Deck 12: Surgery Section: Digestive System

Question 1

What are the four classifications of malocclusion?

A) mild, moderate, severe, catastrophic
B) normal, acute, chronic, prolonged
C) Stage I, Stage II, Stage III, Stage IV
D) normal, Class I, Class II, Class III

Answer 1

normal, Class I, Class II, Class III

Question 2

Cholecystitis is inflammation of the:

A) pancreas
B) salivary gland
C) liver
D) gallbladder

Answer 2

gallbladder

Question 3

CPT code range 42300-42699 contains codes for procedures on which of the following anatomic sites?

A) Palate and Uvula
B) Salivary Gland and Ducts
C) Intestines
D) Anus

Answer 3

Salivary Gland and Ducts

Question 4

If an intestinal or free jejunal graft with microvascular anastomosis is performed by another physician, modifier _________ is reported with code 43116:

A) 59
B) 53
C) 58
D) 52

Question 5

Select the correct flow of the digestive system:

A) mouth - esophagus - stomach - small intestine - large intestine - anus
B) mouth - stomach - large intestine - small intestine - anus
C) mouth - esophagus - small intestine - stomach - large intestine - anus
D) mouth - esophagus - small intestine - anus

Question 6

When performing an endoscopy on a patient who is scheduled and prepped for a total colonoscopy, if the physician is unable to advance the scope beyond the splenic flexure due to unforeseen circumstances, modifier _______ is appended to the colonoscopy code.

A) 53
B) 79
C) 78
D) 58

Question 7

If the patient is returned to the operating room by the same physician following the initial procedure for an unplanned procedure and this happens during the postoperative period for a procedure which has a 90-day global period, modifier __________ is appended:

A) 78
B) 51
C) 53
D) 79

Question 8

An increase in blood pressure in the veins between the GI tract and the liver, causing enlargement of the veins, is:

A) Crohn's disease
B) esophageal varices
C) portal hypertension
D) varicose veins

Question 9

Heller type, Nissen procedure, Toupet's procedure, and Collis gastroplasty can be found in this subsection of the Digestive section:

A) Stomach, Excision
B) Esophagus, Laparoscopy
C) Intestines, except Rectum, Endoscopy
D) Pharynx, Adenoids, and Tonsils, Incision

Question 10

Code range K40-K46 contains codes for which of the following condition(s):

A) Appendicitis
B) Other Diseases of Intestines and Peritoneum
C) Hernia
D) Diseases of Esophagus, Stomach, and Duodenum

Question 11

The oral two-thirds refers to:

A) the posterior portion of the tongue
B) the sulcus terminalis
C) the floor of the mouth
D) the anterior portion of the tongue

Question 12

The function of the soft palate is to:

A) trigger the gag reflex and assist in producing sound and speech
B) keep food from entering the nasal cavity
C) break down food
D) assist with taste and movement of food into the throat

Question 13

Diverticulum of appendix is reported with a code found in ICD-10-CM subsection:

A) Diseases of Esophagus, Stomach, and Duodenum
B) Diseases of Oral Cavity, Salivary Glands, and Jaws
C) Other diseases of appendix
D) Noninfectious Enteritis and Colitis

Question 14

Cholelithotripsy is:

A) examination of the entire rectum and sigmoid colon
B) banded gastroplasty
C) removal of a gall stone through an incision into the gall bladder
D) crushing of gall stones

Question 15

Select the question that a coder does not need to answer when selecting a diagnosis code for a hernia of the abdominal cavity:

A) Is there an obstruction?
B) Is inflammation present?
C) Was it recurrent?
D) Was it bilateral or unilateral?

Question 16

A 51-year-old female patient is brought to the operating room for an extraoral incision and drainage of a sublingual abscess. Upon arriving at the Incision codes in the Digestive System subsection Tongue and Floor of the Mouth (41000-41019), which piece of information will begin the coder's selection of the appropriate procedure code?

A) intraoral or extraoral approach
B) abscess is in the sublingual region
C) patient is 51 years old
D) patient is female

Question 17

In an esophagectomy performed without thoracotomy, which two anatomical sites are anastomosed?

