COC 2022 FINAL FINAL TEST 2026
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
◍ What does a code enclosed in brackets indicate to the coder when
encountered in the ICD-10-CM Alphabetic Index?A. To only report the
code in the bracketsB. Not to report the code in the bracketsC. To report the
code in brackets as an additional code with the code before the brackets as
the primary code.D. None of the above.
Answer: C. To report the code in brackets as an additional code with the
code before the brackets as the primary code.When codes are enclosed in
brackets in the ICD-10-CM Alphabetic Index, the coder must use both codes
and in the specified order of the directions. An example of this is Disease,
diseased/Alzheimer's/with behavioral disturbance G30.9 [F02.81-]. The
order of the codes must be G30.9, F02.81-.
◍ 5 year-old is seen today in the surgery suite to have a myringotomy and
ventilating tube insertion using for the right and left ears under general
anesthesia . Patient has had chronic mucoid otitis media since she was 2
years-old. What CPT® and ICD-10-CM codes should be reported?A.
69421, H65.93B. 69436-50, H65.33C. 69433, H65.116D. 69421-50,
H65.33.
Answer: B. 69436-50, H65.33The procedure was performed under general
anesthesia with insertion of ventilating tubes in both (bilateral) ears. The
diagnosis is indexed under Otitis/media/ chronic/mucoid directs you to see
Otitis, Media, nonsuppurative, chronic, mucoid H65.3- Multiple choice B is
the correct answer.
◍ PREOPERATIVE DIAGNOSIS: Right long finger with trigger finger. Left
shoulder impingement/subacromial bursitis.POSTOPERATIVE
, DIAGNOSIS: Right long finger with trigger finger. Left shoulder
impingement/subacromial bursitis.PROCEDURES: Right long finger trigger
release. Injection of the left shoulder with Xylocaine Marcaine and
Celestone via anterior subacromial approach.ANESTHESIA:
General.COMPLICATIONS: None.ESTIMATED BLOOD LOSS:
Minimal.REPLACEMENT: Crystalloids.DESCRIPTON OF
PROCEDURE: The patient was taken to the operating room where he was
given appropriate anesthesia. The right upper extremity was prepped and
draped in the usual sterile fashion. While the draping was going on, the left
shoulder was prepped with Betadine. Through an anterior subacromial
approach; the left shoulder was injected with mixture of 1 cc of Xylocaine, 1
cc of Celestone and 1 cc of Marcaine. The patient tolerated the procedure
well. Meanwhile, the right hand had been prepped and draped. It was the
exsanguinated with Esmarch and tourniquet inflated to 250 millimeters of
mercury. I made an incision over the A1 pulley in the distal transverse
palmar crease, about an inch in length. This was taken through.
Answer: A. 26055-F7, 20610-LT, M65.331, M75.52In the CPT® Index look
for Release and there are no entries. Looking in the CPT® Index for Trigger
Finger Repair directing you to 26055. The descriptor includes incision of
tendon sheath. Modifier F7 is appended for the long finger or middle finger
of the right hand. Looking in the CPT® Index for Injection/Joint, directing
you to 20600, 20604-20606, 20610, 20611. 20610 is used for an injection of
a major joint such as the shoulder without ultrasound guidance; there is NO
mention of imaging guidance. Modifier LT denotes the left shoulder.
Modifier 59 is not required, because these two procedures are already
completely separate.In the ICD-10-CM Alphabetic Index look for Trigger
finger/middle finger directing you to M65.33. Report the 6th character 1 for
the right side M65.331. Look in the Alphabetic Index for Bursitis/shoulder
directing you to M75.5. Report the 5th character 2 for the left side M75.52.
◍ Administrative Law Judge hearings for the Medicare appeals process are
usually held by telephone or video conferencing. At the conclusion of the
hearing, how many days until the provider is informed of a decision?A. 60
, daysB. 30 daysC. 120 daysD. 90 days.
Answer: D. 90 daysThe ALJ will generally issue a decision within 90 days
of the receipt of the hearing request, according to the CMS website.
