Exam 7: Outpatient Coding

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ICD-10 When procedures are performed bilaterally, how should they be assigned for ICD-10 PCS procedure code purposes?

(Multiple Choice)
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ICD-9-CM and CPT ​ Assign the appropriate ICD-9-CM diagnostic codes and CPT codes for the following: ​ Patient brought to the endoscopy suite and video endoscope was introduced and advanced into the gastric fundus. The duodenum was difficult to intubate but appeared normal. Biopsy was taken for Helicobacter pylori. There was minimal bleeding and the patient tolerated the procedure well. ​ IMPRESSION: Reflux esophagitis Moderate hiatal hernia Antral gastritis, biopsy pending ​ ​

(Essay)
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ICD-10-CM and CPT ​ Assign the appropriate ICD-10-CM diagnostic codes and CPT codes for the following: ​ Preoperative/Postoperative Diagnosis: Metastatic pancreatic cancer ​ The right side of the neck was prepped and raped and percutaneous access to the right internal jugular was obtained. Percutaneous access was obtained to the right subclavian, and a J wire was advanced through the needle without difficulty. The tract of the J wire was enlarged by passing a dilator over the J wire. All three ports were aspirated and flushed, and the catheter was then sutured to the skin in two places. ​ ​

(Essay)
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When a CT of the abdomen is performed with oral contrast, what would be the appropriate code assignment?

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When procedures are performed bilaterally, how should they be assigned for ICD-9-CM procedural code purposes?

(Multiple Choice)
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Utilizing the sample acuity sheet in Table 7-3, what facility level of service would be assigned for a patient requesting a prescription refill only?

(Multiple Choice)
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ICD-9-CM and CPT ​ Assign the appropriate ICD-9-CM diagnostic codes and CPT codes for the following: ​ Preoperative/Postoperative Diagnosis: Metastatic pancreatic cancer ​ The right side of the neck was prepped and raped and percutaneous access to the right internal jugular was obtained. Percutaneous access was obtained to the right subclavian, and a J wire was advanced through the needle without difficulty. The tract of the J wire was enlarged by passing a dilator over the J wire. All three ports were aspirated and flushed, and the catheter was then sutured to the skin in two places. ​ ​

(Essay)
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ICD-10 Disorders of the heart would be found in what code range of the ICD-10-CM code book:

(Multiple Choice)
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A diagnostic colonoscopy is performed; however, the physician is unable to reach the splenic flexure of the cecum. What codes would be assigned?

(Multiple Choice)
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Excision of a 4.0-cm lesion of the leg, a 3.0-cm lesion of the back, and a 2.0-cm lesion of the arm would be assigned how many HCPCS/CPT codes?

(Multiple Choice)
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ICD-10 What coding nomenclature is utilized for ICD-10/CPT outpatient coding pur​poses?

(Essay)
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Which of the following services would require the assignment of a HCPCS/CPT code?

(Multiple Choice)
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In the outpatient setting, when a closed reduction of a fracture requires additional open procedures on the same day, are both procedures coded? How is this handled?

(Essay)
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ICD-9-CM and CPT ​ Assign the appropriate ICD-9-CM diagnostic codes and CPT codes for the following: ​ Left breast needle localization/excisional biopsy ​ Incision made through the subcutaneous tissue and the guide wire and breast lesion were grasped with hemostat. The wire and lesion were removed in toto. The patient tolerated the procedure well. ​ ​

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Services assigned Revenue Code 078X require that a CPT/HCPCS code be assigned.

(True/False)
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What coding nomenclature is utilized for ICD-9-CM/CPT outpatient coding purposes?

(Essay)
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Explain how Modifier 25 is utilized for outpatient facility services.

(Essay)
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What codes would be assigned for the excision of a lesion with intermediate closure?

(Multiple Choice)
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What modifier would be appropriate for multiple outpatient facility visits on the same day?

(Multiple Choice)
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When an extracapsular cataract extraction is performed at the same time as the insertion of an intraocular lens, what codes would be appropriate?

(Short Answer)
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