Deck 24: Coding for Surgical Procedures on Integumentary, Musculoskeletal, Respiratory, and Cardiovascular/Lymphatic Systems

Question 1

Gary sees Dr. G on Monday regarding his atrial fibrillation. Gary is a new patient, and Dr. G performs a medically appropriate history and examination, and moderate medical decision making. Dr. G decides to insert a permanent dual-chamber pacemaker. The pacemaker is inserted on Tuesday. Dr. G sees Gary in the hospital on Wednesday and discharges Gary on Thursday. Which of the following is the correct coding of Gary's visits and procedures for Monday through Thursday?

A) 99204, 33208, 99232, 99238
B) 99204-57, 33208
C) 99214, 33207, 99232, 99238
D) 99204, 33208

Answer 1

99204-57, 33208

Question 2

A female patient had breast cancer 3 years ago, underwent a radical mastectomy, and received radiation and chemotherapy. She has not had treatment in the last 20 months. How is the status of the cancer reported for the patient?

A) Z85.44
B) Z80.3
C) Z90.10
D) Z85.3

Answer 2

Z85.3

Question 3

Gavin presents to the hospital for an outpatient procedure for a diagnostic arthroscopy of the right knee. As the physician is performing the procedure, she identifies a medial meniscal tear and repairs it at that time. Choose the correct CPT and ICD-10-CM codes for this procedure:

A) 29870-RT, S83.289A
B) 29882-RT, S83.241A
C) 29871-RT, S83.231A
D) 29883-RT, S83.241A, S83.281A

Answer 3

29882-RT, S83.241A

Question 4

The patient underwent radical neck dissection with laryngectomy for carcinoma of the larynx and true vocal cords. Choose the correct codes:

A) 31365, C32.0
B) 31365, C32.8
C) 31360, C32.1
D) 31360, C32.8

Question 5

Michael, a 40-year-old male, presented for insertion of a permanent pacemaker by transvenous approach. A pocket was created for the insertion of the generator, and the electrodes were placed in the right atrium and ventricle. Michael is diagnosed with atrial fibrillation. Select the correct codes:

A) 33208, I48.91
B) 33217, I48.92
C) 33249, I48.91
D) 33240, I49.01

Question 6

Sarah, a 24-year-old female, was walking her dog this morning, and when she wasn't paying attention, she tripped and fell over the curb. The patient states that she fell to the ground using her right hand and arm to brace herself. She states that she heard a "crunch"; the resultant x-ray indicated a compound fracture to the ulna of her right arm. With the patient under general anesthesia, the area was opened and irrigated. The shaft of the ulna was fractured and had to be repaired using screws to hold it into place. The surrounding tissue was repaired, irrigated, and closed in a usual manner. Select the correct CPT code for the repair of the ulna:

A) 25560
B) 25575
C) 25520
D) 25545

Question 7

The patient presents for submucous resection of the middle turbinate, complete. Select the appropriate CPT code:

A) 30130
B) 30999
C) 30520
D) 30140

Question 8

Amy presents to the office for destruction of a malignant 2.3-cm lesion of the skin of the neck. Select the appropriate ICD-10-CM and CPT codes for today's encounter:

A) 17270, D49.2
B) 17280, D23.4
C) 17273, C44.40
D) 17283, C44.41

Question 9

A chronic or acute infection of the bone usually caused by bacteria or fungi is called:

A) Osteomalacia
B) Osteogenesis
C) Osteomyelitis
D) Osteoporosis

Question 10

Operative Report
Postoperative diagnosis:
1) Retained hardware, left foot.
2) Decreased range of motion, left ankle.
Procedure: The patient was placed under general anesthesia; her left lower extremity was prepped and draped in a sterile fashion. A time-out procedure was performed.
The patient then had a hardware removal performed on the transcutaneous K-wires, followed by examination of her ankle, which had approximately 5 to 10 degrees lacking of neutral. Gentle manipulation was performed, giving her dorsiflexion to 10 degrees. C- arm fluoroscopy was introduced to the field, taking confirmatory x-ray, and at this point the patient had a sterile dressing applied and was awakened from general anesthesia.
Select the appropriate CPT codes:

A) 20690-LT, 27860-LT, 76000-26
B) 20670-LT, 27860-LT, 76000-26
C) 20694-LT, 76000-26
D) 20680-LT, 27899-LT, 76000-26

Question 11

Which of the following great vessels carries deoxygenated blood from the right ventricle to the lungs?

