Deck 16: Surgery Section: Eyes, Ears, and Endocrine System

Question 1

When a coder sees the term "toxic diffuse goiter" in provider documentation, to which condition is the provider referring?

A) Cushing's syndrome
B) thyroid crisis
C) Graves' disease
D) thyroid storm

Answer 1

Graves' disease

Question 2

The eyes and ears are included in which subsection of the Surgery section in CPT?

A) Immunologic and Lymphatic Systems
B) None of these.
C) Musculoskeletal System
D) Integumentary System

Answer 2

None of these.

Question 3

Select the appropriate path of sound waves:

A) sound waves - outer ear - tympanic membrane - middle ear - inner ear - electrical impulse - acoustic nerve - brain - sound
B) sound waves - tympanic membrane - outer ear - inner ear - acoustic nerve - electrical impulse - brain - sound
C) outer ear - tympanic membrane - inner ear - electrical impulse - acoustic nerve - brain - sound
D) tympanic membrane - inner ear - acoustic nerve - electrical impulse - brain

Answer 3

sound waves - outer ear - tympanic membrane - middle ear - inner ear - electrical impulse - acoustic nerve - brain - sound

Question 4

Select the option that is not a type of cataract:

A) senile
B) congenital
C) inherent
D) traumatic

Question 5

Select the correct path of light:

A) pupil - cornea - aqueous humor of anterior chamber - vitreous humor of posterior chamber - retina - electrical signal or impulse - image
B) image - brain - optic nerve - electrical signal or impulse - retina - vitreous humor of posterior chamber - pupil - aqueous humor of anterior chamber - cornea
C) electrical signal or impulse - cornea - aqueous humor of anterior chamber - optic nerve - retina - brain - image
D) cornea - aqueous humor of anterior chamber - pupil - vitreous humor of posterior chamber - retina - electrical signal or impulse - optic nerve - brain - image

Question 6

Select the appropriate list of parts making up the middle layer of the eye:

A) choroid, iris, cornea, conjunctiva
B) choroid, iris, pupil, lens, ciliary body
C) retina, nerve cells, optic disc, anterior chamber, posterior chamber
D) sclera, cornea, conjunctiva

Question 7

What is the sensory membrane lining the inner layer of the eye?

A) retina
B) lens
C) anterior chamber
D) optic disc

Question 8

Where are conditions related to the eye and its supporting structures located in the ICD-10-CM manual?

A) in a section in the Diseases of the Lymphatic and Immunologic Systems chapter
B) in a section in the Diseases of the Nervous System and Sense Organ chapter
C) in the Diseases of the Eye and Adnexa chapter
D) in a section in the Diseases of the Musculoskeletal System chapter

Question 9

What does the term "Oculus dexter" signify?

A) each eye
B) right eye
C) both eyes
D) left eye

Question 10

Select the correct medical term for "low intraocular pressure":

A) hypertrophy
B) subluxation
C) luxation
D) hypotony

Question 11

Codes for both evisceration and enucleation of the eye are based on which aspect of the procedure?

A) use of an implant
B) episode of treatment
C) laterality
D) length of the procedure

Question 12

Select the true statement regarding the proper coding of removal of impacted cerumen requiring instrumentation:

A) it is located in the Introduction subheading of the External Ear subsection
B) it is located in the Removal subheading of the Middle Ear subsection
C) it is reported using CPT code 69210, found in the Removal subheading of the External Ear subsection
D) it is reported using several "Removal of a foreign body" codes found in code range 68200-69222

Question 13

If a fine-needle aspiration of the thyroid gland is performed, in what section of CPT does the coder select this procedure code from?

A) Endocrine system subsection
B) Thyroid Gland subsection
C) General Surgery Section
D) Integumentary subsection

Question 14

In which code range of ICD-10-CM will a coder find Diseases of the Ear and Mastoid Process?

A) H00-H59
B) M00-M99
C) G00-G99
D) H60-H95

Question 15

A condition that develops when pressure builds within the eye due to an increase in fluid and leads to damage of the optic nerve is:

A) hypermetropia
B) presbyopia
C) cataract
D) glaucoma

Question 16

Which of the following is not available for code selection when coding a mastoidectomy procedure?

