Deck 30: ICD-10-Pcs Medical and Surgical Section

Question 1

The following are body systems for the Medical/Surgical section except:

A) upper bones.
B) gastrointestinal system.
C) ear, nose, sinus.
D) circulatory.

Answer 1

D

Question 2

Which of these codes indicates a single or multiple qualifier was used?

A) 0CTW0Z0
B) 0CS00ZZ
C) 0CTX0Z2
D) 0CNQZZ

Answer 2

A

Question 3

The qualifier for a coronary artery bypass would be:

A) the destination site of the bypass.
B) Z.
C) the type of extraction.
D) the method of the procedure.

Answer 3

A

Question 4

What is the root operation for colonoscopy with polypectomy?

A) Removal
B) Inspection
C) Resection
D) Excision

Question 5

What is the root operation for the removal of gallstones?

A) Destruction
B) Extraction
C) Resection
D) Extirpation

Question 6

All of the following are types of devices that are described by the sixth character except:

A) fetal monitoring electrodes.
B) grafts.
C) any device that does not remain after the procedure.
D) prosthetics.

Question 7

What is the root operation for a partial nephrectomy?

A) Excision
B) Resection
C) Detachment
D) Removal

Question 8

An example of a code representing the use of an allogeneic graft is:

A) 0410090.
B) 04900ZX.
C) 04500ZZ.
D) 02YA0Z0.

Question 9

What two approaches are used when a CABG is done and greater saphenous vein grafts are harvested endoscopically from the left leg wherein the left internal mammary is anastomosed to one coronary artery and a vein is grafted to another artery? (These are two operations.)

A) Open; percutaneous
B) Open; percutaneous endoscopic
C) Via natural or artificial opening; open
D) External; open

Question 10

A patient had a left axillary sentinel node biopsied to confirm a diagnosis. What is the root operation?

A) Excision
B) Resection
C) Drainage
D) Destruction

Question 11

What is the root operation for revision of right hip replacement?

A) Replacement
B) Revision
C) Supplement
D) Reposition

Question 12

An endoscopic examination of the bladder would be indicated by the root operation:

A) insertion.
B) inspection.
C) cystoscopy.
D) laparoscopy.

Question 13

What is the root operation for implantation of a pacemaker?

A) Implantation
B) Supplement
C) Insertion
D) Replacement

Question 14

What is the root operation for total thyroidectomy?

A) Removal
B) Resection
C) Extirpation
D) Excision

Question 15

What is the section character for radiation therapy?

A) D
B) C
C) 3
D) 2

Question 16

Which code identifies a colonoscopy with biopsy of the descending colon that has a diagnostic qualifier?

A) 0D9G40Z
B) 0D9G4ZX
C) 0D9G8ZX
D) 0DBG8ZX

Question 17

What is the root operation for a VBAC delivery?

A) Extraction
B) Fragmentation
C) Release
D) Alteration

Question 18

A patient was admitted for a laparoscopic bilateral direct inguinal hernia repair with mesh. Which is the correct code?

A) 0YQA4ZZ
B) 0YJA4ZZ
C) 0YUA4JZ
D) 0YUA0KZ

Question 19

A patient had an acute gastric ulcer with perforation and hemorrhage. A laparotomy was done, and the gastric ulcer was sutured. What is the correct code?

A) 0DQ74ZZ
B) 0DQ60ZZ
C) 0DS60ZZ
D) 0DU60JZ

Question 20

Where may a coder locate information about the PCS device definitions compared with the ICD-10-PCS Value?

A) ICD-10-PCS Index
B) ICD-10-CM
C) ICD-10-PCS Appendix entitled Device Aggregation Table
D) ICD-10-PCS Appendix entitled Device Definitions

Question 21

The root operation of map applies to:

A) respiratory and endocrine systems.
B) cardiac and brain mapping.
C) EMG and EEG.
D) muscles and nerves.

Question 22

An example of the root operation for detachment is:

A) repair of a detached retina.
B) amputation.
C) repair of a herniated disc.
D) repair of a meniscus tear.

Question 23

The PCS description of an optic disc is:

A) retina, left.
B) lens.
C) sclera.
D) pupil.

Question 24

The percutaneous approach would include all except:

A) needle biopsy.
B) EGD.
C) insertion of a chest tube.
D) aspiration biopsy.

Question 25

All of these are approaches except:

A) open.
B) laparoscopic.
C) percutaneous.
D) external.

Question 26

Nonautologous tissue substitute is:

A) taken from the patient.
B) taken from an animal.
C) a nonhuman substance.
D) taken from another person.

Question 27

A qualifier is character 7 and in many cases, is:

A) a placeholder.
B) a body system.
C) X.
D) not used.

Question 28

The PCS description of a sweat gland is:

A) endocrine system.
B) skin.
C) endocrine glands.
D) hypothalamus.

