Question 1

Select the correct list of decisions needed to accurately code for a repair of the mouth procedure:

Accepted Answer

C) size, site, anterior/posterior, laterality, entire arch, complexity - These factors are crucial in accurately coding for a repair of the mouth procedure as they provide detailed information about the procedure's specifics, including the location, extent, and complexity of the repair. This information is necessary for correct billing and documentation.

Question 2

Ascites is:

Accepted Answer

Ascites refers to the abnormal accumulation of fluid in the peritoneal cavity, which is the space within the abdomen that houses the intestines, liver, and other organs.

Question 3

The uvula:

Accepted Answer

The uvula plays a role in triggering the gag reflex and is involved in the articulation of sounds in speech, but it does not directly break down food, form the roof of the mouth, or create the opening to the oral cavity.

Question 4

Portal hypertension contributes to the development of:

Accepted Answer

Portal hypertension leads to increased pressure in the portal venous system, which can cause the development of esophageal varices due to the formation of collateral circulation.

Question 5

Knotting, strangulation, torsion, or twisting of the intestine, bowel, or colon is referred to as:

Accepted Answer

Volvulus is the medical term for the knotting, strangulation, torsion, or twisting of the intestine, bowel, or colon, which can lead to obstruction and potentially cut off blood supply.

Question 6

An increase in blood pressure in the veins between the GI tract and the liver, causing enlargement of the veins, is:

Accepted Answer

Portal hypertension is the correct answer because it specifically refers to an increase in blood pressure within the portal venous system, which includes veins coming from the stomach, pancreas, spleen, and intestines that merge into the portal vein supplying the liver. This condition can lead to complications such as esophageal varices, but the term itself directly describes the increase in blood pressure.

Question 7

What is a vagotomy?

Accepted Answer

A vagotomy involves the transection (cutting) of the vagus nerve, which is done to reduce acid secretion in the stomach and treat peptic ulcer disease.

Question 8

The large intestine is divided into four parts:

Accepted Answer

The large intestine is divided into the ascending colon, transverse colon, descending colon, and sigmoid colon.

Question 9

Heller type, Nissen procedure, Toupet's procedure, and Collis gastroplasty can be found in this subsection of the Digestive section:

Accepted Answer

These procedures are related to the esophagus and are typically performed using laparoscopic techniques, which is why they are found in the "Esophagus, Laparoscopy" subsection of the Digestive section.

Question 10

The antrum is the ________ part of the stomach:

Accepted Answer

The antrum is the lower part of the stomach, where the stomach narrows to join the pyloric canal that leads into the small intestine.

Question 11

In which part of the small intestine does nutrients get absorbed into the bloodstream and waste passed on to the large intestine?

Accepted Answer

The ileum is the last part of the small intestine, and it is where nutrients are absorbed into the bloodstream. The cecum is the first part of the large intestine, and it is where waste is passed on to the large intestine.

Question 12

Codes under the subheading Salivary Gland and Ducts, Excision (42400-42450) are further subdivided by whether the procedure is:

Accepted Answer

The answer of Codes under the subheading Salivary Gland and...

Question 13

When an endoscopy is performed to determine the need for a more extensive open procedure, modifier ________ is appended to describe that the scope procedure was planned and a more extensive procedure was planned for a future date.

Accepted Answer

Modifier 58 is used to indicate that a procedure was performed during the postoperative period of the initial procedure to either stage a procedure or indicate therapy following a diagnostic surgical procedure. It is used when a more extensive procedure is planned for a future date.

Question 14

The oral two-thirds refers to:

Accepted Answer

The oral two-thirds, also known as the anterior two-thirds, of the tongue refers to the part that lies in the oral cavity, in front of the sulcus terminalis, distinguishing it from the posterior one-third which is part of the oropharynx.

Question 15

Which of the following is not a primary function of the digestive system?

Accepted Answer

The primary functions of the digestive system include the digestion of food, absorption of nutrients, and elimination of waste products. Conversion of food to energy is a broader biological process involving multiple systems, including the digestive system for nutrient breakdown and the metabolic system for energy production.

Question 16

When selecting a code to describe an ulcer in the digestive system, a coder must identify if the ulcer is:

Accepted Answer

Coders must specify if the ulcer is acute or chronic, hemorrhaging, perforated, or obstructed to accurately describe its condition and severity.

Question 17

Which of the following is not a part of the stomach?

Accepted Answer

The atrium is not a part of the stomach; it is a term used to describe a chamber or space in the heart. The antrum, body, and fundus are all parts of the stomach.

Question 18

If an intestinal or free jejunal graft with microvascular anastomosis is performed by another physician, modifier _________ is reported with code 43116:

Accepted Answer

The answer of If an intestinal or free jejunal graft...

Question 19

Gastroesophageal reflux disease may be indicated in provider documentation by stating:

Accepted Answer

Severe heartburn is a common symptom of gastroesophageal reflux disease (GERD), where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus.

Question 20

The alimentary canal is another term for the:

Accepted Answer

The alimentary canal refers to the whole digestive system, which includes the mouth, esophagus, stomach, intestines, and other organs involved in digestion and absorption of food.

Quiz 12: Surgery Section: Digestive System