Lymphoscintigraphy cpt code

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)

32110-CA 32110, 32160 32160-CA 32110-CA, 32160-CA

Question 9. 9. What code(s) is/are assigned for a patient receiving home care after a kidney transplant? (Points : 2)

Z48.29 Z48.298, Z94.0 N18.6 Z94.0

Question 10. 10. An elderly patient has an abscess formation around a pacemaker pocket on his chest wall that requires that the device be removed and the pocket reformed in another location. Which of the following code sets is appropriate for this outpatient surgical service? (Points : 2)

T82.7XXA, L02.219, 33222 L02.219, 33222 T82.7XXA, 33223 T82.857A, L02.219, 33999

Question 11. 11. A 48-year-old man came in to the emergency department complaining of vomiting material resembling coffee grounds several times within the past hour. He has abdominal pain and has been unable to eat for the past 24 hours. He is dizzy and lightheaded. Two stools today have been black and tarry. While in the emergency department, he vomited bright-red blood and some material resembling coffee grounds. A nasogastric tube was inserted by the ED physician and attached to suction. An abdominal exam showed a fluid wave consistent with ascites. CBC and clotting studies were drawn. A detailed history and physical exam with high-complexity medical decision making were documented. A GI consultant was called and the patient was taken to the Endoscopy for further evaluation of upper GI bleeding. Diagnosis: Hematemesis, rule out esophageal varices; blood loss anemia, acute; ascites. Which of the follow is the correct diagnosis and CPT procedure assignment for the independent ED physician? (Points : 5)

K92.0, D62, R18.8, 99285, 43752 K92.0, R10.9, R42, 99284-25, 91105 R18.0, K92.0, D50.0, 99284, 43752 K92.0, D62, R18.8, 99284-25, 43752

Question 12. 12. A 20-year-old patient was brought into the emergency department in nearly comatose condition following an evening of drinking beer and vodka with friends. Vital signs were depressed. A blood-alcohol level was measured, which was reported as 0.38. The patient had vomited several times before passing out. There was a 1-cm laceration on the patient’s eyebrow. This was treated with a Steri-Strip. The patient was stabilized in the ED for one and a half hours and admitted to intensive care by the Internal Medicine physician on call. Documentation in the ED record supports a level 5 ED visit. Diagnosis was alcohol poisoning, acute alcohol intoxication, and 1-cm laceration, right eyebrow. (Points : 5)