ADVANCED CODING EXAM: A+ GRADED GUIDE WITH THE
LATEST KEY QUESTIONS AND ANSWERS.
Care provided in a physician's office, a stand-alone health care facility, a hospital
outpatient or emergency department, or the patient's home is classified--------- as
care.
outpatient (or ambulatory)
Both preventive and acute care are often provided as outpatient care and are
referred to as the point of first contact, which is categorized as-------- care.
primary
he physician who manages and coordinates the patient's care, including referring
the patient to a medical specialist for consultation and a second opinion, is called
the
primary care provider
Patients who are treated and released the same day and do not stay overnight in
the hospital are called------- patients.
ambulatory
Patients who undergo certain procedures that can be performed on an outpatient
basis, with the patient treated and released the same day, are called ------ -----
patients.
ambulatory surgery
Patients who are treated for urgent problems (e.g., trauma) and are either
released the same day or admitted to the hospital as inpatients are called------
---------patients.
emergency department (or emergency care) (or emergency room)
Patients who receive services furnished on a hospital's premises that are ordered
by a physician (or another authorized individual), including use of a bed and
periodic monitoring by nursing or other staff, and that are reasonable and
necessary to evaluate the outpatients' conditions or determine the need for
possible admission as inpatients (and who are in the unit no longer than 23
hours, 59 minutes, and 59 seconds), are called------ patients.
,observation
An organized method of identifying and treating patients according to urgency of
care required is called
triage
Patients who receive scheduled diagnostic and therapeutic care are called--------
outpatients.
clinic
Patients who receive diagnostic or therapeutic care because such care is
unavailable in the primary care provider's office are called-------- outpatients.
referred
Outpatient--Physician's Office (Ophthalmology)
Patient Name: Mary Shelby
Diagnoses: Advanced atrophic macular degeneration with subfoveal involvement,
left eye; advanced atrophic macular degeneration, right eye
A 72-year-old female, who was referred by her optometrist to an ophthalmologist,
arrived for her 11 a.m. appointment on April 1. The ophthalmologist is a specialist
in retinal-vitreous surgery, and he discussed with the patient treatment options
for visual changes in her left eye. The patient had noticed gradually worsening
Amsler grid changes and central vision distortion since January. Visual acuity,
blood pressure, slit lamp exam, tension, biomicroscopy, optical coherence
tomography, and fluorescein angiogram studies were performed. The studies
revealed loss of visual acuity of the left eye, blood pressure within normal limits,
persistent central pigment epithelial detachment, trace fluid and hemorrhage
along the nasal foveal margin, and prominent perifoveal indistinct drusen of the
left eye.
Upon completion of the level 2 E/M service, the physician informed the patient of
the diagnoses of advanced atrophic macular degeneration with subfoveal
involvement of the left eye, and advanced atrophic macular degeneration of the
right eye. He discussed the FDA-approved intravitreal injection of Lucentis for
this condition. Because the patient had transportation provided for her return
home and a primary caregiver in the home, both eyes were treated with
, intravitreal injections of Lucentis, 0.1 mg, and follow-up evaluation was
scheduled in 2 weeks.
Assign J2778 for the injection of ranibizumab, 0.1 mg. (Lucentis is the brand name and
ranibizumab is the generic name.). Assign 67028 for the intravitreal injection of a
pharmacologic agent, 92235 for fluorescein angiography, and 99202 for the level 2
office visit for the evaluation and management of a new patient." Assign H35.3124 for
advanced atrophic macular degeneration with subfoveal occult choroidal
neovascularization, left eye, and H35.3113 for advanced atrophic macular
degeneration, right eye.
A patient was seen on an outpatient basis to have lab tests performed. The next
day the patient underwent an outpatient procedure. Due to complications, he was
admitted to the hospital. One week after discharge from the hospital, he was seen
in the physician's office for a follow-up visit. Coding guidelines classify all of
these visits as
encounters.
A patient's record underwent review because the outpatient diagnosis about
multiple injuries was unclear. Who is authorized to clarify the diagnosis?
Health care provider
A patient is diagnosed with osteoarthritis, and the encounter is assigned code
M19.90.Index to Diseases Osteoarthritis M19.90
Tabular List of Diseases M19 Other and unspecified osteoarthritis
EXCLUDES1 polyarthritis (M15.-)
EXCLUDES2 arthrosis of spine (M47.-) hallux rigidus (M20.2) osteoarthritis of
spine (M47.-)M19.9 Osteoarthritis, unspecified site M19.90 Unspecified
osteoarthritis, unspecified site Arthrosis NOS Osteoarthritis NOS Arthritis
NOS M19.91 Primary osteoarthritis, unspecified site Primary osteoarthritis
NOS M19.92 Post-traumatic osteoarthritis, unspecified site Post-traumatic
osteoarthritis NOS M19.93 Secondary osteoarthritis, unspecified site Secondary
osteoarthritis NOS
When referring to the ICD-10-CM index and following tabular list entries, the code
assignment of M19.90 was
LATEST KEY QUESTIONS AND ANSWERS.
