COC 2020 - FINAL EXAM STUDY QUESTIONS AND ANSWERS 2023 WITH COMPLETE SOLUTION (SET 3)

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COC 2020 - FINAL EXAM STUDY QUESTIONS AND ANSWERS 2023 WITH COMPLETE SOLUTION (SET 3) A patient is diagnosed with pressure ulcers on each heel. Each heel displays bone involvement with evidence of... necrosis and is identified as stage 4. Select the diagnosis code(s): ✔Ans✔ L89.614,L89.624 A patient is given Xylocaine, a local anesthetic, by injection in the thigh above the site to be biopsied. A small bore needle is then introduced into the muscle, about 3 inches deep, and a muscle biopsy is taken. What CPT code is reported for this service? ✔Ans✔ 20206 A patient is having a decompression of the nerve root involving two segments of the lumbar spine via transpedicular approach. Report the CPT® code(s). ✔Ans✔ 63056, 63057 A patient is having phacoemulsification ofan age-related nuclear cataract of the left eye. What ICD-10-CM code is reported? ✔Ans✔ H25.12 A patient is having surgery to repair a recurrent left inguinal hernia without obstruction. What ICD-10-CM code is reported? ✔Ans✔ K40.91 A patient is in outpatient surgery for a laparoscopic oophorectomy for a right ovarian cyst. After admission, the anesthesiologist discovered the patient had an upper respiratory infection and the surgery was cancelled. Applying the coding concept from ICD-10-CM guideline IV.A.I, what is the appropriate ICD-10-CM code selection? ✔Ans✔ N83.201, J06.9, Z53.09 A patient is in the hospital for a hysterosalpingogram due to her infertility for 10 years. She has no history of pelvic infection or surgery. A 5-F hysterosalpingogram catheter was used. The catheter balloon was inflated in the lower uterine segment. Contrast was administered through the catheter and multiple images were taken. Findings were possible right cornual contour abnormality manifested by focal extravasation and minimal intravasation of undetermined etiology. Recommend endovaginal ultrasound for further evaluation. What are the CPT ® and ICD-10-CM codes reported? ✔Ans✔ 58340, 74740, N97.9 A patient is in the outpatient radiology department of the hospital for an MRI of the brain to rule out stroke. His symptoms are slurred speech and headache. The ventricles and sulci are seen within the brain. There is no evidence of space-occupying lesion or intracranial hemorrhage. No abnormal extra-axial cerebral fluid collections are identified. Diffusion weighting imaging shows no abnormality. Impression is negative. What CPT ® and ICD-10-CM codes are reported by the facility? ✔Ans✔ 70551, R47.81, R51 A patient is receiving pain management treatment for chronic cervical pain caused by a motor vehicle accident. Report the ICD-10-CM code(s). ✔Ans✔ G89.21, M54.2, V49.9XXA A patient is referred to the hospital radiology clinic for numbness and tingling in the arms. The radiologist performs a Doppler analog waveform analysis, a volume plethysmography and a flow velocity signal of the arteries of both arms. What procedure and diagnosis codes are reported for the facility services? ✔Ans✔ 93922, R20.0, R20.2 A patient is respirator dependent and has a tracheostomy in need of revision due to redundant scar tissue formation surrounding the site. Under general anesthesia and establishing the airway to maintain ventilation, the scar tissue is resected and then repair is accomplished using a layered closure. What CPT ® and ICD-10-CM codes are reported? ✔Ans✔ 31830, L90.5, Z43.0, Z99.11 A patient is scheduled for closure of a cystostomy. The patient has a personal history of bladder carcinoma. After removing the sutures that secured the cystostomy tube to the skin and bladder, the surgeon removed the cystostomy tube and sutured the bladder musculature to repair the opening. The physician placed a drain tube, brought it out through a separate stab incision in the skin, and performed a layered closure. What CPT ® and ICD-10-CM codes are reported? ✔Ans✔ 51880, Z43.5, Z85.51 A patient is seen in the outpatient clinic for pain and the physician gives a series of 6 injections for the following muscles on the right side of the back: the rhomboid (1), trapezius (3), and latissimus dorsi (2). Report the CPT® code(s) for the trigger point injections. ✔Ans✔ 20553 A patient is seen in the emergency department to treat a