Question 11 pts

The respiratory subsection includes surgical procedures involving the:

Group of answer choices

Lungs and pleura

Trachea and bronchi

Nose and sinuses, larynx

All of these

Which of the following is used throughout the musculoskeletal fracture and dislocation subsections to specifically mean the attempted reduction or restoration of a fracture or dislocation to its normal anatomic alignment?

Group of answer choices

Closed treatment

Open treatment

Percutaneous skeletal fixation

Manipulation

The instructional note under CPT 27614 states

Group of answer choices

For excision of benign lesions of cutaneous origin [eg, sebaceous cyst], see 11400-11406

See also 27685

For needle biopsy of soft tissue, use 20206

For radial resection of tumor[s] of cutaneous origin [eg, melanoma], see 11600-11606

When two or more biopsies of the same technique (ie, tangential, punch, or incisional) are performed on separate/additional lesions, what does the guideline direct the coder to do?

Hint: Locate the instructional notes before CPT 11102.

Group of answer choices

Use the primary code and only bill one unit

Use the appropriate add-on code for a different technique

Use the primary code and change the number of units to match the number of biopsies taken

Use the appropriate add-on code for the appropriate technique

The cardiovascular subsection includes surgical procedures involving the:

Group of answer choices

Heart and pericardium, arteries, and veins.

Only the arteries and veins.

Heart and lungs.

Heart, esophagus, and lungs.

Code selection for wound repairs should be measured:

Hint: locate the instructional notes before CPT 12001

Group of answer choices

By adding together, the lengths of those in the same classification and from all anatomic sites that are grouped together into the same code descriptor.

By adding together lengths of different classifications (e.g. simple, intermediate, complex repairs).

All of these

By adding lengths of repairs from different groupings of anatomic sites (e.g. face, extremities).

Lung transplantation involves three distinct components of physician work (select all that apply):

Hint: search lung transplantation in the index and locate the CPT codes section, then read the instructional notes to locate this answer.

Group of answer choices

Cadaver donor pneumonectomy(s)

Backbench work

Thoracoscopy

Recipient lung allotransplantation

According to the Surgical Guidelines - supplied materials above those included with the procedure(s) rendered are reported separately. Identify as:

Group of answer choices

99075 or specific supply code

99024 or specific supply code

99070 or specify supply code

99000 or specific supply code

Wound debridement (11042-11047) are reported by depth of tissue that is removed and by surface area of the wound. These services may be reported for: (select all that apply)

Group of answer choices

infections

chronic ulcers

wounds

Injuries

The instructional note under CPT + 19126 states

Group of answer choices

Do not report 19125 in conjunction with 19125

Intraoperative placement of clip[s] is not separately reportable

For cryoablation of malignant breast tumor[s] use 0581T

Intraoperative placement of clip[s] is separately reportable

According to the Surgical Guidelines - the surgical package includes all the following EXCEPT

Group of answer choices

Evaluation and Management services subsequent to the decision for surgery on the day before and/or day of surgery

Complications not related to the surgery performed

Typical postoperative follow-up care

Local infiltration

According to the Surgical Guidelines - Unlisted Service or Procedure should be reported with an unlisted code and identifying it by

Group of answer choices

Imaging Guidance

Special Report

Surgical Destruction

Supplied Materials

What type of lead for a pacemaker or implantable defibrillator functions in two chambers of the heart?

Hint: read the instructional notes following CPT 33140. The instructional notes are extensive, so make sure you read EVERYTHING before answering this question.

Group of answer choices

Dual lead

Single lead

Multiple lead

Limited lead

Repair (Closure) may be classified as:

Hint: locate the instructional notes before CPT 12001

Group of answer choices

Difficult, abnormal, homogenous

Small, medium, large

Simple, intermediate, complex

None of these

What type of treatment means that the fracture site is not surgically exposed to the external environment and describes procedures that are treated with and without manipulation or traction?

Hint: locate the instructional notes at the beginning of the Musculoskeletal System section

Group of answer choices

Open treatment

Closed treatment

Percutaneous skeletal fixation

External fixation

The instructional note under CPT + 31649 states

Group of answer choices

Use in conjunction with 31646

Use in conjunction with 31647

Use in conjunction with 31653

Use in conjunction with 31648

Biopsy of the skin is reported under three distinct techniques. The techniques include (select all that apply)

Group of answer choices

Debridement

Punch

Incisional

Tangential

Destruction methods include electrosurgery, cryosurgery, laser, and _______________

Hint: locate the instructional notes before CPT 17000

Group of answer choices

Injection

Chemical

Aspiration

Punch biopsy

The instructional note under CPT 10004 says to use it in conjunction with

Group of answer choices

10005

10021

10007

10008

When performing debridement of a single wound, report depth using the deepest level of tissue removed. In multiple wounds:

Note: locate the instruction notes before CPT 11000

Group of answer choices

None of the these.