Care provided in a physician's office, a stand-alone health care facility, a hospital
outpatient or emergency department, or the patient's home is classified--------- as
care.
outpatient (or ambulatory)
Both preventive and acute care are often provided as outpatient care and are
referred to as the point of first contact, which is categorized as-------- care.
primary
he physician who manages and coordinates the patient's care, including referring
the patient to a medical specialist for consultation and a second opinion, is called
the
primary care provider
Patients who are treated and released the same day and do not stay overnight in
the hospital are called------- patients.
ambulatory
Patients who undergo certain procedures that can be performed on an outpatient
basis, with the patient treated and released the same day, are called ------ -----
patients.
ambulatory surgery
Patients who are treated for urgent problems (e.g., trauma) and are either
released the same day or admitted to the hospital as inpatients are called------
---------patients.
emergency department (or emergency care) (or emergency room)
Patients who receive services furnished on a hospital's premises that are ordered
by a physician (or another authorized individual), including use of a bed and
periodic monitoring by nursing or other staff, and that are reasonable and
necessary to evaluate the outpatients' conditions or determine the need for
possible admission as inpatients (and who are in the unit no longer than 23
hours, 59 minutes, and 59 seconds), are called------ patients.
,observation
An organized method of identifying and treating patients according to urgency of
care required is called
triage
Patients who receive scheduled diagnostic and therapeutic care are called--------
outpatients.
clinic
Patients who receive diagnostic or therapeutic care because such care is
unavailable in the primary care provider's office are called-------- outpatients.
referred
Outpatient--Physician's Office (Ophthalmology)
Patient Name: Mary Shelby
Diagnoses: Advanced atrophic macular degeneration with subfoveal involvement,
left eye; advanced atrophic macular degeneration, right eye
A 72-year-old female, who was referred by her optometrist to an ophthalmologist,
arrived for her 11 a.m. appointment on April 1. The ophthalmologist is a specialist
in retinal-vitreous surgery, and he discussed with the patient treatment options
for visual changes in her left eye. The patient had noticed gradually worsening
Amsler grid changes and central vision distortion since January. Visual acuity,
blood pressure, slit lamp exam, tension, biomicroscopy, optical coherence
tomography, and fluorescein angiogram studies were performed. The studies
revealed loss of visual acuity of the left eye, blood pressure within normal limits,
persistent central pigment epithelial detachment, trace fluid and hemorrhage
along the nasal foveal margin, and prominent perifoveal indistinct drusen of the
left eye.
Upon completion of the level 2 E/M service, the physician informed the patient of
the diagnoses of advanced atrophic macular degeneration with subfoveal
involvement of the left eye, and advanced atrophic macular degeneration of the
right eye. He discussed the FDA-approved intravitreal injection of Lucentis for
this condition. Because the patient had transportation provided for her return
home and a primary caregiver in the home, both eyes were treated with
, intravitreal injections of Lucentis, 0.1 mg, and follow-up evaluation was
scheduled in 2 weeks.
Assign J2778 for the injection of ranibizumab, 0.1 mg. (Lucentis is the brand name and
ranibizumab is the generic name.). Assign 67028 for the intravitreal injection of a
pharmacologic agent, 92235 for fluorescein angiography, and 99202 for the level 2
office visit for the evaluation and management of a new patient." Assign H35.3124 for
advanced atrophic macular degeneration with subfoveal occult choroidal
neovascularization, left eye, and H35.3113 for advanced atrophic macular
degeneration, right eye.
A patient was seen on an outpatient basis to have lab tests performed. The next
day the patient underwent an outpatient procedure. Due to complications, he was
admitted to the hospital. One week after discharge from the hospital, he was seen
in the physician's office for a follow-up visit. Coding guidelines classify all of
these visits as
encounters.
A patient's record underwent review because the outpatient diagnosis about
multiple injuries was unclear. Who is authorized to clarify the diagnosis?
Health care provider
A patient is diagnosed with osteoarthritis, and the encounter is assigned code
M19.90.Index to Diseases Osteoarthritis M19.90
Tabular List of Diseases M19 Other and unspecified osteoarthritis
EXCLUDES1 polyarthritis (M15.-)
EXCLUDES2 arthrosis of spine (M47.-) hallux rigidus (M20.2) osteoarthritis of
spine (M47.-)M19.9 Osteoarthritis, unspecified site M19.90 Unspecified
osteoarthritis, unspecified site Arthrosis NOS Osteoarthritis NOS Arthritis
NOS M19.91 Primary osteoarthritis, unspecified site Primary osteoarthritis
NOS M19.92 Post-traumatic osteoarthritis, unspecified site Post-traumatic
osteoarthritis NOS M19.93 Secondary osteoarthritis, unspecified site Secondary
osteoarthritis NOS
When referring to the ICD-10-CM index and following tabular list entries, the code
assignment of M19.90 was
