Question 1

A chronic or acute infection of the bone usually caused by bacteria or fungi is called:

Accepted Answer

Osteomyelitis is the correct term for a bone infection, typically caused by bacteria or fungi, which can be either acute or chronic.

Question 2

Operation: Left transaxillary subpectoral mammoplasty with saline-filled implant.
Preoperative diagnosis: Left hypomastia.
Postoperative diagnosis: Left hypomastia.
Anesthesia: General.
Procedure: After first obtaining a suitable level of general anesthesia with the patient in the supine position, the breasts were prepped with Betadine scrub and solution. Sterile towels, sheets, and drapes were placed in the usual fashion for surgery of the breasts. Following prepping and draping, the anterior axillary folds and the inframammary folds were infiltrated with a total of 20 cc of 0.5 percent Xylocaine with 1:200,000 units of epinephrine.
After a suitable hemostatic waiting period, transaxillary incisions were made, and dissection was carried down to the edge of the pectoralis fascia. Blunt dissection was then used to form a bilateral subpectoral pocket. Through the subpectoral pocket a sterile suction tip was introduced, and copious irrigation with sterile saline solution was used until the irrigant was clear.
Following completion of irrigation, 250-cc saline-filled implants were introduced. They were first filled with 60 cc of saline and checked for gross leakage; none was evident. They were overfilled to 300 cc of saline each. The patient was then placed in the seated position, and the left breast needed 10 cc of additional fluid for symmetry.
Following completion of the filling of the implants and checking the breasts for symmetry, the patient's wounds were closed with interrupted vertical mattress sutures of 4-0 Prolene. Flexan dressings were applied, followed by the patient's bra. She seemed to tolerate the procedure well.
Choose the appropriate CPT and ICD-10-CM codes:

Accepted Answer

The correct CPT code for this procedure is 19325-LT, which represents augmentation mammoplasty with a prosthetic implant, and the procedure was performed on the left side, hence the modifier -LT. The ICD-10-CM code N64.82 corresponds to the diagnosis of hypomastia.

Question 3

The patient presents for submucous resection of the middle turbinate, complete. Select the appropriate CPT code:

Accepted Answer

The answer of The patient presents for submucous resection of...

Question 4

Amy presents to the office for destruction of a malignant 2.3-cm lesion of the skin of the neck. Select the appropriate ICD-10-CM and CPT codes for today's encounter:

Accepted Answer

17273 is the correct CPT code for destruction of a malignant lesion of the skin of the neck. C44.40 is the correct ICD-10-CM code for malignant melanoma of the skin of the neck.

Question 5

Operative Report
Postoperative diagnosis:
1) Retained hardware, left foot.
2) Decreased range of motion, left ankle.
Procedure: The patient was placed under general anesthesia; her left lower extremity was prepped and draped in a sterile fashion. A time-out procedure was performed.
The patient then had a hardware removal performed on the transcutaneous K-wires, followed by examination of her ankle, which had approximately 5 to 10 degrees lacking of neutral. Gentle manipulation was performed, giving her dorsiflexion to 10 degrees. C- arm fluoroscopy was introduced to the field, taking confirmatory x-ray, and at this point the patient had a sterile dressing applied and was awakened from general anesthesia.
Select the appropriate CPT codes:

Accepted Answer

The answer of Operative Report
Postoperative diagnosis:
1) Retained hardware, left foot.
2)...

Question 6

Timmy, a 5-year-old, was playing with his toys and decided to stick a bead from his sister's necklace up his nose. The bead was lodged in his nasal passage, and after several unsuccessful attempts by his mother and father to remove it, they took him to the emergency room. After triaging the patient, the physician utilized a surgical instrument to help remove the bead from Timmy's nasal passage. Code the physician services:

Accepted Answer

The correct coding for the physician's services in removing a foreign body from the nasal passage is 30300, which refers to the removal of a foreign body from the nose without incision. The diagnosis code T17.1XXA is used for a foreign body in the nose, initial encounter, which matches the scenario described.

