Deck 8: Coding Medical and Surgical Procedures

Question 1

When more than one procedure is performed, the procedure that was performed first is the principal procedure.

Answer 1

False

Question 2

In some instances, a surgical wound is not closed at the time of a surgical operation and is allowed to heal and will be closed at a later date. This is an example of when a ____ would be coded.

A)closure
B)bilateral procedure
C)biopsy
D)limited coverage

Answer 2

A

Question 3

Each ____________________ should have its own written policy regarding the assignment of ICD-10-PCS codes.

Answer 3

facility

Question 4

When a diagnostic procedure is performed for the principal diagnosis and a procedure for definitive treatment is performed for a secondary diagnosis, the procedure for definitive treatment is the principal procedure.

Question 5

An obstetric procedure is any procedure performed on a pregnant woman.

Question 6

If a surgical procedure starts out as a laparoscopic approach, it may never be converted to an open procedure.

Question 7

If a surgical procedure was canceled because the patient developed atrial fibrillation before the start of the procedure, which Z code would be assigned?

A)Z53.09 Surgical or other procedure not carried out because of contraindication
B)Z53.20 Surgical or other procedure not carried out because of patient's decision
C)Z53.9 Procedure not carried out for other reasons
D)None of the above

Question 8

An additional code should always be assigned for closure of the surgical incision.

Question 9

The Uniform Hospital Discharge Data Set (UHDDS) definitions are used by chronic care, long-term hospitals to report inpatient data elements in a standardized manner.

Question 10

When a diagnostic procedure is performed for the principal diagnosis and a procedure for definitive treatment is performed for a secondary diagnosis, the procedure for diagnostic treatment is the principal procedure.

Question 11

Any procedure that affects payment or reimbursement must be reported.

Question 12

It is a routine part of most surgical procedures to close the operative wound(s), so it is not necessary to code this separately.

Question 13

When a patient shows up to have a procedure performed but the procedure is canceled for whatever reason, the principal diagnosis would be ___________________.

Question 14

If a patient's procedure is canceled before he or she shows up at the hospital, what is the correct Z code to assign?

A)Z53.09 Surgical or other procedure not carried out because of contraindication
B)Z53.20 Surgical or other procedure not carried out because of patient's decision
C)Z53.9 Procedure not carried out for other reasons
D)None of the above

Question 15

"Low cervical cesarean section" would be identified by the fifth character approach.

Question 16

Cutting off all or a portion of the upper or lower extremities is ____.

Question 17

____________________ is the removal of tissue for pathologic exam to establish a precise diagnosis.

Question 18

____ identifies procedure codes identified by the Medicare Code Editor as procedures covered under limited circumstances.

A)Bilateral procedure
B)Nonspecific OR procedure
C)Noncovered OR procedure
D)Encoder

Question 19

Taking or letting out fluids and/or gases from a body part is called ____.

Question 20

Which of these is a true characteristic of significant procedures?

A)Surgical in nature
B)Carry a procedural risk
C)Carry an anesthetic risk
D)Require specialized training
E)All of the above

Question 21

Cutting out or off, without replacement, a portion of a body part is called ____.

Question 22

Taking out or off a device from a body part is called ____.

Question 23

Moving all or a portion of a body part to its normal location or other suitable location is called ____.

Question 24

Match each definition to one of the following items.
a.Drainage
b.Excision
c.Occlusion
d.Release
e.Removal
f.Reposition
Root operation that involves cutting or separation only

Question 25

Freeing a body part from an abnormal physical constraint is called ____.

Question 26

Match each definition to one of the following items.
a.Drainage
b.Excision
c.Occlusion
d.Release
e.Removal
f.Reposition
Root operation that always involves a device

Question 27

Above-knee amputation, right midshaft femoral region

Question 28

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part is called ____.

Question 29

Stopping, or attempting to stop, postprocedural or other acute bleeding is called ____.

Question 30

Modifying the natural anatomic structure of a body part without affecting the function of the body part is called ____.

Question 31

Match each definition to one of the following items.
a.Drainage
b.Excision
c.Occlusion
d.Release
e.Removal
f.Reposition
Root operation to remove some/all of a body part

Question 32

Match each definition to one of the following items.
a.Drainage
b.Excision
c.Occlusion
d.Release
e.Removal
f.Reposition
Root operation to remove solids/fluids/gases from a body part

Question 33

Completely closing an orifice or lumen of a tubular body part is called ____.

Question 34

Bilateral fallopian tubal occlusion with Falope ring device, laparoscopic approach

Question 35

Match each definition to one of the following items.
a.Drainage
b.Excision
c.Occlusion
d.Release
e.Removal
f.Reposition
Root operation that alters the diameter/route of a tubular body part

Question 36

ESWL-right ureter

Question 37

Match each definition to one of the following items.
a.Drainage
b.Excision
c.Occlusion
d.Release
e.Removal
f.Reposition
Root operation that puts in/puts back or moves some/all of a body part

Question 38

Cutting into a body part without draining fluids and/or gases from the body part in order to separate or transect a body part is called ____.

Question 39

Visually and/or manually exploring a body part is called ____.

Question 40

Laparoscopic Nissen fundoplication

Question 41

Open CABG bypass of two coronary arteries using the saphenous vein (aorta to coronary artery) and one artery with the left internal mammary artery, which was used as a pedicle graft to coronary artery. The left greater saphenous vein was harvested via percutaneous endoscopic approach. Cardiopulmonary bypass machine was used during the procedure.

Question 42

Transurethral endoscopic laser ablation of prostate

Question 43

Ureteroscopy that was unsuccessful for stone removal, left ureter

Question 44

Open endarterectomy of right internal carotid artery

Question 45

PTCA of left anterior descending and left circumflex

Question 46

Frenulotomy for treatment of ankyloglossia

Question 47

Removal of drainage device from right pleural cavity, external approach

Question 48

Nonexcisional debridement of skin-right foot ulcer

Question 49

Open thyroidectomy with removal of the entire right lobe

Question 50

Total right hip replacement with ceramic on polyethylene prosthesis, open approach, without bone cement

Question 51

Laparoscopic cholecystectomy converted to open cholecystectomy

Question 52

Episiotomy with vaginal delivery

Question 53

Laparoscopic-assisted vaginal hysterectomy

Question 54

Closed reduction of right radial fracture

Question 55

Percutaneous aspiration of left perirenal abscess

Question 56

Therapeutic paracentesis of peritoneal cavity, percutaneous

Question 57

Removal of mole right upper arm

Question 58

Heart transplant, cadaver donor with extracorporeal circulation auxiliary during the open-heart surgery

Question 59

Left kidney transplant, cadaver donor

Question 60

Lysis of small intestinal adhesions, open approach

Question 61

Reattachment of right thumb

Question 62

Placement of central venous catheter with the tipat the cavoatrial junction

Question 63

Laparoscopic orchiopexy-right undescended testicle

Question 64

Percutaneous repositioning of dislocated atrial pacemaker lead

Question 65

Change of nephrostomy tube

Question 66

Open annuloplasty of the mitral valve with Carpentier-Edwards ring