Sum the surface area of those wounds that are at the same depth, but do not combine sums from different depths.

Sum the different depths, but do not sum the surface area of those wounds that are of the same depth.

Combine sums from different depths.

The instructional note under Cardiovascular, Heart and Pericardium, states for thoracoscopic (VATS) pericardial procedures, see

Hint: you can locate this instructional note at the beginning of the cardiovascular section

Group of answer choices

33016

32601, 32604, 32658, 32659, 32661

33010, 33011

33015

Which type of laryngoscopy is the simplest way to examine the larynx?

Group of answer choices

None of the these

Indirect laryngoscopy

Flexible laryngoscopy

Direct laryngoscopy

Code selection of excision of benign lesions are determined by measuring:

Hint: locate the instructional notes for Excision-Benign Lesions in the Integumentary section

Group of answer choices

Only the margins.

The length of the repair only.

The greatest diameter of the lesion plus the most-narrow margins required (equals the excised diameter).

All benign lesions together.

A patient was admitted for a cystourethroscopy with a bladder biopsy. Twenty minutes into the procedure, the patient developed some arrhythmia, and the surgery was stopped. What modifier would the physician report with CPT 52204? Code only the appropriate modifier: ________

The physician performed a partial avulsion of the nail plate of the right thumb. What modifier should the surgeon report with CPT 11730? Code only the appropriate modifier: _______

One month ago, a physician performed the first stage of a hypospadias repair. The patient now returns for the second-stage repair, which includes a urethroplasty with a free skin graft obtained from a site other than genitalia. What modifier would the physician report with CPT 54316? Code only the appropriate modifier: ________

A psychiatrist performed a psychiatric diagnostic evaluation using synchronous telemedicine. What modifier should the psychiatrist report with CPT 90792? Code only the appropriate modifier: _______

A patient was seen for an excision of a 2.0-cm soft tissue tumor of the back (CPT 21930). Three days later, the same surgeon performed an emergency laparoscopic cholecystectomy (CPT 47562). What modifier would the physician report with CPT 47562? Code only the appropriate modifier: _______

The physician performed a bilateral diagnostic maxillary sinusoscopy. What modifier should the surgeon report with CPT 31233? Code only the appropriate modifier: ________

The surgeon excised a chalazion of the left lower eyelid. What modifier should the surgeon report with CPT 67800? Code only the appropriate modifier: ______

The surgeon performed an open reduction with internal fixation for a right, 4^th metatarsal fracture. What modifier should the surgeon report with CPT 28485? Code only the appropriate modifier: _______

Because of the patient's extreme obesity, a physician required an additional 90 minutes to perform a cholecystectomy. What modifier would the physician report with CPT 47600? Code only the appropriate modifier: _______

The physician performed a repair of hammertoe, 3^rd digit of right foot. What modifier should the surgeon report with CPT 28285? Code only the appropriate modifier: ________

The physician performed left nasal endoscopy for control of epistaxis. What modifier should the surgeon report with CPT 31238? Code only the appropriate modifier: ________

The physician performed a needle aspiration biopsy of the left breast. What modifier should the surgeon report with CPT 19000? Code only the appropriate modifier: ________

Surgical procedure: Exploratory arthrotomy of the left elbow. What modifier would the physician report with CPT 24000? Code only the appropriate modifier: _______

A physician performed a bilateral breast reconstruction with tissue expanders. What modifier would the physician report with CPT 19357? Code only the appropriate modifier: _______

Dr. Thomas performed a total abdominal hysterectomy with removal of fallopian tubes and ovaries. Dr. Johnson provided surgical assistance. Dr. Thomas should report 58150. What modifier should Dr. Johnson report with CPT 58150? Code only the appropriate modifier: ______

A patient was admitted with significant pleural effusion and congestive heart failure, and the physician performed a thoracentesis. Later in the day, the lungs again filled with fluid and the same physician performed a second thoracentesis. What modifier would the physician report with CPT 32554 for the second procedure? Code only the appropriate modifier: ________

Dr. Lewis performed an excision of a hydrocele (CPT 55040). Four days later, the patient developed a postoperative wound abscess. The patient was taken to the OR, and Dr. Lewis performed an incision and drainage of the abscess (CPT 10180). What modifier would the physician report with CPT 10180? Code only the appropriate modifier: _______