Deck 10: Surgery Section: Respiratory System

Question 1

Code range J30-J39 contains codes describing which conditions?

A) Pneumoconioses and Other Lung Diseases due to External Agents
B) Acute Respiratory Infections
C) Pneumonia and Influenza
D) Other Diseases of Upper Respiratory Tract

Answer 1

Other Diseases of Upper Respiratory Tract

Question 2

Modifier 51 communicates:

A) Multiple procedures
B) Bilateral procedure
C) Reduced Service
D) Staged or Related Procedure

Answer 2

Multiple procedures

Question 3

A partial laryngectomy antero-latero-vertical includes:

A) resection of the vocal cords, thyroid, and a portion of the arytenoids
B) radical neck dissection
C) resection of vocal cord and adjacent cartilage
D) resection of the thyroid cartilage and portions of both vocal cords

Answer 3

resection of the vocal cords, thyroid, and a portion of the arytenoids

Question 4

Select the statement that is false regarding the condition hypoxia:

A) hypoxia may be reported as an additional code if documented with chronic obstructive pulmonary disease
B) hypoxia would not be reported in addition to acute respiratory failure
C) hypoxia is considered to be inherent to acute respiratory failure
D) hypoxia is considered to be inherent to chronic obstructive pulmonary disease

Question 5

The condition "rales" is:

A) abnormal chest sounds
B) discharge of blood from the nose
C) several viral infection of the lungs
D) inflammation of the lungs caused by an organism

Question 6

Which of these is not a common subheading under the Respiratory Section general headings?

A) Incision
B) Excision
C) Removal/Removal of Foreign Body
D) Laparoscopy

Question 7

The measurement of oxygen saturation of the blood is called:

A) spirometry
B) carboxyhemoglobin measurement
C) arterial blood gas
D) oximetry

Question 8

The lung containing two lobes is the ______:

A) lower
B) right
C) left
D) upper

Question 9

The code range for the Respiratory section in ICD-10-CM is:

A) J00-J99
B) L00-L99
C) K00-K95
D) S00-T88

Question 10

In ICD-10-CM, code range J60-J70 contains codes for which conditions?

A) Acute Respiratory Infections
B) Pneumonia and Influenza
C) Pneumoconioses and Other Lung Diseases due to External Agents
D) Other Diseases of the Upper Respiratory Tract

Question 11

Abbreviation ABG stands for:

A) adult bronchoscopy
B) asthma-blocked grouping
C) arterial blood gas
D) artery blockage group

Question 12

Select the true statement concerning code selection for sinusitis and tonsillitis in ICD-10-CM:

A) In ICD-10-CM, sinusitis must be chronic before it may be coded
B) In ICD-10-CM, tonsillitis has been moved to the Diseases of the Digestive System chapter
C) In ICD-10-CM, the organism causing the sinusitis or tonsillitis needs to be identified
D) In ICD-10-CM, sinusitis and tonsillitis are reported by the same code

Question 13

Necrotic or necrotizing pneumonia is also known as:

A) pleurisy
B) empyema
C) abscess
D) pneumothorax

Question 14

The lower respiratory system includes:

A) nose and sinuses
B) trachea, bronchial tubes, and lungs
C) nose, sinuses, pharynx, and larynx
D) trachea, pharynx, and larynx

Question 15

The trachea is also referred to as the:

A) nares
B) throat
C) voice box
D) windpipe

Question 16

The turbinates are located in which part of the respiratory system?

A) nasal cavities
B) paranasal sinuses
C) nostrils
D) nares

Question 17

An examination of arterial blood for levels of oxygen, carbon dioxide, or other gases is called:

A) aspirate
B) arterial blood gas
C) oximetry
D) carboxyhemoglobin measurement

Question 18

Harry underwent a primary rhinoplasty two days ago, performed by Dr. Trent. Harry calls the office complaining of significant bleeding from the nose. Dr. Trent meets Harry at the hospital and performs an anterior simple nasal hemorrhage control. What modifier would the coder append to 30901?

A) 78
B) 59
C) 79
D) 58

Question 19

Modifier 50 signifies:

A) Bilateral procedure
B) Reduced Service
C) Multiple procedures
D) Staged or Related Procedure

Question 20

When reviewing code selection from the Respiratory subsection of CPT, why is it important for a coder to identify the cause of the condition (i.e. a traumatic injury vs. a medical condition)?