A) abdomen and jejunum
B) stomach and pharynx
C) thorax and larynx
D) uvula and esophagus

Question 18

The antrum is the ________ part of the stomach:

A) middle
B) upper
C) membranous
D) lower

Question 19

Select the part of the digestive system whose primary purpose is to break down food:

A) cecum
B) teeth
C) duodenum
D) ileum

Question 20

The subsection "Diseases of Oral Cavity, Salivary Glands, and Jaws" contains codes to describe all of the following conditions except:

A) hereditary disturbances in tooth structure
B) abnormalities of size and form of teeth
C) broken tooth due to trauma
D) ankylosis of teeth

Question 21

Which of the following is not considered to be part of the digestive system?

A) teeth
B) tonsil
C) tongue
D) salivary gland

Question 22

An X-ray exam of the pancreatic and biliary ducts is:

A) endoscopic retrograde cholangiopancreatography
B) hepatic venography, wedged or free, with hemodynamic evaluation
C) splenoportography
D) percutaneous transhepatic biliary drainage with contrast monitoring

Question 23

Codes under the subheading Salivary Gland and Ducts, Excision (42400-42450) are further subdivided by whether the procedure is:

A) simple, extensive, or radical
B) needle or incisional
C) wedge or excisional
D) open or closed

Question 24

Where does a peptic ulcer occur?

A) liver
B) esophagus
C) pyloric canal
D) duodenum

Question 25

Crohn's disease is also known as:

A) noninfectious gastroenteritis
B) vascular insufficiency of intestine
C) ulcerative colitis
D) regional enteritis

Question 26

When coding hernia repair, the coder must ask himself/herself several questions. All of the following are necessary questions regarding hernia repair except:

A) what is the patient's age?
B) was the hernia reducible versus incarcerated or strangulated?
C) what type of hernia was being treated?
D) was the hernia acute or chronic?

Question 27

Cheiloplasty is another medical term for:

A) Lip repair
B) Transverse wedge resection
C) V excision
D) Lip transplantation

Question 28

A ventral hernia is also referred to as a(n):

A) incisional hernia
B) hiatal hernia
C) umbilical hernia
D) inguinal hernia

Question 29

In the subsection "Diseases of Esophagus, Stomach, and Duodenum" ulcer of the esophagus is further divided based on:

A) occurrence in upper or lower section
B) with or without bleeding
C) reflux, acute, and eosinophilic
D) with or without stricture or stenosis

Question 30

The type of hernia that is similar to an inguinal hernia, but appears as a slightly lower bulge is:

A) femoral hernia
B) umbilical hernia
C) ventral hernia
D) diaphragmatic hernia

Question 31

In ICD-10-CM, several subsections within the subheading "Diseases of the Oral Cavity" require the use of:

A) an additional code to identify environmental and occupational exposure to tobacco smoke
B) an additional code to identify alcohol abuse and dependence
C) all of these
D) an additional code to identify history of tobacco smoke

Question 32

Which section of the small intestine is 8 feet in length?

A) duodenum
B) ascending colon
C) jejunum
D) sigmoid colon

Question 33

A condition in which stones form in the biliary duct and gallbladder is:

A) cirrhosis
B) choledocholithiasis
C) chronic hepatitis
D) hepatic failure

Question 34

4. The pancreas is considered to be a(n) _____________ of the digestive system.

A) structure
B) segment
C) accessory organ
D) primary organ

Question 35

The sliding of one part of the intestine into another is called:

A) dysphagia
B) portal hypertension
C) intussusception
D) esophageal varices

Question 36

What is exteriorixation?

A) suturing of the small intestine to the stomach wall
B) excision of the small intestine or colon
C) loop of the intestine is opened and sutured to the skin
D) insertion of a tube through the skin into the jejunum

Question 37

Knotting, strangulation, torsion, or twisting of the intestine, bowel, or colon is referred to as:

A) volvulus
B) paralytic ileus
C) intussusception
D) impaction of intestine

Question 38

The subtotal division of the pancreas involves the:

A) tail
B) body
C) distal
D) anterior

Question 39

Noninfectious Enteritis and Colitis is code range _________ in ICD-10-CM:

A) K00-K14
B) K20-K31
C) K50-K52
D) K40-K46

Question 40

How long is the duodenum?

