FREE Certified Professional Coder Basic Questions and Answers
A patient with COPD is admitted to the hospital for treatment of bacterial pneumonia. The patient has chronic obstructive pulmonary disease (COPD).
Which ICD-10 codes ought to be applied?
ICD-10 code J44.0 denotes acute lower respiratory infection along with chronic obstructive pulmonary disease. We can therefore rule out the options J44.9, J18.9, and J44.10, J15.9. Unspecified bacterial pneumonia is represented by the ICD-10 code J15.9. We must first identify the etiology code in order to determine which ICD-10 code to use first. In this instance, bacterial pneumonia is the manifestation and COPD is the cause.
Where can you find the tunica vaginalis, a rope-like structure?
Medical terminology and human anatomy are included in the CPT codebook and can help you arrive at the right conclusion. Before each section, there are pictures and information about the section's background. Learn each section of your CPT codebook to help you answer questions about human anatomy.
Hemiplegia is caused by this anatomical system defect.
To help you find the right answer, you should start by separating the disorder into its prefix and suffix, Hemi- and -plegia. Medical prefixes, suffixes, and roots can be found in the introductory chapters of the CPT codebook. If you look up the meaning of the word 'plegia,' you'll see that it means 'paralysis. The paralyzed person's nerve system is affected. The right choice is option (A).
The Excludes 1 note: what does it mean?
Both Excludes 1 and Excludes 2 are defined in Section 1 of "Conventions, general coding guidelines and chapter specific rules" at the end of the ICD-10 codebook. A note with an Excludes 1 is a strict excludes note. It says, "NOT CODED HERE"! A code with an Excludes 1 note above it should never be used with the code that has the Excludes 1 note. The condition excluded is not a part of the condition represented by the code, as shown by the Excludes 2 notation, which stands for "Not included here.
The patient arrives at the clinic and complains of having a sore throat. It has an intensely red throat. Both sinus drainage and fever are absent. In order to rule out strep throat, the doctor requests a throat swab. The test's findings are unfavorable.
What ICD-10 code is accurate?
The patient in this instance sought treatment for a sore throat. The test produced negative results. Acute pharyngitis is represented by ICD-10 code J02.9. Throat pain is represented by ICD-10 code R07.0. Streptococcal pharyngitis is denoted by ICD-10 code J02.0. Unspecified streptococcus is represented by ICD-10 code B95.5.
An endoscope is inserted through the vocal cords, oropharynx, and beyond the trachea into the bronchus during a _________ procedure. This procedure can be carried out for either therapeutic or diagnostic purposes.
You should start by dividing the procedure into its prefix and suffix to help you find the right response. In your CPT codebook, make sure to study medical jargon and human anatomy. There are diagrams and descriptions of the sections' history before each section. To help you with questions about human anatomy, become familiar with every section of your CPT codebook. The endoscope was inserted into the bronchus, according to the case.
His doctor gave a 66-year-old man a viral test for Covid-19. The viral test resulted in a positive result. His physician also sent him for a chest x-ray, where he tested positive for pneumonia at the Rapid Urinalysis Laboratory (RUL).
Which code from ICD-10 should be used?
Personal history of COVID-19 is recorded under the ICD-10 code Z86.16. COVID-19 is represented by the ICD-10 code U07.1. Acute respiratory failure associated with hypoxia is represented by the code J96.01. The pneumonia code is J12.82. Pneumonia, unidentified organism is represented by J18.9. Only a verified diagnosis is used for coding purposes. Both COVID-19 and pneumonia were detected in the patient's system. The right calculation is J12.82.
What direction word relates to the side of the body, based on the anatomic position?
The prefixes, suffixes, and roots of medical terminology are included in the first sections of the CPT codebook. Look for the "Directions and Positions" section. Look up the word "lateral" and what it means. The right response is C.
What does the ending -centesis mean?
The CPT codebook's introductory parts list the prefixes, suffixes, and roots used in medical language. Look for the word "sentesis" in the section called "Surgical Procedures." A is the right answer.
