Question

QUESTION 11

1. A patient in the hospital outpatient clinic area receives an IM injection of 250mg of Amikacin sulfate for bacterial colitis. Which code captures the administration of the drug?

   	A.	96373
   	B.	96365
   	C.	96374
   	D.	96372

10 points   

QUESTION 12

1. A hospital employee presents to Employee Health for vaccination against hepatitis A and B. A combination vaccine is administered intramuscularly. Which codes would Employee Health need to capture for the services provided?

   	A.	90471, 96372
   	B.	90471, 90636
   	C.	90460, 90461, 90632, 90748
   	D.	96372, 90471

10 points   

QUESTION 13

1. Due to EKG changes, a 57-year-old male receives a cardiac stress test via pharmacological induction. Dobutamine is administered, followed by dipyridamole, and the stress test is accomplished.

   Which of the following codes would be reported by the hospital for performing the diagnostic test?

   	A.	93015
   	B.	93017
   	C.	93018
   	D.	93016

10 points   

QUESTION 14

1. A physician practice manager believes that the office is losing revenue based on its failure to capture specific codes for extra work done by or on behalf of the clinical staff.

   For example, physicians sometimes extend office hours to meet patient needs. This can include staying later than posted office hours, scheduling weekend hours for patients, or emergency walk-ins that disrupt the provider's normal schedule.

   Of the following, which codes capture these unusual circumstances?

   	A.	99090-99091
   	B.	99366-99368
   	C.	99050, 99051, 99058
   	D.	99354-99357

10 points   

QUESTION 15

1. A physician practice manager believes that the office is losing revenue based on its failure to capture specific codes for extra work done by or on behalf of the clinical staff.

   Since laboratory specimens must be taken by courier to the hospital for analysis, which of the following codes may generate some additional revenue for the practice?

   	A.	99000
   	B.	99027
   	C.	99600
   	D.	99444

10 points   

QUESTION 16

1. A physician practice manager believes that the office is losing revenue based on its failure to capture specific codes for extra work done by or on behalf of the clinical staff.

   For instance, when patients require completion of Family Medical Leave Act (FMLA) reports and similar administrative reporting, the physicians are not currently billing the patient or insurance carrier.

   As the lead coder in the practice, which codes would you recommend for this type of service?

   	A.	99450
   	B.	99080
   	C.	99374
   	D.	99495

10 points   

QUESTION 17

1. A patient presents to the hospital outpatient surgery department for treatment of esophageal varices. During the EGD procedure, the patient experiences hypotension. As a result, the physician terminates the procedure and admits the patient to observation status. The patient's history and physical for surgery documents the following conditions: bleeding esophageal varices, chronic alcohol usage, and hypertension.

   Of the following, which diagnosis would the hospital report as the first-listed diagnosis for these encounters?

   	A.	Hypotension
   	B.	Bleeding esophageal varices
   	C.	Hypertension
   	D.	Chronic alcohol abuse

10 points   

QUESTION 18

1. A college student presents to Student Health for a physical examination. As part of that preventive medicine visit, the physician orders HIV antibody, the results of which come back positive. Since the HIV blood work must be sent off-campus, the results were not immediately available at the time of coding the preventive medicine visit. During the preventive medicine visit, the record indicates the patient expressed no complaints. As a result, you must code the lab services and their medical necessity.

   Of the following, which is the most accurate way to capture charges for HIV antibody tests sent to an outside lab which came back positive after a preventive health examination.

   	A.	86701-90, Z00.01, Z21
   	B.	86701, Z11.4, Z21
   	C.	86701-91, B20
   	D.	86701, R75, Z00.00

10 points   

QUESTION 19

1. Evaluate the following diagnostic statement:

   "Metastatic disease to liver and lung from pancreas."

   Which of the following codes would be accurate to report (choose only 1).

   	A.	C78.89
   	B.	C22.9
   	C.	C78.7
   	D.	C34.90

10 points   

QUESTION 20

1. A homeless patient presents to the hospital emergency department complaining of abdominal pain, diarrhea, and nausea. The ED attending physician documents that the patient has been seen 3 times in the past 10 days for the same problem. After significant review of the patient's diagnostic tests, imaging results, physical examination and past ED visit notes, the physician documents the following:

   "Upon entry to ED bay 16, this patient was found pilfering through draws and medical supplies. The patient had in her hand 5 unused syringes, several packets of gauze, and IV tubing. When confronted, the patient confessed that she sold the medical supplies to drug users in order to make money. I requested that social services visit with the patient prior to discharge and their note may be found in the record. Final diagnosis: malingering."

   Which ICD code would be captured as the first-listed diagnosis?

   	A.	Z76.5
   	B.	R10.9
   	C.	R11.0
   	D.	R19.7

Answer 1

QUESTION 11

D. 96372

QUESTION 12

B. 90471, 90636

90471 is for a single vaccine regime; hepatitis A and B are combined so, only a single dose is utilized, written as code 90636.

QUESTION 13

B. 93017

The hospital cannot explain or oversee a stress test. These physician professional services are billed one by one. So only 93017 can be shown by the hospital.

QUESTION 14

C. 99050, 99051, 99058

QUESTION 15

A. 99000

QUESTION 16

B. 99080

QUESTION 17

B. bleeding esophageal varices

QUESTION 18

A. 86701-90, Z00.01, Z21

86701-90 HIV antibody outside office.

Z00.01 general medical exam including unusual findings

Z21 asymptomatic.

QUESTION 19

C. C78.7

QUESTION 20

A. Z76.5