CPT and ICD-10-CM Codes Quiz
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Questions and Answers

What are the CPT and ICD-10-CM codes reported for CASE 1?

57160, N81.3

What are the CPT and ICD-10-CM codes reported for CASE 2?

57260, 58260-51, 57283-59, N81.3, N95.0, N32.89

What are the CPT and ICD-10-CM codes reported for CASE 3?

57460, R87.619

What are the CPT and ICD-10-CM codes reported for CASE 4?

<p>58300, J7301, Z30.430</p> Signup and view all the answers

What are the CPT and ICD-10-CM codes reported for CASE 5?

<p>58340, 74740-26, N97.9</p> Signup and view all the answers

What are the CPT and ICD-10-CM codes reported for CASE 6?

<p>59000, 76946, O36.0130, Z3A.36</p> Signup and view all the answers

What are the CPT and ICD-10-CM codes reported for CASE 7?

<p>Not provided</p> Signup and view all the answers

What was the gestational age of the patient in Case 8?

<p>20-5/7 weeks</p> Signup and view all the answers

What was the weight of the baby in Case 1?

<p>3772 grams</p> Signup and view all the answers

What were the Apgar scores for the baby in Case 1?

<p>8 / 9</p> Signup and view all the answers

What procedure was performed in Case 9?

<p>Tubal ligation with bilateral Falope-ring application</p> Signup and view all the answers

What anesthesia was used for the procedure in Case 10?

<p>General</p> Signup and view all the answers

What was noted about the left ovary during the procedure in Case 9?

<p>Mildly adhered to the side of the uterus</p> Signup and view all the answers

What was the diagnosis in Case 10?

<p>Severe cervical dysplasia</p> Signup and view all the answers

What was the CPT® code for the procedure in Case 8?

<p>59841-22</p> Signup and view all the answers

What was the ICD-10-CM code for the diagnosis in Case 9?

<p>Z30.2</p> Signup and view all the answers

What was the estimated blood loss during the procedure in Case 10?

<p>25 cc</p> Signup and view all the answers

Which of the following codes are associated with the procedure in Case 1? (Select all that apply)

<p>O70.1</p> Signup and view all the answers

Which of the following codes are associated with the procedure in Case 10? (Select all that apply)

<p>D06.9</p> Signup and view all the answers

Study Notes

Case 1: Pessary Fitting

  • Diagnoses include stage III cystocele and stage II uterine prolapse; cystocele is not coded separately.
  • Patient is a 75-year-old female with atrophic vaginitis receiving Premarin vaginal cream twice weekly.
  • Underwent pessary fitting; initially fitted with #4, #5, and #6 ring pessaries; ultimately settled on #6.
  • Patient experienced improved comfort and urinary function with pessary in place; instructed to remove weekly.
  • Final codes: CPT 57160, ICD-10-CM N81.3.

Case 2: Surgical Management of Complete Procidentia

  • Diagnoses: complete procidentia, recurrent urinary tract infections, and postmenopausal vaginal bleeding.
  • Procedures included vaginal hysterectomy, anterior and posterior colporrhaphy, cystoscopy, and vaginal vault suspension.
  • Significant findings include a thick, ulcerated cervix and complete procidentia with cystocele and rectocele.
  • Cystoscopy revealed bilateral strong ureteral jets after indigo carmine administration.
  • Final codes: CPT 57260, 58260-51, 57283-59; ICD-10-CM N81.3, N95.0, N32.89.

Case 3: Abnormal Cervical Pap Test

  • Patient is a 21-year-old female with an abnormal Pap test and possible LGSIL.
  • Colposcopy performed; acetic acid application revealed aceto-white lesions.
  • LEEP biopsy taken; instructions given to avoid intercourse for one week post-procedure.
  • Final codes: CPT 57460, ICD-10-CM R87.619.

Case 4: IUD Placement

  • Patient is a 29-year-old female seeking Skyla IUD insertion post-delivery.
  • Procedure involved cleaning the cervix, using a speculum, and positioning the IUD.
  • The IUD was placed successfully, patient tolerated the procedure well.
  • Final codes: CPT 58300, J7301; ICD-10-CM Z30.430.

