CODING QUESTIONS AND ANSWERS
EXPERT REVIEW MATERIAL
◉ A patient was admitted yesterday to the hospital for possible
gallstones. The following day the physician who admitted the patient
performed a detailed history, a detailed exam and a medical decision
making of low complexity. The physician tells her the test results
have come back positive for gallstones and is recommending having
a cholecystectomy. What code is reported for this evaluation and
management service for the following day?
A. 99253
B. 99221
C. 99233
D. 99234.
Answer: C. 99233
◉ A patient came in to the ER with wheezing and a rapid heart rate.
The ER physician documents a comprehensive history,
comprehensive exam and medical decision of moderate complexity.
The patient has been given three nebulizer treatments. The ER
physician has decided to place him in observation care for the acute
asthma exacerbation. The ER physician will continue examining the
,patient and will order additional treatments until the wheezing
subsides. Select the appropriate code(s) for this visit.
A. 99284, 99219
B. 99219
C. 99284
D. 99235.
Answer: B. 99219
◉ A 6-month-old patient is administered general anesthesia to
repair a cleft palate. What anesthesia code(s) is (are) reported for
this procedure?
A. 00170, 99100
B. 00172
C. 00172, 99100
D. 00176.
Answer: C. 00172, 99100
◉ A 50-year-old female had a left subcutaneous mastectomy for
cancer. She now returns for reconstruction which is done with a
single TRAM flap. Right mastopexy is done for asymmetry. Select the
anesthesia code for this procedure.
A. 00404
B. 00402
,C. 00406
D. 00400.
Answer: B. 00402
◉ A patient is having knee replacement surgery. The surgeon
requests that in addition to the general anesthesia for the procedure
that the anesthesiologist also insert a continuous lumbar epidural
infusion for postoperative pain management. The anesthesiologist
performs postoperative management for two postoperative days.
A. 01400-AA, 62326, 01996 x 2
B. 01402-AA, 62327, 01966 x 2
C. 01402-AA, 62326, 01996 x 2
D. 01404-AA, 62327.
Answer: C. 01402-AA, 62326, 01996 x 2
◉ A 35-year-old male sees his primary care physician complaining
of fever with chills, cough and congestion. The physician performs a
chest X-ray taking lateral and AP views in his office. The physician
interprets the X-ray views and the patient is diagnosed with walking
pneumonia. Which CPT® code is reported for the chest X-rays
performed in the office and interpreted by the physician?
A. 71046-26
B. 71047-26
C. 71046
, D. 71045-26-TC.
Answer: C. 71046
◉ This gentleman has localized prostate cancer and has chosen to
have complete transrectal ultrasonography performed for dosimetry
purposes. Following calculation of the planned transrectal
ultrasound, guidance was provided for percutaneous placement of
1-125 seeds. Select the appropriate codes for this procedure.
A. 55920, 76965-26
B. 55876, 76942-26
C. 55860, 76873-26
D. 55875, 76965-26.
Answer: D. 55875, 76965-26
◉ A 76-year-old female had a ground level fall when she tripped
over her dog earlier this evening in her apartment. The Emergency
Department took X-rays of the left wrist in oblique and lateral views
which revealed a displaced distal radius fracture, type I open left
wrist. What radiological service and ICD-10-CM codes are reported?
A. 73100-26, S52.502B, W18.31XA, Y92.039
B. 73110-26, S52.602A, W18.31XA, Y92.039
C. 73115-26, S52.502A, W18.31XA, Y92.039
D. 73100-26, S52.602B, W18.31XA, Y92.039.
Answer: A. 73100-26, S52.502B, W18.31XA, Y92.039