COC 2022 - FINAL EXAM STUDY QUESTIONS with Complete Solution

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COC 2022 - FINAL EXAM STUDY QUESTIONS with Complete Solution After suffering a fracture of the ankle three months ago, a 69 year-old patient presented with what was found to be a malunion fracture. ... She was treated with additional surgery and discharged. Which injury diagnosis code(s) is/are assigned? -Answer- S82.899P All codes in ICD-10-PCS have how many characters? -Answer- 7 All entries in the medical record must be: -Answer- Signed and dated by the author with a method to establish the author's identity. All payers employ the same rules concerning coding and reimbursement. -Answer- B. False Rationale: PPOs, HM Os, Medicaid, TRICARE/CHAMPUS, Workers Compensation, and many private insurers employ their own rules regarding coding and reimbursement. Additional restrictions may apply when participating in a network. All the following are examples of outpatient facilities except: -Answer- Answer: OPPS Rationale: OPPS stands for Outpatient Prospective Payment System. This is a payment system and not a type of facility such as CORF, CAH, ASC are. Ambulatory surgical centers include: -Answer- Answer: An independent ASC Rationale: Independent ASCs offer ambulatory surgical services or same-day surgeries to patients who only require services with immediate postoperative care. When the ASC is owned by the hospital, it is generally considered to be an extension of the physical hospital and the same as any other outpatient department. In general, an independent ASC must be financially independent from the hospital, not be included on the hospital's cost reports. Amputation: -Answer- the surgical removal of all or part of a limb or extremity such as an arm, leg, foot, hand, toe, or finger. An 18 day-old infant develops bradycardia. What ICD-10-CM code is reported? -Answer- P29.12 An 18 month-old male with bilateral chronic serous otitis media and hypertrophy of the adenoids presents to the hospital surgery department and undergoes an initial adenoidectomy and insertion of ventilation tubes in both ears under general anesthesia. What is the correct code selection for the procedure and diagnoses? -Answer- 42830, 69436-50, H65.23, J35.2 An 18 year-old male with complaints of right knee pain, swelling and a pop-like feeling after falling on the sidewalk is seen in the emergency department. It is decided that the patient needs to have an arthrogram of the knee. The patient goes to the outpatient radiology department. Once back in the X-ray room, the patient was placed in supine position with his right knee flexed over a pillow. After the knee was prepped and draped, topical anesthesia was applied. A 20-gauge needle was then inserted into the femoropatellar space of the knee. Air and single contrast media were injected and the patient was instructed to move his knee in order to provide even coating. Multiple arthrographic views were taken. Closed dislocation of the knee was the diagnosis. What are the correct procedure and diagnosis codes for this service? -Answer- 27369-RT, 73580-RT, S83.104A An 18 year-old with a dislocated patella is in the hospital outpatient orthopedic center for reconstruction. After being prepped and draped, the orthopedist makes an incision on the anteromedial aspect of the left knee, starting above the patella and ending just below the tibial tuberosity. Once the patellar tendon is resected, it is pulled medially and distally on the tibia for reattachment. The vastus medialis muscle is then inserted by transforming it laterally and distally, suturing it into place. Alignment of the patella is achieved, then the patellar tendon is anchored into the tibia with staples. The incision is closed with Steri-strips. The patient had no complications and was released after recovery. What are the correct procedure and diagnosis codes for this scenario? -Answer- 27422, S83.005A An 18-month-old with chronic serous otitis media and hypertrophy of the adenoids presents to the outpatient surgery department and undergoes an initial adenoidectomy and insertion of bilateral ventilation tubes. General anesthesia was required. What CPT® and ICD-10-CM codes are reported by the facility for the surgery? -Answer- 42830, 69436-50, J35.2, H65.23 An 8 year-old boy was helping his father install a new window at their house. The window fell, causing some of the glass to cut the boy's left hand, left forearm, and his left thigh. The laceration on the hand was 2 cm, the forearm laceration was 3.3 cm, and the thigh laceration was 1.9 cm. The lacerations were all closed using simple repair. What are the correct procedure and diagnosis codes for this encounter? -Answer- 12002; S61.412A, S51.812A, S71.112A, W25.XXXA, Y93.H9, Y92.009 An 80-year-old female with a dual chamber pacemaker, used to treat bradycardia caused by Wenckebach type atrioventricular block (type I, second degree block), is admitted for change of the battery in her pacemaker. An electronic analysis at the cardiologist's office indicated that the battery is malfunctioning and needs to be replaced. The battery has been in place for several years and has functioned without problems until recently. The procedure is performed on an outpatient basis at the hospital. -Answer- 33228, T82.518A, 144.1 [Show More]

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