CPC Practice Exam D Question 1: Wound Repair Coding

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Questions and Answers

Which CPT® code reports the procedure of inserting a needle between the ribs and into the pleural space to withdraw fluid?

32551

32554 (correct)

32555

32400

A 67-year-old male patient undergoes a flexible sigmoidoscopy to remove polyps. The physician found and removed three polyps in the rectosigmoid junction using hot biopsy forceps. The pathology report indicated the polyps were benign. What is the correct CPT® code to report for this encounter?

45384

45315

45346

45333 (correct)

A patient with rectal bleeding undergoes a proctosigmoidoscopy that shows two internal hemorrhoids. The anus is prepped and draped, and a field block with Marcaine 0.25% is placed. What is the correct CPT® code to report for this procedure?

45330 (correct)

45378

45300

45331

A patient undergoes a thoracentesis, where a needle is inserted between the ribs and into the pleural space to withdraw fluid. The specimen is sent to pathology. What is the correct CPT® code to report for this procedure?

32554 Signup and view all the answers

A 67-year-old male patient undergoes a flexible sigmoidoscopy to remove polyps. The physician found and removed three polyps in the rectosigmoid junction using hot biopsy forceps. The pathology report indicated the polyps were benign. How many CPT® codes should be reported for this procedure?

1 Signup and view all the answers

A patient with rectal bleeding undergoes a proctosigmoidoscopy that shows two internal hemorrhoids. The anus is prepped and draped, and a field block with Marcaine 0.25% is placed. Which of the following CPT® codes should be reported for this procedure?

45330 Signup and view all the answers

A patient undergoes a thoracentesis, where a needle is inserted between the ribs and into the pleural space to withdraw fluid. The specimen is sent to pathology. Which of the following CPT® codes should NOT be reported for this procedure?

32400 Signup and view all the answers

A 67-year-old male patient undergoes a flexible sigmoidoscopy to remove polyps. The physician found and removed three polyps in the rectosigmoid junction using hot biopsy forceps. The pathology report indicated the polyps were benign. Which of the following CPT® codes should be reported for this procedure?

45333 Signup and view all the answers

A patient with rectal bleeding undergoes a proctosigmoidoscopy that shows two internal hemorrhoids. The anus is prepped and draped, and a field block with Marcaine 0.25% is placed. Which of the following CPT® codes should NOT be reported for this procedure?

45378 Signup and view all the answers

What is the CPT® code for the layered closure of the laceration on the patient's chin?

12052 Signup and view all the answers

For the repairs to the forehead and both cheeks, which type of closure is used?

Complex closure Signup and view all the answers

Which anatomical site required a different type of closure compared to the other lacerations?

Chin Signup and view all the answers

What is the total length of lacerations on the patient's forehead and cheeks?

$18.1$ cm Signup and view all the answers

How many actinic keratoses were destroyed on the patient's left arm?

5 Signup and view all the answers

What procedure did the physician perform on the 63-year-old woman?

Laser photocoagulation Signup and view all the answers

Why was the lumbar puncture not coded for the visit?

It was performed on a different date of service Signup and view all the answers

What were the symptoms experienced by the 63-year-old woman?

Flashing lights and floaters Signup and view all the answers

What diagnostic test was ordered for the 35-year-old male patient?

CT of the abdomen Signup and view all the answers

What was the final diagnosis for the 35-year-old male patient?

Kidney stones Signup and view all the answers

What CPT code is appropriate for the procedure performed on the 63-year-old woman?

67145 Signup and view all the answers

What type of examination did the ED physician perform on the 35-year-old male patient?

Medically appropriate history and examination Signup and view all the answers

What additional test was ordered for the 35-year-old male patient?

Urinalysis Signup and view all the answers

What treatment was prescribed for the 35-year-old male patient?

A prescription of pain medication Signup and view all the answers

What does modifier 26 signify in the context of cardiac catheterization codes?

The professional and technical component Signup and view all the answers

How are osteopathic manipulative treatment (OMT) codes reported?

According to the number of body regions involved Signup and view all the answers

What type of procedure was the patient admitted to the hospital for in Question 33?

EEG monitoring without video Signup and view all the answers

Which CPT® code is reported for EEG monitoring involving spike and seizure detection without video recording?

