CCS New Part I AHIMA Exam by Michelle COMPLETE SOLUTION

CCS New Part I AHIMA Exam by Michelle COMPLETE SOLUTION During a laryngoscopy, a small portion of a large lesion is removed for pathologic evaluation. The correct laryngoscopy CPT code assignment is a. for diagnostic ...

CCS New Part I AHIMA Exam by Michelle COMPLETE SOLUTION During a laryngoscopy, a small portion of a large lesion is removed for pathologic evaluation. The correct laryngoscopy CPT code assignment is a. for diagnostic purposes b. with removal of lesion c. with biopsy and removal of lesion d. with biopsy - ✔✔d. with biopsy To accurately code initial insertion of a permanent cardiac pacemaker, the coder must code the insertion of a. the leads only b. the pacemaker device only c. the intra-operative pacemaker oly d. both the pacemaker device and the leads - ✔✔d. both the pacemaker device and the leads A patient undergoes aorto-coronary bypass using a heart-lung machine. hypothermia, cardioplegia, intra-operative cardiac pacing, and chest tube insertion were also performed. In addition to coding the aorto-coronary bypass, which of the following additional procedures would be coded? a. 36.04 chest tube insertion b. 39.61 extracorporeal circulations c. 39.62 hypothermia (systemic) incidental to open heart surgery d. 39.63 cardioplegia f. 39.64 intra-operative cardiac pacemakers - ✔✔b. 39.61 extracorporeal circulationsA 6-month old infant has tested positive for HIV. The child's mother has AIDS. At this time, which of the following codes should be used to report the child's condition? a. 042 human immunodeficiency virus (HIV) disease b. V08 asymptomatic human immunodeficiency virus (HIV) infection status c. 795.71 nonspecific serologic evidence of human immunodeficiency virus (HIV) d. V02.9 carrier or suspected carrier of infectious disease; other specified organism - ✔✔c. 795.71 nonspecific serologic evidence of human immunodeficiency virus (HIV) A diagnostic EGD was performed. During the procedure, the physician biopsied a lesion of the esophagus and removed a polyp of the stomach by the snare technique. 43234 upper gastrointestinal endoscopy, simple primary examination (e.g. with small diameter flexible endoscope) (separate procedure) 43235 upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) 43229 with biopsy, single or multiple 42351 with removal of tumor(s), polyp(s), or other lesion(s), by snare technique Which of the following represents the correct coding assignment? a. 43251 b. 43239, 43251 c. 43234, 43239, 43251 d. 43235, 43239, 43251 - ✔✔b. 43239, 43251 If a primary malignant neoplasm that was previously excised recurs, the code that should be assigned is a. follow-up care (V67 category) b. malignant neoplasm, primary site c. malignant neoplasm, secondary site d. primary and secondary site malignancies - ✔✔b. malignant neoplasm, primary siteWhich of the following conditions would require a late effect code? a. digitalis intoxication b. contracture resulting from a burn c. protrusion of internal fixation nail into the acetabulum d. dumping syndrome following gastrectomy - ✔✔b. contracture resulting from a burn A patient is readmitted with cellulitis of the operative wound following stripping and ligation of varicose veins in the right leg 8 days previously. The correct coding and sequencing for this case is a. cellulitis of leg, varicose veins b. varicose veins, cellulitis of leg c. postoperative infection, cellulitis of leg d. cellulitis of leg, postoperative infection - ✔✔c. postoperative infection, cellulitis of leg Which of the following laboratory tests would the code review to confirm a diagnosis of hepatitis B? a. HBsAg b. SGOT/AST c. Serum amylase d. Direct Bilirubin - ✔✔a. HBsAG The physician documents seizure disorder on the discharge summary and review of the record reveals that the patient is on Dilantin. Which of the following is the correct coding and/or sequencing assignment? a. 780.39 other convulsions b. 780.39 other convulsions, 345.90 epilepsy, unspecified c. 345.90 epilepsy, unspecified d. 345.90 epilepsy, unspecified, 780.39 other convulsions - ✔✔c. 345.90 epilepsy, unspecifie