Question 7

Operation: Left transaxillary subpectoral mammoplasty with saline-filled implant.
Preoperative diagnosis: Left hypomastia.
Postoperative diagnosis: Left hypomastia.
Anesthesia: General.
Procedure: After first obtaining a suitable level of general anesthesia with the patient in the supine position, the breasts were prepped with Betadine scrub and solution. Sterile towels, sheets, and drapes were placed in the usual fashion for surgery of the breasts. Following prepping and draping, the anterior axillary folds and the inframammary folds were infiltrated with a total of 20 cc of 0.5 percent Xylocaine with 1:200,000 units of epinephrine.
After a suitable hemostatic waiting period, transaxillary incisions were made, and dissection was carried down to the edge of the pectoralis fascia. Blunt dissection was then used to form a bilateral subpectoral pocket. Through the subpectoral pocket a sterile suction tip was introduced, and copious irrigation with sterile saline solution was used until the irrigant was clear.
Following completion of irrigation, 250-cc saline-filled implants were introduced. They were first filled with 60 cc of saline and checked for gross leakage; none was evident. They were overfilled to 300 cc of saline each. The patient was then placed in the seated position, and the left breast needed 10 cc of additional fluid for symmetry.
Following completion of the filling of the implants and checking the breasts for symmetry, the patient's wounds were closed with interrupted vertical mattress sutures of 4-0 Prolene. Flexan dressings were applied, followed by the patient's bra. She seemed to tolerate the procedure well.
Choose the appropriate CPT and ICD-10-CM codes:

Accepted Answer

The correct CPT code for this procedure is 19325-LT, indicating augmentation mammoplasty with an implant, and the ICD-10-CM code is N64.82 for hypomastia. This matches the procedure described as a left transaxillary subpectoral mammoplasty with saline-filled implant for the preoperative diagnosis of left hypomastia.

Question 8

Gary sees Dr. G on Monday regarding his atrial fibrillation. Gary is a new patient, and Dr. G performs a comprehensive history, an exam, and moderate medical decision making. Dr. G decides to insert a permanent dual-chamber pacemaker. The pacemaker is inserted on Tuesday. Dr. G sees Gary in the hospital on Wednesday and discharges Gary on Thursday. Which of the following is the correct coding of Gary's visits and procedures for Monday through Thursday?

Accepted Answer

The correct coding includes 99204-57 for the new patient visit with a comprehensive history, exam, and moderate medical decision making, with the modifier -57 indicating a decision for surgery. The code 33208 is for the insertion of a dual-chamber pacemaker. The other visits and procedures are bundled into the global surgical package and do not require separate coding.

Question 9

Sarah, a 24-year-old female, was walking her dog this morning, and when she wasn't paying attention, she tripped and fell over the curb. The patient states that she fell to the ground using her right hand and arm to brace herself. She states that she heard a "crunch"; the resultant x-ray indicated a compound fracture to the ulna of her right arm. With the patient under general anesthesia, the area was opened and irrigated. The shaft of the ulna was fractured and had to be repaired using screws to hold it into place. The surrounding tissue was repaired, irrigated, and closed in a usual manner. Select the correct CPT code for the repair of the ulna:

Accepted Answer

The correct CPT code for the repair of a fractured ulna with the use of screws (indicating an open reduction with internal fixation) is 25545. This code is specific for open treatment of ulnar shaft fracture, with or without internal or external fixation.

Question 10

The form of skin cancer that rarely metastasizes is known as:

Accepted Answer

Basal cell carcinoma is a form of skin cancer that rarely metastasizes or spreads to other parts of the body. It is the most common and least aggressive type of skin cancer.

Question 11

Which of the following is the area of the sinus that is located at the top of the nasal cavities between the eyes?

Accepted Answer

The ethmoid sinus is the area located at the top of the nasal cavities between the eyes.

Question 12

Operative Report
Postoperative diagnosis:
1) Retained hardware, left foot.
2) Decreased range of motion, left ankle.
Procedure: The patient was placed under general anesthesia; her left lower extremity was prepped and draped in a sterile fashion. A time-out procedure was performed.
The patient then had a hardware removal performed on the transcutaneous K-wires, followed by examination of her ankle, which had approximately 5 to 10 degrees lacking of neutral. Gentle manipulation was performed, giving her dorsiflexion to 10 degrees. C- arm fluoroscopy was introduced to the field, taking confirmatory x-ray, and at this point the patient had a sterile dressing applied and was awakened from general anesthesia.
Select the appropriate CPT codes:

Accepted Answer

20670-LT is for removal of implant; superficial (e.g., buried wire, pin or rod) (separate procedure), which matches the removal of K-wires. 27860-LT is for manipulation of ankle under anesthesia, which matches the gentle manipulation performed. 76000-26 is for fluoroscopy, which was used during the procedure.

Question 13

If the starting point is catheterization of the aorta, to which of the following order branches in the vascular family reporting would the left internal carotid artery belong?

Accepted Answer

The left internal carotid artery is a direct branch of the common carotid artery, which itself branches from the aorta. Therefore, in the context of vascular family reporting starting from the aorta, the left internal carotid artery would be considered a second-order branch.

