CEU Final Exam for 3-2-1 Code It! Sixth Edition 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 Cengage 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 Cengage, 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: https://www.aapc.com/medical-coding-education/ Instructions for Submitting an Exam to Cengage for AAPC CEU Approval The AAPC is offering CEU credits to qualified candidates for the 30-question exam for 3-2-1 Code It! 6th edition*, ISBN 978-1-3059-7023-6, by Michelle Green. The AAPC will grant a total of three (3) CEU credits for this title, for passing grades of 70% and above. To apply for CEU credit on this title, please read the following instructions. Please note that CEU applications for 3-2-1 Code It!, 6th edition, will not be honored by the AAPC after 4/1/2018. To allow for processing time, final CEU test submissions must be received by Cengage no later than 2/15/2018. Directions: Print out and complete the exam you wish to submit to Cengage for CEU approval. Submit the completed exam along with your name, address, email, and phone to: Cengage Learning Attn: Product Assistant, Insurance & Coding CEUs 5 Maxwell Drive Clifton Park, NY 12065 If Cengage finds that your exam meets or exceeds the passing grade of 70% or 21/30 correct, you will receive a certificate from Cengage on behalf of the AAPC stating that you have earned CEU credit. To obtain CEU credit, you must submit the certificate to the AAPC. Applicants please note: Awarding of a certificate from Cengage does not constitute full CEU approval. Upon receipt of the certificate from Cengage, you are then responsible for submitting this certificate to the AAPC the next time your credential is up for renewal in order to officially obtain the CEU credit(s). *This publication has prior approval of the American Academy of Professional Coders for 3 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content, or program. 1
CEU Final Exam for 3-2-1 Code It! Sixth Edition Name: Email: Phone: ( ) Instructions: Select the correct answer choice for each of the following. Introduction to ICD-10-CM and ICD-10-PCS Coding 1. Provider offices and outpatient health care settings use to code procedures and services. a. CPT b. DSM-5 c. ICD-10-CM d. ICD-10-PCS 2. ICD-10-CM uses an X in the character location(s) as a placeholder to allow for further expansion. a. fifth only b. fifth or sixth c. sixth only d. seventh ICD-10-CM and ICD-10-PCS Coding Conventions 3. Which instruction after a main term or a subterm in the ICD-10-CM index directs the coder to the ICD-10-CM tabular list, where a code can be selected from the options provided there? a. see b. see also c. see category d. see condition 4. What is the ICD-10-CM code for drug-induced obesity? 2
a. E66.0 b. E66.3 c. E66.1 d. E66.01 5. What is the ICD-10-CM code for other recurrent vertebral dislocation, lumbar region? a. M43.5x6 b. M43.x56 c. M43.5x7 d. M43.5x5 6. What is the ICD-10-CM code for a patient who presents to the medical office with a urinary tract infection? a. N32.9 b. N39.0 c. N30.0 d. N30.8 7. Which are used in the ICD-10-CM Tabular List of Diseases and Injuries to enclose abbreviations, synonyms, alternative wording, or explanatory phrases? a. braces b. brackets c. colons d. parentheses 8. Which instruction in the ICD-10-CM tabular list means not included here and indicates a patient may be diagnosed with all conditions at the same time? a. Excludes1 note b. Excludes2 note c. Includes note d. Inclusion term 3
9. Where an etiology and manifestation combination of codes exists, the ICD-10-CM tabular list etiology code contains a note and the manifestation code contains a note. a. code first underlying disease; code, if applicable, any causal condition first b. in diseases classified elsewhere; Excludes1 or Excludes2 c. includes; code elsewhere d. use additional code note; code first underlying disease ICD-10-CM Coding Guidelines 10. The patient complains of pain and limited range of motion of the knuckle of his left little finger. Examination of the joint reveals a solid mass. X-ray is negative for arthritis or other mass. The documented diagnosis is ganglion cyst of the left little finger knuckle joint. Which ICD-10-CM code is reported? a. M25.642 b. M67.442 c. M79.645 d. R22.32 11. In ICD-10-CM, coding of sequela generally requires two codes sequenced with a code for the. a. acute phase first followed by a code for chronic phase second b. combination of the sequela and the residual condition as one code c. residual condition listed first and the sequela code second d. sequela listed first and the residual condition code second 12. The condition bilateral contusion of ovaries (initial encounter) is assigned ICD-10-CM code(s). a. S37.401A, S37.401A b. S37.402A c. S37.422A d. S37.499A ICD-10-CM and ICD-10-PCS Hospital Inpatient Coding 13. Which admit patients who are diagnosed with trauma or disease and need to learn how to function? a. acute care hospitals b. general hospitals 4
