Certification test 2

Question 1 1.2 out of 1.2 points What does IOL stand for? Selected Answer: Correct Intraocular lens Correct Answer: Correct Intraocular lens Question 2 0 out of 1.2 points A patient is receiving pain managem ...

Question 1 1.2 out of 1.2 points What does IOL stand for? Selected Answer: Correct Intraocular lens Correct Answer: Correct Intraocular lens Question 2 0 out of 1.2 points A patient is receiving pain management treatment for chronic cervical pain caused by a motor vehicle accident. What ICD-10-CM code(s) and sequencing is/are reported? Selected Answer: Incorrect G89.21 Correct Answer: Correct G89.21, M54.2 Response Feedback: In the ICD-10-CM Index to Diseases and Injuries, look for Pain(s)/chronic/due to trauma and you are directed to G89.21. Cervical pain is indexed under Pain(s)/neck NEC (M54.2). According to the ICD-10-CM Guidelines, because the treatment is for pain management, the chronic pain is listed first. In the ICD-10-CM Coding Guidelines refer to I.C.6.b.1. (b). (ii). Question 3 1.2 out of 1.2 points 53-year-old woman with scarring of the right cornea has significant corneal thinning with a high risk of perforation and underwent reconstruction of the ocular surface. The eye is incised and an operating microscope is used with sponges and forceps to debride necrotic corneal epithelium. Preserved human amniotic membrane is first removed from the storage medium and transplanted by trimming the membrane to fit the thinning area of the cornea then sutured. This process was repeated three times until the area of thinning is flushed with surrounding normal-thickness cornea. All of the knots are buried and a bandage contact lens is placed with topical antibiotic-steroid ointment. What CPT® code is reported? Selected Answer: Correct 65780 Correct Answer: Correct 65780 Question 4 1.2 out of 1.2 points What ICD-10-CM code is reported for an encounter for cataract screening? Selected Answer: Correct Z13.5 Correct Answer: Correct Z13.5 Question 5 0 out of 1.2 points The surgeon performed an insertion of an intraocular lens prosthesis. Treatment plan was established and discussed with the patient six weeks earlier when cataract was removed (by the same surgeon). What CPT® code is reported? Selected Answer: Incorrect 66983-58 Correct Answer: Correct 66985-58 Response Feedback: In the CPT® Index look for Insertion/Intraocular Lens/Manual or Mechanical Technique/Not Associated with Concurrent Cataract Removal and directs you to code 66985. The procedure was planned, because it was decided to perform this procedure with the patient before the cataract removal was performed six weeks earlier. This “planned” procedure indicates the need for modifier 58 Staged or related procedure or service by the same physician during the postoperative period. Question 6 0 out of 1.2 points Patient has returned to the operating room to aspirate a seroma that has developed from a gynecologic surgical procedure that was performed two days ago. A 16-guauge needle is used to aspirate 600 cc of non-cloudy serosanguinous fluid. What codes are reported? Selected Answer: Incorrect 10140-78, S20.20XS Correct Answer: Correct 10160-78, N99.820 Response Feedback: The provider performed a puncture aspiration of a seroma (clear body fluid built up where tissue has been removed by surgery). In the CPT® Index, look for Cyst/Skin/Puncture Aspiration. Code 10160 is the correct code for the puncture aspiration. Even though it does not specifically state “seroma” it is the code to report. This is not a staged return to the operative suite for the puncture aspiration of the seroma. Modifier 78 is used because the patient is returning to the operative suite with a complication in the global period. The diagnosis is reported as a post-operative complication and the code selection in ICD-10-CM is based on the initial procedure performed. This is stated to be a genitourinary system procedure. In the Alphabetic Index look for Seroma – see Hematoma. Look for Hematoma/postoperative (post procedural) – see Complication, post procedural, hemorrhage. Look for Complication/post procedural/genitourinary organ or structure/following procedure on genitourinary organ or structure referring you to N99.820. Verification in the Tabular List confirms code selection. Question 7 1.2 out of 1.2 points A patient is diagnosed with actinic keratosis of the chest and arms. She presents to her physician’s office for destruction of these lesions. Using cryosurgery the physician destroys 4 lesions on the right arm, 4 lesions on the left forearm and 4 lesions on the chest. What CPT® and ICD-10-CM codes are reported? Selected Answer: Correct 17000, 17003 x 11, L57.0 Correct Answer: Correct 17000, 17003 x 11, L57.0 Question 8 0 out of 1.2 points A malignant lesion of the forehead measuring 1.0 cm was removed. The operative report states skin margins are 1.1 cm on all sides. Layered closure was performed. How is this coded?