Question 14

The physician performed thoracentesis with tube insertion to treat pleural effusion caused by small cell cancer of the middle lobe of the right lung. Select the appropriate CPT and ICD codes:

Accepted Answer

32557 is the correct CPT code for thoracentesis with tube insertion. C34.2 is the ICD-10 code for malignant neoplasm of the middle lobe of the lung, and J91.0 specifies pleural effusion in conditions classified elsewhere, which in this case is due to the lung cancer.

Question 15

Gavin presents to the hospital for an outpatient procedure for a diagnostic arthroscopy of the right knee. As the physician is performing the procedure, she identifies a medial meniscal tear and repairs it at that time. Choose the correct CPT and ICD-10-CM codes for this procedure:

Accepted Answer

The correct CPT code for a diagnostic arthroscopy where a medial meniscal tear is identified and repaired is 29882 with the RT modifier indicating the right knee. The ICD-10-CM code S83.241A specifies a tear of the medial meniscus, current injury, right knee, initial encounter, which matches the procedure performed.

Question 16

Amara presents to the office today as an established patient to have irritated skin tags removed from her neck and shoulders. Dr. Rose prepped her for the procedure and removed 20 skin tags using liquid nitrogen. Select the appropriate CPT code(s) for Amara's visit today:

Accepted Answer

The correct CPT codes for the removal of 20 skin tags using liquid nitrogen are 11200 for the removal of up to 15 skin tags and 11201 for each additional 10 skin tags or part thereof. Since 20 skin tags were removed, 11200 covers the first 15, and 11201 covers the additional 5.

Question 17

A chronic or acute infection of the bone usually caused by bacteria or fungi is called:

Accepted Answer

Osteomyelitis is the correct term for a bone infection, whether chronic or acute, typically caused by bacteria or fungi.

Question 18

The patient underwent radical neck dissection with laryngectomy for carcinoma of the larynx and true vocal cords. Choose the correct codes:

Accepted Answer

The procedure code 31365 is for total laryngectomy with radical neck dissection, and C32.0 is the ICD-10 code for malignant neoplasm of the glottis, which includes the true vocal cords.

Question 19

Amy presents to the office for destruction of a malignant 2.3-cm lesion of the skin of the neck. Select the appropriate ICD-10-CM and CPT codes for today's encounter:

Accepted Answer

The correct ICD-10-CM code for a malignant lesion of the skin of the neck is C44.40, and the correct CPT code for the destruction of a malignant lesion 2.3 cm in size is 17273.

Question 20

A 15-year-old patient has a surgical nasal endoscopy with biopsy of a nasal polyp. What is the correct CPT code for this procedure?

Accepted Answer

31237 is the correct CPT code for nasal endoscopy with biopsy.

Quiz 24: Coding for Surgical Procedures on Integumentary, Musculoskeletal, Respiratory, and Cardiovascular/Lymphatic Systems

A chronic or acute infection of the bone usually caused by bacteria or fungi is called:

The patient presents for submucous resection of the middle turbinate, complete. Select the appropriate CPT code:

Amy presents to the office for destruction of a malignant 2.3-cm lesion of the skin of the neck. Select the appropriate ICD-10-CM and CPT codes for today's encounter:

The form of skin cancer that rarely metastasizes is known as:

Which of the following is the area of the sinus that is located at the top of the nasal cavities between the eyes?

If the starting point is catheterization of the aorta, to which of the following order branches in the vascular family reporting would the left internal carotid artery belong?

The physician performed thoracentesis with tube insertion to treat pleural effusion caused by small cell cancer of the middle lobe of the right lung. Select the appropriate CPT and ICD codes:

Gavin presents to the hospital for an outpatient procedure for a diagnostic arthroscopy of the right knee. As the physician is performing the procedure, she identifies a medial meniscal tear and repairs it at that time. Choose the correct CPT and ICD-10-CM codes for this procedure:

Amara presents to the office today as an established patient to have irritated skin tags removed from her neck and shoulders. Dr. Rose prepped her for the procedure and removed 20 skin tags using liquid nitrogen. Select the appropriate CPT code(s) for Amara's visit today:

A chronic or acute infection of the bone usually caused by bacteria or fungi is called:

The patient underwent radical neck dissection with laryngectomy for carcinoma of the larynx and true vocal cords. Choose the correct codes:

Amy presents to the office for destruction of a malignant 2.3-cm lesion of the skin of the neck. Select the appropriate ICD-10-CM and CPT codes for today's encounter:

A 15-year-old patient has a surgical nasal endoscopy with biopsy of a nasal polyp. What is the correct CPT code for this procedure?