Question 1

A 51-year-old female patient is brought to the operating room for an extraoral incision and drainage of a sublingual abscess. Upon arriving at the Incision codes in the Digestive System subsection Tongue and Floor of the Mouth (41000-41019), which piece of information will begin the coder's selection of the appropriate procedure code?

Accepted Answer

The coder's selection of the appropriate procedure code begins with determining whether the approach to the abscess drainage is intraoral or extraoral, as this directly impacts the specific code used within the Digestive System subsection for Tongue and Floor of the Mouth procedures.

Question 2

CPT code range 42300-42699 contains codes for procedures on which of the following anatomic sites?

Accepted Answer

The CPT code range 42300-42699 is designated for procedures on the salivary glands and ducts. This range includes various surgical procedures such as excisions, repairs, and diagnostic procedures related to the salivary glands (e.g., parotid, submandibular, sublingual) and their ducts.

Question 3

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 4

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 associated with the esophagus and are typically performed using laparoscopic techniques, hence they are found in the "Esophagus, Laparoscopy" subsection of the Digestive section.

Question 5

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

The answer of Select the question that a coder does...

Question 6

Select the correct flow of the digestive system:

Accepted Answer

The correct flow of the digestive system starts at the mouth, where food is ingested and chewed. It then moves down the esophagus to the stomach, where it is further digested. From the stomach, it progresses to the small intestine, where most nutrient absorption occurs. Finally, it moves to the large intestine for water absorption and then is expelled through the anus.

Question 7

Cholelithotripsy is:

Accepted Answer

Cholelithotripsy refers to the process of crushing gallstones, allowing them to be more easily passed or removed.

Question 8

If the patient is returned to the operating room by the same physician following the initial procedure for an unplanned procedure and this happens during the postoperative period for a procedure which has a 90-day global period, modifier __________ is appended:

Accepted Answer

Modifier 78 is used when a patient is returned to the operating room for an unplanned procedure related to the initial procedure during the postoperative period.

Question 9

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 or the stomach to the pharynx to maintain continuity of the digestive tract.

Question 10

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 11

An x-ray examination of the pancreatic and bile ducts is a(n):

Accepted Answer

An x-ray examination of the pancreatic and bile ducts is known as an Endoscopic Retrograde Cholangiopancreatography (ERCP).

Question 12

What is a vagotomy?

Accepted Answer

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

Question 13

Chronic inflammation disease primarily of the bowel is:

Accepted Answer

Crohn's disease is a type of inflammatory bowel disease (IBD) that can affect any part of the gastrointestinal tract from mouth to anus, leading to chronic inflammation.

Quiz 12: Surgery Section: Digestive System