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?

58300, J7301, Z30.430 Signup and view all the answers

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

58340, 74740-26, N97.9 Signup and view all the answers

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

59000, 76946, O36.0130, Z3A.36 Signup and view all the answers

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

Not provided Signup and view all the answers

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

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

What was the weight of the baby in Case 1?

3772 grams Signup and view all the answers

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

8 / 9 Signup and view all the answers

What procedure was performed in Case 9?

Tubal ligation with bilateral Falope-ring application Signup and view all the answers

What anesthesia was used for the procedure in Case 10?

General Signup and view all the answers

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

Mildly adhered to the side of the uterus Signup and view all the answers

What was the diagnosis in Case 10?

Severe cervical dysplasia Signup and view all the answers

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

59841-22 Signup and view all the answers

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

Z30.2 Signup and view all the answers

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

25 cc Signup and view all the answers

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

O70.1 Signup and view all the answers

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

D06.9 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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Description

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.