Question 29

These devices are all simple or mechanical appliances except:

A) drainage devices.
B) drug-eluting intraluminal devices.
C) zooplastic tissue.
D) infusion devices.

Question 30

The external approach would be appropriate for:

A) inserting an arteriovenous fistula.
B) a closed fracture reduction.
C) placement of a tube in the cerebral ventricle.
D) percutaneous gastrostomy.

Question 31

A patient was taken to the OR to have a bowel resection of the sigmoid colon and a permanent colostomy. What is the correct code for the colostomy?

A) 0D1N3J4
B) 0D1N0Z4
C) 0D1M0Z4
D) 0D2DX0Z

Question 32

If the wrist is injured but wrist is not listed as an option, which term(s) could be used?

A) Lower arm
B) Hand
C) Lower extremity
D) Carpals

Question 33

When the physician's documentation states shoulder and the body part list does not include shoulder, what other term would be appropriate?

A) Lower arm
B) Torso
C) Upper extremity
D) Upper arm

Question 34

Body parts are identified in different ways. What is another way to refer to a finger?

A) Part of hand
B) Hand
C) Interphalangeal
D) Appendage

Question 35

Reattachment would apply to:

A) suturing a finger laceration.
B) a prosthetic leg.
C) an artificial external ear.
D) a completely severed toe.

Question 36

An example of fragmentation would be:

A) destruction.
B) lithotripsy.
C) creation.
D) detachment.

Question 37

Examples of the approach, via natural or artificial opening endoscopic, are listed except for:

A) using an otoscope.
B) tongue depressor.
C) direct laryngoscopy.
D) indirect laryngoscopy.

Question 38

What characters are not used in the Medical and Surgical section of the code book?

A) 0 and 1
B) I and O
C) Q and I
D) 1 and O

Question 39

The key term in the definition of the root operation of removal is:

A) device.
B) foreign body.
C) tooth.
D) tonsils.

Question 40

Examples of the root operation for release would include all except:

A) an impinged tendon.
B) a compressed nerve.
C) an occluded artery.
D) urethral stricture.

Question 41

The physician performed an ORIF of a comminuted fracture of the proximal end of the left ulnar. This is coded as:

A) 0QSG04Z.
B) 0PSL04Z.
C) 0PSLX4Z.
D) 0QSLX4Z.

Question 42

A patient suffered a severe head injury in an auto accident. He was rushed to the hospital and taken to surgery, where a craniotomy was done to remove a subdural hematoma from the brain. What is the correct code?

A) 00C40ZZ
B) 00900ZZ
C) 00F40ZZ
D) 00C03ZZ

Question 43

An example of the root operation of alteration is a(n):

A) amputation.
B) knee replacement.
C) gastric bypass.
D) facelift.

Question 44

Refer to the ICD-10-PCS Official Guidelines for Coding and Reporting, Medical and Surgical Section Guidelines (Section 0), subhead Multiple Procedures. Which paragraph discusses multiple procedures?

A) B3.1b
B) B3.2
C) B3.3
D) B3.4

Question 45

The definition of Humeral Head includes all except the:

A) greater tuberosity.
B) lesser tuberosity.
C) distal humerus.
D) neck of humerus.

Question 46

Refer to the ICD-10-PCS Official Guideline B3.3. What does this guideline discuss?

A) General guidelines
B) Multiple procedures
C) Discontinued procedures
D) Biopsy procedures

Question 47

Refer to the ICD-10-PCS Official Guidelines for Coding and Reporting, Medical and Surgical Section Guidelines (Section 0), subhead Fusion Procedures of the Spine. Which paragraphs discuss fusion of vertebral joints?

A) B3.10a
B) B3.10b
C) B3.10a, B3.10b, and B3.10c
D) B3.10c

Question 48

All of the following are in the Mouth and Throat section except:

A) upper gingiva.
B) uvula.
C) thyroid gland.
D) adenoids.

Question 49

The gastrointestinal system includes all except the:

A) cecum.
B) ileus.
C) stomach.
D) ilium.

Question 50

The main difference between character position 2 (body system) and character position 4 (body part) is:

A) body system is an area.
B) body part is specifically named.
C) body part is where the procedure was performed.
D) body system is not usually documented.

Question 51

In the Medical and Surgical section, the second character position is body system, which uses numbers 0-9 and letters B-Y. Which letters are not used in the body system section?

A) A, E, I, O
B) A, K, I, O
C) 1, 0, A, E
D) E, 1, K, 0

Question 52

A patient had a diagnostic bronchoscopy, right upper lobe, with brushings and washings. How would this be coded?

A) 08J08ZZ
B) 0B9C8ZX
C) 0BSF8ZZ
D) 0B9G8ZX