A) radical
B) complete
C) partial
D) modified radical

Question 17

In which code range will a coder find procedures performed on the thyroid gland?

A) 60500-60699
B) 60200-60299
C) 60000-60300
D) 60500-60599

Question 18

This gland is located near the brainstem and is involved in regulation of body functions is:

A) thyroid
B) pituitary
C) pineal
D) parathyroid

Question 19

Otitis externa is:

A) a nonsuppurative condition
B) inflammation of the outer lobe of the ear
C) inflammation of the cartilage of the outer shell of the ear
D) infection or inflammation that extends into the cartilage of the ear

Question 20

What is Cushing's syndrome?

A) disorder in which the body is exposed to high levels of the hormone cortisol over an extended period of time
B) body's inability to break down glucose
C) excessive secretion of thyroid hormone
D) condition that occurs in uncontrolled hyperthyroidism

Question 21

What is the correct term for an implant procedure of a permanent artificial lens?

A) intraocular lens
B) oculus uterque
C) oculus sinister
D) extra capsular cataract extraction

Question 22

All of the following are true statements regarding code 69990 Operating Microscope except:

A) it is an add-on code
B) it must be reported in addition to a primary procedure
C) the code is marked with a + sign in the CPT manual
D) it is used to report use of an operating microscope regardless of whether the primary procedure code includes use of an operating microscope in its description

Question 23

What is hypermetropia?

A) double vision
B) nearsightedness
C) farsightedness
D) a condition characterized by errors in focus of the eyes due to age

Question 24

The part of the eye that focuses light rays onto the retina is the:

A) optic disc
B) choroid
C) lens
D) iris

Question 25

Oxytocin, growth hormone, and prolactin are produced by which gland?

A) thyroid
B) parathyroid
C) pituitary
D) thymus

Question 26

What is the definition of esotropia strabismus?

A) eye turns downward
B) eye turns inward
C) eye turns outward
D) eye turns upward

Question 27

The malleus, incus, and stapes make up the:

A) cochlear
B) Eustachian tubes
C) vestibule
D) ossicles

Question 28

Select the option that correctly describes the change in classification to the disorders of the eyes and ears in ICD-10-CM.

A) the eyes and ears remain in the Nervous System chapter
B) the eyes and ears are moved to the Endocrine chapter
C) the eyes and ears are moved to the Musculoskeletal chapter
D) the eyes and ears are given their own chapter

Question 29

In what code range are procedures performed on the eyeball found in the CPT manual?

A) 67005-67299
B) 65091-65290
C) 67311-67999
D) 65400-66999

Question 30

The auricle is also known as the:

A) middle ear
B) stapes
C) external acoustic meatus
D) pinna

Question 31

What is a procedure performed to correct alignment of the eye muscles?

A) strabismus
B) Mohs micrographic surgery
C) chalazion
D) decompression

Question 32

What is the correct acronym for the procedure of removing a diseased lens of the eye, leaving part of the capsule covering the lens to allow implantation of an intraocular lens?

A) OD
B) IOL
C) OU
D) ECCE

Question 33

Select the correct abbreviation for "right ear":

A) AU
B) AS
C) AD
D) AG

Question 34

Select the part of the eye that is not considered to be the outer layer:

A) conjunctiva
B) sclera
C) cornea
D) ciliary body

Question 35

What type of conditions are Meniere's disease, labyrinthitis, and labyrinthine fistulas categorized as?

A) diseases, disorders, and syndromes affecting balance
B) disorders of the tympanic membrane
C) disorders following mastoidectomy
D) abnormal noises in the ear

Question 36

Which ear part collects and transmits sound?

A) Eustachian tube
B) auricle
C) external auditory canal
D) ossicle

Question 37

To what category is acute noninfective otitis externa coded?

A) H65-H75
B) H80-H83
C) H90-H94
D) H60-H62

Question 38

What is the structure that divides the external and middle ears and converts sound to vibration?

