Mitral valve regurgitation as a late effect of fen phen

CHAPTER 16 r Anesthesia

PRACTICAT

With the use of the CPT manual, identify the following physical status modifiers:

9. Patient with a severe systemic disease that is a constant threat to life.

Modifier:

10. Normal healthy patient.

11. Patient with a severe systemic disease.

Modifier: f 3 12. Declared brain-dead patient whose organs are being removed for donor

purpo$es.

Modifier: V b Patient with mild systemic disease.

Modifier: Pe Moribund patient who is not expected to survive without the operation.

Modifier: P( Loca in the CPT manual index under the entry "A then subtermed by the anatomic site. Write the CPT index location olp the line provided (e.g., Anesthesia, Thyroid). Then locate the code identified ln the anesthesia section of the CPT manual. Choose the correct code and writelthe code on the line provided.

15. Dia ic arthroscopic procedure of knee joint.

CPT Code:

16. Radical hysterectomy.

Index location:

cPTCode: '10,?t{'r; 17. Corneal transplant.

Index location:

CPT Code:

Odd-numbered answers are located in Appendix B, while the full answer key is only available in the TEACH Instructor Resources on Evolve.

13.

14.

Copyright O 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved

19.

20.

27.

18. Cesarean deliverY onIY'

Index location:

CHAIJ'IER 16 r Airesthesia

patient having mild systemic

late effect of Fen-Phen, taken as

cPr code: f"tq b I OtoscoPY used

Index location:

in procedure for middle ear'

CPT Code:

Transurethral resection of the prostate.

Index location:

Anesthesia for a cardiac catheterization disease.

CPT Code:

cPr code: n 01lq

Mitral valve regurgitation as a prescribed, initial encounter.

qyr'rdc*n 22. Anesthesia for aggiqgqtomy on a healthy S-year-old patient.

CPT Code: 00 f e D Assign the diagnosis code(s) for Questions 23-26.

23. Diverticulitis of colon with hemorrhage.

ICD-10-CM Code:

(ICD-9-CM Code:

24. Atherosclerosis of coronary artery bypass graft utilizing internal mammary artery.

ICD-10-CM Code:

(ICD-9-CM Code:

25. Toxic diffuse goiter with thyrotoxic crisis.

ICD-10-CM Code:

(ICD-9-CM Code:

26.

ICD-L0-CM Codes:

(ICD-9-CM Codes:

Odd-numbered answers are located tn Appendtx B, while the full answer key is only available ln the TEACE Instructor Resources on D,volve.

Copyright @ 2015 by Saunders, an imprint of Elsevier hc. AII riShts reserved.

Surgery Guidelines and General Surgery

THEORY

Without the use of reference material, answer the following:

1. The more complex subsections referred to in the text are Integumentary, Musculoskeletal, Respiratory, Cardiovascular, Digestive,

and

2. The information in the is necessary to correctly repeated elsewhere.

code in the section, contains information that and the information is not

3. Notes may appear before subsections, subheadings, and subcategories within the CPT manual.

4. When a note is present, that note must be read and

if the coding is to be accurate.

5. Within the Surgery Guidelines, the procedure codes are presented in a list by anatomic site.

6. According to the CPT manual, "Pertinent information [in the

reportl should include an adequate definition or description of the nature, extent, need, time, effort, and equipment necessary to provide the service."

7. There are minor and procedure designations for the purposes of a surgical package.

B. If a breast biopsy and mastectomy of the during the same operative session, would

left breast were performed both procedures be reported?

9. If a breast biopsy and right knee operation were performed during the same operative session, would both procedures be reported?

Odd-numbered answers are located in Appendix B, while the full ansrver key is only availatrle in the TEACH Instructor Resources on Evolve.

Copyright @ 2015 by Saunders, an imprint of Elsevier Inc. Al1 rights reserved.

CHAPTER 17 r Surgery Guidelines and General Surgery

10. The CPT manual describes the surgical preoperative E/M servicer the operative

package as including one related procedure, and immediate

11.

12.

care.

Local infiltration is considered anesthesia.

This term means a worsening as described in the text.

