG patches were placed on the anal sphincter and found to be elevated with increased intra- abdominal pressure. All catheters and EMG patches were removed, and the procedure was completed without complications. A report will be forwarded to the referring provider, who will provide the interpretation of the results to the patient.
A) 51728-TC, 51784-TC, 51797-TC, 51741-TC
B) 51726-TC, 51784-59-TC, 51797-59-TC, 51741-59-TC
C) 51726-TC, 51784-51-TC, 51797-51-TC
D) 51728-TC, 51784-TC, 51797-TC
2. A patient presents to physical therapy status post repair of a complete rotator cuff tear in the right shoulder due to a fall. After applying ice to the shoulder for 8 minutes, the physical therapist performs a soft-tissue massage to the infraspinatus muscle that lasts 23 minutes. Just prior to discharge, the therapist spends 20 minutes instructing the patient on isokinetic exercises to help improve range of motion. Which CPT and ICD-IO-CM code(s) should be used to accurately describe encounter?
A) 97110, 97140, 97010, Z48.89, S46.091A, W19XXXA
B) 97110, 97010, S46.011D, W19,XXXD
C) 97010, 97140x2, 97530, M75.121
D) 97010, 97140, 97530, S46.011A,W19XXXA
3. A patient is seen with complaints of recurring infections in the foreskin. The physician recommends circumcision to help improve penile hygiene. The patient agrees, a local anesthetic is injected into the penis, and the procedure is completed by clamping the foreskin and trimming the excess skin. How should the physician report the encounter?
A) 54150, 64450, Z41.2, Z87.2
B) 54150-52, Z41.2, Z87.2
C) 54150-52, 64450, N48.89
D) 54150, N48.29
4. A patient tests positive for coronavirus (SARS-CoV-2) and bronchitis after presenting with a cough. What diagnosis code(s) should be reported?
A) 140, 897.29, R05.9
B) U07.1,J40, Z20.828
C) U07.1,J40
D) J40,B97.29, Z20.828
5. A patient relocates after receiving treatment for an arm fracture. The patient schedules an appointment with a new orthopedist to remove the cast. The orthopedic office should report the fracture diagnosis code with the seventh character A to indicate active treatment.
A) False
B) True
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: A |
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