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| Section | Weight | Objectives |
|---|---|---|
| CPT Coding - Surgery (Musculoskeletal System) | 6% | |
| Medical Terminology | 4% | |
| CPT Coding - Laboratory and Pathology | 6% | |
| CPT Coding - Medicine | 6% | |
| CPT Coding - Surgery (Urinary, Reproductive, Endocrine Systems) | 6% | |
| CPT Coding - Surgery (Nervous System) | 6% | |
| ICD-10-CM Diagnosis Coding | 5% | |
| Compliance and Regulatory Guidelines | 3% | |
| HCPCS Level II Coding | 3% | |
| CPT Coding - Anesthesia | 4% | |
| Coding Guidelines | 7% | |
| CPT Coding - Surgery (Respiratory, Cardiovascular, Hemic, Lymphatic Systems) | 6% | |
| CPT Coding - Surgery (Integumentary System) | 6% | |
| CPT Coding - Evaluation and Management | 6% | |
| CPT Coding - Radiology | 6% | |
| CPT Coding - Surgery (Digestive System) | 6% | |
| Clinical Case Scenarios | 10% | |
| Anatomy | 4% |
1. A 15-year-old male patient is seen in the emergency department due to a dislocated left elbow, caused by a fall from his skateboard. The physician performs a comprehensive physical evaluation to check for other injuries before manually realigning the dislocation and placing a splint from the shoulder to wrist. The patient is informed to follow up in 4 weeks. Which CPT and ICD-IO-CM codes should the emergency department report?
A) 24600-LT, S53.105A. VOO.131A
B) 99282-57, 24600-LT, S53.105A VOO.131A
C) 99283, 24600-LT, VOO.131A
D) 24600-LT, 29105, S53.195AVOO.131A
2. Code the following surgical note:
54-year-old male is experiencing left-sided weakness and visual disturbance. An MRI revealed a lesion in the brain. He presents today for a biopsy. General anesthesia is given, and the area is shaved and cleaned. The brain lab system is synced with prior MRI images to confirm the accurate placement of burr hole drilling. A cutting needle is inserted into the frontal lobe, and lesion location is confirmed with the brain lab system. A portion of the lesion is obtained without complication. All instruments removed, and the incision is sutured.
A) 61750
B) 61751
C) 61140
D) 61575
3. Medical necessity has been established if a laboratory runs additional testing on a urine sample to determine the presence of a drug class that was not in question during confirmation testing.
A) False
B) True
4. The appendix is removed through an abdominal incision due to metastatic colon malignancy. How should this be reported?
A) 44950, C78.5
B) 44970, C78.5
C) 44950, C78.5, C18.9
D) 44970, C18.9, C78.5
5. A 59-year-old male patient presents for a routine colonoscopy. During the procedure, a polyp is discovered. What is the proper ICD- 10-CM coding for this encounter?
A) Z12.11, K63.5
B) K63.5, Z12.11
C) K63.5
D) Z12.11
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: A |
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