Question 1

Patient was admitted for right upper quadrant pain. Workup included various x-rays that showed cholelithiasis. Patient was taken to the operating room where a laparoscopic cholecystectomy was performed. During the procedure, the physician was unable to visualize through the ports and an open cholecystectomy was elected to be performed. Intraoperative cholangiogram was performed. Pathology report states acute and chronic cholecystitis with cholelithiasis.

Accepted Answer

The answer of Patient was admitted for right upper quadrant...

Question 2

Patient presents to the hospital for debridement of a diabetic ulcer of the left ankle. The patient has a history of recurrent ulcers. Medication taken by the patient includes Diabeta and the patient was covered in the hospital with insulin sliding scales. The ulcer was debrided down to the bone.

Accepted Answer

The answer of Patient presents to the hospital for debridement...

Question 3

Patient with hematochromatosis, had a therapeutic phlebotomy performed on an outpatient basis.

Accepted Answer

Therapeutic phlebotomy is coded with 99195, which is used for blood withdrawal for therapeutic purposes.

Question 4

Patient presents to the emergency room with chest pains. The patient is admitted as a 23-hour observation. The cardiologist orders cardiac workup and the patient undergoes left heart catheterization via the left femoral artery with visualization of the coronary arteries and left ventriculography. The physician interprets the report. Code the heart catheterization.

Accepted Answer

The correct code for a left heart catheterization with coronary angiography and left ventriculography is 93510, along with additional codes for the specific procedures performed: 93545 for coronary angiography, 93543 for left ventriculography, and 93555 and 93556 for imaging supervision and interpretation.

Question 5

Patient presents to the emergency room following a fall from a tree. X-rays were ordered for the left upper arm which showed a fracture of the humerus shaft. The emergency room physician performed a closed reduction of the fracture and placed the patient in a long arm spica cast. Code the diagnoses and procedures, excluding the x-ray.

Accepted Answer

The answer of Patient presents to the emergency room following...

Question 6

Osteopathic manipulative treatment to three body regions.

Accepted Answer

CPT code 98926 is used for osteopathic manipulative treatment involving three to four body regions.

Question 7

Transesophageal echocardiography (TEE) with probe placement, image, and interpretation a report.

Accepted Answer

The answer of Transesophageal echocardiography (TEE) with probe placement, image,...

Question 8

One-half hour of IV chemotherapy by infusion followed by IV push of a different drug

Accepted Answer

Code 96413 is appropriate for the initial infusion of chemotherapy. Code 96411 is appropriate for the second drug given by IV push. Both codes can be reported together since they represent two separate and distinct services.

Question 9

A physician performs a PTCA with drug-eluting stent placement in the left anterior descending' artery and angioplasty only in the right coronary artery.

Accepted Answer

The procedure performed is PTCA with drug-eluting stent placement in the left anterior descending artery and angioplasty only in the right coronary artery. Therefore, the correct codes to use are 92980-LD (percutaneous transluminal coronary angioplasty [PTCA], single vessel only, drug-eluting stent, with coronary angiography, including intraprocedural pharmacological agent administration, when performed; initial vessel) and 92984-RC (percutaneous transluminal coronary angioplasty [PTCA], each additional branch of a coronary artery (List separately in addition to code for primary procedure).

Question 10

Patient came to the hospital from a local nursing home for a PEG tube placement via EGD.

Accepted Answer

438.82 - Gastrostomy Care
438.21 - Late effect of cerebrovascular disease, dysphagia
787.29 - Dysphagia
43246 - Esophagogastroduodenoscopy with placement of PEG tube

Question 11

Pathologist performs a postmortem examination including brain of an adult. Tissue is being sent to the lab for microscopic examination.

Accepted Answer

The code 88025 is used for a complete gross and microscopic examination of a postmortem, including the brain.

Question 12

Cytopathology of cervical Pap smear with automated thin-layer preparation utilizing computer screening and manual rescreening under physician supervision.

Accepted Answer

The code 88175 is used for cervical Pap smear tests that involve automated thin-layer preparation with computer screening and manual rescreening under physician supervision.

Question 13

Clotting factor VII

Accepted Answer

The correct code for Clotting factor VII is 85230, which is a Level II HCPCS code used for billing Medicare Part B. Option A, 85220, is for the quantitative measurement of factor VII activity, while option B, 85240, is for the measurement of clotting factors VIII and IX activity. Option C, 85362, is for the measurement of free thyroxine (T4) in serum.

Question 14

Caloric vestibular test using air

Accepted Answer

The answer of Caloric vestibular test using air
...

Question 15

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.

Accepted Answer

The answer of Patient was admitted with hemoptysis and underwent...

Question 16

IV push of one anti-neoplastic drug

Accepted Answer

96409 is the correct code for the intravenous push of a single or initial anti-neoplastic drug.

Question 17

Mother brings her 1-year-old in for the influenza split virus vaccine. Physician discusses merits of the vaccine with the mother.

Accepted Answer

The correct codes for a 1-year-old receiving the influenza split virus vaccine are 90657 for the vaccine itself and 90465 for the administration with counseling.

Question 18

IV infusion of chemotherapy for 3 hours

Accepted Answer

The answer of IV infusion of chemotherapy for 3 hours
...

Question 19

Which code listed below would be used to report an esophageal electrogram during an EPS?

Accepted Answer

The answer of Which code listed below would be used...

Question 20

Cardioversion of cardiac arrhythmia by external forces

Accepted Answer

Code 92960 is specifically for cardioversion of cardiac arrhythmia by external electrical counter shock. Codes 92950 and 92961 are for diagnostic procedures related to cardiac arrhythmia, and code 92970 is for defibrillation of cardiac arrest.

Exam 1: Registered Health Information Administrator