A) tympanic membrane
B) ossicles
C) oval window
D) Eustachian tubes

Question 39

Which of the following conditions are not included in the subheading "disorders of the lacrimal system", H04 in the ICD-10-CM manual?

A) lacrimal cyst
B) acute and chronic dacrocystitis
C) congenital malformations of lacrimal system
D) stenosis and insufficiency of lacrimal passages

Question 40

What are the main functions of the ears?

A) to channel and convert nerve impulses into sound and to protect nasal sinuses
B) to channel and convert nerve impulses into sound and to preserve homeostasis
C) to channel and convert sound into nerve impulses and to filter unwanted cerumen
D) to channel and convert sound into nerve impulses and to maintain equilibrium

Question 41

The ossicles include the:

A) auricle and external auditory canal
B) malleus, incus, and stapes
C) eardrum and oval window
D) cochlear and vestibule

Question 42

In which coding manual can a coder find the subheading "Disorders of Choroid and Retina"?

A) HCPCS
B) ICD-10-CM
C) ICD-10-PCS
D) CPT

Question 43

What is a condition that occurs in uncontrolled hyperthyroidism?

A) Graves' disease
B) thyroid storm
C) Cushing's syndrome
D) hypothyroidism

Question 44

Which of the following organs are found in other body systems but also function with the endocrine system?

A) pancreas, testes, and ovaries
B) pancreas, testes, and liver
C) kidneys and pancreas
D) liver, testes, and ovaries

Question 45

All of the following procedures are performed to improve vitreous flow to treat glaucoma except:

A) intraocular lens extraction
B) laser iridotomy/iridectomy
C) photocoagulation of the iris
D) excisional iridectomy

Question 46

The layer of blood vessels between the sclera and the retina is the:

A) pupil
B) ciliary body
C) choroid
D) iris

Question 47

What is tinnitus?

A) sclerosis of the tympanic membrane
B) ear pain
C) abnormal noises in the ear
D) atrophy of the tympanic membrane

Question 48

Hormones thymosin, thymopoietin, and serum thymic factor are produced by the:

A) pituitary gland
B) thyroid gland
C) parathyroid gland
D) thymus gland

Question 49

In what code range are procedures performed on the Inner Ear located?

A) 69420-69799
B) 69950-69979
C) 69000-69333
D) 69801-69806

Question 50

All of the following are common complications following mastoidectomy except:

A) granulations
B) eardrum rupture
C) mucosal cyst
D) cholesteatoma

Question 51

What is the removal of the eyeball in total by cutting it free of the extraocular muscles and the optic nerve?

A) evisceration
B) exenteration
C) enucleation
D) exoneration

Question 52

All of the following are common natures of retinal detachment except:

A) diabetic
B) retinal cysts
C) serous
D) retinoschisis

Question 53

The thyroid gland is:

A) located just behind the upper portion of the sternum
B) located low on the anterior side of the trachea
C) located near the brainstem
D) located in the mediastinum

Question 54

Which gland in the endocrine system influences sexual development?

A) thyroid
B) thymus
C) pineal
D) pituitary

Question 55

When two surgeons perform distinct parts of a procedure on the eye or ear each surgeon would report his or her distinct portion of the procedure by appending modifier:

A) 63
B) 51
C) 47
D) 62

Question 56

Which part of the eye provides protection, acting as a shield for the iris and lens?

A) pupil
B) retina
C) sclera
D) cornea

Question 57

Which ear structure equalizes pressure and drains mucus from the middle ear?

A) oval window
B) tympanic membrane
C) Eustachian tubes
D) ossicles

Question 58

On what are keratoplasty CPT codes dependent?

A) use of an implant
B) primary vs. recurrent
C) method us procedure, i.e. chemical removal
D) thickness of donor graft or portion of the cornea grafted

Question 59

Select the correct components of the external ear:

A) external auditory canal, auricle
B) ossicles, Eustachian tube
C) vestibule, cochlear
D) tympanic membrane, oval window

Question 60

If a surgeon performs a tonsillectomy and places ventilation tubes in the tympanic membranes in the same operative session, which modifier is appropriate to use on the second code being reported?