A) Aorta
B) Vena cava
C) Pulmonary veins
D) Pulmonary arteries

Question 12

Timmy, a 5-year-old, was playing with his toys and decided to stick a bead from his sister's necklace up his nose. The bead was lodged in his nasal passage, and after several unsuccessful attempts by his mother and father to remove it, they took him to the emergency room. After triaging the patient, the physician utilized a surgical instrument to help remove the bead from Timmy's nasal passage. Code the physician services:

A) 30220, T17.998A
B) 30400, T17.998A
C) 30310, T17.1XXA
D) 30300, T17.1XXA

Question 13

A patient is diagnosed with deep vein thrombosis of a lower extremity. Which of the following veins could be involved?

A) Saphenous
B) Brachial
C) Cephalic
D) Popliteal

Question 14

Operation: Left transaxillary subpectoral mammoplasty with saline-filled implant.
Preoperative diagnosis: Left hypomastia.
Postoperative diagnosis: Left hypomastia.
Anesthesia: General.
Procedure: After first obtaining a suitable level of general anesthesia with the patient in the supine position, the breasts were prepped with Betadine scrub and solution. Sterile towels, sheets, and drapes were placed in the usual fashion for surgery of the breasts. Following prepping and draping, the anterior axillary folds and the inframammary folds were infiltrated with a total of 20 cc of 0.5 percent Xylocaine with 1:200,000 units of epinephrine.
After a suitable hemostatic waiting period, transaxillary incisions were made, and dissection was carried down to the edge of the pectoralis fascia. Blunt dissection was then used to form a bilateral subpectoral pocket. Through the subpectoral pocket a sterile suction tip was introduced, and copious irrigation with sterile saline solution was used until the irrigant was clear.
Following completion of irrigation, 250-cc saline-filled implants were introduced. They were first filled with 60 cc of saline and checked for gross leakage; none was evident. They were overfilled to 300 cc of saline each. The patient was then placed in the seated position, and the left breast needed 10 cc of additional fluid for symmetry.
Following completion of the filling of the implants and checking the breasts for symmetry, the patient's wounds were closed with interrupted vertical mattress sutures of 4-0 Prolene. Flexan dressings were applied, followed by the patient's bra. She seemed to tolerate the procedure well.
Choose the appropriate CPT and ICD-10-CM codes:

A) 19324-LT, N64.82
B) 19316-LT, N64.82
C) 19328-LT, N64.82
D) 19325-LT, N64.82

Question 15

Which of the following is the area of the sinus that is located at the top of the nasal cavities between the eyes?

A) Frontal
B) Sphenoid
C) Maxillary
D) Ethmoid

Question 16

If the starting point is catheterization of the aorta, to which of the following order branches in the vascular family reporting would the left internal carotid artery belong?

A) Additional third
B) First
C) Second
D) Third

Question 17

A 35-year-old female patient receives biopsies of both breasts. The biopsies are done using fine-needle aspiration without imaging guidance. What is the correct CPT code to use for this procedure?

A) 76942-50
B) 19181-50
C) 19083-50
D) 10021-50

Question 18

Amara presents to the office today as an established patient to have irritated skin tags removed from her neck and shoulders. Dr. Rose prepped her for the procedure and removed 20 skin tags using liquid nitrogen. Select the appropriate CPT code(s) for Amara's visit today:

A) 11200, 11201
B) 11200, 99212
C) 11200 × 15, 11201 × 5 -50
D) 11055

Question 19

Jeremy presents to the clinic today for severe wrist pain. After Dr. Wilkins examines it, she diagnoses him with a ganglion cyst of the right wrist. Dr. Wilkins decides to give Jeremy a cortisone injection as a treatment plan. Code the correct CPT and ICD-10-CM:

