Question 1

The repair of a 2.0-cm laceration of the arm, 1.0-cm laceration of the leg, and a .0.5-cm laceration of the abdomen would be assigned how many codes?

Accepted Answer

The repair of a laceration is assigned one code regardless of the number of lacerations or their location.

Question 2

An excisional biopsy of the breast that included the preoperative placement of a radiological marker and excision of the breast lesion would be assigned which codes?

Accepted Answer

The correct codes are 19125 for excision of breast lesion identified by preoperative placement of a radiological marker and 19281 for the placement of the radiological marker.

Question 3

A diagnostic colonoscopy is performed; however, the physician is unable to reach the splenic flexure of the cecum. What codes would be assigned?

Accepted Answer

The answer of A diagnostic colonoscopy is performed; however, the...

Question 4

A diagnostic upper gastrointestinal (GI) endoscopy was performed that identified a lesion in the gastroesophageal junction, which was biopsied. What would be the appropriate codes?

Accepted Answer

The appropriate code for a diagnostic upper GI endoscopy with biopsy of a lesion at the gastroesophageal junction is 43239, which specifically includes biopsy during an esophagogastroduodenoscopy (EGD).

Question 5

When both IV hydration is performed as well as IV infusion of medication, what codes would be assigned?

Accepted Answer

The answer of When both IV hydration is performed as...

Question 6

What coding nomenclature is utilized for ICD-9-CM/CPT outpatient coding purposes?

Accepted Answer

The answer of What coding nomenclature is utilized for ICD-9-CM/CPT...

Question 7

What modifier code would be appropriate when multiple Emergency Department (ED) visits are performed on the same date?

Accepted Answer

The answer of What modifier code would be appropriate when...

Question 8

Explain how Modifier 25 is utilized for outpatient facility services.

Accepted Answer

The answer of Explain how Modifier 25 is utilized for...

Question 9

When a diagnostic knee arthroscopy (29870-RT) and a arthroscopic medial meniscectomy (29881-RT) are performed during the same surgical session, would both services be assigned? If not, please explain.

Accepted Answer

The answer of When a diagnostic knee arthroscopy (29870-RT) and...

Question 10

When multiple chest x-rays are performed on the same calendar date, how should these be indicated?

Accepted Answer

The answer of When multiple chest x-rays are performed on...

Question 11

Excision of a 2.5-cm benign lesion of the back with .0.5-cm margins is performed with closure of the skin and dermis. What would be the correct coding assignment for this scenario?

Accepted Answer

The answer of Excision of a 2.5-cm benign lesion of...

Question 12

A 2.5-cm malignant nasal lesion was excised with a rotational flap performed for closure. What would be the appropriate coding for this scenario?

Accepted Answer

The answer of A 2.5-cm malignant nasal lesion was excised...

Question 13

In the outpatient setting, when a closed reduction of a fracture requires additional open procedures on the same day, are both procedures coded? How is this handled?

Accepted Answer

The answer of In the outpatient setting, when a closed...

Question 14

When a colonoscopy with snare polypectomy is performed as well as a biopsy of an unrelated lesion, how should this be coded?

Accepted Answer

The answer of When a colonoscopy with snare polypectomy is...

Question 15

When an extracapsular cataract extraction is performed at the same time as the insertion of an intraocular lens, what codes would be appropriate?

Accepted Answer

The answer of When an extracapsular cataract extraction is performed...

Question 16

When a CT of the abdomen is performed with oral contrast, what would be the appropriate code assignment?

Accepted Answer

The answer of When a CT of the abdomen is...

Question 17

When excision of a skin lesion is performed and five separate biopsies are obtained and placed in one surgical specimen jar, what would be the appropriate codes for this scenario?

Accepted Answer

The answer of When excision of a skin lesion is...

Question 18

Assign CPT codes for the following injection/infusion scenario:

Accepted Answer

The answer of Assign CPT codes for the following injection/infusion...

Question 19

ICD-10
In those instances where ICD-10 PCS procedure codes are required by a carrier, when procedures are converted from laparoscopic to open, both procedures should be assigned ICD-10 PCS procedure codes as appropriate?

Accepted Answer

The answer of ICD-10
In those instances where ICD-10 PCS procedure...

Question 20

ICD-10
In some instances, the assignment of more than one ICD-10 PCS procedure code will be required for one surgical procedure?

Accepted Answer

In ICD-10 PCS, complex surgical procedures may involve multiple components, each requiring a separate code to accurately represent the entire procedure.

Quiz 7: Outpatient Coding