2
7
5
0
6
-
R
T
Question 1
, 1.2 out of 1.2 points
1 Margaret has a cholecystoenterostomy with a Roux-en-Y; five hours later she has an enormous
1 amount of pain, abdominal swelling and a spike in her temperature. She is returned to the OR for an
0 exploratory laparotomy and subsequent removal of a sponge that remained behind from surgery
1 earlier that day. The area had become inflamed and peritonitis was setting in. What is the correct
2 coding for the subsequent services on this date of service? The same surgeon took her back to the
- OR as the one who performed the original operation.
5 What CPT? code is reported?
1 Selected Answer:
-
R 49402-78
T
,
Correct Answer:
S
7 49402-78
2
. Response CPT? code 49402 represents the removal of a foreign body (sponge from previous surgery)
3 Feedback: from the peritoneal cavity. In the CPT? Index, look for Removal/Foreign Body/Peritoneum.
0 Modifier 78 indicates this was an unplanned return to the OR, by the same physician for a
1 related procedure following an initial procedure during the initial procedures postoperative
period.
B
,
V
0
3 • Question 2
. • 0 out of 1.2 points
1
0 The process of preserving cells or whole tissues at extremely low temperatures is known as:
X
A Selected Answer:
Cryotherapy
Correct Answer:
Cryopreservation
, • Question 3
• 1.2 out of 1.2 points
A patient has a history of chronic venous embolism in the superior vena cava (SVC) and is having a
radiographic study to visualize any abnormalities. In outpatient surgery the physician accesses the
subclavian vein and the catheter is advanced to the superior vena cava for injection and imaging. The
supervision and interpretation of the images is performed by the physician. What codes are reported
for this procedure?
Selected Answer:
36010, 75827-26
Correct Answer:
36010, 75827-26
Response A radiographic study of the superior vena cava is performed to visualize and evaluate
Feedback: any abnormalities. For the insertion of the catheter look in the CPT® Index for
Catheterization/Vena Cava referring you to code 36010. For the radiology code look
in the CPT® Index for Venography/Vena Cava guiding you to code range 75825-
75827. Radiology code 75827 is correct for the superior vena cava. Modifier 26 is
appended to the radiology code, because the physician is performing the procedure in
an outpatient facility setting.
• Question 4
• 1.2 out of 1.2 points
A physician uses cryotherapy for removal trichiasis. What CPT? and ICD-10-CM codes are
reported?
Selected Answer:
67825, H02.059
Correct Answer:
67825, H02.059
Response In the CPT? Index, look for Trichiasis/Repair/Epilation, by Other than
Feedback: Forceps. Verify this code in the numerical Index. Code 67825 describes the
correction of trichiasis by other than forceps, eg cryotherapy. In the ICD-10-
CM Index to Diseases, look for Trichiasis/eyelid that directs to code H02.059
, and is verified in the Tabular List as Trichiasis without entropian.
• Question 5
• 1.2 out of 1.2 points
A patient with primary hyperparathyroidism undergoes parathyroid sestamibi (nuclear medicine
scan) and ultrasound and is found to have only one diseased parathyroid. A minimally invasive
parathyroidectomy is performed. What CPT? and ICD-10-CM codes are reported for the surgery?
Selected Answer:
60500, E21.0
Correct Answer:
60500, E21.0
Response In the CPT ? Index, look for Parathyroidectomy or Parathyroid Gland/Excision
Feedback: and you are directed to code range 60500-60505. The diseased gland is
determined prior to the surgery, so only the parathyroidectomy is coded with
60500. In the ICD-10-CM Index to Diseases, look for
Hyperparathyroidism/primary and you are directed to E21.0. Verification in the
Tabular list confirms code selection.
• Question 6
• 1.2 out of 1.2 points
Which cells produce hormones to regulate blood sugar?
Selected Answer:
Pancreatic islets
Correct Answer:
Pancreatic islets
, • Question 7
• 1.2 out of 1.2 points
A patient with hypertensive end stage renal failure, stage V, and secondary hyperparathyroidism is
evaluated by the physician and receives peritoneal dialysis. The physician evaluates the patient once
before dialysis begins. What CPT? and ICD-10-CM codes are reported?
Selected Answer:
90945, I12.0, N18.6, N25.81
Correct Answer:
90945, I12.0, N18.6, N25.81
Response In the CPT? Index, look for Dialysis/Peritoneal, you are directed to codes
Feedback: 90945, 90947 & 4055F (an outcomes measurement code). The peritoneal
dialysis with one physician evaluation is reported with 90945.
A combination code is reported for a patient with hypertension and renal
failure. The two conditions are not reported separately. In the Hypertension
Table, look for Hypertension/with/chronic kidney disease/stage V or end stage
renal disease/Unspecified column directs you to 403.91. The instructions for
category 403 state to use an additional code to identify the stage of CKD. In
the ICD-10-CM Index to Diseases, look for Disease/renal/end-stage, directing
you to N18.6 for end stage renal disease. The patient also has secondary
hyperparathyroidism reported with N25.81, found in the Index to Diseases
under Hyperparathyroidism.
• Question 8
• 0 out of 1.2 points
66-year-old female is admitted to the hospital with a diagnosis of stomach cancer. The surgeon
performs a total gastrectomy with formation of an intestinal pouch. Due to the spread of the disease,
the physician also performs a total en bloc splenectomy. What CPT? codes are reported?
