COC 2020 - FINAL EXAM STUDY QUESTIONS AND ANSWERS 2023 WITH COMPLETE SOLUTION (SET 4)

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COC 2020 - FINAL EXAM STUDY QUESTIONS AND ANSWERS 2023 WITH COMPLETE SOLUTION (SET 4) A patient with an adherent scar of the skin on the left forearm is seen in the hospital surgery department for... correction. Documentation states 2.5 cc of collagen was injected into the subcutaneous tissue of the deformed area using a syringe. The collagen augmented the subcutaneous tissue and alleviated the depression of the soft tissue. What are the correct procedure and diagnosis codes for this encounter? ✔Ans✔ 11951, L90.5 A patient with an enlarged uterus, 10-11 weeks in size (325 g), menometrorrhagia, and dysmenorrhea has a laparoscopic vaginal hysterectomy and bilateral salpingo-oophorectomy. Report the CPT code(s). ✔Ans✔ 58554 A patient with atrial fibrillation had a multiple lead implantable cardioverter-defibrillator system implanted 2 years ago. Today he returns to the clinic for evaluation of the function of the device and any reprogramming if needed. What CPT ® code is reported? ✔Ans✔ 93284 A patient with bilateral partial vocal cord paralysis requires removal of the arytenoid cartilage to improve breathing. After adequate visualization is established with a laryngoscope, the arytenoid cartilage is exposed by excision of the mucosa overlying it. The procedure is performed in the outpatient surgery center of the hospital. What CPT" and ICD-10-CM codes are reported?31560, J38.02 ✔Ans✔ A patient with CHF was taken to the outpatient hospital surgery department to replace his malfunctioning dual defibrillator pulse generator with a multiple lead system generator. During the same session, a left ventricular lead was placed in the coronary sinus. ✔Ans✔ 33264, 33225, T82.518A, 150.9 A patient with chronic back and neck pain developed a drug dependency on oxycodone (opioid). After being taken off the drug, he was seen in the clinic for withdrawal symptoms. What ICD-10-CM codes are reported? ✔Ans✔ F11.23, T40.2X5A A patient with chronic mucoid otitis media was taken to the hospital outpatient surgery department for bilateral myringotomy and tubes. The procedure was performed under local anesthesia. The ears were curetted clear of wax. An inferior myringotomy was made with a counter incision anteriorly. Aspiration of mucoid effusion was accomplished, followed by insertion of a tympanostomy tube in both ears. The ear canal was then suctioned free of any debris and the patient was taken to recovery in good condition. Provide the procedure code and diagnosis code for this encounter. ✔Ans✔ 69433-50, H65.33 A patient with chronic paranoid psychosis visits her hospital-based psychiatrist for her regularly scheduled psychotherapy. The provider uses behavior modifying techniques, supportive interactions, suggestion, and reality discussions. The face-to-face visit lasts 45 minutes. What CPT® and ICD-10-CM codes are reported for the visit to the psychiatrist? ✔Ans✔ 90834, F22 A patient with chronic simple glaucoma of the left eye is in the hospital outpatient surgery center for an initial trabeculectomy. Fornix-based conjunctival flap is performed in the superior temporal quadrant. Grooves were made at the site of the future scleral flap and then a three-sided, partial-thickness, scleral flap was created. Trabeculectomy and peripheral iridectomy were performed. The scleral flap was irrigated and it was free flowing. The conjunctiva was closed and Decadron 5 mg was injected in the inferior fornix. Maxitrol ointment, patch, and shield were applied. What CPT ® and ICD-10- CM codes are reported by the facility? ✔Ans✔ 66170-LT, H40.1120 A patient with chronic sinusitis was in the hospital outpatient surgery department. Procedures performed were bilateral endoscopic sinusotomies, anterior and posterior ethmoidectomies, and sphenoidectomy with debridement removal in all areas. The postoperative diagnosis was sinusitis of the maxillary, ethmoid, and sphenoid sinuses. Report the ICD-10-CM code(s). ✔Ans✔ J32.8 A patient with complaints of blurred vision, trouble driving at night, and his eyes feeling like there is a film over them was seen in the outpatient ophthalmology clinic. After examination, it was determined the patient has bilateral cataracts due to the patient's type 1 diabetes. Surgery was scheduled for the next week for treatment of the cataract of the left eye and the patient will undergo the cataract extraction for the right eye when the left eye has healed. What ICD-10-CM code(s) are reported for the condition? ✔Ans✔ E10.36 A patient with conductive sensorineural hearing loss in the right ear has tried multiple medical therapies without recovery of her hearing. Patient has consented to have an electromagnetic bone conduction hearing device implanted. What CPT ® and ICD-10-CM codes are reported? ✔Ans✔ 69710-RT, H90.71 A patient with COPD visits the physician with acute bronchitis. What ICD-10-CM code(s) should be reported? ✔Ans✔ J44.0, J20.9 A patient with deep vein thrombosis requires heparin to maintain therapeutic anticoagulation levels. He has regular PTTs drawn to monitor his level of anticoagulation. What CPT ® code is reported by the facility? ✔Ans✔ 85730 A patient with esotropia is at the ASC for surgery. The surgeon detaches the lateral rectus muscle and re-attaches the muscle in a different location to strengthen it. What CPT® and ICD-10-CM codes are reported by the facility? ✔Ans✔ 67311, H50.00 A patient with fatigue, confusion, and a high fever presents to the emergency department. The ED physician takes a history and provides a physical exam. The