A patient is respirator-dependent and has a tracheostomy in need of revision due to redundant scare tissue formation surrounding the site. Under general anesthesia and after establishing the airway to maintain ventilation, the scar tissue is resected and then repair is accomplished using skin flap rotation from the adjacent tissue of the neck. What codes will be used to report this procedure performed in the hospital short-stay surgery area?

(Points : 4)

J95.00, Z99.11, 31614 Z43.0, Z99.11, 31614 Z43.0, 31610 J95.00, 31613

A patient in end-stage renal failure requires outpatient hemodialysis 3 times a week while awaiting kidney transplant. He has an A-V fistula in his left arm for vascular access. Which of the following code combinations is appropriate for reporting physician services for this 55-year-old male for the month of August? ICD-10-CM and CPT Code(s):

(Points : 4)

N18.6, 90970 Z49.31, 90960 N18.6, Z49.31, 90999 N18.6, 90960

The patient is a 44-year-old male who started having abdominal pain the day before yesterday. Subsequently he had diarrhea. He had 4 episodes of diarrhea last night and then 4 episodes in the morning. The stools have turned to fairly frank blood. Also the abdominal pain got worse, and he said he felt dizzy when he stood up. Patient admitted for treatment of dehydration. Patient has frank blood coming out from his bowels. Stool culture and sensitivity revealedSalmonella. Physician documented that the abdominal pain, diarrhea, and bleeding were due to Salmonella gastroenteritis. Patient put on Levaquin IV and also rehydrated. Patient responded well and was discharged. What codes are assigned?

(Points : 4)

A02.0, E86.0

K52.89, A02.0, E86.0

A02.0, K92.2, E86.0, R19.7

E86.0, A02.0

.

A 75-year-old male patient was admitted for an acute exacerbation of chronic systolic congestive heart failure and severe mitral regurgitation and aortic stenosis. What would be the correct code assignment for this case?

I50.23, I08.0

I50.23, I50.9, I08.0

I50.9, I05.1, I35.0

I01.8, I08.0

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 : 4)

C44.691, 38525

D03.71, 38525, 38792

D03.71, 38525, 3879251, 78195

C43.9, 38525, 3879051b