A) modifier 22 may be appended to codes reporting treatment of a traumatic injury
B) a traumatic injury is an acute condition and a medical condition is a chronic condition
C) the provider will receive a higher reimbursement rate if treatment is provided for a traumatic injury
D) Medicare will only reimburse providers for treatment of medical conditions

Question 21

Alveoli are responsible for:

A) relaxing the diaphragm and intercostal muscles
B) drawing air into the lungs
C) contracting the diaphragm and intercostal muscles
D) exchanging oxygen and carbon dioxide

Question 22

A ventilation/perfusion scan is:

A) examination of arterial blood for levels of oxygen, carbon dioxide, or other gases
B) test that measures the amount of carbon monoxide and hemoglobin in blood
C) measurement of breathing or lung volume
D) nuclear medicine study pertaining to air and blood flow to the lungs

Question 23

Excision of nasal polyps is divided by whether the procedure is:

A) simple or extensive
B) performed on the upper or lower turbinates
C) incisional or excisional
D) performed in an office or in a hospital

Question 24

An inflammation, due to an infectious organism or irritant, of the bronchus, is also known as:

A) acute upper respiratory infection
B) acute tracheitis
C) acute bronchitis
D) acute bronchiolitis

Question 25

A biopsy is a(n):

A) restoration of diseased or damaged tissue
B) examination of arterial blood for levels of oxygen, carbon dioxide, or other gases
C) creation of an opening by surgically cutting into the skin or other tissue
D) removal of all or part of a lesion for pathologic examination

Question 26

A rhinoplasty with intermediate revision includes:

A) a primary rhinoplasty
B) a primary rhinoplasty with nasal-tip work and osteotomies
C) a secondary rhinoplasty with a small amount of nasal-tip work
D) a secondary rhinoplasty with bony work with osteotomies

Question 27

The abbreviation TRALI stands for:

A) transverse rejection of alveoli, lungs, and interstitium
B) tracheostomy-related acute lung infection
C) total refraction of alveoli, lungs, and interstitium
D) transfusion-related acute lung injury

Question 28

A procedure which often requires the use of nasal stents, balloon catheters, or posterior packing is:

A) simple anterior nasal hemorrhage control
B) complex anterior nasal hemorrhage control
C) posterior nasal hemorrhage control
D) therapeutic fracture of a nasal inferior turbinate

Question 29

The following procedure can be performed by using incisional, excisional, needle aspiration, punch, or shave technique:

A) incision
B) repair
C) pneumonectomy
D) biopsy

Question 30

In ICD-10-CM the subheading "Other Diseases of the Respiratory System" includes all of the following conditions except:

A) acute respiratory failure
B) acute bronchitis with acute bronchospasm
C) acute bronchospasm
D) chronic respiratory failure

Question 31

"The common cold" is also known as:

A) acute tonsillitis
B) acute nasopharyngitis
C) acute pharyngitis
D) acute sinusitis

Question 32

Reduced service is communicated to third-party payers by using modifier:

A) 58
B) 51
C) 50
D) 52

Question 33

How many skull cavities open into the nasal cavity?

A) two
B) three
C) four
D) five

Question 34

Visualization using a mirror is referred to as:

A) direct examination
B) external approach
C) internal approach
D) indirect examination

Question 35

Surgical sinus endoscopy includes:

A) bilateral procedures
B) sinusotomy
C) polyp removal
D) sinusotomy and diagnostic endoscopy

Question 36

Excision of a middle or superior turbinate is reported using this code:

A) 30100
B) 30999
C) 30130
D) 30115

Question 37

Provider's documentation states "performed lavage by cannulation in the bilateral maxillary sinuses." The description for CPT code 31000 reads "Lavage by cannulation, maxillary sinus (antrum puncture or other natural ostium.)" How would the coder report the procedure performed?

A) 31000-52
B) 31000-50
C) 31000-51
D) 31000-58

Question 38

The Respiratory Subsection general heading "Lungs and Pleura" is found in what code range?

A) 32035-32999
B) 31000-31299
C) 31300-31599
D) 31600-31899

Question 39

Visualization of the larynx by means of a mirror positioned at the back of the throat is called:

A) indirect laryngoscopy
B) laparoscopy
C) bronchoscopy
D) oximetry

Question 40

A severe viral infection of the lungs is:

A) pneumonia
B) chronic obstructive pulmonary disorder
C) severe acute respiratory syndrome
D) epistaxis

Question 41

All of the following are categories of pneumonia in the ICD-10-CM manual for Diseases of the Respiratory System except:

A) Viral pneumonia
B) Pneumonia due to other infectious organisms, not elsewhere classified
C) Bacterial pneumonia, not elsewhere classified
D) Meconium aspiration pneumonia

Question 42

Which of the following is not a question a coder should ask when selecting codes from the Respiratory subsection of CPT?