A) 12-14 inches
B) 10-12 inches
C) 11 feet
D) 8 feet

Question 41

Ascites is:

A) inflammation of the lining of the abdominal cavity
B) abnormal accumulation of fluid in the peritoneal cavity
C) difficult swallowing
D) bulging, enlarged veins in the walls of the esophagus

Question 42

Procedures performed on the appendix organ are found in which code range?

A) 43020-43499
B) 41000-41599
C) 49000-49999
D) 44900-44979

Question 43

An x-ray examination of the pancreatic and bile ducts is a(n):

A) GERD
B) TERP
C) ERCP
D) ESRD

Question 44

In the ICD-10-CM manual, the Digestive System is Chapter:

A) nine
B) twelve
C) ten
D) eleven

Question 45

A mixture of food and digestive enzymes in the saliva is referred to as a:

A) bolus
B) sac
C) lithiasis
D) bile

Question 46

Another term for caput medusae is:

A) peritonitis
B) Crohn's disease
C) intussusception
D) portal hypertension

Question 47

Terms such as cryo, chemical, or thermal in the documentation indicate coding ____________ instead of excision of a lesion.

A) destruction
B) repair
C) biopsy
D) resection

Question 48

What is the last section of the small intestine?

A) ileum
B) jejunum
C) duodeum
D) ilium

Question 49

The large intestine is divided into four parts:

A) transverse, cecum, ascending, descending
B) sigmoid, cecum, ileum, jejunum
C) descending, ascending, transverse, sigmoid
D) ascending, transverse, ileum, jejunum

Question 50

Which modifier contains the description "Discontinued Procedure"?

A) 53
B) 52
C) 51
D) 59

Question 51

Select the correct list of decisions needed to accurately code for a repair of the mouth procedure:

A) laterality, stages, and primary/secondary
B) size, site, laterality
C) excision method (i.e. transverse wedge or V), primary/secondary, site
D) size, site, anterior/posterior, laterality, entire arch, complexity

Question 52

Which of the following is not a part of the stomach?

A) atrium
B) body
C) fundus
D) antrum

Question 53

The uvula:

A) forms the opening to the oral cavity
B) assists with breaking down food
C) is the roof of the mouth
D) triggers the gag reflex and assists in producing sounds and speech

Question 54

Chronic inflammation disease primarily of the bowel is:

A) dysphagia
B) intussusception
C) peritonitis
D) Crohn's disease

Question 55

Which of the following is not a primary function of the digestive system?

A) digestion of food
B) absorption of nutrients
C) elimination of waste products
D) conversion of food to energy

Question 56

Select the part of the digestive system in which peristaltic action occurs after food is chewed and swallowed:

A) large intestine
B) stomach
C) small intestine
D) esophagus

Question 57

Select the body part that is described as a muscular tube:

A) stomach
B) small intestine
C) mouth
D) esophagus

Question 58

A provider performs a surgical endoscopy beyond the second portion of the duodenum with placement of a percutaneous jejunostomy tube. While visualizing this placement, the surgeon notes unusual bleeding and performs bipolar cautery to control it. A biopsy is performed of a probable polyp and the surgeon completes the procedure.
Select the appropriate CPT code(s) listed below that describe this procedure:
44360 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) 44361 with biopsy, single or multiple
44363 with removal of foreign body
44364 with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
44365 with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
44366 with control of bleeding (e.g., injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
44372 with placement of percutaneous jejunostomy tube

A) 44372
B) 44360, 44361, 44372
C) 44372, 44366, 44361
D) 44372, 44366, 44631, 44360

Question 59

All of the following are subheadings of the Digestive Section of CPT except:

A) Biopsy
B) Transplantation
C) Incision
D) Laparoscopy

Question 60

An abdominocentesis is a(n):

A) x-ray exam of pancreatic and bile ducts
B) surgical treatment of the stomach or lower esophagus, used to decrease the size of the stomach
C) plastic repair reconstruction
D) surgical puncture of the abdomen

Question 61

Codes for biopsy and excision of the tongue and floor of the mouth are defined by anatomical site. Select the correct division of the tongue and floor of mouth:

A) anterior two-thirds of tongue, posterior one-third of tongue, floor of mouth
B) tongue, anterior half of floor of mouth, posterior half of floor of mouth
C) tongue, floor of mouth
D) anterior half of tongue, posterior half of tongue, anterior half of floor of mouth, posterior half of floor of mouth

Question 62

A coder sees the following statement in the documentation: "performed surgical removal of a gall stone through an incision into the gall bladder." Which procedure is this statement describing?

