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   

QUESTION 4

1. CASE STUDY 7-11 (SDS and adhesive capsulitis): Of the following choices, which is the best combination for the outpatient service(s) described in the medical record?

   	A.	27275-RT, M79.5, K66.0
   	B.	27570-RT, M96.89, M76.892
   	C.	27860-RT, Z98.1, M79.5, M24.661
   	D.	27580-50, M76.899, Z98.1

10 points   

QUESTION 5

1. CASE 7.-15 (colonoscopy): Based off CPT guidelines, which hospital outpatient procedural coding should be reported for the case?

   	A.	45378, 45384, 45385
   	B.	45385, 45384-59-XS
   	C.	45380 X 2
   	D.	45378-59, 45388

10 points   

QUESTION 6

1. CASE STUDY 7-15 (Colonoscopy): Which diagnostic coding is supported by the medical record?

   	A.	D12.5, D12.2, I50.9
   	B.	D12.3, D12.4
   	C.	D12.6
   	D.	D12.7, D12.8

10 points   

QUESTION 7

1. CASE STUDY 16: Determine which of the following CPT should be reported for the OP services.

   	A.	93452, 93454
   	B.	93459
   	C.	93458
   	D.	93461

10 points   

QUESTION 8

1. CASE STUDY 16: Which statement from the procedural record indicates that a left heart catheterization was performed? (This question counts as 0 points, since it meant to demonstrate the differences between arteriography and a heart catheterization.)

   	A.	Approximate 60-70% stenosis in the midportion of the posterior descending coronary artery.
   	B.	Patent LIMA graft of the left anterior descending coronary artery.
   	C.	Total occlusion of the proximal left anterior descending coronary arter after the first septal and first diagonal vessels.
   	D.	Normal left ventricular size and systolic contractile pattern. Mildly elevated left ventricular end-diastolic pressure 16 mmHg.

5 points (Extra Credit)   

QUESTION 9

1. CASE STUDY 16: This outpatient record includes documentation of coronary artery disease of the native arteries, including total occlusion of the left anterior descending artery. Additionally, the physician reports coronary artery disease in the bypass graft. Based on this, choose the best diagnostic coding for the case.

   	A.	I25.41, I25.6
   	B.	I25.82, I25.89
   	C.	I25.721, I25.710
   	D.	I25.810, I25.10, I25.82

10 points   

QUESTION 10

1. CASE STUDY 19: Select the most appropriate coding for the hospital's outpatient services.

   	A.	45378, K62.1
   	B.	45378, Z09, Z86.018
   	C.	45378, Z83.71
   	D.	45378, D12.8

10 points   

QUESTION 11

1. CASE STUDY 20: Closely following the CPT coding guidelines, which services should the hospital report for this encounter?

   	A.	15240, 15241, 11446, 88305
   	B.	11446, 15004, 15240, 88304
   	C.	11646, 12034, 15200, 15201, 88300
   	D.	11646, 15271, 15272, 88305

10 points   

QUESTION 12

1. CASE STUDY 20: Which diagnosis codes should be reported (based off the content of the medical record)?

   	A.	C44.300
   	B.	L98.9, Z85.820
   	C.	D22.39, Z83.820
   	D.	C43.39, D22.39

10 points   

QUESTION 13

1. CASE STUDY 28: According to the health record, which codes should be reported for this service?

   	A.	19120-LT, 88305 C50.412, N60.12, I34.1
   	B.	19101-LT, 88305 C50.912
   	C.	19301-LT, 88305 C50.112, N64.9
   	D.	19304-LT, 88302 N64.89, C44.591

10 points   

QUESTION 14

1. CASE STUDY 71: The ER provider adequately documents the skin repair for coding. Of the following information, which would be helpful for the provider to include in the documentation to help us completely code all charges for this case?

   	A.	Documentation of the patient's length-of-stay.
   	B.	Whether tetanus booster (vaccine) was administered.
   	C.	Number of nurses required for procedural assistance.
   	D.	A copy of the anesthesia services report.

10 points   

Answer 1

1) Cataract refers to the opacificaiton of eye lens.It is commonly occurs in elderly people secondary to denaturation of lens proteins as a result of aging process. In phacoemulsification an ultrasonic device generates waves and breaks the cloudy lens and removal of fragmented cloudy lens is done at the end. An artificial intraocular lens is implanted to regain the vision. The CPT code for Phacoemulsification of cataract is 66984-50 Extracapsular cataract removal with insertion of intraocular lens prosthesis manual or mechanical technique (ex. irrigation and aspiration or phacoemulsification). Modifier 50 indicates bilateral procedure done in both eyes.

2)n phacoemulsification an ultrasonic device generates waves and breaks the cloudy lens and removal of fragmented cloudy lens is done at the end. An artificial intraocular lens is implanted to regain the vision. HCPCS code for the implant described in the operative report is V2632 Posterior Chamber Intraocular Lens, this procedure involves in removal of cataract and replacing natural crystalline lens with IOL made up of different materials acrylics and silicone.

3) ICD-10-CM is the most accurate representation of medical necessity in this case IS H25.10 Age related nuclear cataract,unspecified eye. H25.019 cortical age related cataract unspecified eye.

4) Adhesive capsulitis refers to frozen shoulder. It commonly affects patients of all age groups. It affects the range of motion. Shoulder dynasplint systems helps patients to stretch the shoulder in flexion,abduction,external or internal rotation. The exact coding sequence is 27580-50, M76.899, Z98.1