Deck 13: Surgery Section: Urinary System and Male Reproductive System

Question 1

In what code range will a coder find procedure codes performed on the ureter in CPT?

A) 50010-50135
B) 53000-53899
C) 51020-52700
D) 50600-50980

Answer 1

50600-50980

Question 2

What is the abbreviation frequently used to describe the condition "benign prostatic hypertrophy"?

A) BPH
B) PH
C) BPHT
D) PHT

Answer 2

BPH

Question 3

What is erythropoiesis?

A) production of semen
B) production of urine
C) production of male growth hormone
D) production of red blood cells

Answer 3

production of red blood cells

Question 4

Select the condition that is not a common disease affecting the urinary system:

A) hematuria
B) renal failure
C) arthritis
D) cystitis

Question 5

Which modifier describes a staged or related procedure or service by the same physician during the postoperative period?

A) 79
B) 59
C) 58
D) 78

Question 6

What is the prepuce?

A) a long, coiled tube located on the back of the testicle
B) a pouchlike sac that contains the testicles
C) foreskin that surrounds and protects the head of the penis
D) an oval organ located in the scrotum, secured by the spermatic cord

Question 7

What is an x-ray of the urinary bladder?

A) lithotripsy
B) pyelography
C) cystography
D) vasectomy

Question 8

Enlargement of the prostate gland, which can interfere with urinary function, is called:

A) benign prostatic hyperplasia
B) hypospadias
C) cystocele
D) micturition

Question 9

When referring to conditions affecting the urinary bladder, the terms contracture or stenosis are often used to describe:

A) overactive bladder
B) diverticulum of the bladder
C) irradiation cystitis
D) bladder neck obstruction

Question 10

Which of the following is not a major organ in the male reproductive system?

A) Cowper's gland
B) urethra
C) prostate gland
D) thymus gland

Question 11

What is the most common form of acute nephritis?

A) nephrotic syndrome
B) primary nephritic syndrome
C) glomerulonephritis
D) nephrosis

Question 12

Which structure is a passageway, or tube, through which urine passes from the urinary bladder to the outside of the body?

A) renal tubules
B) urethra
C) nephrons
D) glomerulus

Question 13

What is a noninflammatory condition of the kidneys that results in degenerative disease of the renal tubules, and kidney disease affecting function of the nephrons?

A) nephrotic syndrome
B) nephrosis
C) glomerulonephritis
D) nephritis

Question 14

What is a lithotripsy?

A) noninvasive treatment of calculi by crushing
B) surgical procedure in which the vas deferens is cut
C) imaging of the renal pelvis and ureter
D) removal of kidney stones by a small puncture wound through the skin

Question 15

What is another term commonly used to describe a partial cystectomy in CPT?

A) segmental
B) incomplete
C) radical
D) revisional

Question 16

In what code range will a coder locate codes for Renal Tubulointerstitial Disease in the ICD-10-CM manual?

A) N25-N29
B) N10-N16
C) N20-N23
D) N00-N08

Question 17

What is the correct abbreviation for a Cystometrogram?

A) CM
B) CG
C) CMG
D) C

Question 18

To which Stage is a moderate form of kidney disease, patient may be experiencing some anemia and bone loss, classified in the Stages of chronic kidney disease in ICD-10-CM?

A) Stage 1
B) Stage 3
C) Stage 2
D) Stage 4

Question 19

Where will a coder find codes for Urolithiasis in ICD-10-CM?

A) N20-N23
B) N10-N16
C) N25-N29
D) N00-N08

Question 20

Under which general heading are circumcision procedures reported?

A) Repair
B) Incision
C) Excision
D) Revision

Question 21

The downward displacement of the kidney is:

A) pyelonephritis
B) nephrolithiasis
C) proteinuria
D) nephroptosis

Question 22

In what code range will a coder find procedure codes performed on the kidney in CPT?

A) 50010-50593
B) 51020-52700
C) 53000-53899
D) 50600-50980

Question 23

What is the failure of one or both testes to descend into the scrotum?

A) hypospadias
B) micturition
C) cryptorchidism
D) cystocele

Question 24

Which of the following is not a function of the kidney organ?

