FREE Certified Professional Coder Trivia Questions and Answers
A 2-year-old girl who was born with a cleft palate will have surgery to make her nose look better. She should have a full rhinoplasty, according to her doctor, to raise the tip of her nose. The doctor also made a significant septal repair.
What CPT code needs to be reported by the doctor?
A complete rhinectomy is represented by CPT code 30160. A rhinectomy is the medical term for removing the nose. Knowing the suffix—-ectomy, which means to remove—could help you see that this is the wrong response. Choice D is inaccurate because there is no mention of a removal in the scenario. A main rhinoplasty and/or elevation of the nasal tip are both represented by the CPT code 30400. Adding a significant septal repair to CPT code 30400 is represented by CPT code 30420. You can't list the code individually because 30420 isn't marked with a (+) symbol in the CPT codebook. A CPT code that is indented indicates that this operation is part of the primary CPT code. So, choice C is the wrong answer. A full rhinoplasty with a significant septal repair is represented by CPT number 30420. It is best to select option A. Repair of nasal septal perforations is represented by the CPT number 30630, but this was not explicitly stated in the scenario. B is the incorrect answer.
A doctor decides to fix a paraoesophageal hernia. Abdominal pain, gastrointestinal bleeding, and reflux were all present in the patient. A surgical procedure was suggested to avoid a strangulated hernia. The doctor moved the stomach and other protrusions back into place during the procedure. In order to avoid developing another hernia, the surgeon used mesh materials.
Which CPT code is required for reporting?
A paraoesophageal hernia can be repaired laparoscopically without mesh using CPT code 43281. In this instance, the surgeon actually does utilize mesh. CPT code 49568 is an add-on code for mesh for debridement closure or an open incisional or ventral hernia repair. As a result, options B and CÂ can be ruled out. A paraoesophageal hernia was repaired laparoscopically using mesh in accordance with CPT code 43282. A paraoesophageal hiatal hernia can be repaired laparoscopically using the CPT number 43333 and mesh. Because the scenario does not specify that the hernia is hiatal, choice AÂ is wrong. Choice D is the right response.
The following service(s) are included in wound exploration codes:
The CPT codes for wound exploration-trauma are 20100-20103. The wound exploration coding guidelines are located in Surgery - Musculoskeletal System (20100-29999). According to these standards, surgical investigation and enlargement of the wound, extension of dissection, debridement, removal of foreign substances, and ligation or coagulation of minor subcutaneous and/or muscle blood vessels are all included in the code's description.
The word that means "the expansion of":
Dilation is a word that means "the expansion of." When something gets bigger or extends out, this is called expansion. Ectasis is a medical term that combines form and means dilation or expansion.
Which of the following is a method of preserving a bodily part using cryopreservation?
Cold or freezing is what the prefix "cryo-" means. The phrase "cryopreservation" is located in the "Pathology and Laboratory" section. The word has numerous subgroups for the various body parts. You can infer that the definition of cryopreservation is related to freezing bodily parts from the terms provided.
To check for cancer, a tissue sample will be taken from a lesion on a 45-year-old lady. A full-thickness tissue sample was taken by utilizing a sharp blade to remove the tissue samples. A simple closure was done.
Which CPT code must be documented by the provider?
Incisional biopsy with a simple closure for a single lesion is described by CPT code 11106. The right choice to make is C. Choice D's use of CPT code 11106 x 2 is inappropriate since multiple lesions should be reported using CPT code 11107. If there were two lesions, as was the case in the example, the doctor would submit CPT codes 11106 and 11107. For additional lesions, CPT code 11107 is an add-on code that is reported together with 11106. So, choice BÂ can be ruled out. The CPT code 11104 is for a single lesion punch biopsy. According to the scenario, the tissue was re-tried utilizing a sharp blade rather than a punch tool.
What time does anesthesia start?
The section on "Time Reporting" of the Anesthesia Coding Rules contains the answer to this query.
When an ABN is required,
ABN, or "advanced beneficiary notice," stands for this. It is a legal agreement that a patient signs, promising to pay for the surgery if insurance does not cover it. You can learn or review this material in a course on medical billing and coding.
