2013 MCT CPC-H Quiz #8 Chapters 13 and 14

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1 2013 MCT CPC-H Quiz #8 Chapters 13 and 14 Name: Date: Instructor: Score: 1. A female patient presents to the outpatient clinic for excision of a 4.8 cm malignant melanoma of the left inner thigh. A 6 cm x 6 cm rotation flap was created for closure. What is the correct procedural code(s) for this encounter? a LT b LT, LT c LT, LT d A patient was seen in the outpatient clinic at the local hospital for treatment of her actinic keratosis of the right arm. Cryosurgery was performed on five lesions. What is the correct code selection for the procedure and diagnosis? a x 5, b , x 4, c , 17003, d , A 47-year-old female was in the hospital outpatient surgery department for treatment of a malignant tumor on the skin of her left cheek. The lesion measured 1.4 cm in diameter. Electrosurgery was performed to destroy the tumor. What are the correct CPT and ICD-9-CM codes for this procedure? a , b , c , d , In the hospital s outpatient surgery suite, a patient is in for reduction of her left breast due to atrophy of the breast. After being prepped and draped, the surgeon makes a circular incision above the nipple to indicate where the nipple is to be relocated. Another incision is made around the nipple, then two more incisions are made from the circular cut above the nipple in order to fold beneath the breast, which creates a keyhole-shaped skin and breast incision. Skin wedges and tissue are removed until the surgeon is satisfied with the size. Electrocautery was performed on bleeding vessels and the nipple was then elevated to its new position and the nipple pedicle was sutured with layered closure. The last incision was repaired with a layered closure as well. What are the correct procedure and diagnosis codes for this procedure? a , 12301, b , c , d , x 2, Medical Coding Training: CPC-H Quizzes, Midterm, and Final 8.1

2 5. An outpatient surgeon at the outpatient surgery center cleans a patient s nail bed and preps it for graft. The patient suffered a second degree burn to the right second finger after spilling hot grease at home. Once the graft was obtained, it was sutured into place. Homeostasis was achieved and dressing was applied to the area. The patient tolerated the procedure well. What are the correct procedure and diagnosis codes for this scenario? a , , E924.0, E849.0 b , 15004, 15115, , E924.0, E849.0 c , , E923.8, E849.0 d , 15050, , E924.0, E A 39-year-old patient is scheduled for an excision of a lesion in the right breast. It was identified by a radiological marker viewed on mammography. The lesion was excised. Diagnosis is fibrocystic disease. What are the correct CPT and ICD-9-CM codes for this service? a , b , c , d , 19295, A 19-year-old female is seen in the hospital-based outpatient department for surgical implantation of birth control. Once prepped and draped, the surgeon makes a small incision of the skin on the inside of the patient s left upper arm. Using a trocar, six 3.0 cm Norplant II (Levonorgestrel) capsules are implanted subdermally. After all capsules were placed, the incision was closed with a simple repair. What are the correct procedure and diagnosis codes for this encounter? a , 12001, A4261, V25.8 b , J7306, V25.5 c , V25.8 d , V A patient with an adherent scar of the skin on the left forearm is seen in the hospital surgery department for correction. Documentation states 2.5 cc of collagen was injected into the subcutaneous tissue of the deformed area using a syringe. The collagen augmented the subcutaneous tissue and alleviated the depression of the soft tissue. What are the correct procedure and diagnosis codes for this encounter? a , 11951, b , c , d , Medical Coding Training: CPC-H Quizzes, Midterm, and Final 8.2