c. rehabilitation hospitals d. specialty hospitals 14. A patient was admitted to the hospital following an automobile accident in which he suffered five closed fractured ribs on the right, which resulted in a right lung laceration. During hospitalization, the patient complained of chest pain. EKG was normal. The patient also complained of severe headaches. CT scan of the brain was negative. A chest tube was inserted for drainage, and the next day a thoracotomy was performed to close the lung laceration. The principal diagnosis code is. a. R07.89 b. R51 c. S22.41xA d. S27.331A 15. Following a fall at work in which his head hit machinery, a patient was admitted conscious and observed for neurological problems and other injuries. The patient had returned to his pre-existing conscious level upon admission complaining of a headache, especially on moving his head. Total length of loss of consciousness is unknown. No other injuries were identified by x-ray or CT brain scan. The patient was discharged home the next day with a final diagnosis of concussion with prolonged unconsciousness. The principal diagnosis code is. a. R29.6 b. R51 c. S06.0x9A d. W31.9xxA 16. The ICD-10-CM code for a hospital inpatient treated for ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery is. a. I21.01 b. I12.21 c. I21.4 d. I21.02 5
17. When a patient undergoes surgery in the hospital s outpatient surgery department and is subsequently admitted for continuing inpatient care at the same hospital,. a. always assign the reason for performing the hospital outpatient surgery as the principal diagnosis b. deny the inpatient hospital admission because outpatient surgery never results in an admission c. if the admitting diagnosis is unrelated to surgery, the principal diagnosis is the reason for surgery d. when the reason for admission is a complication, assign the complication as the principal diagnosis ICD-10-CM Outpatient and Physician Office Coding 18. A patient is referred to a radiologist for an outpatient chest x-ray because of a cough. The result of the chest x- ray indicates the patient has pneumonia. During the performance of the diagnostic test, it was determined that the patient has hypertension and diabetes mellitus. Which is the first-listed diagnosis? a. cough b. diabetes mellitus c. hypertension d. pneumonia 19. Which code is assigned to a patient encounter for a preoperative diagnosis of pain in the knee and a postoperative diagnosis of tear in the medial meniscus bucket handle, right knee? a. M25.561 b. M25.569 c. S83.200A d. S83.211A 20. A patient is referred to a radiologist for an outpatient abdominal ultrasound due to jaundice. After review of the ultrasound, the interpreting physician also discovers that the patient has an aortic aneurysm. Which ICD-10- CM code is reported as the first-listed condition? a. I71.8 b. I79.0 c. K76.9 d. R17 6
CPT Anesthesia 21. An anesthesiologist provided general anesthesia services to a morbidly obese 55-year-old female who underwent total knee replacement. Report anesthesia code. a. 01402-AA b. 01402-P1-AA c. 01402-P2-AA d. 01402-P3-AA CPT Surgery I 22. One benign lesion measuring 0.5 cm is removed from the right hand, and another benign lesion measuring 0.5 cm is removed from the left foot. Report code(s). a. 11400 b. 11420-50 c. 11420-RT, 11420-LT d. 11421-50 23. A surgeon performed bilateral breast biopsies; the left breast mass was completely removed, but only a portion of the right breast was removed due to its large size. Frozen section revealed the right breast mass to be malignant; a modified radical mastectomy was performed during the same operative session. Report code(s). a. 19304 b. 19307-RT, 19120-51-LT c. 19307 d. 19120, 19307 CPT Surgery II 24. Mrs. Jones received open treatment of two rib fractures on the right. Report code(s). a. 21811-RT b. 21812-RT c. 21813-RT d. 21825-RT 7
CPT Surgery III 25. Max Wilcox underwent a thoracotomy to implant a patient-activated cardiac event recorder. Report code(s). a. 33282 b. 33284 c. 33282, 32100 d. 33282, 32124 26. A patient underwent coronary artery bypass graft, three venous vessels. This is a repeat CABG because the patient previously underwent CABG surgery five years ago during which two coronary venous grafts were performed. Report code(s). a. 33511 b. 33512 c. 33512, 33511-51 d. 33512, 33530 CPT Surgery V 27. Removal of foreign body from the left external auditory canal, under general anesthesia. Report code. a. 69200-LT b. 69200-47-LT c. 69205-LT d. 69205-47-LT 28. A patient underwent decompression of the spinal cord and nerve roots via transpedicular approach for herniated intervertebral disk, T1, T2, and T3. The patient tolerated the procedure well. Report code(s). a. 63055 b. 63055, 63055, 63055 c. 63055, 63055-51, 63055-51 d. 63055, 63057, 63057 CPT Radiology 29. Bilateral screening mammography due to family history of breast cancer. Report code. 8
a. 77065 b. 77066 c. 77067 d. 77059 CPT Medicine 30. A 65-year-old male patient underwent a right heart catheterization, which was preceded by insertion of a Swan-Ganz catheter. The heart catheterization was started via puncture of the femoral artery. Left ventricular and selective coronary angiographies were also performed. Report code(s). a. 93503 b. 93503, 93456 c. 93456 d. 93456, 93503 9