A) 20605-RT, M67.432
B) 20612-RT. M67.431
C) 20551-RT × 2, M67.431
D) 20550-RT × 2, M67.439

Question 20

The patient presents for a direct repair of an aneurysm and graft insertion without a patch graft for an aneurysm of the common iliac artery. Select the appropriate CPT code:

A) 35121
B) 35131
C) 35122
D) 35103

Question 21

A 15-year-old patient has a surgical nasal endoscopy with biopsy of a nasal polyp. What is the correct CPT code for this procedure?

A) 31235
B) 31237
C) 31233
D) 31267

Question 22

The form of skin cancer that rarely metastasizes is known as:

A) Malignant melanoma
B) Basal cell carcinoma
C) Cellulitis
D) Squamous cell carcinoma

Question 23

The patient underwent radical neck dissection with laryngectomy for carcinoma of the larynx and true vocal cords. Choose the correct codes:

A) 31365, C32.0
B) 31360, C32.8
C) 31360, C32.1
D) 31365, C32.8

Question 24

Which of the following great vessels carries deoxygenated blood from the right ventricle to the lungs?

A) Pulmonary arteries
B) Pulmonary veins
C) Vena cava
D) Aorta

Question 25

Timmy, a 5-year-old, was playing with his toys and decided to stick a bead from his sister's necklace up his nose. The bead was lodged in his nasal passage, and after several unsuccessful attempts by his mother and father to remove it, they took him to the emergency room. After triaging the patient, the physician utilized a surgical instrument to help remove the bead from Timmy's nasal passage. Code the physician services:

A) 30310, T17.1XXA
B) 30220, T17.998A
C) 30300, T17.1XXA
D) 30400, T17.998A

Question 26

Jeremy presents to the clinic today for severe wrist pain. After Dr. Wilkins examines it, she diagnoses him with a ganglion cyst of the right wrist. Dr. Wilkins decides to give Jeremy a cortisone injection as a treatment plan. Code the correct CPT and ICD-10-CM:

A) 20605-RT, M67.432
B) 20551-RT × 2, M67.431
C) 20550-RT × 2, M67.439
D) 20612-RT. M67.431

Question 27

The patient presents to the ED with severe shortness of breath. After testing, the ED physician diagnoses the patient as having ARDS. Select the appropriate ICD-10-CM code:

A) J80
B) J96.00
C) J84.114
D) J96.00.

Question 28

The form of skin cancer that rarely metastasizes is known as:

A) Cellulitis
B) Basal cell carcinoma
C) Malignant melanoma
D) Squamous cell carcinoma

Question 29

A 15-year-old patient has a surgical nasal endoscopy with biopsy of a nasal polyp. What is the correct CPT code for this procedure?

A) 31237
B) 31233
C) 31235
D) 31267

Question 30

Amara presents to the office today as an established patient to have irritated skin tags removed from her neck and shoulders. Dr. Rose prepped her for the procedure and removed 20 skin tags using liquid nitrogen. Select the appropriate CPT code(s) for Amara's visit today:

A) 11200, 11201
B) 11055
C) 11200, 99212
D) 11200 × 15, 11201 × 5 -50

Question 31

Sarah, a 24-year-old female, was walking her dog this morning, and when she wasn't paying attention, she tripped and fell over the curb. The patient states that she fell to the ground using her right hand and arm to brace herself. She states that she heard a "crunch"; the resultant x-ray indicated a compound fracture to the ulna of her right arm. With the patient under general anesthesia, the area was opened and irrigated. The shaft of the ulna was fractured and had to be repaired using screws to hold it into place. The surrounding tissue was repaired, irrigated, and closed in a usual manner. Select the correct CPT code for the repair of the ulna:

A) 25560
B) 25545
C) 25575
D) 25520

Question 32

A 35-year-old female patient receives biopsies of both breasts. The biopsies are done using fine-needle aspiration without imaging guidance. What is the correct CPT code to use for this procedure?