second-degree burn to his right arm (9 percent) and third-degree burns on his chest and left arm (25 percent). Select the diagnosis codes. ✔Ans✔ T21.31XA, T22.30XA, T22.20XA, T31.32 A patient is seen in the hospital outpatient surgery department for anal fistula repair. The surgeon first explores the anal canal and identifies the location of the fistula. The fistula tract is then excised. The perianal skin is incised and a wedge of skin and subcutaneous tissue is mobilized and advanced into the defect that was created by the excision of the fistula. The incisions are closed with sutures. What are the correct procedure and diagnosis codes for this encounter? ✔Ans✔ 46288, K60.3 A patient is seen in the hospital outpatient surgery department for anorectal fistula repair. The surgeon first explores the anal canal and identifies the location of the fistula. The fistula tract is then thoroughly irrigated. A fistula plug was introduced through the fistula tract ensuring that the plug completely occludes the internal fistula opening. The plug was trimmed to insure a flush fit with the mucosal wall and absorbable sutures were used to secure the plug into place. What CPT® code is reported for the procedure? ✔Ans✔ 46707 A patient is seen in the outpatient clinic for follow-up on hypertension. He also has CKD stage 3. The Pts blood pressure is stable at 138/88. The doctor instructs the Pt to continue with the same doses of Vorvasc. He also writes a script for blood work to be drawn at lab:CBC, BMP. ✔Ans✔ I12.9, N18.3 A patient is seen in the outpatient GI lab of the hospital for a screening colonoscopy. A colonoscopy revealed three polyps in the transverse colon. The polyps were removed by snare technique. What are the procedure and diagnosis codes for this procedure? ✔Ans✔ 45385, Z12.11, D12.3 A patient is sent to the hospital for a bone marrow needle biopsy. The specimen is sent to the lab in the hospital for interpretation. The diagnosis is thrombocytopenia. What CPT ® and ICD-10-CM codes are reported by the facility? ✔Ans✔ 38221, 88305, D69.6 A patient presented to outpatient radiology with a 90% lesion of the right iliac, and 85% lesion in the right popliteal artery. From a right femoral artery access, atherectomy was performed in the iliac artery, and angioplasty followed by stent placement was performed in the popliteal artery. What CPT ® codes are reported? ✔Ans✔ 0238T-RT, 37226-RT A patient presented to the ED with an apparent acute MI. He is immediately taken to the cardiac cath lab where diagnostic coronary angiography with left ventriculography was performed. There was an acute total occlusion of the first diagonal of the LAD, and 80% stenosis of the left main coronary artery and 75% stenosis of the proximal left anterior descending coronary artery. The decision was made to stent the left main coronary artery, and the proximal LD. Aspiration thrombectomy was performed in the first diagonal of the LD and a stent was placed. IVUS was used in the diagonal to confirm adequate stent expansion. What CPT ® codes are reported? ✔Ans✔ 93458-59, 92941-LD, 92928-LM, 92978 A patient presented to the emergency department with complaint of left wrist pain due to an imbedded foreign body (thorn entered while trimming bushes, at home, in his backyard). The provider incises the area and dissects the tissue to locate the thorn. The thorn was located deep in the tissues of the wrist. The emergency department physician proceeded to remove the thorn without complication and performs a layered closure. Code this scenario. ✔Ans✔ 25248, S61.542A, W45.8XXA, Y92.017, Y93.H2 A patient presented to the emergency department with second degree burns to both forearms, which makes up 9 percent TBSA (Total Body Surface Area). She is three months pregnant, 12 weeks. The burns are not affecting the pregnancy. Select the diagnosis codes. ✔Ans✔ T22.212A, T22.211A, T31.0, Z33.1 A patient presented to the hospital outpatient facility for chemotherapy for breast cancer. Report only the infusion services. Do not report the drugs. (Hydratione per protocol/500cc/10:00AM-11:00AM; Taxol 35 mg/11:00AM-12:45PM;Decadron 10 mg;10:45-11:15 IV drip concurrent; Aloxi 250 mcg/10:45-11:15 mixed w/Decadron in concurrent IV drip) ✔Ans✔ 96413, 96415, 96368, 96361-59 [Show More]

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