Selected Answer:
43622, 38100-51
Correct Answer:
43622, 38102
7
5
0
6
-
R
T
Question 1
, 1.2 out of 1.2 points
1 Margaret has a cholecystoenterostomy with a Roux-en-Y; five hours later she has an enormous
1 amount of pain, abdominal swelling and a spike in her temperature. She is returned to the OR for an
0 exploratory laparotomy and subsequent removal of a sponge that remained behind from surgery
1 earlier that day. The area had become inflamed and peritonitis was setting in. What is the correct
2 coding for the subsequent services on this date of service? The same surgeon took her back to the
- OR as the one who performed the original operation.
5 What CPT? code is reported?
1 Selected Answer:
-
R 49402-78
T
,
Correct Answer:
S
7 49402-78
2
. Response CPT? code 49402 represents the removal of a foreign body (sponge from previous surgery)
3 Feedback: from the peritoneal cavity. In the CPT? Index, look for Removal/Foreign Body/Peritoneum.
0 Modifier 78 indicates this was an unplanned return to the OR, by the same physician for a
1 related procedure following an initial procedure during the initial procedures postoperative
period.
B
,
V
0
3 • Question 2
. • 0 out of 1.2 points
1
0 The process of preserving cells or whole tissues at extremely low temperatures is known as:
X
A Selected Answer:
Cryotherapy
Correct Answer:
Cryopreservation
, • Question 3
• 1.2 out of 1.2 points
A patient has a history of chronic venous embolism in the superior vena cava (SVC) and is having a
radiographic study to visualize any abnormalities. In outpatient surgery the physician accesses the
subclavian vein and the catheter is advanced to the superior vena cava for injection and imaging. The
supervision and interpretation of the images is performed by the physician. What codes are reported
for this procedure?
Selected Answer:
36010, 75827-26
Correct Answer:
36010, 75827-26
Response A radiographic study of the superior vena cava is performed to visualize and evaluate
Feedback: any abnormalities. For the insertion of the catheter look in the CPT® Index for
Catheterization/Vena Cava referring you to code 36010. For the radiology code look
in the CPT® Index for Venography/Vena Cava guiding you to code range 75825-
75827. Radiology code 75827 is correct for the superior vena cava. Modifier 26 is
appended to the radiology code, because the physician is performing the procedure in
an outpatient facility setting.
• Question 4
• 1.2 out of 1.2 points
A physician uses cryotherapy for removal trichiasis. What CPT? and ICD-10-CM codes are
reported?
Selected Answer:
67825, H02.059
Correct Answer:
67825, H02.059
Response In the CPT? Index, look for Trichiasis/Repair/Epilation, by Other than
Feedback: Forceps. Verify this code in the numerical Index. Code 67825 describes the
correction of trichiasis by other than forceps, eg cryotherapy. In the ICD-10-
CM Index to Diseases, look for Trichiasis/eyelid that directs to code H02.059
, and is verified in the Tabular List as Trichiasis without entropian.
• Question 5
• 1.2 out of 1.2 points
A patient with primary hyperparathyroidism undergoes parathyroid sestamibi (nuclear medicine
scan) and ultrasound and is found to have only one diseased parathyroid. A minimally invasive
parathyroidectomy is performed. What CPT? and ICD-10-CM codes are reported for the surgery?
Selected Answer:
60500, E21.0
Correct Answer:
60500, E21.0
Response In the CPT ? Index, look for Parathyroidectomy or Parathyroid Gland/Excision
Feedback: and you are directed to code range 60500-60505. The diseased gland is
determined prior to the surgery, so only the parathyroidectomy is coded with
60500. In the ICD-10-CM Index to Diseases, look for
Hyperparathyroidism/primary and you are directed to E21.0. Verification in the
Tabular list confirms code selection.
• Question 6
• 1.2 out of 1.2 points
Which cells produce hormones to regulate blood sugar?
Selected Answer:
Pancreatic islets
Correct Answer:
Pancreatic islets
, • Question 7
• 1.2 out of 1.2 points
A patient with hypertensive end stage renal failure, stage V, and secondary hyperparathyroidism is
evaluated by the physician and receives peritoneal dialysis. The physician evaluates the patient once
before dialysis begins. What CPT? and ICD-10-CM codes are reported?
Selected Answer:
90945, I12.0, N18.6, N25.81
Correct Answer:
90945, I12.0, N18.6, N25.81
Response In the CPT? Index, look for Dialysis/Peritoneal, you are directed to codes
Feedback: 90945, 90947 & 4055F (an outcomes measurement code). The peritoneal
dialysis with one physician evaluation is reported with 90945.
A combination code is reported for a patient with hypertension and renal
failure. The two conditions are not reported separately. In the Hypertension
Table, look for Hypertension/with/chronic kidney disease/stage V or end stage
renal disease/Unspecified column directs you to 403.91. The instructions for
category 403 state to use an additional code to identify the stage of CKD. In
the ICD-10-CM Index to Diseases, look for Disease/renal/end-stage, directing
you to N18.6 for end stage renal disease. The patient also has secondary
hyperparathyroidism reported with N25.81, found in the Index to Diseases
under Hyperparathyroidism.
• Question 8
• 0 out of 1.2 points
66-year-old female is admitted to the hospital with a diagnosis of stomach cancer. The surgeon
performs a total gastrectomy with formation of an intestinal pouch. Due to the spread of the disease,
the physician also performs a total en bloc splenectomy. What CPT? codes are reported?
Selected Answer:
43622, 38100-51
Correct Answer:
43622, 38102
