Question 1

CPT code range 90281-99607 is located in which section of the CPT manual?

Accepted Answer

The CPT code range 90281-99607 is located in the Medicine section of the CPT manual. This section covers a wide range of services including vaccinations, therapies, and various diagnostic and therapeutic services not covered in other sections.

Question 2

The patient is in the intensive care unit with fluid overload with acute renal failure. He has type 2 DM and sepsis. The patient is sedated and on a ventilator because of respiratory failure. Code the diagnoses only:

Accepted Answer

The answer of The patient is in the intensive care...

Question 3

A patient who is suffering from osteosarcoma located above the right knee begins chemotherapy treatment at today's encounter. Select the appropriate ICD-10-CM codes to be reported for this encounter:

Accepted Answer

Z51.11 is the correct code for chemotherapy encounter, and C40.21 is for malignant neoplasm of the long bones of the right lower limb, which includes the area above the knee.

Question 4

A patient returns to the physician's office with flulike symptoms during the postoperative period for an appendectomy performed 1 month ago. Which modifier would need to be appended to today's office visit?

Accepted Answer

Modifier -24 is used to indicate that the service provided is unrelated to the postoperative care of the previous surgery. Since the patient is returning with flulike symptoms, which are unrelated to the appendectomy, modifier -24 is appropriate to use for the office visit.

Question 5

Which is an example of a pathologic fracture?

Accepted Answer

A pathologic fracture occurs when a bone breaks in an area weakened by some other disease, such as cancer, osteoporosis, or infection. In this case, a compression fracture of vertebrae due to metastatic carcinoma is an example of a pathologic fracture because the bone's integrity is compromised by the cancer, not just by an external force or trauma.

Question 6

The patient is admitted to the ER for excessive weight loss and dehydration. The patient has a history of HIV-2 and has been taking nucleoside reverse transcriptase (RT) inhibitors. Assign the appropriate ICD-10-CM codes:

Accepted Answer

The correct ICD-10-CM codes for a patient admitted with excessive weight loss and dehydration, with a history of HIV-2 and on nucleoside reverse transcriptase inhibitors, are B20 (HIV disease), R63.4 (Abnormal weight loss), and E86.0 (Dehydration). T37.5X5A is included for adverse effects of antiviral drugs.

Question 7

The language that is built on medical terminology, anatomy, and pathophysiology and describes services, procedures, and the medical necessity of those services and procedures is referred to as:

Accepted Answer

The answer of The language that is built on medical...

Question 8

The diagnostic statement "goiter, nodular nontoxic" would be coded as an unspecified nontoxic goiter, ICD-10 CM code E04.9, because the diagnosis does not describe the condition as diffuse, uninodular, multinodular, or other specified nontoxic goiter. This is an example of which abbreviation used in ICD?

Accepted Answer

NOS stands for "Not Otherwise Specified" and is used in ICD coding when a more specific diagnosis is not available from the medical record, as in the case of "goiter, nodular nontoxic" being coded as an unspecified nontoxic goiter (E04.9) due to lack of detail about the type of goiter.

Quiz 27: Coding and Surgical Procedures