Question 1

If a surgeon performs a tonsillectomy and places ventilation tubes in the tympanic membranes in the same operative session, which modifier is appropriate to use on the second code being reported?

Accepted Answer

Modifier 51 is used to indicate multiple procedures performed during the same operative session by the same provider.

Question 2

On what are keratoplasty CPT codes dependent?

Accepted Answer

Keratoplasty CPT codes are dependent on the thickness of the donor graft or the portion of the cornea that is grafted. This is because the complexity and approach of the procedure can vary significantly based on the depth and extent of corneal tissue involvement.

Question 3

What does the term "Oculus dexter" signify?

Accepted Answer

"Oculus dexter" is a Latin term used in medical contexts to refer to the right eye.

Question 4

A condition that develops when pressure builds within the eye due to an increase in fluid and leads to damage of the optic nerve is:

Accepted Answer

Glaucoma is characterized by increased pressure within the eye (intraocular pressure) that can damage the optic nerve, potentially leading to vision loss if not treated.

Question 5

The ciliary body:

Accepted Answer

The ciliary body is responsible for producing the aqueous humor, which is the fluid in the eye, and it also contains the ciliary muscles, which hold the lens in place and allow it to change shape for focusing. Choices A, B, and D describe functions of other parts of the eye, such as the retina, the anterior chamber, and the lens, respectively.

Question 6

In which code range of ICD-10-CM will a coder find Diseases of the Ear and Mastoid Process?

Accepted Answer

The correct code range for Diseases of the Ear and Mastoid Process in ICD-10-CM is H60-H95.

Question 7

Which ear structure equalizes pressure and drains mucus from the middle ear?

Accepted Answer

The Eustachian tubes connect the middle ear to the nasopharynx and serve to equalize pressure in the middle ear with the external atmospheric pressure and to drain mucus from the middle ear.

Question 8

Select the true statement regarding the proper coding of removal of impacted cerumen requiring instrumentation:

Accepted Answer

CPT code 69210 is specifically designated for the removal of impacted cerumen requiring instrumentation and is found in the Removal subheading of the External Ear subsection, accurately reflecting the procedure's nature and location.

Question 9

Select the part of the eye that is not considered to be the outer layer:

Accepted Answer

The ciliary body is part of the uveal tract or middle layer of the eye, which also includes the iris and choroid, not the outer layer. The sclera and cornea are parts of the outer layer, and the conjunctiva is a membrane that covers the outer layer.

Question 10

Select the correct medical term for "low intraocular pressure":

Accepted Answer

Hypotony is the medical term for low intraocular pressure, indicating an abnormally low level of pressure within the eye.

Question 11

What is the correct acronym for the procedure of removing a diseased lens of the eye, leaving part of the capsule covering the lens to allow implantation of an intraocular lens?

Accepted Answer

ECCE stands for Extracapsular Cataract Extraction, a procedure where the diseased lens of the eye is removed while leaving part of the lens capsule intact for the implantation of an intraocular lens.

Question 12

In what code range are procedures performed on the Inner Ear located?

Accepted Answer

The code range 69801-69949 is designated for procedures performed on the Inner Ear according to the CPT coding system.

Question 13

Otitis externa is:

Accepted Answer

Otitis externa is an infection or inflammation of the external auditory canal, the auricle, or both. This condition is often referred to as "swimmer's ear" and involves the tissues extending into the cartilage of the ear, not just the outer lobe or cartilage alone. It can be suppurative, meaning it can produce pus, contrary to a nonsuppurative condition.

Question 14

What is the definition of esotropia strabismus?

Accepted Answer

Esotropia strabismus is a condition where the eye turns inward towards the nose.

Question 15

This gland is located near the brainstem and is involved in regulation of body functions is:

Accepted Answer

The answer of This gland is located near the brainstem...

Question 16

What type of conditions are Meniere's disease, labyrinthitis, and labyrinthine fistulas categorized as?

Accepted Answer

These conditions are related to the inner ear and can affect balance and hearing. Meniere's disease involves fluid buildup leading to vertigo and hearing loss. Labyrinthitis is inflammation of the inner ear causing vertigo and hearing loss. Labyrinthine fistulas are abnormal connections that can cause similar symptoms.

Question 17

In which code range will a coder find procedures performed on the thyroid gland?

Accepted Answer

The code range 60000-60300 includes procedures related to the thyroid gland.

Question 18

How many categories of visual impairment (acuity) are included in the visual impairment table of ICD-10-CM?

Accepted Answer

The ICD-10-CM visual impairment table includes six categories of visual impairment based on acuity.

Question 19

What is the definition of hypertropia strabismus?

Accepted Answer

Hypertropia strabismus is a condition where one eye turns upward relative to the other.

Question 20

Which part of the eye provides protection, acting as a shield for the iris and lens?

Accepted Answer

The cornea acts as a protective shield for the iris and lens, helping to focus light entering the eye.

Quiz 16: Surgery Section: Eyes, Ears, and Endocrine System