◍ Spontaneous fracture of right humerus due to metastatic bone cancer, history
of breast cancer previously removed. Code for the ICD-10-CM codes.A.
M84.521A, C79.51, Z85.3B. S42.301A, C79.51, C50.919C. C79.51,
S42.301A, Z85.3D. M84.421A, C50.919, C79.51.
Answer: A. M84.521A, C79.51, Z85.3A spontaneous fracture is not a
traumatic fracture, but a pathologic fracture. The fracture resulted from bone
cancer (secondary cancer). In the ICD-10-CM Alphabetic Index, look for
Fracture, pathological/due to/neoplastic disease/humerus referring you to
M84.52. 7th character A is required for the initial encounter. Instructional
note at M84.5 says to "code also underlying neoplasm." In the Alphabetic
Index, Metastasis, metastatic/to specific site refers you to see Neoplasm,
secondary, by site. In the Table of Neoplasms, look for Bone/humerus/the
column for Malignant Secondary column referring you to C79.51. In the
Alphabetic Index, look for History/personal/malignant neoplasm/breast
referring you to Z85.3. Verify in the Tabular List.
◍ Patient was treated in the ER and underwent surgery after suffering a torn
ACL of the right knee while playing basketball at home. The injury occurred
when the patient attempted to plant his right foot while cutting to the left
and twisted it in a one-on-one game against his brother. Which set of
diagnosis codes is correct for this scenario?A. S83.511A, W18.49XA,
Y92.009, Y93.67B. S83.419A, Y93.67, Y92.099C. S83.511A, Y93.49,
Y93.67, Y92.310D. S83.819A, Y93.67, W18.30XA.
Answer: A. S83.511A, W18.49XA, Y92.009, Y93.67Look in the
ICD-10-CM Alphabetic Index for Tear, torn (traumatic) referring you to see
also Laceration. Look in the Alphabetic Index for Laceration/ligament
referring you to see also Sprain/knee/cruciate ligament/anterior guiding you
to S83.511A. The external cause codes are reported to establish the cause of
the accident, the place of occurrence, and the activity. Look in the
ICD-10-CM Index to External Causes of Injuries for
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
◍ What does a code enclosed in brackets indicate to the coder when
encountered in the ICD-10-CM Alphabetic Index?A. To only report the
code in the bracketsB. Not to report the code in the bracketsC. To report the
code in brackets as an additional code with the code before the brackets as
the primary code.D. None of the above.
Answer: C. To report the code in brackets as an additional code with the
code before the brackets as the primary code.When codes are enclosed in
brackets in the ICD-10-CM Alphabetic Index, the coder must use both codes
and in the specified order of the directions. An example of this is Disease,
diseased/Alzheimer's/with behavioral disturbance G30.9 [F02.81-]. The
order of the codes must be G30.9, F02.81-.
◍ 5 year-old is seen today in the surgery suite to have a myringotomy and
ventilating tube insertion using for the right and left ears under general
anesthesia . Patient has had chronic mucoid otitis media since she was 2
years-old. What CPT® and ICD-10-CM codes should be reported?A.
69421, H65.93B. 69436-50, H65.33C. 69433, H65.116D. 69421-50,
H65.33.
Answer: B. 69436-50, H65.33The procedure was performed under general
anesthesia with insertion of ventilating tubes in both (bilateral) ears. The
diagnosis is indexed under Otitis/media/ chronic/mucoid directs you to see
Otitis, Media, nonsuppurative, chronic, mucoid H65.3- Multiple choice B is
the correct answer.
◍ PREOPERATIVE DIAGNOSIS: Right long finger with trigger finger. Left
shoulder impingement/subacromial bursitis.POSTOPERATIVE
, DIAGNOSIS: Right long finger with trigger finger. Left shoulder
impingement/subacromial bursitis.PROCEDURES: Right long finger trigger
release. Injection of the left shoulder with Xylocaine Marcaine and
Celestone via anterior subacromial approach.ANESTHESIA:
General.COMPLICATIONS: None.ESTIMATED BLOOD LOSS:
Minimal.REPLACEMENT: Crystalloids.DESCRIPTON OF
PROCEDURE: The patient was taken to the operating room where he was
given appropriate anesthesia. The right upper extremity was prepped and
draped in the usual sterile fashion. While the draping was going on, the left
shoulder was prepped with Betadine. Through an anterior subacromial
approach; the left shoulder was injected with mixture of 1 cc of Xylocaine, 1
cc of Celestone and 1 cc of Marcaine. The patient tolerated the procedure
well. Meanwhile, the right hand had been prepped and draped. It was the
exsanguinated with Esmarch and tourniquet inflated to 250 millimeters of
mercury. I made an incision over the A1 pulley in the distal transverse
palmar crease, about an inch in length. This was taken through.