A) At which anatomical site was the procedure performed?
B) Was the approach internal or external?
C) Was the procedure performed at a single site or multiple sites?
D) Was the procedure performed in a single stage or multiple stages?

Question 43

The sphenoid sinus is:

A) cavity in the skull which opens into the nasal cavity located between the nose and eyes
B) tubular structure which branches off the trachea
C) small flap of cartilage that closes over the trachea preventing food from entering the larynx and thus the lungs
D) cavity in the skull which opens into the nasal cavity located in the center of the skull base

Question 44

In ICD-10-CM, the Respiratory section is Chapter:

A) 7
B) 8
C) 9
D) 10

Question 45

The creation of an opening by surgically cutting into the skin or other tissue is:

A) biopsy
B) excision
C) bronchoscopy
D) incision

Question 46

"Hay fever," or ______________, is coded to category J30.

A) peritonsillar abscess
B) chronic rhinitis
C) allergic rhinitis
D) chronic laryngotracheitis

Question 47

The measurement of breathing or lung volume is known as:

A) spirometry
B) oximetry
C) carboxyhemoglobin measurement
D) arterial blood gas

Question 48

The apex of the lung is also known as the:

A) upper part of lung
B) three right lobes
C) membrane surrounding the lung
D) lower part of lung

Question 49

What is the primary difference between pneumonia and pneumonitis?

A) Pneumonia can be caused by exposure to toxic solids and liquids; pneumonitis can be caused by exposure to toxic fumes or gases
B) Inflammation is inherent in pneumonitis and is not inherent in pneumonia
C) Pneumonitis is only acquired by coal workers
D) Pneumonia is an infectious inflammation while pneumonitis is noninfectious

Question 50

Another word for nosebleed or rhinorrhagia is:

A) dyspnea
B) atelectasis
C) rales
D) epistaxis

Question 51

Pneumonectomy is:

A) reshaping or replacing by surgical means
B) restoration of diseased or damaged tissue
C) measurement of breathing or lung volume
D) surgical removal of a lung

Question 52

Patient Mary Smith presents to the physician's office today with a chief complaint of upper respiratory symptoms. Upon examination and discussion, the provider discovers that Mary recently returned from overseas and may have been exposed to the avian influenza virus. The provider orders further testing for Mary and documents "possible avian influenza virus" in her chart. The coder may select:

A) a code from category J10, influenza due to other identified influenza virus
B) a code from category J11.1, influenza due to unidentified influenza virus with other respiratory manifestations
C) a code from category J09 influenza due to certain identified influenza virus
D) code J11.00, influenza due unidentified influenza with unspecified type of pneumonia

Question 53

Acute pharyngitis may also be documented as:

A) sore throat
B) strep throat
C) acute upper respiratory infection
D) the common cold

Question 54

A condition in which the airways are hypersensitive and react to inhaled irritants by narrowing or obstructing is:

A) atelectasis
B) dyspnea
C) chronic obstructive pulmonary disorder
D) asthma

Question 55

Select the correct definition of the diaphragm:

A) membrane surrounding the lung
B) separates the thoracic and abdominal cavities
C) houses the vocal cords
D) connects the nose and the mouth to the larynx

Question 56

To complete this procedure, foreign material is drawn into the lungs or withdrawn from the lungs for diagnostic or therapeutic reasons:

A) laryngoscopy
B) oximetry
C) aspirate
D) carboxyhemoglobin measurement

Question 57

Visualization using a rigid or fiber-optic endoscope is also known as:

A) internal approach
B) indirect examination
C) external approach
D) direct examination

Question 58

A surgeon begins an endoscopic procedure intending to examine the patient's maxillary and ethmoid sinuses only. Upon examination during this procedure, the surgeon determines the patient's symptoms will be effectively treated by removing some inflamed tissue from the maxillary sinus. The surgeon removes the tissue from the maxillary sinus, removes the endoscope and the procedure concludes. The coder may select:

A) 31267 "Nasal/sinus endoscopy, surgical, with maxillary antrostomy, with removal of tissue from maxillary sinus" and 31231 "Nasal endoscopy, diagnostic, unilateral or bilateral"
B) 31267 "Nasal/sinus endoscopy, surgical, with maxillary antrostomy, with removal of tissue from maxillary sinus"
C) 31276 "Nasal/sinus endoscopy, surgical with frontal sinus exploration, with or without removal of tissue from frontal sinus"
D) 31231 "Nasal endoscopy, diagnostic, unilateral or bilateral"