A) filter the blood and produce urine
B) regulate blood pressure and blood volume
C) regulate the pH of blood
D) produce white blood cells

Question 25

Which of the following is not a common cause of acute kidney failure?

A) congestive heart failure
B) chronic obstructive pulmonary disease
C) calculi obstructing the flow of urine
D) tumors

Question 26

All of the following are questions a coder should ask himself/herself when selecting codes from the Urinary subsection of CPT except:

A) What approach was used?
B) At which anatomical site was the procedure performed?
C) Does the documentation describe a procedure done at a single site or multiple sites?
D) What type of exam, office, other outpatient, or consultation, was performed?

Question 27

Which of the following is not a major physician component of a renal transplantation code?

A) backbench work
B) laparoscopic donor nephrectomy
C) recipient renal allotransplantation
D) living donor nephrectomy

Question 28

How many stages are there of chronic kidney disease in the ICD-10-CM manual?

A) 6
B) 3
C) 4
D) 5

Question 29

To which Stage is a mild form of kidney disease classified in the Stages of chronic kidney disease in ICD-10-CM?

A) Stage 4
B) Stage 1
C) Stage 3
D) Stage 2

Question 30

What is the vas deferens?

A) a long, coiled tube located on the back of the testicle
B) an oval organ located in the scrotum, secured by the spermatic cord
C) a pouchlike sac that contains the testicles
D) a tube from the epididymis to the pelvic cavity that transports mature sperm to the urethra

Question 31

Per CPT General Guidelines for the Urinary System subsection of CPT, when multiple endoscopic approaches are attempted:

A) separate codes may be reported for the first attempt and the successful attempt
B) only the first attempt is reported
C) only the successful attempt is reported
D) separate codes may be reported for each attempt

Question 32

Select the correct term for the process in which the bladder contracts and expels urine:

A) hypospadias
B) cystocele
C) cryptorchidism
D) micturition

Question 33

What is hypospadias?

A) absence of one or both testes
B) condition in which the urethra opens on the underside of the penis
C) stones that can occur in any of the structures of the urinary system
D) enlargement of the prostate gland

Question 34

What is the primary difference between primary nephritic syndrome and secondary nephritic syndrome?

A) primary nephritic syndrome is an acute condition while secondary nephritic syndrome is a chronic condition
B) primary nephritic syndrome is a noninflammatory condition of the kidneys, while secondary nephritic syndrome is inflammatory
C) primary nephritic syndrome is limited to the kidney while secondary nephritic syndrome affects the kidney and other parts of the body
D) primary nephritic syndrome is an acute condition affecting the renal tubes, while secondary nephritic syndrome is a degenerative disease of the renal tubules

Question 35

All of the following are general headings in the Male Reproductive subsection of CPT except:

A) Endoscopy
B) Repair
C) Excision
D) Introduction

Question 36

Per CPT General Guidelines for the Male Reproductive System subsection of CPT, exploration of the surgical field:

A) is not reported separately
B) is identified by a separate CPT add-on code
C) is separately reportable by using modifier -22
D) is separately reportable by using modifier -51

Question 37

Which of the following is a screening test for prostate cancer?

A) VCUG
B) TURP
C) PSA
D) pyelography

Question 38

In the Urodynamics (51725-51798) subsection of the Urinary system codes in CPT, what does an EMG document?

A) pelvic muscle activity
B) how much fluid the bladder can hold
C) how much pressure builds up in the bladder
D) the resistance of the urethra to fluid flow

Question 39

In what code range will a coder find procedures performed on the spermatic cord in CPT?

A) 55200-55450
B) 55700-55899
C) 55500-55559
D) 55600-55680

Question 40

The function of the ________ is production of fluid that empties into the urethra and acts as a lubricant for the urethra and as a neutralizer for urine:

A) ejaculatory ducts
B) prostate glands
C) seminal vesicles
D) Cowper's glands

Question 41

How is chronic kidney disease requiring chronic dialysis categorized in ICD-10-CM?