A) 10021-50
B) 19181-50
C) 76942-50
D) 19083-50

Question 33

A patient is diagnosed with deep vein thrombosis of a lower extremity. Which of the following veins could be involved?

A) Saphenous
B) Cephalic
C) Brachial
D) Popliteal

Question 34

The physician performed thoracentesis with tube insertion to treat pleural effusion caused by small cell cancer of the middle lobe of the right lung. Select the appropriate CPT and ICD codes:

A) 32555, J91.0
B) 32557, C34.2, J91.0
C) 32556, J91.0, C34.2
D) 32554, J91.8

Question 35

Which of the following is the area of the sinus that is located at the top of the nasal cavities between the eyes?

A) Ethmoid
B) Maxillary
C) Sphenoid
D) Frontal

Question 36

Gavin presents to the hospital for an outpatient procedure for a diagnostic arthroscopy of the right knee. As the physician is performing the procedure, she identifies a medial meniscal tear and repairs it at that time. Choose the correct CPT and ICD-10-CM codes for this procedure:

A) 29871-RT, S83.231A
B) 29870-RT, S83.289A
C) 29883-RT, S83.241A, S83.281A
D) 29882-RT, S83.241A

Question 37

Michael, a 40-year-old male, presented for insertion of a permanent pacemaker by transvenous approach. A pocket was created for the insertion of the generator, and the electrodes were placed in the right atrium and ventricle. Michael is diagnosed with atrial fibrillation. Select the correct codes:

A) 33240, I49.01
B) 33249, I48.91
C) 33217, I48.92
D) 33208, I48.91

Question 38

Boris presents to the clinic today for completion of a series of injections into his shoulder for shoulder pain. The physician gives the patient an injection into the left shoulder. Choose the correct CPT and ICD-10-CM codes:

A) 20600-LT, M19.90
B) 20610-LT, M25.519
C) 20600-LT, M19.90.
D) 20610-LT, M25.512

Question 39

Gary sees Dr. G on Monday regarding his atrial fibrillation. Gary is a new patient, and Dr. G performs a medically appropriate history and examination, and moderate medical decision making. Dr. G decides to insert a permanent dual-chamber pacemaker. The pacemaker is inserted on Tuesday. Dr. G sees Gary in the hospital on Wednesday and discharges Gary on Thursday. Which of the following is the correct coding of Gary's visits and procedures for Monday through Thursday?

A) 99204, 33208
B) 99214, 33207, 99232, 99238
C) 99204, 33208, 99232, 99238
D) 99204-57, 33208

Question 40

A female patient had breast cancer 3 years ago, underwent a radical mastectomy, and received radiation and chemotherapy. She has not had treatment in the last 20 months. How is the status of the cancer reported for the patient?

A) Z85.44
B) Z80.3
C) Z85.3
D) Z90.10

Question 41

A chronic or acute infection of the bone usually caused by bacteria or fungi is called:

A) Osteomalacia
B) Osteomyelitis
C) Osteoporosis
D) Osteogenesis

Question 42

Operation: Left transaxillary subpectoral mammoplasty with saline-filled implant.
Preoperative diagnosis: Left hypomastia.
Postoperative diagnosis: Left hypomastia.
Anesthesia: General.
Procedure: After first obtaining a suitable level of general anesthesia with the patient in the supine position, the breasts were prepped with Betadine scrub and solution. Sterile towels, sheets, and drapes were placed in the usual fashion for surgery of the breasts. Following prepping and draping, the anterior axillary folds and the inframammary folds were infiltrated with a total of 20 cc of 0.5 percent Xylocaine with 1:200,000 units of epinephrine.
After a suitable hemostatic waiting period, transaxillary incisions were made, and dissection was carried down to the edge of the pectoralis fascia. Blunt dissection was then used to form a bilateral subpectoral pocket. Through the subpectoral pocket a sterile suction tip was introduced, and copious irrigation with sterile saline solution was used until the irrigant was clear.
Following completion of irrigation, 250-cc saline-filled implants were introduced. They were first filled with 60 cc of saline and checked for gross leakage; none was evident. They were overfilled to 300 cc of saline each. The patient was then placed in the seated position, and the left breast needed 10 cc of additional fluid for symmetry.
Following completion of the filling of the implants and checking the breasts for symmetry, the patient's wounds were closed with interrupted vertical mattress sutures of 4-0 Prolene. Flexan dressings were applied, followed by the patient's bra. She seemed to tolerate the procedure well.
Choose the appropriate CPT and ICD-10-CM codes:

A) 19316-LT, N64.82
B) 19328-LT, N64.82
C) 19324-LT, N64.82
D) 19325-LT, N64.82

Question 43

The patient presents for submucous resection of the middle turbinate, complete. Select the appropriate CPT code:

A) 30140
B) 30520
C) 30999
D) 30130

Question 44

Amy presents to the office for destruction of a malignant 2.3-cm lesion of the skin of the neck. Select the appropriate ICD-10-CM and CPT codes for today's encounter:

A) 17283, C44.41
B) 17280, D23.4
C) 17270, D49.2
D) 17273, C44.40

Question 45

Operative Report
Postoperative diagnosis:
1) Retained hardware, left foot.
2) Decreased range of motion, left ankle.
Procedure: The patient was placed under general anesthesia; her left lower extremity was prepped and draped in a sterile fashion. A time-out procedure was performed.
The patient then had a hardware removal performed on the transcutaneous K-wires, followed by examination of her ankle, which had approximately 5 to 10 degrees lacking of neutral. Gentle manipulation was performed, giving her dorsiflexion to 10 degrees. C- arm fluoroscopy was introduced to the field, taking confirmatory x-ray, and at this point the patient had a sterile dressing applied and was awakened from general anesthesia.
Select the appropriate CPT codes:

A) 20680-LT, 27899-LT, 76000-26
B) 20690-LT, 27860-LT, 76000-26
C) 20694-LT, 76000-26
D) 20670-LT, 27860-LT, 76000-26

Question 46

Timmy, a 5-year-old, was playing with his toys and decided to stick a bead from his sister's necklace up his nose. The bead was lodged in his nasal passage, and after several unsuccessful attempts by his mother and father to remove it, they took him to the emergency room. After triaging the patient, the physician utilized a surgical instrument to help remove the bead from Timmy's nasal passage. Code the physician services:

A) 30310, T17.1XXA
B) 30300, T17.1XXA
C) 30400, T17.998A
D) 30220, T17.998A

Question 47

Operation: Left transaxillary subpectoral mammoplasty with saline-filled implant.
Preoperative diagnosis: Left hypomastia.
Postoperative diagnosis: Left hypomastia.
Anesthesia: General.
Procedure: After first obtaining a suitable level of general anesthesia with the patient in the supine position, the breasts were prepped with Betadine scrub and solution. Sterile towels, sheets, and drapes were placed in the usual fashion for surgery of the breasts. Following prepping and draping, the anterior axillary folds and the inframammary folds were infiltrated with a total of 20 cc of 0.5 percent Xylocaine with 1:200,000 units of epinephrine.
After a suitable hemostatic waiting period, transaxillary incisions were made, and dissection was carried down to the edge of the pectoralis fascia. Blunt dissection was then used to form a bilateral subpectoral pocket. Through the subpectoral pocket a sterile suction tip was introduced, and copious irrigation with sterile saline solution was used until the irrigant was clear.
Following completion of irrigation, 250-cc saline-filled implants were introduced. They were first filled with 60 cc of saline and checked for gross leakage; none was evident. They were overfilled to 300 cc of saline each. The patient was then placed in the seated position, and the left breast needed 10 cc of additional fluid for symmetry.
Following completion of the filling of the implants and checking the breasts for symmetry, the patient's wounds were closed with interrupted vertical mattress sutures of 4-0 Prolene. Flexan dressings were applied, followed by the patient's bra. She seemed to tolerate the procedure well.
Choose the appropriate CPT and ICD-10-CM codes:

A) 19328-LT, N64.82
B) 19316-LT, N64.82
C) 19325-LT, N64.82
D) 19324-LT, N64.82

Question 48

Gary sees Dr. G on Monday regarding his atrial fibrillation. Gary is a new patient, and Dr. G performs a comprehensive history, an exam, and moderate medical decision making. Dr. G decides to insert a permanent dual-chamber pacemaker. The pacemaker is inserted on Tuesday. Dr. G sees Gary in the hospital on Wednesday and discharges Gary on Thursday. Which of the following is the correct coding of Gary's visits and procedures for Monday through Thursday?

