Question

QUESTION 2

1-4 are ICD. 5 is CPT.

50-year-old female presents to the ED with salmonella septicemia_____ , causing renal____ and hepatic failure____ , without septic shock___ . Provider performed a comprehensive history, comprehensive examination, and high complexity MDM___ . 10 points

QUESTION 3

1-4 are ICD. 5 is CPT.

New patient suffered chemical burns over 40% total body surface area__ due to chemical spill at place of employment. Second degree burns of left leg___ , 18% total body surface area, third degree of left arm___ , 18% total body surface area, and second degree burn of left chest wall___ , 5% total body surface area. ED provider performed a comprehensive history and examination with high complexity MDM ____. . 10 points

QUESTION 4

Second box is ICD. First is CPT.

Diagnostic lumbar puncture_____ was performed on a patient with hemophilus meningitis_____ . 10 points

QUESTION 5

1-3 are ICD. 4 and 5 are CPT and 5 needs a modifier (hint: it's 59) So it should look like this: 12345-59.

Patient with multiple lacerations from MVA is seen in the urgent care setting for repair. Wound repairs were as follows: simple repair of lip laceration, 0.5 cm___ ; simple repair of right cheek laceration, 2.0 cm____ ; right shoulder laceration, intermediate repair 4.0 cm _____ , ______, _____. 10 points

QUESTION 6

Just looking for an ICD on this one.

45-year-old patient presents to the ED complaining of chest pain and is later diagnosed with acute inferior myocardial infarction_____ . 10 points

QUESTION 7

Two ICD codes this time. (Hint: you need the diagnosis code from the previous question, with a new one)

Patient from question 6____ returns to the ED one week after discharge for the initial MI, complaining once again of chest pain. At this encounter, the patient is diagnosed with NSTEMI _____ . 10 points

QUESTION 8

You need three ICD codes. I have bolded a section of the question. That is a hint.

Patient from previous questions (6 and 7) returns to the ED two months after being discharged for MI____ , and is once again complaining of chest pain. At this encounter, patient is diagnosed with heartburn_____ and anxiety_____. . 10 points

QUESTION 9

3rd box is an ICD. 1 and 2 are CPT.

Patient presents complaining of chest pain and a feeling that his “heart is flipping around in his chest.” After a detailed history and comprehensive examination____ , the ED attending ordered a 12-lead electrocardiogram_____ , which identified a paroxysmal atrial fibrillation____ , determined to be the cause of the chest pain and “flipping” feeling. 10 points

QUESTION 10

1-4 are ICD. 5 and 6 are CPT and 6 requires a modifier (same one you used earlier?)

Physician repairs the following wounds in the emergency department setting: 3 cm laceration of the right thigh, simple repair_____ ; 7 cm laceration of the right calf, intermediate repair_____ ; 2 cm laceration of the right foot, simple repair_____ ; and 1.5 cm laceration of the right cheek, intermediate repair_____ , _____ , ______ . . 10 points

QUESTION 11

1 is an ICD. 2 is a CPT and it does require a modifier.

I have bolded the part of the question that should lead you to the correct modifier. Pediatric patient is brought to the ED complaining of severe otalgia of the left ear___. Upon examination, the physician determines that there is a foreign body in the ear . Due to the patient’s young age and severe distress, it is deemed necessary that the patient is placed under general anesthesia (administered by the surgeon) in order to remove the foreign body______ , which was removed without complications.

Answer 1

2#) ICD-10-CM codes :-

1. Salmonella septicemia - A02.1

2. Renal failure - N17.9

3. Hepatic failure - K72.90

4. Hepatic failure without shock - K72.90

CPT code :-

5. High complexity MDM - 99214

3#) ICD-10-CM codes :-

1. 40% total body surface area burn - T31.41

2. Second degree burn of left leg - T24.232A

3. Third degree burn of left arm - T22.332A

4. Second degree burn of chest wall - T21.21XA

CPT code :-

5.