A) Stage 4 CKD
B) Severe CKD
C) End Stage Renal Disease
D) Renal failure

Question 42

To which Stage is a severe form of kidney disease, symptoms are progressively more pronounced, classified in the Stages of chronic kidney disease in ICD-10-CM?

A) Stage 4
B) Stage 1
C) Stage 3
D) Stage 2

Question 43

A patient returns to the operating room while in the surgical global period for a transurethral fulguration of the prostate to treat postoperative bleeding from a procedure performed on that body area. Which modifier is appropriate to append to the code for this procedure?

A) 78
B) 51
C) 58
D) 79

Question 44

In what code range will a coder find procedures performed on the prostate in CPT?

A) 55500-55559
B) 55600-55680
C) 55200-55450
D) 55700-55899

Question 45

Which of the following conditions is not a common disease affecting the male genital system?

A) oophoritis
B) orchitis
C) prostate disease
D) male infertility

Question 46

In which subheading and code range will a coder find Nephrotic Syndromes in ICD-10-CM?

A) Other diseases of the urinary system N30-N39
B) Other diseases of the kidney and ureter N25-N29
C) Reno tubule-interstitial diseases N10-N16
D) Glomerular diseases N00-N08

Question 47

Select the correct definition of a nephrolithotomy:

A) noninvasive treatment of calculi by crushing
B) imaging of the renal pelvis and ureter
C) surgical procedure in which the vas deferens is cut
D) removal of kidney stones by a small puncture wound through the skin

Question 48

What is a procedure in which an undescended testicle is lowered into the scrotum and fixed in place?

A) urethroplasty
B) pyelography
C) transurethral resection of the prostate
D) orchiopexy

Question 49

Which structure within the kidney captures water and waste products to form urine?

A) glomerulus
B) renal pelvis
C) nephrons
D) renal tubules

Question 50

CPT code 54150 states "Circumcision, using a clamp or another device, with a regional dorsal penile or ring block." How should the coder report a circumcision procedure using a clamp without dorsal penile or ring block?

A) Report 54150-52
B) Select a code from the Male Reproductive, Incision subsection
C) Select a code from the Integumentary, Removal subsection
D) Report 54150

Question 51

What is a pyelography?

A) surgical procedure in which the vas deferens is cut
B) noninvasive treatment of calculi by crushing
C) imaging of the renal pelvis and ureter
D) removal of kidney stones by a small puncture wound through the skin

Question 52

What are the ureters' primary functions?

A) passageways through which urine passes from the urinary bladder to the outside of the body
B) store urine as a result of the bladder walls relaxing and expanding
C) transport urine from the kidney to the urinary bladder
D) assist in keeping urine from leaking

Question 53

How are the Incision codes used to report drainage of a perirenal or renal abscess further subdivided in CPT?

A) minimal or invasive
B) primary or secondary
C) open or percutaneous
D) unilateral or bilateral

Question 54

Where are Diseases of Male Genital Organs found in the ICD-10-CM manual?

A) N40-N53
B) N70-N77
C) N30-N39
D) N80-N98

Question 55

Select the correct listing of external structures in the male reproductive system:

A) penis, vas deferens, ejaculatory ducts
B) penis, testes, vas deferens
C) penis, urethra, scrotum
D) penis, scrotum, testes

Question 56

What is a long, coiled tube located on the back of the testicle called?

A) ejaculatory duct
B) vas deferens
C) epididymis
D) urethra

Question 57

When a coder sees provider documentation of a kidney stone or kidney calculus, which condition does this indicate?

A) nephroptosis
B) nephrolithiasis
C) proteinuria
D) pyelonephritis

Question 58

What is the outer layer of the kidney?

A) glomerulus
B) ureter
C) medulla
D) cortex

Question 59

Select the abbreviation that describes a surgical removal of all or part of the prostate gland:

A) PSA
B) VCUG
C) TURP
D) pyelography

Question 60

All of the following are further subdivisions of urethroplasty procedures in the CPT manual except:

A) female urethra
B) male urethra
C) simple or complex
D) first or second stage

Question 61

The vas deferens and the seminal vesicles fuse to form the ________, which empty into the urethra.