A) 99214, 33207, 99232, 99238
B) 99204, 33208, 99232, 99238
C) 99204, 33208
D) 99204-57, 33208

Question 49

Sarah, a 24-year-old female, was walking her dog this morning, and when she wasn't paying attention, she tripped and fell over the curb. The patient states that she fell to the ground using her right hand and arm to brace herself. She states that she heard a "crunch"; the resultant x-ray indicated a compound fracture to the ulna of her right arm. With the patient under general anesthesia, the area was opened and irrigated. The shaft of the ulna was fractured and had to be repaired using screws to hold it into place. The surrounding tissue was repaired, irrigated, and closed in a usual manner. Select the correct CPT code for the repair of the ulna:

A) 25560
B) 25575
C) 25545
D) 25520

Question 50

The form of skin cancer that rarely metastasizes is known as:

A) Squamous cell carcinoma
B) Cellulitis
C) Malignant melanoma
D) Basal cell carcinoma

Question 51

Which of the following is the area of the sinus that is located at the top of the nasal cavities between the eyes?

A) Sphenoid
B) Ethmoid
C) Maxillary
D) Frontal

Question 52

Operative Report
Postoperative diagnosis:
1) Retained hardware, left foot.
2) Decreased range of motion, left ankle.
Procedure: The patient was placed under general anesthesia; her left lower extremity was prepped and draped in a sterile fashion. A time-out procedure was performed.
The patient then had a hardware removal performed on the transcutaneous K-wires, followed by examination of her ankle, which had approximately 5 to 10 degrees lacking of neutral. Gentle manipulation was performed, giving her dorsiflexion to 10 degrees. C- arm fluoroscopy was introduced to the field, taking confirmatory x-ray, and at this point the patient had a sterile dressing applied and was awakened from general anesthesia.
Select the appropriate CPT codes:

A) 20690-LT, 27860-LT, 76000-26
B) 20680-LT, 27899-LT, 76000-26
C) 20670-LT, 27860-LT, 76000-26
D) 20694-LT, 76000-26

Question 53

If the starting point is catheterization of the aorta, to which of the following order branches in the vascular family reporting would the left internal carotid artery belong?

A) First
B) Third
C) Additional third
D) Second

Question 54

The physician performed thoracentesis with tube insertion to treat pleural effusion caused by small cell cancer of the middle lobe of the right lung. Select the appropriate CPT and ICD codes:

A) 32557, C34.2, J91.0
B) 32554, J91.8
C) 32556, J91.0, C34.2
D) 32555, J91.0

Question 55

Gavin presents to the hospital for an outpatient procedure for a diagnostic arthroscopy of the right knee. As the physician is performing the procedure, she identifies a medial meniscal tear and repairs it at that time. Choose the correct CPT and ICD-10-CM codes for this procedure:

A) 29882-RT, S83.241A
B) 29883-RT, S83.241A, S83.281A
C) 29870-RT, S83.289A
D) 29871-RT, S83.231A

Question 56

Amara presents to the office today as an established patient to have irritated skin tags removed from her neck and shoulders. Dr. Rose prepped her for the procedure and removed 20 skin tags using liquid nitrogen. Select the appropriate CPT code(s) for Amara's visit today:

A) 11200, 11201
B) 11055
C) 11200, 99212
D) 11200 × 15, 11201 × 5 -50

Question 57

A chronic or acute infection of the bone usually caused by bacteria or fungi is called:

