Deck 8: Coding Medical and Surgical Procedures

Question 1

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

Answer 1

A

Question 2

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

Answer 2

False

Question 3

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

Answer 3

drainage

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 diagnostic treatment is the principal procedure.

Question 5

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 6

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 7

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

Question 8

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

Question 9

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

Question 10

____ 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 11

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 12

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

Question 13

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

Question 14

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

Question 15

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

Question 16

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 would be an example of when a ____ would be coded.

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

Question 17

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

Question 18

Any procedure that affects payment or reimbursement must be reported.

Question 19

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 20

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 21

MATCHING
Match the following with the correct term or definition.
a.Drainage
b.Excision
c.Occlusion
d.Release
e.Removal
f.Reposition
Root operation that involves cutting or separation only

Question 22

Laparoscopic Nissen fundoplication

Question 23

MATCHING
Match the following with the correct term or definition.
a.Drainage
b.Excision
c.Occlusion
d.Release
e.Removal
f.Reposition
Root operation to remove solids/fluids/gases from a body part

Question 24

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

Question 25

MATCHING
Match the following with the correct term or definition.
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 26

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

Question 27

Bilateral fallopian tubal occlusion with Falope ring device,laparoscopic approach

Question 28

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 29

Above knee amputation,right midshaft femoral region

Question 30

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

Question 31

ESWL-right ureter

Question 32

MATCHING
Match the following with the correct term or definition.
a.Drainage
b.Excision
c.Occlusion
d.Release
e.Removal
f.Reposition
Root operation that always involves a device

Question 33

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

Question 34

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 35

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

Question 36

MATCHING
Match the following with the correct term or definition.
a.Drainage
b.Excision
c.Occlusion
d.Release
e.Removal
f.Reposition
Root operation to remove some/all of a body part

Question 37

MATCHING
Match the following with the correct term or definition.
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

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

Question 39

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

Question 40

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

Question 41

Removal of drainage device from right pleural cavity,percutaneous approach

Question 42

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

Question 43

Ureteroscopy that was unsuccessful for stone removal,left ureter

Question 44

Removal of mole right upper arm

Question 45

Percutaneous aspiration of left perirenal abscess

Question 46

Frenulotomy for treatment of ankyloglossia

Question 47

Episiotomy with vaginal delivery

Question 48

Open thyroidectomy with removal of the entire right lobe

Question 49

Nonexcisional debridement of skin-right foot ulcer

Question 50

Laparoscopic-assisted vaginal hysterectomy

Question 51

Lysis of small intestinal adhesions,open approach

Question 52

Laparoscopic cholecystectomy converted to open cholecystectomy

Question 53

Transurethral endoscopic laser ablation of prostate

Question 54

PTCA of left anterior descending and left circumflex

Question 55

Closed reduction of right radial fracture

Question 56

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

Question 57

Left kidney transplant,cadaver donor

Question 58

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 utilized during the procedure.

Question 59

Open endarterectomy of right internal carotid artery

Question 60

Therapeutic paracentesis of peritoneal cavity,percutaneous

Question 61

Placement of central venous catheter with the tip at the cavoatrial junction

Question 62

Reattachment of right thumb

Question 63

Open annuloplasty of the mitral valve with Carpentier-Edwards ring

Question 64

Percutaneous repositioning of dislocated atrial pacemaker lead

Question 65

Change of nephrostomy tube

Question 66

Laparoscopic orchiopexy-right undescended testicle