13. This type of anesthesia is not part of the surgical package'

14. The predefined number of days before and after a surgical procedure are

referred to as the period.

What is the CPT code that reports a surgical tray?

What is the HCPCS code that reports a surgical tray?

17. According to the Medicare guidelines, a surgical package includes the

treatment of comPlications bY the physician.

15.

16.

18. At an office visit, a decision for surgery procedure was scheduled 21days later.

a. reported separately b. included in the surgical procedure

Splitting open of the surgical wound is

was made. The surgical Would the office visit service be:

L9,

zo. Inclusion or exclusion of a procedure in the CPT manual insurance coverage or no health insurance coverage.

implies health

True or False?

Odd-numbered answers are located in Appendix B, while the full answer key is only available in the TEACII

Instructor Resources on Evolve.

Copyright @ 2015 by Saunders, an imprint of Eisevier Inc. A11 rights reserved'

CHAPTER 17 r Surgery Guidelines and General Surgery

PRACTICAT

With the use of a CPT manual, answer the following:

21. The code range in the Surgical section is

22. The subsection that follows the Digestive System is the

System.

23. What type of microscope has a subsection of the Surgery section?

24. T}re difference between |OOZL arrd 10022 is that one is with

and one is without it.

25. According to the parenthetical information following code 10022, for a percutaneous needle biopsy other than fine needle aspiration, see

for salivary gland.

26. According to the Surgery Guidelines, codes designated as

" should not be reported in addition to the code for the total procedure or service of which it is considered an integral component.

According to the Surgery Guidelines, follow-up care for

@:,',Y[?:if,:"*lTsincrudesonrvthatcarewhich According to the Surgery Guidelines, the code range for Maternity Care

and Delivery is

According to the Surgery Guidelines, this is the code for unlisted

procedures of the lip.

According to the Surgery Guidelines, this is the code for unlisted

procedures of the urinary system.

Odd-numbered answers are located in Appendlx B, while the full answer key ls only avallabte in the TEACE Instructor Resources on Evolve.

Copyright @ 2015 by Saunders, an impdnt of ElSevier Inc. Al1 rights resewed.

to

27.

zB.

29.

30.

CHAPTER 18 r Integumentary System

PRACTICAT

Using the CPT and ICD-10-CM/ICD-7-CM manuals, code the following services:

23. Joan, an established patient, comes into the office to have an intermediate repair of a 2.6 cm wound on her right arm. A surgical tray was used.

CPT Codes:

ICD-10-CM Code:

(ICD-9-CM Code:

24.

25.

26.

27.

Rita, an established patient, has a 76.2 cm surgical tray is used.

CPT Codes:

ICD-IO-CM Code:

(ICD-9-CM Code: ) Lisa, an established patient, has image guidance for a left breast pathology report later indicated

CPT Codes:

simple repair of the cheek. A

a percutaneous biopsy with stereotactic mass. A surgical tray was used. The a neoplasm of uncertain behavior.

ICD-10-CM Code:

(ICD-9-CM Code: ) what code would be used to report Mr. Jones's visit to Dr. Green 2 weeks after major surgery?

CPT Code:

_) Excision axillary hidradenitis, complex repair.

CPT Code:

ICD-1O-CM Code:

(ICD-9-CM Code: _) 28. Debridement; 16 sq. cm. subcutaneous tissue and muscle due to a

diabetic foot ulcer.

CPT Code:

)

odd-numbered anrswers are located ln Appendix B, while the frrll answer key is only avallable tn the TEACEInstructor Resources on Evolve.

copynight @ 2015 by Saunders, an impdnt of Elsevier Inc. An dghts reserved.

ICD-10-CM Code:

(ICD-9-CM Code:

ICD-IO-CM Codes:

(ICD-9-CM Codes:

CHAPTER 18 r Integumentary System

2g. Removal of tissue expander without insertion of prosthesis'

CPT Code:

Excision of abscessed pilonidal cyst; comPlicated.

