CCO Medical Coding Showdown

1. The correct code for removing 2 lobes of the left lung is 32440

True

False

The correct code for removing 2 lobes of the left lung is 32440. This means that the code 32440 is the accurate and appropriate code to use when performing the procedure of removing 2 lobes of the left lung.

Explanation

The correct code for removing 2 lobes of the left lung is 32440. This means that the code 32440 is the accurate and appropriate code to use when performing the procedure of removing 2 lobes of the left lung.

2. A 63 year old male patient undergoes the removal of an intervertebral L2 disc to treat a protrusion of the central part of the vertebral disk. Correct CPT code(s) would be 22224.

True

False

The correct CPT code for the removal of an intervertebral L2 disc to treat a protrusion of the central part of the vertebral disk is 22224.

Explanation

The correct CPT code for the removal of an intervertebral L2 disc to treat a protrusion of the central part of the vertebral disk is 22224.

3. A patient undergoes an endoscopic APS with antrostomy and removal of antral mucosal disease. Correct CPT code(s) would be 31255, 31267.

True

False

The correct CPT code(s) for a patient undergoing an endoscopic APS with antrostomy and removal of antral mucosal disease would not be 31255, 31267. This statement is false.

Explanation

The correct CPT code(s) for a patient undergoing an endoscopic APS with antrostomy and removal of antral mucosal disease would not be 31255, 31267. This statement is false.

4. A 45 year old female has a narrowing of the tricuspid valve caused by rheumatic fever as a child. Her heart valve was repaired. Correct CPT and ICD-9-CM code(s) would be 33463, 397.0, 391.1.

True

False

The correct CPT code for repairing a narrowing of the tricuspid valve caused by rheumatic fever would be 33463. However, the correct ICD-9-CM codes for this condition would be 397.0 for rheumatic fever and 394.1 for mitral stenosis, not 391.1. Therefore, the correct answer is false.

Explanation

The correct CPT code for repairing a narrowing of the tricuspid valve caused by rheumatic fever would be 33463. However, the correct ICD-9-CM codes for this condition would be 397.0 for rheumatic fever and 394.1 for mitral stenosis, not 391.1. Therefore, the correct answer is false.

5. Tom arrives for an office visit with Dr. Brown, his primary care physician for many years, for a simple suprapubic catheter change. He complains to his doctor about a feeling of weakness or pressure in the groin and achiness in that area. His doctor performs the catheter change w/o imaging guidance and also does a problem focused history and exam with straight forward MDM. The diagnosis is inguinal hernia for left side. What are the CPT code(s) for this visit?

51705, 99212-25

51705, 99212-24

51705, 75984, 49505, 99212-25

51705, 49505-LT, 99212

The correct answer is 51705, 99212-25. The CPT code 51705 represents the suprapubic catheter change, and the code 99212-25 represents the problem focused history and exam with straight forward MDM. This means that the doctor performed a simple suprapubic catheter change and also evaluated the patient's complaint of weakness or pressure in the groin and achiness in that area. The -25 modifier indicates that the evaluation and management service was separately identifiable from the catheter change procedure.

Explanation

The correct answer is 51705, 99212-25. The CPT code 51705 represents the suprapubic catheter change, and the code 99212-25 represents the problem focused history and exam with straight forward MDM. This means that the doctor performed a simple suprapubic catheter change and also evaluated the patient's complaint of weakness or pressure in the groin and achiness in that area. The -25 modifier indicates that the evaluation and management service was separately identifiable from the catheter change procedure.

6. The pathologist receives a container labeled "cecal ascending polyp". She writes in her report that three fragments of tan tissue measuring 0.2 to 0.5 cm diameter were received. She performs a microscopic examination and gives documentation of hyperplasia of the glandular and surface epithelium with serrated architectures present. Diagnosis: cecum and ascending colon biopsies, mucosal (three): Hyperplasic polyps (three). Correct CPT and ICD-9-CM code(s) for the pathologist would be 88305, 211.3.

