Question 1

In the subsection "Diseases of Esophagus, Stomach, and Duodenum" ulcer of the esophagus is further divided based on:

Accepted Answer

The answer of In the subsection "Diseases of Esophagus, Stomach,...

Question 2

Select the part of the digestive system in which peristaltic action occurs after food is chewed and swallowed:

Accepted Answer

Peristaltic action occurs in the esophagus to move the chewed and swallowed food down to the stomach.

Question 3

A procedure commonly performed to treat GERD and hiatal hernias is:

Accepted Answer

Fundoplication is the surgical procedure commonly performed to treat GERD (gastroesophageal reflux disease) and hiatal hernias. It involves wrapping the top part of the stomach around the lower end of the esophagus to strengthen the sphincter, thereby preventing acid reflux.

Question 4

Cheiloplasty is another medical term for:

Accepted Answer

Cheiloplasty refers to the surgical repair of the lip, often performed to correct defects, deformities, or injuries.

Question 5

In the ICD-10-CM manual, the Digestive System is Chapter:

Accepted Answer

Chapter 11 of the ICD-10-CM manual is dedicated to diseases of the digestive system.

Question 6

How long is the duodenum?

Accepted Answer

The duodenum is the first section of the small intestine and is approximately 10-12 inches long.

Question 7

A mixture of food and digestive enzymes in the saliva is referred to as a:

Accepted Answer

A bolus is the correct term for a mixture of food and digestive enzymes in the saliva, formed in the mouth during the process of chewing.

Question 8

A coder sees the following statement in the documentation: "performed surgical removal of a gall stone through an incision into the gall bladder." Which procedure is this statement describing?

Accepted Answer

The statement describes a cholelithotomy, which is the surgical removal of a gallstone through an incision into the gallbladder.

Question 9

Select the body part that is described as a muscular tube:

Accepted Answer

The esophagus is described as a muscular tube that connects the throat (pharynx) with the stomach. It is responsible for moving swallowed food and liquids from the mouth to the stomach through a series of muscular contractions known as peristalsis.

Question 10

Terms such as cryo, chemical, or thermal in the documentation indicate coding ____________ instead of excision of a lesion.

Accepted Answer

The terms cryo, chemical, or thermal indicate a process of destruction rather than removal or excision, hence coding for destruction of a lesion.

Question 11

The type of hernia that is similar to an inguinal hernia, but appears as a slightly lower bulge is:

Accepted Answer

Femoral hernias are similar to inguinal hernias in that they both occur in the groin area. However, femoral hernias appear as a slightly lower bulge because they occur just below the inguinal ligament, where the femoral artery and vein pass from the abdomen into the leg.

Question 12

Where does a peptic ulcer occur?

Accepted Answer

A peptic ulcer occurs in the lining of the stomach or the first part of the small intestine, which is the duodenum.

Question 13

A provider performs a surgical endoscopy beyond the second portion of the duodenum with placement of a percutaneous jejunostomy tube. While visualizing this placement, the surgeon notes unusual bleeding and performs bipolar cautery to control it. A biopsy is performed of a probable polyp and the surgeon completes the procedure.
Select the appropriate CPT code(s) listed below that describe this procedure:
44360 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) 44361 with biopsy, single or multiple
44363 with removal of foreign body
44364 with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
44365 with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
44366 with control of bleeding (e.g., injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
44372 with placement of percutaneous jejunostomy tube

Accepted Answer

The correct codes are 44372 for the placement of a percutaneous jejunostomy tube, 44366 for the control of bleeding using bipolar cautery, and 44361 for the biopsy of a probable polyp. These codes accurately describe the procedures performed.

Question 14

Another term for caput medusae is:

Accepted Answer

Caput medusae refers to the appearance of distended and engorged paraumbilical veins, which form around the navel, resembling the snake-like hair of Medusa from Greek mythology. This condition is a sign of portal hypertension, which is a consequence of liver disease, most commonly cirrhosis.

Question 15

Select the question that a coder does not need to answer when selecting a diagnosis code for a hernia of the abdominal cavity:

Accepted Answer

Inflammation is not a criterion for selecting a diagnosis code for a hernia of the abdominal cavity.

Question 16

When coding hernia repair, the coder must ask himself/herself several questions. All of the following are necessary questions regarding hernia repair except:

Accepted Answer

The question of whether the hernia was acute or chronic is not typically a necessary consideration for coding hernia repair. Coding usually focuses on factors like the reducibility of the hernia, the patient's age, and the specific type of hernia being treated, as these can affect the coding process and the specific codes used.

Question 17

Procedures performed on the appendix organ are found in which code range?

Accepted Answer

Procedures performed on the appendix are coded within the range 44900-44979 in the Current Procedural Terminology (CPT) coding system. This range includes various types of appendectomy procedures and other related surgeries.

Question 18

All of the following are subheadings of the Digestive Section of CPT except:

Accepted Answer

The answer of All of the following are subheadings of...

Question 19

In an esophagectomy performed without thoracotomy, which two anatomical sites are anastomosed?

Accepted Answer

An esophagectomy without thoracotomy typically involves removing a portion of the esophagus and then connecting (anastomosing) the remaining part of the esophagus to the stomach to re-establish continuity of the digestive tract.

Question 20

The subtotal division of the pancreas involves the:

Accepted Answer

The answer of The subtotal division of the pancreas involves...

Quiz 12: Surgery Section: Digestive System