A) Osteoporosis
B) Osteomyelitis
C) Osteogenesis
D) Osteomalacia

Question 58

The patient underwent radical neck dissection with laryngectomy for carcinoma of the larynx and true vocal cords. Choose the correct codes:

A) 31365, C32.0
B) 31360, C32.8
C) 31365, C32.8
D) 31360, C32.1

Question 59

Amy presents to the office for destruction of a malignant 2.3-cm lesion of the skin of the neck. Select the appropriate ICD-10-CM and CPT codes for today's encounter:

A) 17273, C44.40
B) 17280, D23.4
C) 17283, C44.41
D) 17270, D49.2

Question 60

A 15-year-old patient has a surgical nasal endoscopy with biopsy of a nasal polyp. What is the correct CPT code for this procedure?

A) 31235
B) 31237
C) 31267
D) 31233

Question 61

Michael, a 40-year-old male, presented for insertion of a permanent pacemaker by transvenous approach. A pocket was created for the insertion of the generator, and the electrodes were placed in the right atrium and ventricle. Michael is diagnosed with atrial fibrillation. Select the correct codes:

A) 33217, I48.92
B) 33208, I48.91
C) 33249, I48.91
D) 33240, I49.01

Question 62

The patient presents to the ED with severe shortness of breath. After testing, the ED physician diagnoses the patient as having ARDS. Select the appropriate ICD-10-CM code:

A) J84.114
B) J80
C) J96.00.
D) J96.00

Question 63

Which of the following great vessels carries deoxygenated blood from the right ventricle to the lungs?

A) Aorta
B) Vena cava
C) Pulmonary veins
D) Pulmonary arteries

Question 64

A female patient had breast cancer 3 years ago, underwent a radical mastectomy, and received radiation and chemotherapy. She has not had treatment in the last 20 months. How is the status of the cancer reported for the patient?

A) Z80.3
B) Z85.3
C) Z85.44
D) Z90.10

Question 65

A 35-year-old female patient receives biopsies of both breasts. The biopsies are done using fine-needle aspiration without imaging guidance. What is the correct CPT code to use for this procedure?

A) 19181-50
B) 19083-50
C) 76942-50
D) 10021-50

Question 66

A patient is diagnosed with deep vein thrombosis of a lower extremity. Which of the following veins could be involved?

A) Brachial
B) Popliteal
C) Cephalic
D) Saphenous

Question 67

Jeremy presents to the clinic today for severe wrist pain. After Dr. Wilkins examines it, she diagnoses him with a ganglion cyst of the right wrist. Dr. Wilkins decides to give Jeremy a cortisone injection as a treatment plan. Code the correct CPT and ICD-10-CM:

A) 20551-RT × 2, M67.431
B) 20605-RT, M67.432
C) 20612-RT. M67.431
D) 20550-RT × 2, M67.439

Question 68

The patient presents for a direct repair of an aneurysm and graft insertion without a patch graft for an aneurysm of the common iliac artery. Select the appropriate CPT code:

A) 35122
B) 35121
C) 35103
D) 35131

Question 69

The patient presents for submucous resection of the middle turbinate, complete. Select the appropriate CPT code:

A) 30140
B) 30520
C) 30130
D) 30999

Question 70

The form of skin cancer that rarely metastasizes is known as:

A) Cellulitis
B) Basal cell carcinoma
C) Malignant melanoma
D) Squamous cell carcinoma

Question 71

Which of the following is the area of the sinus that is located at the top of the nasal cavities between the eyes?

A) Sphenoid
B) Ethmoid
C) Frontal
D) Maxillary

Question 72

Operative Report
Postoperative diagnosis:
1) Retained hardware, left foot.
2) Decreased range of motion, left ankle.
Procedure: The patient was placed under general anesthesia; her left lower extremity was prepped and draped in a sterile fashion. A time-out procedure was performed.
The patient then had a hardware removal performed on the transcutaneous K-wires, followed by examination of her ankle, which had approximately 5 to 10 degrees lacking of neutral. Gentle manipulation was performed, giving her dorsiflexion to 10 degrees. C- arm fluoroscopy was introduced to the field, taking confirmatory x-ray, and at this point the patient had a sterile dressing applied and was awakened from general anesthesia.
Select the appropriate CPT codes:

A) 20670-LT, 27860-LT, 76000-26
B) 20680-LT, 27899-LT, 76000-26
C) 20690-LT, 27860-LT, 76000-26
D) 20694-LT, 76000-26

Question 73

The patient presents for a direct repair of an aneurysm and graft insertion without a patch graft for an aneurysm of the common iliac artery. Select the appropriate CPT code:

A) 35121
B) 35122
C) 35131
D) 35103

Question 74

A patient is diagnosed with deep vein thrombosis of a lower extremity. Which of the following veins could be involved?

A) Saphenous
B) Brachial
C) Cephalic
D) Popliteal

Question 75

Which of the following great vessels carries deoxygenated blood from the right ventricle to the lungs?

A) Vena cava
B) Pulmonary arteries
C) Pulmonary veins
D) Aorta

Question 76

Boris presents to the clinic today for completion of a series of injections into his shoulder for shoulder pain. The physician gives the patient an injection into the left shoulder. Choose the correct CPT and ICD-10-CM codes:

A) 20600-LT, M19.90
B) 20600-LT, M19.90.
C) 20610-LT, M25.512
D) 20610-LT, M25.519

Question 77

Sarah, a 24-year-old female, was walking her dog this morning, and when she wasn't paying attention, she tripped and fell over the curb. The patient states that she fell to the ground using her right hand and arm to brace herself. She states that she heard a "crunch"; the resultant x-ray indicated a compound fracture to the ulna of her right arm. With the patient under general anesthesia, the area was opened and irrigated. The shaft of the ulna was fractured and had to be repaired using screws to hold it into place. The surrounding tissue was repaired, irrigated, and closed in a usual manner. Select the correct CPT code for the repair of the ulna:

A) 25575
B) 25545
C) 25560
D) 25520

Question 78

A chronic or acute infection of the bone usually caused by bacteria or fungi is called:

A) Osteogenesis
B) Osteomalacia
C) Osteoporosis
D) Osteomyelitis

Question 79

Operation: Left transaxillary subpectoral mammoplasty with saline-filled implant.
Preoperative diagnosis: Left hypomastia.
Postoperative diagnosis: Left hypomastia.
Anesthesia: General.
Procedure: After first obtaining a suitable level of general anesthesia with the patient in the supine position, the breasts were prepped with Betadine scrub and solution. Sterile towels, sheets, and drapes were placed in the usual fashion for surgery of the breasts. Following prepping and draping, the anterior axillary folds and the inframammary folds were infiltrated with a total of 20 cc of 0.5 percent Xylocaine with 1:200,000 units of epinephrine.
After a suitable hemostatic waiting period, transaxillary incisions were made, and dissection was carried down to the edge of the pectoralis fascia. Blunt dissection was then used to form a bilateral subpectoral pocket. Through the subpectoral pocket a sterile suction tip was introduced, and copious irrigation with sterile saline solution was used until the irrigant was clear.
Following completion of irrigation, 250-cc saline-filled implants were introduced. They were first filled with 60 cc of saline and checked for gross leakage; none was evident. They were overfilled to 300 cc of saline each. The patient was then placed in the seated position, and the left breast needed 10 cc of additional fluid for symmetry.
Following completion of the filling of the implants and checking the breasts for symmetry, the patient's wounds were closed with interrupted vertical mattress sutures of 4-0 Prolene. Flexan dressings were applied, followed by the patient's bra. She seemed to tolerate the procedure well.
Choose the appropriate CPT and ICD-10-CM codes:

A) 19324-LT, N64.82
B) 19325-LT, N64.82
C) 19316-LT, N64.82
D) 19328-LT, N64.82

Question 80

A female patient had breast cancer 3 years ago, underwent a radical mastectomy, and received radiation and chemotherapy. She has not had treatment in the last 20 months. How is the status of the cancer reported for the patient?

A) Z90.10
B) Z85.3
C) Z80.3
D) Z85.44