Question 1

The physician performed an ORIF of a comminuted fracture of the proximal end of the left ulnar. This is coded as:

Accepted Answer

The correct code for an Open Reduction and Internal Fixation (ORIF) of a comminuted fracture of the proximal end of the left ulna is 0PSL04Z. This code is derived from the ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System), where "0" indicates the medical and surgical section, "P" denotes the upper bones body system, "S" indicates the reposition root operation, "L" specifies the ulna, "0" is for open approach, "4" represents internal fixation device, and "Z" indicates no qualifier.

Question 2

A patient suffered a severe head injury in an auto accident. He was rushed to the hospital and taken to surgery, where a craniotomy was done to remove a subdural hematoma from the brain. What is the correct code?

Accepted Answer

00C40ZZ is the correct code for a craniotomy procedure to remove a subdural hematoma, according to ICD-10-PCS coding guidelines.

Question 3

An example of the root operation of alteration is a(n):

Accepted Answer

The root operation of alteration involves the physical change of an anatomical structure, such as reshaping or restructuring. The option of facelift involves altering the appearance of the face by removing excess skin and tightening underlying tissues. The other options involve removal (amputation), replacement (knee replacement), or bypassing (gastric bypass) a structure, but do not involve alteration in the same way as a facelift.

Question 4

Refer to the ICD-10-PCS Official Guidelines for Coding and Reporting, Medical and Surgical Section Guidelines (Section 0), subhead Multiple Procedures. Which paragraph discusses multiple procedures?

Accepted Answer

Paragraph B3.2 discusses multiple procedures. It provides guidance on how to sequence and report multiple procedures performed during the same operative session.

Question 5

The definition of Humeral Head includes all except the:

Accepted Answer

The humeral head refers specifically to the proximal end of the humerus, which includes the greater and lesser tuberosities as well as the neck of the humerus. The distal humerus is located further down the bone and is not part of the humeral head.

Question 6

Refer to the ICD-10-PCS Official Guideline B3.3. What does this guideline discuss?

Accepted Answer

The guideline B3.3 discusses discontinued procedures, referring to procedures that are started but not completed for various reasons.

Question 7

Refer to the ICD-10-PCS Official Guidelines for Coding and Reporting, Medical and Surgical Section Guidelines (Section 0), subhead Fusion Procedures of the Spine. Which paragraphs discuss fusion of vertebral joints?

Accepted Answer

Paragraphs B3.10a, B3.10b, and B3.10c in the ICD-10-PCS Official Guidelines for Coding and Reporting, Medical and Surgical Section Guidelines (Section 0) discuss fusion of vertebral joints.

Question 8

All of the following are in the Mouth and Throat section except:

Accepted Answer

The thyroid gland is located in the neck, not in the mouth and throat section. The other options are all structures located in the mouth and throat.

Question 9

The gastrointestinal system includes all except the:

Accepted Answer

The answer of The gastrointestinal system includes all except the:
...

Question 10

The main difference between character position 2 (body system) and character position 4 (body part) is:

Accepted Answer

The answer of The main difference between character position 2...

Question 11

In the Medical and Surgical section, the second character position is body system, which uses numbers 0-9 and letters B-Y. Which letters are not used in the body system section?

Accepted Answer

The letters not used in the body system section of the Medical and Surgical section are A, E, I, O. These letters are omitted to avoid confusion with numbers and to maintain clarity in the coding system.

Question 12

A patient had a diagnostic bronchoscopy, right upper lobe, with brushings and washings. How would this be coded?

Accepted Answer

The correct code for a diagnostic bronchoscopy with brushings and washings of the right upper lobe is 0B9C8ZX. This code is derived from the ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System) and accurately represents the procedure described.

Quiz 30: ICD-10-Pcs Medical and Surgical Section