Question 1

Loop electrode excision procedures are also referred to as:

Accepted Answer

Loop electrode excision procedures are commonly referred to as LETZ, LEEP, or cervical loop diathermy, hence, option D is the correct choice.

Question 2

A radical vulvectomy is the removal of greater than 80% of the vulvar area.

Accepted Answer

False

Question 3

When coding a total abdominal hysterectomy with an anterior/posterior colporrhaphy, the correct modifier to add to the second procedure would be:

Accepted Answer

Modifier -51 is used to indicate that multiple procedures were performed during the same operative session. In this case, both the total abdominal hysterectomy and the anterior/posterior colporrhaphy were performed during the same operative session, so modifier -51 would be appended to the second procedure (the colporrhaphy) code. Modifier -26 (professional component) is used when a physician only performs the professional component of a service, such as interpreting a radiology exam. Modifier -50 (bilateral procedure) is used when a procedure is performed on both sides of the body at the same time. Modifier -79 (unrelated procedure) is used when a subsequent procedure is performed during the postoperative period that is unrelated to the first procedure.

Question 4

The code for a curettage performed after delivery is 58120.

Accepted Answer

The code 58120 is generally used for a diagnostic and therapeutic dilation and curettage (D&C) not specifically related to post-delivery complications. For postpartum curettage, other specific codes might be more appropriate depending on the clinical scenario and coding system used (e.g., ICD-10-PCS or CPT codes for postpartum care).

Question 5

This term describes an incision of the vagina to gain access to the peritoneal cul-de-sac to explore or to drain an abscess.

Accepted Answer

Colpocentesis is the only option that specifically describes accessing the peritoneal cul-de-sac through an incision in the vagina. Perineoplasty is a surgical procedure to repair the perineum. Colpocleisis is the surgical closure of the vaginal canal. Oophorectomy is the removal of the ovaries, which is not relevant to this question.

Question 6

Diagnostic amniocentesis includes radiologic supervision and interpretation.

Accepted Answer

Diagnostic amniocentesis involves the insertion of a needle through the abdomen and into the amniotic sac to collect a sample of amniotic fluid. Radiologic supervision and interpretation are not required for this procedure. However, ultrasound guidance may be used to ensure safe and accurate placement of the needle.

Question 7

Lysis of adhesions is performed on either the fallopian tubes or the:

Accepted Answer

The answer of Lysis of adhesions is performed on either...

Question 8

For medical complications of pregnancy, the physician would report his additional professional services using codes from what section or subsection?

Accepted Answer

The Evaluation and Management (E/M) section is used by physicians to report additional professional services for medical complications of pregnancy, as it covers the various types of encounters and assessments a physician may have with a patient.

Question 9

You would expect to code a service for an amniocentesis using a code from the Female Genital System subsection and a code from the ____ section.

Accepted Answer

Amniocentesis is a radiologic procedure that involves inserting a needle through the mother's abdominal wall, uterus, and amniotic sac to obtain a sample of amniotic fluid. Therefore, you would use a code from the Radiology section, specifically the Obstetrical Ultrasound and Other Diagnostic Procedures on the Fetus and Amniotic Cavity subsection.

Question 10

Colpotomy is an incision into the vagina.

Accepted Answer

A colpotomy is an incision made into the vaginal wall. It may be performed for diagnostic or therapeutic purposes, such as to access the uterus or ovaries during surgery.

Question 11

The code for destruction of a vaginal lesion is 17000.

Accepted Answer

The code 17000 refers to the destruction of a premalignant lesion (e.g., actinic keratoses) and not specifically to the destruction of a vaginal lesion. Codes for the destruction of vaginal lesions would be found in a different section of the CPT (Current Procedural Terminology) code book, typically under the gynecological or integumentary system sections, depending on the method of destruction.

Question 12

Surgical laparoscopy always includes:

Accepted Answer

Surgical laparoscopy always includes diagnostic laparoscopy, but paracervical block and biopsy may or may not be performed depending on the specific procedure being done.

Question 13

According to the text, vulvectomy codes are divided based on the ____ and extent of vulvar area removed during the procedure.

Accepted Answer

The answer of According to the text, vulvectomy codes are...

Question 14

Hysterectomy codes are first divided in the CPT manual based on the ____ and then on any secondary procedure(s) that were done.

Accepted Answer

Hysterectomy codes are primarily divided based on the approach used, such as vaginal, abdominal, or laparoscopic. Patient age, duration, or severity are not used to categorize the codes.

Question 15

Reporting code 59300 is acceptable when reporting 59400.

Accepted Answer

Code 59300 (Episiotomy or vaginal repair, by other than attending physician) should not be reported with 59400 (Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care) because 59400 is a comprehensive code that includes delivery and postpartum care, and episiotomy or vaginal repair performed by the attending physician is considered part of the routine obstetric care covered by 59400.

Question 16

The code 59400 doesn't include:

Accepted Answer

Code 59400 represents routine obstetric care including antepartum care, delivery, and postpartum care. However, it does not cover the additional procedure of a cerclage, which would require a separate code to be billed.

Question 17

Antepartum care includes:

Accepted Answer

The answer of Antepartum care includes:
...

Question 18

The anatomy in the Female Genital System subsection starts with the vulva and progresses upward to the:

Accepted Answer

The answer of The anatomy in the Female Genital System...

Question 19

Incision and drainage of these glands are not reported using Female Genital System codes but are instead reported using Surgery section, Urinary System codes.

Accepted Answer

Skene's glands are located near the urethra, not within the female genital system, so procedures on these glands are coded under the Urinary System codes.

Question 20

In which of the following categories would you locate a code for the removal of an IUD?

Accepted Answer

The answer of In which of the following categories would...

Quiz 21: Reproductive, Intersex Surgery, Female Genital System, and Maternity Care and Delivery