A patient's face impacted the steering wheel during a motor vehicle collision. He was bruised all over, and his face was swollen. The doctor thought there might be a maxilla or zygomatic-malar fracture. An oblique anterior-posterior projection by the radiologist clearly displayed the facial complex. Additionally, lateral and anterior-posterior views were captured.
Which CPT code is appropriate for the doctor to use?
The Water's view (oblique anterior-posterior), anterior-posterior view, and lateral view were the three images the radiologist took of the patient's facial bones. CPT code 70100 in option C refers to a solely mandibular (or lower jaw) image. The mastoid, which is close to the ear and linked to the temporal bone, is described in three views by CPT code 70120 in option D. Three images of unnamed facial bones are appropriately described by CPT code 70150 in option A and CPT code 70250 refers to the observation of skull bones rather than facial bones. The correct answer is choice A.
The radius is defined as
Anatomy questions can be resolved in a few different ways. An anatomical diagram of each organ system can be found in the introduction section of your CPT codebook. In this case, the Table of Contents for the musculoskeletal codes has a skeleton diagram (20100-29999). Look up "radius" in the CPT or ICD-10-CM index to locate a code or codes close to that term if you do not have this diagram. Look through the codes to find a diagram.
Salpingo-Oophorectomy is the word used to describe.
The right answer is to remove the ovaries and fallopian tubes. Salp is short for tube, ooph is short for ovary, and -ectomy is short for surgical removal. Consult the CPT codebook's "Prefixes, Suffixes, and Roots" section at the beginning. These and other typical surgical medical suffixes can be found in the "Surgical Procedures" section of the CPT codebook.
Courtney was seated in the kitchen of her apartment. Neosar is administered to a Hodgkin's disease patient as part of his chemotherapy treatment plan. He receives an intravenous injection of 100 mg once every week.
What HCPCS code needs to be applied?
J9070 is HCPCS code D, which is the right response. Neosar advises you to use Cyclophosphamide 100mg, an intravenous chemotherapy medicine. Choice CÂ is not the right medication because it has the HCPCS code J9100 for Cytarabine 100 mg. An immunosuppressive medication with the HCPCS code J7502 is called cyclosporine, oral, 100 mg, option A. Choice B is a prescription, oral, chemotherapeutic medicine with the HCPCS number J8999; our patient is receiving an IV infusion.
The small intestine's final part is the:
The ileum is the third and last section of the small intestine, after the duodenum and jejunum and ending at the ileocecal junction.
A 38-year-old male patient was given the diagnosis of cubital tunnel syndrome by the doctor. Since the patient was in pain, he or she decided to have surgery. The doctor performed an ulnar nerve release procedure in which he separated the Osborne's ligament, widening the tunnel and relieving pressure on the ulnar nerve.
How should a CPT code be reported?
A suture of the digital nerve in the hand or foot is represented by the CPT code 64831. Choice CÂ is wrong because the ulnar nerve is mentioned in the scenario. The common sensory nerve represented by CPT code 64834 is the suture of one nerve in the hand or food. Again, the scenario refers to the ulnar nerve, hence option AÂ is inappropriate. The ulnar motor nerve, represented by CPT code 64836, is the suture of the first nerve in the hand or food. Because of this, option BÂ is the right answer, and D is wrong.
Which organ system does the spleen belong to?
You can find the answers to anatomy questions in a few different ways. An anatomical diagram of each organ system can be found in the introduction section of your CPT codebook. In this case, the hemic and lymphatic systems' skeleton diagram can be found in the Table of Contents (38100-38999). If you don't have this diagram, try searching for "spleen" in the CPT or ICD-10-CM index to see if you can locate a code or a few codes that are close to that term. Look through the codes to find a diagram.
A patient with lumbar spinal stenosis undergoes an arthrodesis operation. Three lumbar interspaces were treated during the surgery.
Which ICD-10 and CPT codes should the doctor report?
The cervical portion below the C2 segment underwent an arthrodesis operation, which is represented by CPT code 22600. The scenario specifies that the lumbar area is the site of the arthrodesis operation. Choices B D can both be ruled out. A single interspace is the target of an arthrodesis procedure represented by CPT code 22630. The annotations in the CPT codebook offer additional instructions on how to correctly code the procedure for multiple interspaces. We will utilize CPT code 22632 for each interspace to appropriately code for multiple interspaces. The right response is option C.