3 9. A patient presents to the emergency room with a laceration of her right great toenail bed due to it being struck by a knife. The ED physician removes the damaged and surrounding nail from the nail bed. He then sutures the nail bed into the correct position. Bleeding was controlled through electrocautery and the wound was dressed. The patient was discharged to home. What are the correct procedure and diagnosis codes for this encounter? a , , E920.3 b , E920.3, c , 883.0, E920.2 d , 893.0, E A patient presents to the hospital-based ambulatory surgery center for skin grafts due to previous third degree burns on the abdomen. Burn eschar is removed from the abdomen and the defect size at that time measured 10 cm x 10 cm. An acellular dermal allograft from a donor bank was placed on the defect and sewn into place. What are the correct procedure codes for this service? a , 15271, 15272, b , c , x 2, d , x 4, An 18-year-old male with complaints of right knee pain, swelling and a pop like feeling after falling on the sidewalk is seen in the emergency department. It is decided that the patient needs to have an arthrogram of the knee done. The patient goes to the outpatient radiology department. Once back in the X-ray room, the patient was placed in supine position with his right knee flexed over a pillow. After the knee was prepped and draped, topical anesthesia was applied. A 20-gauge needle was then inserted into the femoropatellar space of the knee. Air and single contrast media was injected and the patient was instructed to move his knee in order to provide even coating. Multiple arthrographic views were taken. Diagnosis made was closed dislocation of the knee. What are the correct procedure and diagnosis codes for this service? a , 73580, b , 73580, c , 77002, d , 73580, 77002, A patient diagnosed with an acquired trigger finger received a single trigger point injection of one muscle at the local outpatient department of the hospital. What are the appropriate procedure and diagnosis codes for this procedure? a , b , 77002, c , d , Medical Coding Training: CPC-H Quizzes, Midterm, and Final 8.3

4 13. An established patient is scheduled for an arthrocentesis to remove fluid from her left knee. When she comes to the hospital outpatient clinic, she reports that she is currently experiencing fatigue, weakness, and depression. The physician performs the arthrocentesis and then spends additional time checking her general medical condition performing a midlevel E/M visit due to the patient s depressive state and generalized fatigue. What are the appropriate procedure codes for this encounter? a , b , c , d , A 27-year-old was admitted to the outpatient surgery center at the local hospital for surgical repair of the left elbow. The surgeon performed a left elbow membrane arthroplasty for the patient s systemic sclerosis. What are the correct procedure and diagnosis for this? a , b , c , d , A male patient is admitted to the hospital s ambulatory surgical center for hammertoe correction. The physician performs an interphalangeal fusion of the patient s second toe on the right foot. What is the correct procedure code for this procedure? a T6 b T6 c T6 d T6 16. An 18-year-old with a dislocated patella is in the hospital outpatient orthopedic center for reconstruction. After being prepped and draped, the orthopedist makes an incision on the anteromedial aspect of the left knee, starting above the patella and ending just below the tibial tuberosity. Once the patellar tendon is resected, it is pulled medially and distally on the tibia for reattachment. The vastus medialis muscle is then inserted by transforming it laterally and distally, suturing it into place. Alignment of the patella is achieved, then the patellar tendon is anchored into the tibia with staples. The incision is closed with Steri-strips. The patient had no complications and was released after recovery. What are the correct procedure and diagnosis codes for this scenario? a , b , c , d , Medical Coding Training: CPC-H Quizzes, Midterm, and Final 8.4

5 17. A patient is scheduled for a muscle biopsy of her left shoulder. Local anesthesia is applied. The physician uses a bore needle, piercing the skin. Using ultrasound guidance, he passes the needle through the fascia, to the muscle. Samples of the tissue are obtained and the needle is then withdrawn. Addendum: Pathology results state malignant neoplasm of the connective and soft tissue. What are the correct diagnosis and procedure codes for this encounter? a , 76942, b , 76942, c , d , A patient was seen for excision of three interdigital neuromas of the right foot. He was seen in the hospital outpatient clinic for this procedure. What is the code selection for the procedure and diagnosis? a , b , c , 64778, d x 3, A patient arrives at the outpatient hospital surgery center for a partial meniscectomy of the temporomandibular joint. However, prior to anesthesia administration, the patient goes into respiratory distress and the physician makes the decision to not perform the procedure. What is the correct code for this procedure? a b c d A patient presents to the hospital-based outpatient surgery department for a left knee medial meniscus repair. She had recurrent locking, swelling and catching of the knee. A diagnostic arthroscopy was performed. Under direct visualization, a medial portal was established and debridement of the posterior horn of the medial meniscus was performed. A shaver was then introduced and taken back to a stable rim. The remainder of the knee was probed. The scope was then withdrawn and the wound was closed with #4-0 Vicryl. The discharge diagnosis was a bucket handle tear of the medial meniscus. The patient tolerated the procedure well. What are the correct procedure and diagnosis codes for this encounter? a , b , c , 29870, d , Medical Coding Training: CPC-H Quizzes, Midterm, and Final 8.5

Chapter 11 Worksheet Code It

Chapter 11 Worksheet Code It Class: Date: Chapter 11 Worksheet 3 2 1 Code It True/False Indicate whether the statement is true or false. 1. Surgical destruction is considered part of the surgical procedure description. 2. Prepping