Question 1

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

The correct CPT codes for the removal of 20 skin tags using liquid nitrogen are 11200 for the removal of up to 15 skin tags and 11201 for each additional 10 skin tags or less. Since 20 skin tags were removed, 11200 covers the first 15, and 11201 covers the additional 5.

Question 2

Gary sees Dr. G on Monday regarding his atrial fibrillation. Gary is a new patient, and Dr. G performs a comprehensive history, an exam, 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 99204-57 for the initial visit with comprehensive history, exam, and moderate medical decision making, with modifier -57 indicating a decision for surgery. 33208 is the code for the insertion of a dual-chamber pacemaker.

Question 3

If the starting point is catheterization of the aorta, to which of the following order branches in the vascular family reporting would the left internal carotid artery belong?

Accepted Answer

The left internal carotid artery is a second-order branch when starting from the aorta. The aorta branches into the common carotid artery (first-order), which then branches into the internal carotid artery (second-order).

Question 4

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 diagnostic arthroscopy where a medial meniscal tear is identified and repaired 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 reflects the diagnosis related to the procedure performed.

Question 5

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

The correct CPT code for a cortisone injection into a ganglion cyst is 20612, and the RT modifier indicates the procedure was performed on the right side. The correct ICD-10-CM code for a ganglion cyst of the right wrist is M67.431.

Question 6

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

Accepted Answer

The procedure code 31365 is for a total laryngectomy with radical neck dissection. The diagnosis code C32.0 is for malignant neoplasm of the glottis, which includes the true vocal cords.

Question 7

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 without incision, 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.

Question 8

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

The answer of The physician performed thoracentesis with tube insertion...

Question 9

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 correct codes for the insertion of a permanent pacemaker with electrodes placed in the right atrium and ventricle, in a patient diagnosed with atrial fibrillation, are 33208 for the procedure and I48.91 for the diagnosis of atrial fibrillation.

Question 10

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

CPT code 31237 is used for nasal/sinus endoscopy, surgical, with biopsy, polypectomy, or debridement (separate procedure).

Question 11

Amy presents to the office for destruction of a malignant 2.3-cm lesion of the skin of the neck. Select the appropriate ICD-10-CM and CPT codes for today's encounter:

Accepted Answer

The correct ICD-10-CM code for a malignant lesion of the skin of the neck is C44.40, and the appropriate CPT code for the destruction of a malignant lesion 2.3 cm in size is 17273.

Question 12

The patient presents for submucous resection of the middle turbinate, complete. Select the appropriate CPT code:

Accepted Answer

The answer of The patient presents for submucous resection of...

Question 13

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 14

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

CPT code 10021 is used for fine-needle aspiration biopsy, without imaging guidance; first lesion. The modifier -50 is used to indicate a bilateral procedure, which is appropriate for biopsies of both breasts.

Question 15

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 16

A chronic or acute infection of the bone usually caused by bacteria or fungi is called:

Accepted Answer

Osteomyelitis is the correct term for a bone infection, whether chronic or acute, typically caused by bacteria or fungi.

Question 17

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

CPT code 31237 is used for nasal/sinus endoscopy, surgical, with biopsy, polypectomy, or debridement (separate procedure).

Question 18

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

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

Question 19

If the starting point is catheterization of the aorta, to which of the following order branches in the vascular family reporting would the left internal carotid artery belong?

Accepted Answer

The left internal carotid artery is considered a second-order branch in the context of vascular family reporting when the starting point is catheterization of the aorta. This is because the first-order branch would be the common carotid artery, and the internal carotid artery branches off from the common carotid, making it a second-order branch.

Question 20

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 answer of Sarah, a 24-year-old female, was walking her...

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

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:

If the starting point is catheterization of the aorta, to which of the following order branches in the vascular family reporting would the left internal carotid artery belong?

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:

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

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:

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:

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?

Amy presents to the office for destruction of a malignant 2.3-cm lesion of the skin of the neck. Select the appropriate ICD-10-CM and CPT codes for today's encounter:

The patient presents for submucous resection of the middle turbinate, complete. Select the appropriate CPT code:

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:

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?

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:

A chronic or acute infection of the bone usually caused by bacteria or fungi is called:

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?

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:

If the starting point is catheterization of the aorta, to which of the following order branches in the vascular family reporting would the left internal carotid artery belong?