Case 5: Hysterosalpingogram for Infertility

  • Patient is a 30-year-old female seeking evaluation for infertility due to irregular periods.
  • Procedure included visualization of the cervix and injection of contrast for HSG.
  • Findings showed normal uterine shape; left tube filled and spilled, while right tube filled without documented spill.
  • Final codes: CPT 58340, 74740-26; ICD-10-CM N97.9.

Case 6: Amniocentesis

  • Patient is a 28-year-old female at 36 weeks gestation undergoing amniocentesis due to Rh isoimmunization.
  • Procedure used ultrasound guidance for needle insertion; 20 cc of amniotic fluid aspirated.
  • The patient tolerated the procedure without issues; follow-up Non-Stress Test (NST) planned.
  • Final codes: CPT 59000, 76946; ICD-10-CM O36.0130, Z3A.36.

Case 7: Obstetric Delivery

  • Patient is a 31-year-old with a history of normal antenatal visits, admitted to labor at 39 weeks.
  • Cervical exam showed 3 cm dilation; SROM occurred with light meconium.
  • Delivery involved slight meconium staining; male baby born weighing 3772 grams, APGAR scores 8/9.
  • Minor second-degree perineal laceration repaired post-delivery.
  • Final codes: CPT 59400; ICD-10-CM O70.1, O77.0, Z37.0, Z3A.39.

Case 8: Dilation and Evacuation (D&E)

  • Patient is a 29-year-old pregnant at 20 weeks with multiple fetal anomalies seeking termination.
  • Procedure involved moderate sedation, cervical dilation, and removal of the fetus and placenta using ultrasound guidance.
  • The cord was severed; no respiratory or cardiac effort noted on ultrasound.
  • Detailed documentation of procedure steps and findings provided for clinical reference.### Case Notes Overview

Case 9

  • Anesthesia utilized: General with LMA.
  • Preoperative diagnosis: Patient requesting sterilization.
  • Procedure performed: Tubal ligation with bilateral Falope-ring application.
  • Counts for needles, sponges, and instruments were correct.
  • Intraoperative medications included a local anesthetic (0.25% Marcaine with epinephrine).
  • Operative findings: Mild adherence of the left ovary to the uterus; normal appearance of the right ovary and both tubes. A small subserosal fibroid (1 to 1.5-cm) identified on the left upper uterus.
  • Procedure description: General anesthesia performed, dorsal lithotomy position, sterile prep, infraumbilical incision made for trocar placement, insufflation, suprapubic incision for visual confirmation.
  • Ligation of the right and left tubes with Falope-ring, documentation with pictures.
  • Closure of incision sites with Monocryl sutures.
  • Patient emerged from anesthesia and transferred to PACU in stable condition.
  • CPT® code: 58671
  • ICD-10-CM code: Z30.2

Case 10

  • Preoperative diagnosis: Severe cervical dysplasia.
  • Procedure performed: Cold knife conization.
  • Anesthesia used: General.
  • No complications reported during the procedure.
  • Estimated blood loss recorded at 25 cc; 500 cc crystalloid fluids administered.
  • A straight catheter was placed.
  • Indications: Risks, benefits, and alternatives discussed with the patient; consent obtained.
  • Procedure description: General anesthesia administered, patient sterilized and positioned in dorsal lithotomy.
  • Weighted speculum placed; cervical lip grasped with a single-tooth tenaculum.
  • Paracervical block using Pitressin and normal saline administered.
  • Cervix ligated at 3 and 9 o'clock positions using #2-0 Vicryl stitches.
  • Circumferential incision made with a #11 blade, cone-shaped excision performed.
  • Cervical biopsy removed and marked; cauterization of cervical bed with Bovie cautery revealed good hemostasis.
  • FloSeal applied, ties on cervical stitches performed in midline.
  • Post-procedure: All instruments and counts confirmed correct; patient taken to recovery room awake and stable.
  • CPT® code: 57520
  • ICD-10-CM code: D06.9

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Test your knowledge on the correct CPT and ICD-10-CM coding for multiple case studies. This quiz covers six distinct cases, each requiring identification of the appropriate codes. Perfect for students and professionals in the medical coding field.

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