Question 1

If a surgical procedure was canceled because the patient developed atrial fibrillation before the start of the procedure,which Z code would be assigned?
A)Z53.09 Surgical or other procedure not carried out because of contraindication
B)Z53.20 Surgical or other procedure not carried out because of patient's decision
C)Z53.9 Procedure not carried out for other reasons
D)None of the above

Accepted Answer

The Z53.09 code is used when a surgery or procedure is not carried out due to a contraindication. In this case, the development of atrial fibrillation would be a contraindication for proceeding with the surgical procedure, therefore Z53.09 is the appropriate code to be assigned.

Question 2

An additional code should always be assigned for closure of the surgical incision.

Accepted Answer

The closure of the surgical incision is typically considered an integral part of the surgical procedure itself and does not usually require an additional code.

Question 3

Taking or letting out fluids and/or gases from a body part is called ____.

Accepted Answer

drainage

Question 4

When a diagnostic procedure is performed for the principal diagnosis and a procedure for definitive treatment is performed for a secondary diagnosis,the procedure for diagnostic treatment is the principal procedure.

Accepted Answer

If a diagnostic procedure is performed for the principal diagnosis and a procedure for definitive treatment is performed for a secondary diagnosis, the procedure for diagnostic treatment is considered the principal procedure.

Question 5

If a patient's procedure is canceled before he or she shows up at the hospital,what is the correct Z code to assign?
A)Z53.09 Surgical or other procedure not carried out because of contraindication
B)Z53.20 Surgical or other procedure not carried out because of patient's decision
C)Z53.9 Procedure not carried out for other reasons
D)None of the above

Accepted Answer

The answer of If a patient's procedure is canceled before...

Question 6

Which of these is a true characteristic of significant procedures?
A)Surgical in nature
B)Carry a procedural risk
C)Carry an anesthetic risk
D)Require specialized training
E)All of the above

Accepted Answer

All of the above options are true characteristics of significant procedures. They are surgical in nature, carry a procedural risk, carry an anesthetic risk, and require specialized training. Therefore, option E is the correct answer.

Question 7

If a surgical procedure starts out as a laparoscopic approach,it may never be converted to an open procedure.

Accepted Answer

While it is true that some laparoscopic procedures may never need to be converted to open procedures, there are cases where unexpected complications or difficulty may require the surgeon to switch to an open approach.

Question 8

An obstetric procedure is any procedure performed on a pregnant woman.

Accepted Answer

The answer of An obstetric procedure is any procedure performed...

Question 9

When more than one procedure is performed,the procedure that was performed first is the principal procedure.

Accepted Answer

The principal procedure is determined by the procedure that is most related to the primary diagnosis or main reason for the surgery, not by the order in which the procedures were performed.

Question 10

____ identifies procedure codes identified by the Medicare Code Editor as procedures covered under limited circumstances.
A)Bilateral procedure
B)Nonspecific OR procedure
C)Noncovered OR procedure
D)Encoder

Accepted Answer

The answer of ____ identifies procedure codes identified by the...

Question 11

When a diagnostic procedure is performed for the principal diagnosis and a procedure for definitive treatment is performed for a secondary diagnosis,the procedure for definitive treatment is the principal procedure.

Accepted Answer

The principal procedure is defined as the procedure performed for the definitive treatment of the principal diagnosis. If a procedure is performed for the definitive treatment of a secondary diagnosis, it would not be considered the principal procedure.

Question 12

____________________ is the removal of tissue for pathologic examination to establish a precise diagnosis.

Accepted Answer

The answer of ____________________ is the removal of tissue for...

Question 13

Cutting off all or a portion of the upper or lower extremities is ____.

Accepted Answer

The answer of Cutting off all or a portion of...

Question 14

"Low cervical cesarean section" would be identified by the fifth character approach.

Accepted Answer

Low cervical cesarean section is identified by the procedure itself rather than the approach. The fifth character in ICD-10-PCS (Procedure Coding System) typically specifies the approach (such as open, percutaneous, etc.), but the term "low cervical" refers to the specific technique or location of the cesarean incision, not the approach used to perform the cesarean section.

Question 15

When a patient shows up to have a procedure performed,but the procedure is canceled for whatever reason,the principal diagnosis would be ___________________.

Accepted Answer

The answer of When a patient shows up to have...

Question 16

In some instances,a surgical wound is not closed at the time of a surgical operation and is allowed to heal and will be closed at a later date.This would be an example of when a ____ would be coded.
A)closure
B)bilateral procedure
C)biopsy
D)limited coverage

Accepted Answer

Since the surgical wound is not closed at the time of the operation and will be closed at a later date, the coding for closure would be appropriate once the wound is closed.

Question 17

Each ____________________ should have its own written policy regarding the assignment of ICD-10-PCS codes.

Accepted Answer

The answer of Each ____________________ should have its own written...

Question 18

Any procedure that affects payment or reimbursement must be reported.

Accepted Answer

Any changes to payment or reimbursement procedures must be reported to ensure transparency and accuracy in financial transactions. Failure to report such changes can lead to legal and financial consequences.

Question 19

It is a routine part of most surgical procedures to close the operative wound(s),so it is not necessary to code this separately.

Accepted Answer

Closing the wound is considered a routine part of surgical procedures and is not separately coded.

Question 20

The Uniform Hospital Discharge Data Set (UHDDS)definitions are used by chronic care,long-term hospitals to report inpatient data elements in a standardized manner.

Accepted Answer

The Uniform Hospital Discharge Data Set (UHDDS) definitions are primarily used for reporting inpatient data elements by acute care, short-term hospitals, not specifically by chronic care, long-term hospitals.

Quiz 8: Coding Medical and Surgical Procedures

If a surgical procedure was canceled because the patient developed atrial fibrillation before the start of the procedure,which Z code would be assigned?