Question 1

A 15-year-old patient has a surgical nasal endoscopy with biopsy of a nasal polyp. What is the correct CPT code for this procedure?

Accepted Answer

31237 is the correct CPT code for nasal endoscopy with biopsy.

Question 2

The form of skin cancer that rarely metastasizes is known as:

Accepted Answer

Basal cell carcinoma is the form of skin cancer that rarely metastasizes. It is the most common type of skin cancer and usually remains localized to the skin, with very low risk of spreading to distant organs.

Question 3

The patient underwent radical neck dissection with laryngectomy for carcinoma of the larynx and true vocal cords. Choose the correct codes:

Accepted Answer

31365 is the correct procedure code for a radical neck dissection with laryngectomy, and C32.0 is the correct diagnosis code for carcinoma of the larynx and true vocal cords.

Question 4

Which of the following great vessels carries deoxygenated blood from the right ventricle to the lungs?

Accepted Answer

The pulmonary arteries are responsible for carrying deoxygenated blood from the right ventricle of the heart to the lungs for oxygenation.

Question 5

Timmy, a 5-year-old, was playing with his toys and decided to stick a bead from his sister's necklace up his nose. The bead was lodged in his nasal passage, and after several unsuccessful attempts by his mother and father to remove it, they took him to the emergency room. After triaging the patient, the physician utilized a surgical instrument to help remove the bead from Timmy's nasal passage. Code the physician services:

Accepted Answer

30300 represents the removal of a foreign body from the nasal passage, which is the procedure described. T17.1XXA is the ICD-10 code for a foreign body in the nose, initial encounter, which matches the scenario provided.

Question 6

Jeremy presents to the clinic today for severe wrist pain. After Dr. Wilkins examines it, she diagnoses him with a ganglion cyst of the right wrist. Dr. Wilkins decides to give Jeremy a cortisone injection as a treatment plan. Code the correct CPT and ICD-10-CM:

Accepted Answer

CPT code 20612 is for aspiration and/or injection of a ganglion cyst, and ICD-10-CM code M67.431 is for a ganglion cyst of the right wrist.

Question 7

The patient presents to the ED with severe shortness of breath. After testing, the ED physician diagnoses the patient as having ARDS. Select the appropriate ICD-10-CM code:

Accepted Answer

J80 is the correct ICD-10-CM code for Acute Respiratory Distress Syndrome (ARDS).

Question 8

The form of skin cancer that rarely metastasizes is known as:

Accepted Answer

Basal cell carcinoma is the form of skin cancer that rarely metastasizes. It is the most common type of skin cancer and usually remains localized to the skin, with a very low risk of spreading to other parts of the body.

Question 9

A 15-year-old patient has a surgical nasal endoscopy with biopsy of a nasal polyp. What is the correct CPT code for this procedure?

Accepted Answer

The correct CPT code for a surgical nasal endoscopy with biopsy of a nasal polyp is 31237. This code specifically describes a nasal/sinus endoscopy, surgical, with biopsy, polypectomy, or debridement.

Question 10

Amara presents to the office today as an established patient to have irritated skin tags removed from her neck and shoulders. Dr. Rose prepped her for the procedure and removed 20 skin tags using liquid nitrogen. Select the appropriate CPT code(s) for Amara's visit today:

Accepted Answer

CPT code 11200 is used for the removal of up to 15 skin tags, and 11201 is the add-on code for each additional 10 skin tags or part thereof. Since 20 skin tags were removed, 11200 covers the first 15, and 11201 covers the additional 5.

Question 11

Sarah, a 24-year-old female, was walking her dog this morning, and when she wasn't paying attention, she tripped and fell over the curb. The patient states that she fell to the ground using her right hand and arm to brace herself. She states that she heard a "crunch"; the resultant x-ray indicated a compound fracture to the ulna of her right arm. With the patient under general anesthesia, the area was opened and irrigated. The shaft of the ulna was fractured and had to be repaired using screws to hold it into place. The surrounding tissue was repaired, irrigated, and closed in a usual manner. Select the correct CPT code for the repair of the ulna:

Accepted Answer

The correct CPT code for the repair of a fractured ulna with the use of screws (indicating an open reduction and internal fixation) is 25545. This code is specific for open treatment of ulnar shaft fracture, with or without internal or external fixation.

Question 12

A 35-year-old female patient receives biopsies of both breasts. The biopsies are done using fine-needle aspiration without imaging guidance. What is the correct CPT code to use for this procedure?

Accepted Answer

10021-50 is the correct CPT code for fine-needle aspiration biopsy without imaging guidance, and the modifier -50 indicates that the procedure was performed bilaterally (on both breasts).

Question 13

A patient is diagnosed with deep vein thrombosis of a lower extremity. Which of the following veins could be involved?

Accepted Answer

The popliteal vein is a deep vein located in the lower extremity, and it is commonly involved in deep vein thrombosis (DVT). The saphenous vein is a superficial vein, while the cephalic and brachial veins are located in the upper extremity.

Question 14

The physician performed thoracentesis with tube insertion to treat pleural effusion caused by small cell cancer of the middle lobe of the right lung. Select the appropriate CPT and ICD codes:

Accepted Answer

Thoracentesis with tube insertion is correctly coded as 32557. The ICD codes C34.2 and J91.0 accurately represent small cell cancer of the middle lobe of the right lung and pleural effusion due to the malignancy, respectively.

