AAPC CPC Practice Exam C

AAPC CPC Practice Exam C If a ST elevation myocardial infarction (STEMI) converts to a non ST elevation myocardial infarction (NSTEMI) due to thrombolytic therapy, how is it reported, according to ICD-10-CM guidelines? A. As unspecified AMI B. As a subendocardial AMI C. As STEMI D. As a NSTEMI Ans- C. As STEMI ICD-10-CM guidelines (Section I.C.9.e.1) indicate: If STEMI converts to NSTEMI due to thrombolytic therapy, it is still coded as STEMI. Which place of service code is reported on the physician's claim for a surgical procedure performed in an ASC? A. 21 B. 22 C. 24 D. 11 Ans- C. 24 Place of service codes are two digit numerical codes that define the location where services are performed and reported on the CMS-1500 form. A complete chart of Place-Of-Service codes is found on the first page in CPT® codebook. A service provided in an ASC is reported with POS code 24. Local Coverage Determinations (LCD) are published to give providers information on which of the following? A. Information on modifier use with procedure codes B. CPT® codes that are bundled C. Fee schedule information listed by CPT® code D. Reasonable and necessary conditions of coverage for an item or service Ans- D. Reasonable and necessary conditions of coverage for an item or service Local Coverage Determinations (LCD) are Medicare Administrative Contractor rules indicating whether or not a particular item or service is covered. Most LCDs also provide a list of diagnosis codes for which a procedure may be covered; however, because other issues factor into payment, coverage is not guaranteed. Modifier guidelines and fee schedule information is included in the annual Medicare Physician Fee Schedule. National Correct Coding Initiative (NCCI) is used to know what CPT® codes are bundled. When a person has labyrinthitis what has the inflammation? A. Inner ear B. Brain C. Conjunctiva D. Spine Ans- A. Inner ear Labyrinthitis is an inflammation of the inner ear which can cause vertigo and vomiting. In the ICD-10-CM Alphabetic Index, look for Labyrinthitis and you will see next to the term inner ear in parenthesis. An angiogram is a study to look inside: A. Female Reproductive System B. Urinary System C. Blood Vessels D. Breasts Ans- C. Blood Vessels The breakdown of this term is: Angi/o refers to blood vessel and the suffix -gram refers to a written record. An angiogram is an X-ray photograph or an imaging technique that uses contrast/dye to look inside blood vessels. Look in CPT® Index for Angiography referring you to codes in the Radiology section in which many arteries are listed in alphabetical order. Thoracentesis is removing fluid or air from the: A. Lung B. Chest cavity C. Thoracic vertebrae D. Heart Ans- B. Chest cavity The breakdown of this term: thorac/o refers to chest or thorax and the suffix -centesis refers to puncture; the insertion of a needle or similar instrument into a bodily space to add or withdraw fluids. In the CPT® Index look for Thoracentesis referring you to codes 32554, 32555. There is a diagram in the CPT® codebook for these codes that indicate the procedures are for removal of accumulated fluid or air from the pleural space between the ribs. What does oligospermia mean? A. Presence of blood in the semen B. Deficiency of sperm in semen C. Having sperm in urine D. Formation of spermatozoa Ans- B. Deficiency of sperm in semen The breakdown of this term: combining form olig/o means too few or too little and spermia refers to the condition of the sperm. The definition is too low or too few sperm. In the Alphabetic Index look for Oligiospermia N64.11. In the Tabular List oligiospermia is indicated as a type of male infertility. What is another term for when a physician performs a reduction on a displaced fracture? A. Casting B. Manipulation C. Skeletal traction D. External fixation Ans- B. Manipulation In the CPT® codebook in the section for Musculoskeletal System guidelines defines Manipulation: is used throughout the musculoskeletal fracture and dislocation subsections to specifically mean the attempted reduction or restoration of a fracture or joint dislocation to its normal anatomic alignment by the application of manually applied force. When a patient has fractured the proximal end of his humerus, where is the fracture located? A. Upper end of the arm B. Lower end of the leg C. Upper end of the leg D. Lower end of the arm Ans- A. Upper end of the arm The humerus is the bone extending from the shoulder to the elbow. Most resources define proximal to the area nearest to the trunk of the body. In the ICD-10-CM Alphabetic Index, look for Fracture, traumatic/humerus/proximal end refers you to see Fracture, humerus, upper end. Glomerulonephritis is an inflammation affecting which system? A. Digestive B. Nervous C. Urinary D. Cardiovascular Ans- C. Urinary Glomerulnephritis is a form of nephritis marked by inflammation of the glomeruli of the kidney. In the ICD-10-CM Alphabetic Index look for Glomerulnephritis referring you to code N05.9. In the Tabular List this code is found Chapter 14: Diseases of Genitourinary System