A) spermatic cord
B) epididymis
C) testes
D) ejaculatory ducts

Question 62

Per CPT General Guidelines for the Urinary System subsection of CPT, placement of a catheter for postoperative drainage:

A) is separately reportable with use of modifier -51
B) is separately reportable
C) is never coded separately
D) is separately reportable with use of modifier -59

Question 63

Which of the following is not a subsection of Bladder (51020-52700) codes in CPT?

A) Incision
B) Biopsy
C) Removal
D) Excision

Question 64

The oval organs located in the scrotum, secured by the spermatic cord, are:

A) seminal vesicle
B) spermatic cord
C) testes
D) seminiferous tubules

Question 65

For renal autotransplantation extracorporeal (bench) surgery, CPT directs the coder to use autotransplantation as the primary procedure and report secondary procedures such as partial nephrectomy or nephrolithotomy with modifier:

A) 79
B) 51
C) 59
D) 50

Question 66

Per CPT General Guidelines for the Urinary System subsection of CPT, when an endoscopic procedure is performed as part of an open procedure:

A) only the open procedure is reported
B) the endoscopy procedure is separately reportable with use of modifier -59
C) the endoscopy procedure is separately reportable
D) the endoscopy procedure is separately reportable with use of modifier -51

Question 67

How are codes for ureterolithotomy further subdivided in CPT?

A) primary or recurrent
B) herniated or incarcerated
C) location
D) unilateral or bilateral

Question 68

Which organ system contains the seminal vesicle, vas deferens, and epididymis?

A) urinary system
B) lymphatic system
C) respiratory system
D) male reproductive system

Question 69

If renal function does not return after treatment of acute kidney failure, what does the condition typically progress into?

A) renal medullary necrosis
B) chronic kidney disease
C) tubular necrosis
D) renal cortical necrosis

Question 70

Select the correct definition of the term anorchism:

A) condition in which the urethra opens on the underside of the penis
B) stones that can occur in any of the structures of the urinary system
C) absence of one or both testes
D) enlargement of the prostate gland

Question 71

In which chapter of the ICD-10-CM manual will a coder find Diseases of the Genitourinary System?

A) 12
B) 11
C) 14
D) 13

Question 72

In which code range would a coder find Other Diseases of the Urinary System in ICD-10-CM?

A) N99
B) N25-N29
C) N00-N23
D) N30 -N39

Question 73

Provider documentation states a single renal biopsy was performed via fine-needle aspiration. Select the appropriate code(s) used to report this procedure:

A) 50205
B) 50200, 10005
C) 50200
D) 10005

Question 74

A lesion of proliferative glomerulonephritis is a condition in which:

A) the filtering system becomes inflamed and often scarred, and the ability to remove waste from the blood is comprised
B) a noninflammatory condition affects functioning of the nephrons
C) there is unchecked growth of tissue, which affects the ability of the kidney to filter the blood
D) the kidney function has been progressively and rapidly destroyed, and can result in ESRD

Question 75

Where are Glomerular Diseases found in the ICD-10-CM manual?

A) N00-N08
B) N10-N16
C) N20-N23
D) N25-N29

Question 76

What function is identified as the primary function of the urinary system?

A) excrete waste products and foreign substances
B) filter the blood and produce urine
C) produce red blood cells
D) regulate the pH of the blood

Question 77

Which of the following would be coded to the Diseases of the Genitourinary System chapter of ICD?

A) chronic kidney disease
B) urinary incontinency
C) urinary frequency
D) polyuria

Question 78

A patient's chart includes two diagnostic statements for services rendered today. The provider documents the patient has Stage 5 chronic kidney disease and End Stage Renal Disease. Which of the following is the appropriate reporting of ICD-10-CM codes to describe this patient's condition?

A) N18.5
B) N18.6, N18.5
C) N18.6
D) N18.5, N18.6

Question 79

Select the correct name for coiled masses of tubes that are responsible for producing sperm cells:

A) spermatic cord
B) vas deferens
C) seminiferous tubules
D) seminal vesicle

Question 80

Which of the following is not a general heading in the Urinary subsection of CPT?

A) Endoscopy
B) Laparoscopy
C) Revision
D) Introduction