A) 50
B) 62
C) 59
D) 51

Question 61

Which gland in the endocrine system is known as the "master gland"?

A) thyroid
B) parathyroid
C) pineal
D) pituitary

Question 62

The ciliary body:

A) is the portion of the eye between the cornea and the lens and iris
B) receives images and converts images into signals sent through the optic nerve
C) produces the aqueous humor and holds the lens in place
D) focuses light rays onto the retina

Question 63

Select the appropriate word for nearsightedness:

A) hypermetropia
B) myopia
C) diplopia
D) presbyopia

Question 64

What part of the ear do the semicircular canals, utricle, and saccule make up?

A) cochlear
B) ossicles
C) tympanic membrane
D) vestibule

Question 65

What is the definition of hypertropia strabismus?

A) eye turns outward
B) eye turns inward
C) eye turns downward
D) eye turns upward

Question 66

What is a clouding of the lens of the eye or the lens capsule?

A) degeneration
B) adhesion
C) cataract
D) iridocyclitis

Question 67

The sclera:

A) focuses light rays on the retina
B) controls and focuses light entering the eye
C) accommodates light
D) maintains the shape of the eyeball

Question 68

Select the two main types of glaucoma:

A) frontal and lobal
B) anterior and posterior
C) open-angle and closed-angle
D) acute and chronic

Question 69

All of the following are true statements regarding code 69990 Operating Microscope except:

A) the code is marked with a + sign in the CPT manual
B) it is used to report use of an operating microscope regardless of whether the primary procedure code includes use of an operating microscope in its description
C) it is an add-on code
D) it must be reported in addition to a primary procedure

Question 70

What part of the ear do the semicircular canals, utricle, and saccule make up?

A) tympanic membrane
B) vestibule
C) ossicles
D) cochlear

Question 71

Otitis externa is:

A) inflammation of the cartilage of the outer shell of the ear
B) infection or inflammation that extends into the cartilage of the ear
C) inflammation of the outer lobe of the ear
D) a nonsuppurative condition

Question 72

Select the appropriate path of sound waves:

A) sound waves - outer ear - tympanic membrane - middle ear - inner ear - electrical impulse - acoustic nerve - brain - sound
B) tympanic membrane - inner ear - acoustic nerve - electrical impulse - brain
C) sound waves - tympanic membrane - outer ear - inner ear - acoustic nerve - electrical impulse - brain - sound
D) outer ear - tympanic membrane - inner ear - electrical impulse - acoustic nerve - brain - sound

Question 73

When a coder sees the term "toxic diffuse goiter" in provider documentation, to which condition is the provider referring?

A) Graves' disease
B) thyroid storm
C) thyroid crisis
D) Cushing's syndrome

Question 74

What type of conditions are Meniere's disease, labyrinthitis, and labyrinthine fistulas categorized as?

A) disorders following mastoidectomy
B) abnormal noises in the ear
C) diseases, disorders, and syndromes affecting balance
D) disorders of the tympanic membrane

Question 75

Select the two main types of glaucoma:

A) open-angle and closed-angle
B) acute and chronic
C) frontal and lobal
D) anterior and posterior

Question 76

The sclera:

A) focuses light rays on the retina
B) maintains the shape of the eyeball
C) controls and focuses light entering the eye
D) accommodates light

Question 77

What is hypermetropia?

A) a condition characterized by errors in focus of the eyes due to age
B) double vision
C) farsightedness
D) nearsightedness

Question 78

Which of the following is not available for code selection when coding a mastoidectomy procedure?

A) modified radical
B) partial
C) complete
D) radical

Question 79

Select the part of the eye that is not considered to be the outer layer:

A) sclera
B) conjunctiva
C) cornea
D) ciliary body

Question 80

With which condition is hypercortisolism synonymous?

A) Graves' disease
B) Cushing's syndrome
C) thyroid storm
D) thyroid crisis