95717 Signup and view all the answers

What does orchitis refer to?

Inflammation of the testis Signup and view all the answers

What does the suffix '-itis' indicate in medical terminology?

Infection or inflammation Signup and view all the answers

Why is it important to differentiate between professional and technical components in medical coding?

To ensure proper reimbursement Signup and view all the answers

What does a CPT® code represent in medical billing and coding?

Procedures and services provided Signup and view all the answers

What is the purpose of using modifiers in CPT® coding?

To provide additional information about a service or procedure Signup and view all the answers

What should a coder do when encountering the term 'history' in a physician's documentation?

Understand it may refer to a past resolved issue that has recurred Signup and view all the answers

In the given text, what is the significance of documenting a patient's history of a disease?

It may refer to a resolved past issue that has recurred Signup and view all the answers

Based on the text, what does 'history of symptomatic HIV' usually entail?

The patient has had and resolved the disease in the past Signup and view all the answers

What does coding 'B20' signify in ICD-10-CM for a patient with symptomatic HIV?

New diagnosis at current encounter Signup and view all the answers

In the case of pre-eclampsia during labor, what does 'fetal heart rate deceleration during contractions not improved with oxygen' indicate?

Need for cesarean section Signup and view all the answers

What is indicated by evidence of intrauterine growth retardation in a newborn?

Fetal growth below expected levels Signup and view all the answers

How would you describe an infant with Apgars of 3 and 5 at birth?

'Apgars' imply the need for immediate medical attention Signup and view all the answers

What does a low transverse cesarean section signify during labor?

'Low transverse cesarean' suggests complications requiring surgical intervention Signup and view all the answers

What should be considered in documenting a newborn's chart after a low transverse cesarean section?

'Z37.0, P00.0, P03.811, P05.9' are appropriate ICD-10-CM codes for such a scenario Signup and view all the answers

Study Notes

CPT Codes

CPT code 32554 reports the procedure of inserting a needle between the ribs and into the pleural space to withdraw fluid (thoracentesis).

Endoscopy Procedures

CPT code 45380 reports a flexible sigmoidoscopy to remove polyps.
Three polyps in the rectosigmoid junction removed using hot biopsy forceps would report one CPT code.
CPT code 45380 is reported for a proctosigmoidoscopy that shows two internal hemorrhoids.

Laceration Repairs

CPT code 13151 reports the layered closure of the laceration on the patient's chin.
The forehead and cheeks required complex closures.
The chin required a layered closure, different from the other lacerations.
The total length of lacerations on the patient's forehead and cheeks is not specified.

Dermatology Procedures

Five actinic keratoses were destroyed on the patient's left arm.

Other Procedures

The physician performed a lumbar puncture on the 63-year-old woman.
The patient experienced symptoms of headaches and fever.
A diagnostic test of EEG was ordered for the 35-year-old male patient.
The final diagnosis for the 35-year-old male patient was not specified.
CPT code 62270 is reported for the procedure performed on the 63-year-old woman.
The ED physician performed a comprehensive examination on the 35-year-old male patient.
An additional test of CT scan was ordered for the 35-year-old male patient.
The treatment prescribed for the 35-year-old male patient was not specified.

CPT Modifiers

Modifier 26 signifies the professional component of a procedure in cardiac catheterization codes.
Osteopathic manipulative treatment (OMT) codes are reported with CPT codes 98925-98929.

EEG Monitoring

CPT code 95812 is reported for EEG monitoring involving spike and seizure detection without video recording.

Medical Terminology

Orchitis refers to inflammation of the testis.
The suffix '-itis' indicates inflammation in medical terminology.

Medical Coding

It is important to differentiate between professional and technical components in medical coding to accurately report procedures.
A CPT code represents a medical procedure or service in medical billing and coding.
The purpose of using modifiers in CPT coding is to provide additional information about a procedure.
When encountering the term 'history' in a physician's documentation, a coder should consider it as a part of the patient's medical history.

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Description

Test your knowledge on coding wound repairs with a scenario involving multiple lacerations on different parts of a patient's body. Determine the correct CPT codes for each wound closure technique based on the details provided.