physician orders sodium, potassium, chloride, and carbon dioxide levels; results confirm dehydration. What CPT® code(s) is/are reported by the facility? ✔Ans✔ 80051 A patient with fecal incontinence is seen as an outpatient in the hospital for biofeedback training of the anorectal muscles with use of an EMG. The physician spends 15 minutes one-on-one with the patient. What CPT® and ICD-10-CM codes are reported by the facility? ✔Ans✔ 90912, R15.9 A patient with general anxiety disorder has been referred by her physician to have a psychiatric diagnostic interview with the psychiatrist at the local hospital. The psychiatrist performs a complete medical and psychiatric history, a mental status exam, and the diagnosis is confirmed. What CPT® and ICD-10-CM codes are reported for the visit to the psychiatrist? ✔Ans✔ 90791, F41.1 A patient with hydrosalpinx presents to the hospital outpatient surgery center for repair of the left fallopian tube. Under general anesthesia a small incision is made in the lower abdomen and the fallopian tubes are viewed. An incision is made to create a new opening in the left fallopian tube; the tissue is folded over and stitched into place. The right fallopian tube is normal. The abdomen is than closed. Report the CPT and ICD-10-CM codes. ✔Ans✔ 58770-LT, N70.11 A patient with hypertension due to primary aldosteronism was admitted to the hospital to stabilize his severe hypertension, which has been uncontrolled for two days. Assign the correct diagnoses code(s): ✔Ans✔ I15.2, E26.09 A patient with intractable complex partial seizures undergoes an MRI of the brain without and with contrast material. Omnipaque 240, 150 mL is used. The impression of the MRI indicated normally symmetric medial temporal lobes and the exam was within normal limits. What procedure and diagnosis codes are reported for the hospital facility? ✔Ans✔ 70553, Q9966 x 150, G40.209 A patient with iron deficiency anemia was in the ASC for a colonoscopy. After bowel prep and IV sedation in the left lateral position, the colonoscope was advanced under direct vision with some difficulty and repositioning finally to the cecum. Prep was adequate. The mucosal surfaces were adequately visualized and appeared unremarkable. The patient tolerated the procedure well. There were no complications. The colonoscopy was negative. Provide the procedure code and diagnosis code for this encounter. ✔Ans✔ 45378, D50.9 A patient with known coronary arteriosclerosis was admitted to the hospital's cardiac catheterization unit for a combined right and retrograde left heart catheterization. The procedure included injection procedures for left ventricular angiography, supravalvular aortography, and selective opacification of two aortocoronary bypass grafts. Imaging supervision, interpretation and generation of a report were also performed. The autologous vein bypass graft to the LD second diagonal is totally occluded and there is a 70% lesion in the right native coronary artery. Report the CPT ® and ICD-10-CM codes. ✔Ans✔ 93461, 93567, I25.10, I25.810, I25.82 A patient with metastatic bone cancer (primary site unknown) presents to the oncologist's office for a chemotherapy treatment. On examination the oncologist finds the patient is severely dehydrated and cancels the chemotherapy. The patient receives intravenous hydration in the office and reschedules the chemotherapy treatment. What ICD-10-CM codes are reported? ✔Ans✔ E86.0, C79.51, C80.1 A patient with nodular basal cell carcinoma, right lower lip and chin, underwent excision in the outpatient surgery department of the hospital. He was prepped and draped in the usual manner. The tumor measured 1.5 x 1.0 cm arising in the right lateral lower lip skin and adjacent chin. Just medial and slightly superior to the tumor was an atrophic scar from a previous basal cell cancer removed nine years ago. Proposed lines of excision were drawn around the tumor. The tumor was excised down to orbicularis oris muscle, resulting in a defect measuring 2.1 cm wide x 3.0 cm in height in the shape of an inverted teardrop. Adjacent skin was undermined at the deep subcutaneous level. The physician elected to do a complex linear repair extending to the vermilion border to convert the defect to a lazy-S ellipse measuring 2.2 cm. Additional undermining was accomplished and the defect was approximated with layers of 5-0 Polyglactin suture deep, final skin repair was approximated with sutures, and supported by sterile strips over surgical adhesive. Provide the procedure code and diagnosis code for this encounter. ✔Ans✔ 14040, C44.01, C44.319" A patient with prostate cancer receives a single intercostal nerve block injection for intractable pain secondary to meta-static cancer of the rib. What CPT® and ICD-10-CM codes are reported? ✔Ans✔ 64420, G89.3, C79.51, C61 A patient with right and left prominent ears presents for an otoplasty. What CPT ® and ICD-10-CM codes are reported? ✔Ans✔ 69300-50, Q17.5 A patient with right hydronephrosis is taken to the operating room. The urologist performs a cystoscopy with right ureteral catheterization. What CPT ® and ICD-10-CM codes are reported? ✔Ans✔ 52005, N13.30 A patient with severe adenomyosis has a vaginal hysterectomy with bilateral salpingo-oophorectomy. After the uterus is removed it is weighed at 300 grams. What is the CPT ® code reported for this procedure? ✔Ans✔ 58291 A patient with severe dry eye has outpatient surgery to occlude the inferior puncta using silicone plugs in both eyes. What CPT® and ICD-10-CM codes are reported by the facility for the surgery? ✔Ans✔ 68761-50, H04.123 [Show More]

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