A) abdominocentesis
B) fundoplication
C) colonoscopy
D) cholelithotomy

Question 63

A procedure commonly performed to treat GERD and hiatal hernias is:

A) gastroplasty
B) cholelithotripsy
C) sigmoidoscopy
D) fundoplication

Question 64

An indirect inguinal hernia is one that:

A) is not visible on the outside of the body and protrudes up through the diaphragm
B) protrudes through a weak point in the lower abdominal wall
C) protrudes and has moved to the scrotum area
D) bulges in the abdomen at the site of an old surgical scar

Question 65

What is a vagotomy?

A) incision of the vagina
B) biopsy of the stomach
C) removal of a benign gastric tumor
D) transection of the vagus nerve

Question 66

Biopsy of the oropharynx, hypopharynx, and nasopharynx are included under:

A) Pharynx, Adenoids, and Tonsils: Other Procedures
B) Pharynx, Adenoids, and Tonsils: Repair
C) Pharynx, Adenoids, and Tonsils: Incision
D) Pharynx, Adenoids, and Tonsils: Excision, Destruction

Question 67

Portal hypertension contributes to the development of:

A) Crohn's disease
B) intussusception
C) peritonitis
D) esophageal varices

Question 68

The part of the oral cavity outside the dentoalveolar structures is the:

A) vestibule
B) gums
C) uvula
D) teeth

Question 69

The subheading "Dentoalveolar Structures, Incision" (41800-41806) includes codes for:

A) drainage of an abscess, cyst, or hematoma from dentoalveolar structures and removal of an embedded foreign body
B) excision of lesions or tumors, dentoalveolar structures other than gingival, pericoronal, or fibrous tissues
C) drainage of an abscess of the palate or uvula
D) excision of the gingival tissue, pericoronal tissue, and fibrous or osseous tuberosities

Question 70

There are three distinct components of physician work for a liver allotransplantation. They are:

A) treatment planning, preparing the donor, and preparing the recipient
B) time, surgical preparation, and performance of the live allotransplantation
C) preparing the cadaver or living donor, backbench work, and recipient liver allotransplantation
D) treatment planning, preparing the cadaver or living donor, and compatibility screening

Question 71

The Digestive subsection of ICD-10-CM is located in the code range:

A) K10-K90
B) K00-K95
C) K10-K80
D) K00-K60

Question 72

Another term for caput medusae is:

A) portal hypertension
B) Crohn's disease
C) peritonitis
D) intussusception

Question 73

How long is the duodenum?

A) 11 feet
B) 8 feet
C) 10-12 inches
D) 12-14 inches

Question 74

When coding hernia repair, the coder must ask himself/herself several questions. All of the following are necessary questions regarding hernia repair except:

A) what is the patient's age?
B) what type of hernia was being treated?
C) was the hernia reducible versus incarcerated or strangulated?
D) was the hernia acute or chronic?

Question 75

A coder sees the following statement in the documentation: "performed surgical removal of a gall stone through an incision into the gall bladder." Which procedure is this statement describing?

A) abdominocentesis
B) fundoplication
C) colonoscopy
D) cholelithotomy

Question 76

Which of the following is not a primary function of the digestive system?

A) absorption of nutrients
B) elimination of waste products
C) conversion of food to energy
D) digestion of food

Question 77

Select the part of the digestive system in which peristaltic action occurs after food is chewed and swallowed:

A) small intestine
B) esophagus
C) large intestine
D) stomach

Question 78

A condition in which stones form in the biliary duct and gallbladder is:

A) chronic hepatitis
B) hepatic failure
C) cirrhosis
D) choledocholithiasis

Question 79

An abdominocentesis is a(n):

A) surgical treatment of the stomach or lower esophagus, used to decrease the size of the stomach
B) plastic repair reconstruction
C) x-ray exam of pancreatic and bile ducts
D) surgical puncture of the abdomen

Question 80

The Digestive subsection of ICD-10-CM is located in the code range:

A) K10-K80
B) K10-K90
C) K00-K60
D) K00-K95