A female patient, age 23, is now being evaluated by her doctor for anemia. She's had her appendix out for a week now. Her pre-op hemoglobin level was 13.4 g/dL. The doctor performed an appendectomy yesterday, and today's test results showed that she lost a significant amount of blood. Before the operation, she had no previous symptoms of anemia.
The patient has anemia; what is the accurate diagnosis?
Blood loss-related iron deficiency anemia is classified as ICD-10 code D50.0 (chronic). Anemia, undefined is represented by ICD-10 code D64.9. The acute posthemorrhagic anemia ICD-10 code is D62. The Other specified anemias ICD-10 code is D64.89. Looking up the meaning of each ICD-10 code in your codebook is the quickest approach to zero in on the right solution. The patient experienced acute posthemorrhagic anemia due to excessive blood loss following her appendectomy, as described in the case. D62 is the right answer.
Which HCPCS Level II code is right for the Speech Language Pathology MIPS specialty set?
The process of elimination will help us get to the right solution. The Physical Therapist and Occupational Therapist MIPS Specialty Set is represented by the G4026 HCPCS Level II Code. We can rule out option A. The Preventive Medicine MIPS specialty set is represented by the HCPCS Level II Code G4029. The Speech-Language Pathology MIPS Specialty Set (G4034) is an HCPCS Level II Code. The Mental and Behavioral Health MIPS specialty set is represented by the G4013 HCPCS Level II code. D is the best option here.
The anesthesiologist in the practice administered anesthesia to a dental patient before her procedure. Although this procedure is typically carried out without anesthesia, the patient's extreme anxiety required the administration of anesthesia.
Which modifier would be appropriate for the procedure?
The CPT code book, Appendix A, list all modifiers to report or indicate the procedure has been modified by a specific circumstance. The best way to solve this case is to review the definitions for each modifier listed. The best option in this case if -23, as this procedure is usually performed with anesthesia and the physician decided to use anesthesia for the patient’s anxiety.
Modifier 22 – Unusual Procedural Services
Modifier 23 – Unusual Anesthesia
Modifier 26 – Professional Component
Modifier 47 – Anesthesia by Surgeon
To identify possible issues, what document should providers review annually?
Focusing largely on fraud, waste, and abuse, health care sector compliance, and the exclusion of individuals or companies breaching the law, the OIG prepares and prioritizes its Work Plan by identifying areas that may represent a major risk. To guarantee it is fostering efficiency and minimizing fraud, waste, and abuse of federal government programs, the OIG has considerable investigative jurisdiction.
Should the location of the line's beginning (the insertion) or its end (the ________) be coded when a catheter is placed in the right middle artery?
You should make sure to become familiar with the CPT codebook's layout in order to help you find the right solution. The insertion of a catheter is covered in this case. Finding the right response will be made easier with the help of the section on "Vascular Injection Procedures." The introduction specifies that all lesser-order selective catheterizations used in the approach, as well as the introduction, should be coded with the catheter.
Other names for the tympanic membrane include:
Study the introductory paragraphs of each procedure section in the CPT codebook to help you arrive at the right response. You can find a diagram of the ear's anatomy at the start of the section titled "Surgery: Auditory System." The tympanic membrane, also known as the ear drum, is depicted in the diagram.
A 23-year-old woman is currently being treated for anemia by her doctor. She had an appendectomy one week ago. Her hemoglobin level was 13.4 g/dL before surgery. Her lab results showed a 10.3 g/dL level today, and the doctor deduced that she lost a significant amount of blood during her appendectomy. Prior to the surgery, she had no history of anemia.
What is the accurate anemia diagnosis for this patient?
D50.0 on the ICD-10 code list denotes iron deficiency anemia brought on by blood loss (chronic). Anemia, unspecified is represented by ICD-10 code D64.9. Acute posthemorrhagic anemia is identified by ICD-10 code D62. D64.89 in the ICD-10 stands for Other specified anemias. Searching through your codebook for the definition of each ICD-10 code is the quickest way to find the right response. The patient had acute posthemorrhagic anemia as a result of blood loss that occurred after her appendectomy, according to the case study. The right response is D62.
