Question 1

How is the Respiratory System subsection of the CPT manual formatted?

Accepted Answer

The Respiratory System subsection of the CPT manual is formatted by anatomical site, following the flow of air from the nose to the lungs, which reflects the natural path of respiration.

Question 2

Select the correct definition of the diaphragm:

Accepted Answer

The diaphragm is a large, dome-shaped muscle located at the base of the lungs and heart, separating the thoracic cavity (where the heart and lungs reside) from the abdominal cavity. It plays a crucial role in breathing.

Question 3

The Respiratory Subsection general heading "Lungs and Pleura" is found in what code range?

Accepted Answer

The code range 32035-32999 covers procedures related to the lungs and pleura in the Respiratory System subsection of the CPT codebook.

Question 4

What is the primary difference between pneumonia and pneumonitis?

Accepted Answer

Pneumonia is typically caused by infections, including bacteria, viruses, and fungi, leading to inflammation in the air sacs of the lungs, which can fill with fluid or pus. Pneumonitis, on the other hand, refers to inflammation of the lung tissue from noninfectious causes such as inhaling irritants, including chemicals or allergens.

Question 5

Harry underwent a primary rhinoplasty two days ago, performed by Dr. Trent. Harry calls the office complaining of significant bleeding from the nose. Dr. Trent meets Harry at the hospital and performs an anterior simple nasal hemorrhage control. What modifier would the coder append to 30901?

Accepted Answer

Modifier 78 is used for an unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period. In this case, Harry's return to the hospital for bleeding control is related to his initial surgery and is unplanned, fitting the criteria for modifier 78.

Question 6

Necrotic or necrotizing pneumonia is also known as:

Accepted Answer

Necrotic or necrotizing pneumonia involves the destruction of lung tissue leading to the formation of cavities, which can be described as abscesses. This is different from pneumothorax (air in the chest cavity), pleurisy (inflammation of the pleura), and empyema (pus in the pleural space).

Question 7

A biopsy is a(n):

Accepted Answer

A biopsy involves the removal of tissue from the body for examination under a microscope or in a lab to diagnose disease, such as cancer. It does not involve blood gas analysis, tissue restoration, or creating surgical openings for other purposes.

Question 8

Abbreviation ABG stands for:

Accepted Answer

ABG stands for arterial blood gas, a test that measures the acidity (pH) and levels of oxygen and carbon dioxide in the blood from an artery.

Question 9

Select the true statement concerning code selection for sinusitis and tonsillitis in ICD-10-CM:

Accepted Answer

In ICD-10-CM, the specificity of the diagnosis, including the identification of the organism causing the condition when known, can impact code selection. This is true for conditions like sinusitis and tonsillitis, where the causative agent can determine the specific code used.

Question 10

The partition of cartilage that divides the left and right nasal cavities is the:

Accepted Answer

The nasal septum is the partition of cartilage (and bone) that divides the left and right nasal cavities.

Question 11

Which of these is not a common subheading under the Respiratory Section general headings?

Accepted Answer

Laparoscopy is not a common subheading under the Respiratory Section general headings because laparoscopy is a technique primarily used in abdominal or pelvic surgery, not respiratory procedures.

Question 12

Which of the following is not a question a coder should ask when selecting codes from the Respiratory subsection of CPT?

Accepted Answer

The question about whether the procedure was performed in a single stage or multiple stages is not typically relevant to selecting codes from the Respiratory subsection of CPT. The focus is more on the approach, anatomical site, and whether it was performed at a single or multiple sites.

Question 13

All of the following are categories of pneumonia in the ICD-10-CM manual for Diseases of the Respiratory System except:

Accepted Answer

Meconium aspiration pneumonia is classified under conditions originating in the perinatal period, not under Diseases of the Respiratory System.

Question 14

A condition in which the airways are hypersensitive and react to inhaled irritants by narrowing or obstructing is:

Accepted Answer

Asthma is a condition where the airways are hypersensitive and react to irritants by narrowing, leading to obstruction and difficulty in breathing.

Question 15

The condition "rales" is:

Accepted Answer

Rales are abnormal crackling or rattling sounds heard in the chest with a stethoscope, typically indicating the presence of fluid or mucus in the airways.

Question 16

A severe viral infection of the lungs is:

Accepted Answer

Severe acute respiratory syndrome (SARS) is a severe viral infection that affects the lungs.

Question 17

A rhinoplasty with intermediate revision includes:

Accepted Answer

An intermediate revision rhinoplasty typically involves more than minor adjustments, such as bony work with osteotomies, which is characteristic of a secondary rhinoplasty.

Question 18

A procedure which often requires the use of nasal stents, balloon catheters, or posterior packing is:

Accepted Answer

Posterior nasal hemorrhage control often requires more invasive measures such as nasal stents, balloon catheters, or posterior packing due to the difficulty in accessing and effectively controlling bleeding from the posterior aspect of the nasal cavity.

Question 19

Surgical sinus endoscopy includes:

Accepted Answer

Surgical sinus endoscopy includes sinusotomy and diagnostic endoscopy.

Question 20

Code range J30-J39 contains codes describing which conditions?

Accepted Answer

The code range J30-J39 specifically pertains to "Other Diseases of Upper Respiratory Tract," covering conditions that affect the upper part of the respiratory system but are not classified as acute infections, pneumoconioses, pneumonia, or influenza.

Quiz 10: Surgery Section: Respiratory System