Medical Coding
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Question 1. 1. A neonatal patient is brought to the operating room for repair of complete transposition of the great arteries under cardiopulmonary bypass. The infant is in critical condition and may not survive. Assign the correct diagnosis codes and CPT codes to report the administration of anesthesia, including physical status, Level I and II modifiers, and qualifying conditions for this procedure. (Points : 2)
Q20.3, 00562–AA–23, 99100 Q20.1, 00561–AD–P5, 99140 Q20.3, 00561–AA–P5 Q20.3, 00563–AA–P5, 99100, 99140
Question 2. 2. A 32-year old female has recently had surgery for melanoma of the right lower leg, Clark level IV> She had no other signs of metastasis or adenopathy. Under general anesthesia, a sentinel node biopsy of the deep axillary nodes was performed with a gamma counter probe. An injection of isosulfan blue dye was performed and the nodes followed carefully to the single-bright-blue node. This node was excised and sent for frozen section, which proved to be negative for melanoma. Before the procedure, the radiologist performed a lymphoscintigraphy. Which of the following code sets would the surgeon report. (Points : 2)
C44.691, 38525 C4A.71, 38525, 38792 C4A.71, 38525, 38792–51, 78195 C43.9, 38525, 38790–51
Question 3. 3. A non-Medicare patient with carcinoma of the oral cavity and lower lip is receiving daily intramuscular injections of the interferon alfa-2a (3 million units) in the outpatient cancer center. Which of the following will be reported for this service? The payer does accept HCPCS Level II codes for drugs. (Points : 2)
Z51.12, I49.8, 96401, J9213 C14.8, 96372, J9213 C06.9, C00.2, 96372 Z51.12, 96549
Question 4. 4. Assign the appropriate ICD-10-CM diagnosis code for aspiration pneumonia due to inhalation of food. (Points : 2)
J15.9 J69.0 J18.9 J69.1
Question 5. 5. This 60-year-old patient was admitted with emphysematous nodules. A thoracoscopic wedge resection was performed in the left lung to remove the lung nodules. A resection was done in the upper and lower lobes. Which of the following answers is correct? (Points : 2)
J98.4, 32666, 32667 J43.9, 32666 J98.4, 32505 J43.9, 32666, 32667
Question 6. 6. What would be the appropriate ICD-10-CM code for lumbar stenosis? (Points : 2)
M48.00 M48.06 M48.07 M48.26
Question 7. 7. What is the correct ICD-10-PCS code for a total right knee arthroplasty with insertion of total knee prosthesis? (Points : 2)
0SSC0JZ 0SRC0ZZ 0SRC0JZ 0SSC0ZZ
Question 8. 8. A 69-year-old patient was hit by a car, causing intra-thoracic trauma and hemorrhage. The patient was taken directly from the Emergency Department to the operative suite where the chest was opened and hemorrhage was controlled, but the patient’s heart stopped. Open heart massage was performed but the patient expired before the patient could be admitted. Assign the appropriate CPT code(s) and any required modifier(s) to report this service. (Points : 2)