Question 59

A "septal button" is another term for a septal:

A) packing
B) prosthesis
C) bandage
D) plug

Question 60

A persistent inflammatory condition of the sinuses is also known as:

A) chronic sinusitis
B) nasal polyps
C) chronic nasopharyngitis
D) chronic pharyngitis

Question 61

Some common diseases coded to the Respiratory Subsection of ICD-10-CM include all of the following except

A) chronic obstructive pulmonary disease
B) laceration of the larynx
C) asthma
D) pneumonia

Question 62

Bronchitis, influenza, and pneumonia are all found in the _______ section of ICD-10:

A) Symptoms, Signs, and Ill-Defined Conditions
B) Endocrine, Nutritional, and Metabolic Diseases and Immunity Disorders
C) Diseases of the Respiratory System
D) Infectious and Parasitic Diseases

Question 63

All of the following are Respiratory Subsection General Headings except:

A) Pharynx
B) Trachea and bronchi
C) Nose
D) Larynx

Question 64

Category J06 includes codes describing:

A) acute tonsillitis
B) acute upper respiratory infection of multiple or unspecified sites
C) acute bronchitis
D) acute laryngitis

Question 65

Coal workers' pneumoconiosis and asbestosis are found in which subheading of the Respiratory System in ICD-10-CM?

A) Lung Diseases due to External Agents
B) Other Diseases of the Respiratory System
C) Acute Respiratory Infections
D) Pneumonia and Influenza

Question 66

Bilateral procedure is communicated to third-party payers by modifier:

A) 59
B) 51
C) 58
D) 50

Question 67

How is the Respiratory System subsection of the CPT manual formatted?

A) by anatomical site, from lungs to nose
B) by anatomical site, from largest organ to smallest
C) by anatomical site, from nose to lungs
D) by anatomical site, alphabetically

Question 68

The measurement of breathing or lung volume is known as:

A) carboxyhemoglobin measurement
B) oximetry
C) spirometry
D) arterial blood gas

Question 69

Abbreviation ABG stands for:

A) artery blockage group
B) adult bronchoscopy
C) arterial blood gas
D) asthma-blocked grouping

Question 70

The measurement of oxygen saturation of the blood is called:

A) carboxyhemoglobin measurement
B) spirometry
C) oximetry
D) arterial blood gas

Question 71

How many skull cavities open into the nasal cavity?

A) five
B) two
C) four
D) three

Question 72

The creation of an opening by surgically cutting into the skin or other tissue is:

A) bronchoscopy
B) excision
C) incision
D) biopsy

Question 73

Select the statement that is false regarding the condition hypoxia:

A) hypoxia is considered to be inherent to acute respiratory failure
B) hypoxia may be reported as an additional code if documented with chronic obstructive pulmonary disease
C) hypoxia would not be reported in addition to acute respiratory failure
D) hypoxia is considered to be inherent to chronic obstructive pulmonary disease

Question 74

Some common diseases coded to the Respiratory Subsection of ICD-10-CM include all of the following except

A) pneumonia
B) asthma
C) laceration of the larynx
D) chronic obstructive pulmonary disease

Question 75

The abbreviation TRALI stands for:

A) tracheostomy-related acute lung infection
B) transfusion-related acute lung injury
C) total refraction of alveoli, lungs, and interstitium
D) transverse rejection of alveoli, lungs, and interstitium

Question 76

Select the correct definition of the diaphragm:

A) membrane surrounding the lung
B) houses the vocal cords
C) separates the thoracic and abdominal cavities
D) connects the nose and the mouth to the larynx

Question 77

Code range J30-J39 contains codes describing which conditions?

A) Pneumoconioses and Other Lung Diseases due to External Agents
B) Pneumonia and Influenza
C) Acute Respiratory Infections
D) Other Diseases of Upper Respiratory Tract

Question 78

Category J06 includes codes describing:

A) acute upper respiratory infection of multiple or unspecified sites
B) acute tonsillitis
C) acute laryngitis
D) acute bronchitis

Question 79

In ICD-10-CM the subheading "Other Diseases of the Respiratory System" includes all of the following conditions except:

A) acute bronchitis with acute bronchospasm
B) chronic respiratory failure
C) acute bronchospasm
D) acute respiratory failure

Question 80

How is the Respiratory System subsection of the CPT manual formatted?

A) by anatomical site, from largest organ to smallest
B) by anatomical site, alphabetically
C) by anatomical site, from nose to lungs
D) by anatomical site, from lungs to nose