Question

QUESTION 5

1. In the diagnosis, "first, second, and third degree burns of the chest wall," a code is required for:

   	A.	Each of the 1st, 2nd, and 3rd degree burns
   	B.	The 1st degree burn only
   	C.	The 3rd degree burn only
   	D.	The 2nd degree burn only

10 points   

QUESTION 6

1. When coding for full-thickness free skin grafts, which of the following is not an essential item of data needed for accurate coding?

   	A.	Type of graft (full-thickness, partial-thickness, etc)
   	B.	Recipient site
   	C.	Donor site
   	D.	Size of defect

10 points   

QUESTION 7

1. Under RBRVS, each HCPCS/CPT code contains 3 components, each having assigned relative value units (RVUs). What are the 3 components?

   	A.	Conversion factor, CMS weight, and hospital-specific rate
   	B.	Geographic index, wage index, cost-of-living index
   	C.	Fee-for-service, per diem payment, and capitation
   	D.	Physician work, practice expense, malpractice expense

10 points   

QUESTION 8

1. A female patient is seen outpatient in the hospital for chemotherapy for breast cancer with liver metastasis. Patient had a mastectomy 4 months ago. Chemotherapy is the only service provided this day. Code the diagnoses and sequence according to ICD guidelines.

   	A.	Z51.11, C50.919, C78.7, Z90.10
   	B.	Z85.3, C78.7, Z51.11
   	C.	C44.501, C78.7
   	D.	C78.7, Z85.3

10 points   

QUESTION 9

1. A patient presents to the hospital outpatient department for a chest x-ray. The order lists the following reasons for the chest x-ray: fever and cough, rule out pneumonia. The radiologist documents the x-ray as positive for pneumonia. Choose the proper diagnostic coding.

   	A.	Z13.83, J18.9
   	B.	J18.9
   	C.	R50.9, R05, Z13.83
   	D.	R50.9, R05

10 points   

QUESTION 10

1. A male patient presents to the ER in acute renal failure. He has long-standing hypertension. How should the medical necessity be coded?

   	A.	I12.9, N17.9
   	B.	N17.9, I10
   	C.	I12.0, N18.9
   	D.	N19, I10

10 points   

QUESTION 11

1. Which excludes note in ICD-10-CM should be interpreted to mean "not coded here?"

   	A.	Includes notes
   	B.	Excludes 1
   	C.	Unspecified codes
   	D.	Excludes 2

10 points   

QUESTION 12

1. Which diagnosis would be reported for an encounter for colostomy takedown?

   	A.	Z43.3
   	B.	Z93.3
   	C.	Z01.00
   	D.	Z43.2

10 points   

QUESTION 13

1. A 32-year-old patient with known HIV was admitted with skin lesions to anterior trunk. Excised biopsies show Kaposi's sarcoma. She also has thrush.

   	A.	B20, Z21, Z20.6, C46.0, B37.2
   	B.	Z20.6, B20, C46.9, B20
   	C.	C46.7, Z21, B37.9
   	D.	B20, C46.0, B37.0

10 points   

QUESTION 14

1. A patient presenting to the ER has sustained lacerations in an automobile accident. The physician repairs a 3.3 cm skin laceration of the left leg, which involved the fascia; 2.5 cm and 3.0 cm lacerations of the left arm, also involving fascia; and 2.7 cm repair of the left foot, requiring only simple sutures. Sterile dressings were applied once repairs were complete. How should these services be coded?

   	A.	12032, 12032, 12031, 12002
   	B.	12035, 12001
   	C.	12002, 12002
   	D.	12034, 12002

10 points   

QUESTION 15

1. A patient with a proximal left tibial fracture receives a closed manipulation of the fracture, which includes skeletal traction. Select the appropriate physician services coding for the case.

   	A.	27530-LT
   	B.	27532-LT
   	C.	27536-LT
   	D.	27524-LT

10 points   

QUESTION 16

1. During transport to a hospital, an adult patient develops breathing problems. Upon arrival to the facility, a physician performs an emergency trantracheal tracheostomy. The patient is diagnosed with a traumatic pneumothorax, for which this same provider conducts thoracentesis. Select the proper professional services coding for this case.

   	A.	31612, 32557
   	B.	31600, 32555
   	C.	32550, 31605
   	D.	31603, 32554

10 points   

QUESTION 17

1. How would a cardiac surgeon code his/her services for a patient receiving a CABG x 3? This would be performed using the internal mammary artery to bypass a single cardiac vessel and two section of the saphenous vein for two other cardiac vessels.

   	A.	33535
   	B.	33534, 33511
   	C.	33534, 33518, 33511
   	D.	33533, 33518

10 points   

QUESTION 18

1. Identify the appropriate CPT for the following hospital outpatient services. A 35-year-old female undergoes an excision of a 3.0 cm tumor of the forehead. An incision is made through the skin and subcutaneous tissue. The tumor is dissected free of surrounding structures. The wound in closed in layers and interrupted sutures.

   	A.	21012, 12052
   	B.	21014, 12052
   	C.	21012
   	D.	21014

10 points   

QUESTION 19

1. Identify the appropriate ICD diagnosis code(s) for right and left bundle branch block.

   	A.	I45.19
   	B.	I45.4
   	C.	I44.7, I45.10
   	D.	I45.2

10 points   

QUESTION 20

1. Identify the correct diagnostic coding for a patient who arrives for outpatient laboratory services. The physician order states these are conducted to monitor the patient's Coumadin levels. A prothrombin time (PT) is performed to check the patient's long-term use of anticoagulant.

   	A.	Z13.0
   	B.	Z51.81, Z79.01
   	C.	Z79.01, Z00.01
   	D.	Z00.00

Answer 1

Ans) 5) A.Each of the 1st, 2nd, and 3rd degree burns

Explaination:

- 01XA
Burn of unspecified degree of chest wall, initial encounter
01XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM T21. 01XA became effective on October 1, 2019.

6) B. Size of defect

Explaination:

- Perform a full thickness skin graft:

- Donor site = cranial pectoral area
* mark out area
* excise full thickness skin
* place face down on a moist gauze mat and remove fat and subcutaneous tissue
* transfer to recipient site

- Recipient site must not be contaminated, and healthy granulation tissue must be present

7) D.Physician work, practice expense, malpractice expense

Explaination:

- The RVU consists of three components: a Work RVU, representing an estimate of the physician skill and time required to carry out the procedure; a “practice expense” RVU; and a malpractice RVU.

8) A.Z51.11, C50.919, C78.7, Z90.10

Explaination:

- When a patient is admitted for the purpose of external beam radiotherapy, immunotherapy or chemotherapy and develops complications such as uncontrolled nausea and vomiting or dehydration, the principal or first-listed diagnosis is Z51. 0, Encounter for antineoplastic radiation therapy, or Z5.