Answer: A. 26055-F7, 20610-LT, M65.331, M75.52In the CPT® Index look
for Release and there are no entries. Looking in the CPT® Index for Trigger
Finger Repair directing you to 26055. The descriptor includes incision of
tendon sheath. Modifier F7 is appended for the long finger or middle finger
of the right hand. Looking in the CPT® Index for Injection/Joint, directing
you to 20600, 20604-20606, 20610, 20611. 20610 is used for an injection of
a major joint such as the shoulder without ultrasound guidance; there is NO
mention of imaging guidance. Modifier LT denotes the left shoulder.
Modifier 59 is not required, because these two procedures are already
completely separate.In the ICD-10-CM Alphabetic Index look for Trigger
finger/middle finger directing you to M65.33. Report the 6th character 1 for
the right side M65.331. Look in the Alphabetic Index for Bursitis/shoulder
directing you to M75.5. Report the 5th character 2 for the left side M75.52.
◍ Administrative Law Judge hearings for the Medicare appeals process are
usually held by telephone or video conferencing. At the conclusion of the
hearing, how many days until the provider is informed of a decision?A. 60
, daysB. 30 daysC. 120 daysD. 90 days.
Answer: D. 90 daysThe ALJ will generally issue a decision within 90 days
of the receipt of the hearing request, according to the CMS website.
◍ Spontaneous fracture of right humerus due to metastatic bone cancer, history
of breast cancer previously removed. Code for the ICD-10-CM codes.A.
M84.521A, C79.51, Z85.3B. S42.301A, C79.51, C50.919C. C79.51,
S42.301A, Z85.3D. M84.421A, C50.919, C79.51.
Answer: A. M84.521A, C79.51, Z85.3A spontaneous fracture is not a
traumatic fracture, but a pathologic fracture. The fracture resulted from bone
cancer (secondary cancer). In the ICD-10-CM Alphabetic Index, look for
Fracture, pathological/due to/neoplastic disease/humerus referring you to
M84.52. 7th character A is required for the initial encounter. Instructional
note at M84.5 says to "code also underlying neoplasm." In the Alphabetic
Index, Metastasis, metastatic/to specific site refers you to see Neoplasm,
secondary, by site. In the Table of Neoplasms, look for Bone/humerus/the
column for Malignant Secondary column referring you to C79.51. In the
Alphabetic Index, look for History/personal/malignant neoplasm/breast
referring you to Z85.3. Verify in the Tabular List.
◍ Patient was treated in the ER and underwent surgery after suffering a torn
ACL of the right knee while playing basketball at home. The injury occurred
when the patient attempted to plant his right foot while cutting to the left
and twisted it in a one-on-one game against his brother. Which set of
diagnosis codes is correct for this scenario?A. S83.511A, W18.49XA,
Y92.009, Y93.67B. S83.419A, Y93.67, Y92.099C. S83.511A, Y93.49,
Y93.67, Y92.310D. S83.819A, Y93.67, W18.30XA.
Answer: A. S83.511A, W18.49XA, Y92.009, Y93.67Look in the
ICD-10-CM Alphabetic Index for Tear, torn (traumatic) referring you to see
also Laceration. Look in the Alphabetic Index for Laceration/ligament
referring you to see also Sprain/knee/cruciate ligament/anterior guiding you
to S83.511A. The external cause codes are reported to establish the cause of
the accident, the place of occurrence, and the activity. Look in the
ICD-10-CM Index to External Causes of Injuries for
