NOTE TO CEU APPLICANT

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1 NOTE TO CEU APPLICANT In order to receive CEU credit for taking this exam, the following criteria must be met: You must be certified by AAPC prior to purchasing this textbook and prior to submitting this test to Delmar for CEUs. This offer of CEUs is intended for credentialed professionals only and is not intended for use by instructors teaching a course that utilizes this textbook. You must receive a passing grade of 70% or better (21/30 correct) to be eligible to apply for the 3 CEUs granted by AAPC for this title. If you receive a passing grade and a certificate of approval from Delmar, you must then enter the index number from the certificate into your personal CEU tracker. For more information on obtaining CEUs from AAPC, please go to:

2 Name: Phone: ( ) Instructions: Select the correct answer choice for each of the following. 1. Which procedure requires the assignment of an ICD-9-CM code for the surgical approach? a) Surgeon performed laparotomy to remove abdominal mass; surgery was halted prior to removal of mass. b) Surgeon made a skin incision and performed a vein stripping procedure. c) Neurosurgeon performed a craniotomy and removed a brain lesion. d) Surgeon made a laparotomy incision and performed a laparoscopic appendectomy. 2. A patient with chronic choroiditis presents with complaints of decreased vision. The patient is diagnosed with cataract due to choroiditis. Which is the proper assignment (and sequencing if more than one code is assigned) of ICD- 9-CM disease code(s)? a) , b) c) , d) A patient had an encounter with her family doctor to receive a preemployment physical examination and was diagnosed with an external ear infection. Which is the proper assignment (and sequencing if more than one code is assigned) of ICD-9-CM disease code(s)? a) V70.5, b) , V70.5 c) V70.5 d)

3 4. A patient recently underwent a mastectomy for treatment of an upper/inner quadrant adenocarcinoma of the breast. Today the patient has an outpatient encounter for radiation therapy. Which is the proper coding (and sequencing if more than one is assigned) of ICD-9-CM disease code(s)? a) V58.0, b) 174.2, V58.0 c) d) V A patient presents with complaint of pain and stiffness in the left ankle. The diagnosis is documented as traumatic arthritis of the ankle. Which is the proper coding and sequencing of ICD-9-CM disease codes? a) , b) 959.7, c) , d) 908.9, The patient fell while climbing a tree, landed on the left side of her body, and sustained a concussion, along with numerous contusions of the left lower leg. (Her face, arms and trunk were protected by clothing.) The patient also sustained a laceration on the left lower leg. Which is the proper coding and sequencing of ICD-9-CM disease codes? a) 850.9, 891.0, 923.9, 920, E884.9 b) 850.9, 891.0, 923.9, 924.5, 920, E884.9 c) 923.9, 920, 850.9, 891.0, E884.9 d) 850.9, 891.0, E884.9

4 7. A patient is diagnosed as having renal and heart disease due to hypertension. Which is the proper coding (and sequencing if more than one code is assigned) of ICD-9-CM disease code(s)? a) b) , c) , d) , , A patient had an encounter for the fitting and adjustment of her artificial arm. Which is the proper coding (and sequencing if more than one code is assigned) of ICD-9-CM disease code(s)? a) V52.0 b) 682.3, V52.0 c) V52.0, d) V52.0, The patient is a toddler who was traveling, unrestrained, in a motor vehicle driven by the patient s mother. A bee flew through the open window of the vehicle and stung the driver, causing her to veer off the road and hit a tree. The patient sustained multiple contusions and abrasions and a facial laceration. Which is the proper sequencing of E codes for this encounter? a) E967.2, E816.1 b) E816.1, E967.2 c) E905.3, E816.1 d) E816.1, E Which procedure requires the assignment of an ICD-9-CM screening code? a) A seemingly well 52-year-old woman has an encounter for an occult blood test. b) During an encounter, a patient states that she had poliomyelitis when she was young. c) Patient is admitted for observation for suspected tuberculosis. d) A woman has an encounter for a routine postpartum examination.

5 11. A patient with diabetes received a J cell alkaline replacement battery for her home blood glucose monitor. What is the appropriate HCPCS level II code for this? a) A4234 b) A4235 c) A4236 d) A For a non-removable longitudinal arch support (attached to shoe), left foot, what is the appropriate HCPCS level II code? a) L3070-LT b) L3090 c) L3070 d) L3090-LT 13. For transportation of portable ECG to facility or location, per patient, what is the appropriate HCPCS level II code? a) R0076 b) R0070 c) R0075 d) G For substance abuse services, skills development, what is the appropriate HCPCS level II code? a) T1012 b) T1010 c) H2034 d) H0047

6 15. For compression burn garment, chin strap, custom fabricated, what is the appropriate HCPCS level II code? a) A6502 b) A6504 c) A6512 d) A For assistive listening device telecommunication device for the deaf (TDD), what is the appropriate HCPCS level II code? a) V5272 b) V5273 c) V5269 d) V For home therapy, peritoneal dialysis, administrative services, what is the appropriate HCPCS level II code? a) S9339 b) S9330 c) S9353 d) S For a halo procedure, cervical halo incorporated into Milwaukee type orthosis, what is the appropriate HCPCS level II code? a) L0830 b) L0810 c) L0820 d) L0120

7 19. For a non-removable longitudinal arch support (attached to shoe), left foot, what is the appropriate HCPCS level II code? a) L3070-LT b) L3090 c) L3070 d) L3090-LT 20. For a heavy-duty wheelchair, what is the appropriate HCPCS level II code? a) K0006 b) K0007 c) K0003 d) K Which code reflects a level 5 E/M service? a) b) c) d) Which is loss of pain sensation without loss of consciousness? a) analgesia b) analgesic c) anesthesia d) anesthetic

8 23. For complex repair of 8.5 cm wound, scalp, with extensive debridement of contaminated skin and subcutaneous tissue, the reported code(s) would be: a) 13121, 13122, b) c) d) 13121, For conversion of previous hip surgery to total hip arthroplasty, left side, which code should be reported? a) LT b) LT c) LT d) LT 25. For transmyocardial laser revascularization, by thoracotomy, performed during pulmonary valve replacement, which is/are the correct code(s) to report? a) 33475, b) 33475, 33140, c) d) 33140, For diagnostic endoscopic retrograde cholangiopancreatography (ERCP) with washing and collection of specimens, which code is reported? a) b) c) d) 43269

9 27. For Patient with craniosynostosis underwent craniectomy that required a single cranial suture, which code is reported? a) b) c) d) For magnetic resonance imaging of thigh with contrast, which code is reported? a) b) c) d) For bilirubin test from feces specimen, which code is reported? a) b) c) d) Under moderate sedation, a patient underwent transesophageal echocardiography in real time with 2D image documentation, including probe placement, image acquisition, interpretation, and report. Which code(s) is/are reported? a) b) c) 93312, d) 93318, 99143

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