Question

UESTION 1

1. CASE STUDY 7 (Phacoemulsification of cataract): Of the following CPT, which should the hospital report for its claim?

   	A.	66986-LT
   	B.	66984-LT
   	C.	66985-50
   	D.	67036

10 points   

QUESTION 2

1. CASE STUDY 7 (phacoemulification of cataract): Using the table below, choose the appropriate HCPCS code for the implant described in the operative report.

   HCPCS Code	Code Descriptor
   V2623	Prosthetic Eye, plastic, customer
   V2629	Prosthetic Eye, Other type
   V2632	Posterior Chamber Intraocular Lens
   V2785	Processing, Preserving and Transporting Corneal Tissue

   	A.	V2632
   	B.	V2623
   	C.	V2629
   	D.	V2785

10 points   

QUESTION 3

1. CASE STUDY 7 (phacoemulsification of cataract): Which ICD-10-CM is the most accurate representation of medical necessity in this case?

   	A.	H25.019, H25.012, H25.10
   	B.	H25.093
   	C.	H25.012, H25.12
   	D.	H25.10, H25.019

10 points   

Practice Exam Cose 7 Anesthesia: Monitored anesthesia care and topical. Preoperative Diagnosis: Senile Cortical and Nuclear Sclerotic Cataract, left eye. Postoperative Diagnosist Senile Cortical and Nuclear Sclerotic Cataract, left eye. Procedure: Phacoemulsification of cataract with insertion of intraocular lens, left eye. Complications: None. Procedure in Details Prior to the day of surgery, the risks, benefits, and Fernatives tonfurgery were discussed with the patient. All questions were answered, and the patient desired surgery. Informed consent was also obtained prior to the day of surgery. The patient was cleared for anesthesia by the anesthesia staff. The patient was brought to che operating room in stable condition. MAC was administered by the anesthesia staff The patient was prepped and draped in the usual sterile fashion. The eyelids and eyelashes were taped. A speculum was inserted into the fornices of the eye. Parucentesis wounds were made with a one-milimeter diamond blade at the 12 o'clock and 6 o'clock limbal positions. The anterior chamber was filled with viscoelastic, A 0.12 forceps was used to stabilize the globe, and a 2.85 millimeter keratome was used to perform a temporal, beveled, clear-cornea incision Under viscoelastic, a continuous, curvilinear, capsulorhexis was performed. Balanced salt solution was used to perform hydro-dissection of the lens. The lens was confirmed to be spinning freely and without attachments to the capsule Phacoemulsification was carried out in the posterior chamber and iris plane with a divide and conquer technique along with some "chopping." All rucicar material was removed. All residual cortex-material was removed with irrigacion and aspiration The anterior chamber and capsulat bag were filled with viscoelastic material. The NTIOL Alcon Acrysof IQ SN60WF lens was injected into the capsular bag via a shooter. The lens optics were observed to unfold into the capsular bag. Irri- gation and aspiration was performed to remove any residual viscoelastic roaterial. The lens was observed to be centered and stable. The pupil was round and central. Balanced salt solution was injected into the anterior chamber. The paracentesis and temporal corneal wounds were hydrated with balanced salt solution. The wounds were inspected and found to be water-right. The globe had good pres. sure. A good red reflex was observed. A combination of antibiotic and steroid ointment was placed over the surface of the eye, and the speculum was cemoved. A shield was placed over the eye for procection The patient tolerated the procedure well and was brought to the recovery room in stable condition

Answer 1

1. A CPT code 66984 is used, catract is occurs in elderly people. Phacoemulsification is a method of catract surgery, in which internal lens is emulsified, ultrasonic device generates the waves and break the lens.