CPT Code:

ICD-IO-CM Code:

(ICD-9-CM Code:

31. Removal of subdermal contraceptive implant'

CPT Code:

ICD-L0-CM Code:

(ICD-9-CM Code:

32. Debridement of four fingernails due to onychomycosis'

CPT Code:

ICD-1O-CM Code:

(ICD-9-CM Code:

Excision of 4 cm benign lesion of face (most rcsource excision of 3 cm benign lesion of neck.

intensive) and

& cpr Code(s):

& tco-ro-cM code(s):

(& tco-g-cM code(s):

34. Excision of a 2.5 cm malignant lip lesion and two malignant lesions of

the skin of the chest, each 1.5 cm in diameter'

& cpr code(s):

& lco-ro-cM code(s):

(& ICD-e-cM code(s):

35. Destruction by laser of three premalignant actinic keratoses lesions.

& cpr code(s):

& Ico-ro-cM code(s):

(& lco-s-cM code(s): )

& Ur." to decide number of codes necessafy to correctly answer the questlon. odd-numbered answers are located in Appendlx B, whlle the full answer key ls only avallable in the TEACE

Instructor Resources on Evolve.

30.

33.

facial

Copyright @ 2015 by Saunders, an imprint of Elsevier Inc' All rights reserved'

CHAPTER 18 I

malignant lesion of the eyelid.

8S cpr code(s):

ts; fCn-1O-CM Cocle(s):

(ffr ICD-9-CM Code(s):

CPT Codes:

ICD-10-CM Codes: (W code),

(W code), (Y code)

(ICD-9-CM Codes: (E code),

(E code),

(E code))

(E code),

38. Electrosurgical destruction of a 1.0 cm malignant lesion of the neck.

..s cpr code(s):

iib tco-io-cM code(s):

(& ICD-o-CM Cocte(s):

39. Cryosurgical destruction of 10 flat warts on the hand.

trb cPr code(s):

&iq tco-ro-CM Code(s):

(& rCD-g-cM Code(s):

Integumentary System

36. Destruction of 4.0 cm

37. Suzanne osterland, a -year-old, is brought to the office by her father. Suzanne was playing on the swing set at the playground when she fell approximately 5 feet from the top step of the play set. when she fell, she struck her leg on a birdbath rim ana tnen bn the playground gardener's pail with several garden forks protruding over the rim, sustaining 12.9 cm,3.1 cm, and 2.7 cm lacerations of the lower right leg, requiring deep-layered closure accomplished after subcutaneous tissue debridement of 18 sq. cm.

40. Laser destruction of multiple malignant lesions, as follows: right hand, 2.7 cm on left hand, 5.2 cm on right hand, 4.3 hand, 0.3 cm on right eyelid, 0.5 cm on left eyelid.

3.4 cm on cm on left

& cpr code(s):

&r tco-to-cM code(s):

(& ICD-q-cM code(s): _) @ user to decide number of codes necessary to co*ecfly answer the questio.. odd-numbered answers are located in Appendix B, while the full answer key is only available in the .IEACH Instructor Resources on Evolve.

Cop}right @ 2015 by Saunders, an imprint of [,lsevier Inc. A1l rights reserved

I

CHAPTER 18 r Integumentary System

41. Debridement of

& cpr code(s):

back for extensive eczematous skin, 2Oo/o body surface.

& tco-ro-cM code(s):

(& tco-s-cM code(s):

42. Bilateral blepharoplasty of upper eyelid due to ptosis.

& cpr code(s):

& tcp-ro-cM code(s):

(& ICD-9-cM code(s):

43. Initial, local treatment, first-degree burn, of surface. The burn was caused by steam from accidentally was connected improperly.

back of hand, 5olo body a pipe at his home that

& cpr code(s):

& tco-ro-cM code(s):

(& ICD-o-cM code(s):

44. Mohs micrographic surgery of arm for a poorly defined neoplasm, flrst stage, 4 tissue blocks.

malignant

& cpr code(s):

& rco-ro-cM code(s):

(& ICD-I-cM Code(s):

45. Mastotomy with drainage of deep abscess.

& cpr code(s):

& rco-ro-cM code(s):

1& Ico-o-cM code(s):

& U""r to decide number of codes necessary to correctly answer the question. Odd-numbered answers are located in Appendlx B, while the full answer key is only available ln the TEACE Instflrctor Resources on Evolve.