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| Section | Objectives |
|---|---|
| Anatomy | - Human Body Systems
|
| HCPCS Level II Coding | - Supply and Service Codes
|
| ICD-10-CM Coding Guidelines | - Diagnosis Coding
|
| CPT Coding | - Pathology and Laboratory
|
| Medical Terminology | - Medical Terms
|
| Compliance and Regulatory | - Healthcare Regulations
|
1. A patient is in labor with plans to deliver vaginally. An epidural is administered at 17:30. After several hours of pushing, the obstetrician determines that the cervix is swollen, and the baby must be delivered via a c-section. The patient consents, the baby is delivered, and both are discharged to the recovery room at 22:15. What CPT code(s) should the anesthesiologist report?
A) 01967-23, 01968, 99140
B) 01967-23, 01968
C) 01967, 01968
D) 01967, 01968, 99140
2. Code the following procedure note:
A selective catheter is placed into the thoracic aorta, where it is then manipulated into the left coronary artery and followed through into the right common carotid artery. Contrast injections are made, and digital imaging is performed. Upon completion, the catheter is removed, pressure is applied at the puncture site, and the patient is discharged.
A) 36217
B) 36215, 36216-59
C) 36200, 36215, 36216-59
D) 36216
3. An established 4-year-old patient is seen by her pediatrician with complaints of pain in her left wrist after falling. The pediatrician determines the wrist is sprained and applies a splint that will keep the wrist from being able to move. The patient's mother is told to follow up if symptoms worsen. What code(s) should be reported for this encounter?
A) 29125, S8451
B) 29126, E1805
C) 99212-25, 29125, S8451
D) 99212-25, 29126, E1805
4. A laboratory receives a pap smear as a screening for a patient's annual gmecological exam. A thin-layer preparation screened by an automated system with manual rescreening is performed. A pathologist interprets the results and confirms a diagnosis of high-grade squamous intraepithelial lesion. What should the laboratory report?
A) G0148, G0141, Z12.4 R8.613
B) 88175, 88141, ZOI.419,R87.613
C) 88175, Z12.4
D) G0148, R87.610
5. A patient with preexisting hypertension presents to the office at 23-weeks' gestation for prenatal care. Her blood pressure is slightly elevated, and a transabdominal ultrasound shows the fetus is small for dates. The provider advises rest and to follow up as normal. How would the provider code the visit if the patient has an insurance that accepts the global obstetrical package?
A) 0502F, 76816, 010.012, Z3A. 23
B) 99213-25, 76816, 010.012, Z3A. 23
C) 0502F, 76815, 010.012, 036.5920, Z3A 23
D) 99213-25, 76815, 010.012, 036.5920, Z3A. 23
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: A |
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