Question 15

Which of the following is the area of the sinus that is located at the top of the nasal cavities between the eyes?

Accepted Answer

The ethmoid sinus is located at the top of the nasal cavities between the eyes.

Question 16

Gavin presents to the hospital for an outpatient procedure for a diagnostic arthroscopy of the right knee. As the physician is performing the procedure, she identifies a medial meniscal tear and repairs it at that time. Choose the correct CPT and ICD-10-CM codes for this procedure:

Accepted Answer

The correct CPT code for a meniscal repair during an arthroscopy is 29882 with the RT modifier indicating the right knee. The ICD-10-CM code S83.241A specifies a tear of the medial meniscus, current injury, right knee, initial encounter, which accurately describes the condition treated.

Question 17

Michael, a 40-year-old male, presented for insertion of a permanent pacemaker by transvenous approach. A pocket was created for the insertion of the generator, and the electrodes were placed in the right atrium and ventricle. Michael is diagnosed with atrial fibrillation. Select the correct codes:

Accepted Answer

The procedure described is the insertion of a dual-chamber pacemaker, which is coded as 33208. The diagnosis of atrial fibrillation is coded as I48.91.

Question 18

Boris presents to the clinic today for completion of a series of injections into his shoulder for shoulder pain. The physician gives the patient an injection into the left shoulder. Choose the correct CPT and ICD-10-CM codes:

Accepted Answer

The answer of Boris presents to the clinic today for...

Question 19

Gary sees Dr. G on Monday regarding his atrial fibrillation. Gary is a new patient, and Dr. G performs a medically appropriate history and examination, and moderate medical decision making. Dr. G decides to insert a permanent dual-chamber pacemaker. The pacemaker is inserted on Tuesday. Dr. G sees Gary in the hospital on Wednesday and discharges Gary on Thursday. Which of the following is the correct coding of Gary's visits and procedures for Monday through Thursday?

Accepted Answer

The correct coding includes 99204 for the new patient office visit with a medically appropriate history, examination, and moderate medical decision making. The modifier -57 is used with 99204 to indicate that the decision for surgery was made during this visit. The code 33208 is used for the insertion of a dual-chamber pacemaker. The subsequent hospital visits on Wednesday and the discharge on Thursday are included in the global surgical package for the pacemaker insertion and do not require separate billing.

Question 20

A female patient had breast cancer 3 years ago, underwent a radical mastectomy, and received radiation and chemotherapy. She has not had treatment in the last 20 months. How is the status of the cancer reported for the patient?

Accepted Answer

Z85.3 is the correct code for the status of the cancer reported for the patient. This code indicates that the patient has a history of breast cancer, but has not had treatment in the last 20 months.

Quiz 24: Coding for Surgical Procedures on Integumentary, Musculoskeletal, Respiratory, and Cardiovascular/Lymphatic Systems

A 15-year-old patient has a surgical nasal endoscopy with biopsy of a nasal polyp. What is the correct CPT code for this procedure?

The form of skin cancer that rarely metastasizes is known as:

The patient underwent radical neck dissection with laryngectomy for carcinoma of the larynx and true vocal cords. Choose the correct codes:

Which of the following great vessels carries deoxygenated blood from the right ventricle to the lungs?

Jeremy presents to the clinic today for severe wrist pain. After Dr. Wilkins examines it, she diagnoses him with a ganglion cyst of the right wrist. Dr. Wilkins decides to give Jeremy a cortisone injection as a treatment plan. Code the correct CPT and ICD-10-CM:

The patient presents to the ED with severe shortness of breath. After testing, the ED physician diagnoses the patient as having ARDS. Select the appropriate ICD-10-CM code:

The form of skin cancer that rarely metastasizes is known as:

A 15-year-old patient has a surgical nasal endoscopy with biopsy of a nasal polyp. What is the correct CPT code for this procedure?

Amara presents to the office today as an established patient to have irritated skin tags removed from her neck and shoulders. Dr. Rose prepped her for the procedure and removed 20 skin tags using liquid nitrogen. Select the appropriate CPT code(s) for Amara's visit today:

A 35-year-old female patient receives biopsies of both breasts. The biopsies are done using fine-needle aspiration without imaging guidance. What is the correct CPT code to use for this procedure?

A patient is diagnosed with deep vein thrombosis of a lower extremity. Which of the following veins could be involved?

The physician performed thoracentesis with tube insertion to treat pleural effusion caused by small cell cancer of the middle lobe of the right lung. Select the appropriate CPT and ICD codes:

Which of the following is the area of the sinus that is located at the top of the nasal cavities between the eyes?

Gavin presents to the hospital for an outpatient procedure for a diagnostic arthroscopy of the right knee. As the physician is performing the procedure, she identifies a medial meniscal tear and repairs it at that time. Choose the correct CPT and ICD-10-CM codes for this procedure:

Michael, a 40-year-old male, presented for insertion of a permanent pacemaker by transvenous approach. A pocket was created for the insertion of the generator, and the electrodes were placed in the right atrium and ventricle. Michael is diagnosed with atrial fibrillation. Select the correct codes:

Boris presents to the clinic today for completion of a series of injections into his shoulder for shoulder pain. The physician gives the patient an injection into the left shoulder. Choose the correct CPT and ICD-10-CM codes:

A female patient had breast cancer 3 years ago, underwent a radical mastectomy, and received radiation and chemotherapy. She has not had treatment in the last 20 months. How is the status of the cancer reported for the patient?