True

False

The given answer is false because the correct CPT code for the pathologist would be 88305, but the correct ICD-9-CM code would not be 211.3. The diagnosis provided in the report is "Hyperplasic polyps (three)", and the correct ICD-9-CM code for that would be a different code related to hyperplastic polyps, not 211.3.

Explanation

The given answer is false because the correct CPT code for the pathologist would be 88305, but the correct ICD-9-CM code would not be 211.3. The diagnosis provided in the report is "Hyperplasic polyps (three)", and the correct ICD-9-CM code for that would be a different code related to hyperplastic polyps, not 211.3.

7. Susan, on a beach with friends, lost her balance and fell into a flaming hibachi. Susan sustained multiple burns. Arriving at the ER, the ER doctor treated her for 1st and 2nd degree burns on her face, and 2nd and third degree burns on her forearms and elbows. The doctor recorded the total body surface involved was 14%; 9% had 3rd degree burns. What are the ICD-9-CM codes?

943.31, 943.32, 943.21, 943.22, 941.20, 941.10, 948.10, E897

943.39, 941.20, 948.10, E899

943.39, 941.20, 948.10, E897

946.3, 948.10, E897

The correct answer is 943.39, 941.20, 948.10, E897. The ICD-9-CM codes are used to classify and code diagnoses and procedures in medical settings. In this case, the codes indicate the specific diagnoses and injuries that Susan sustained. 943.39 represents the third-degree burns on her forearms and elbows, 941.20 represents the second-degree burns on her face, 948.10 represents the first-degree burns on her face, and E897 represents the cause of the injury, which in this case is an accident involving fire.

Explanation

The correct answer is 943.39, 941.20, 948.10, E897. The ICD-9-CM codes are used to classify and code diagnoses and procedures in medical settings. In this case, the codes indicate the specific diagnoses and injuries that Susan sustained. 943.39 represents the third-degree burns on her forearms and elbows, 941.20 represents the second-degree burns on her face, 948.10 represents the first-degree burns on her face, and E897 represents the cause of the injury, which in this case is an accident involving fire.

8. .A patient with atherosclerotic heart disease with depressed LV function undergoes a CABG with 2 coronary arterial grafts using 2 venous grafts. Code both the CPT and ICD-9-CM codes.

33534, 414.00

33534, 33518, 414.00

33534, 33518, 414.00, 429.9

33534, 33518, 414.01, 429.9

The correct answer includes the CPT code 33534, which represents the coronary artery bypass graft (CABG) procedure with two coronary arterial grafts. It also includes the CPT code 33518, which represents the additional venous graft used in the procedure. The ICD-9-CM code 414.00 is included to indicate the atherosclerotic heart disease with depressed left ventricular (LV) function. The additional ICD-9-CM code 429.9 is included to indicate an unspecified disorder of the circulatory system.

Explanation

The correct answer includes the CPT code 33534, which represents the coronary artery bypass graft (CABG) procedure with two coronary arterial grafts. It also includes the CPT code 33518, which represents the additional venous graft used in the procedure. The ICD-9-CM code 414.00 is included to indicate the atherosclerotic heart disease with depressed left ventricular (LV) function. The additional ICD-9-CM code 429.9 is included to indicate an unspecified disorder of the circulatory system.

9. The term medulla may refer to

Bone marrow

Myelin sheath

Inner part of the adrenals

All of the above

None of the above

The term "medulla" can refer to different parts of the body. It can refer to the bone marrow, which is the soft tissue found inside bones that produces blood cells. It can also refer to the myelin sheath, which is the protective covering around nerve fibers. Additionally, it can refer to the inner part of the adrenals, which are small glands located on top of the kidneys. Therefore, the correct answer is "all of the above" as all three options are valid interpretations of the term "medulla".

Explanation

The term "medulla" can refer to different parts of the body. It can refer to the bone marrow, which is the soft tissue found inside bones that produces blood cells. It can also refer to the myelin sheath, which is the protective covering around nerve fibers. Additionally, it can refer to the inner part of the adrenals, which are small glands located on top of the kidneys. Therefore, the correct answer is "all of the above" as all three options are valid interpretations of the term "medulla".

10. An 80 year old with end stage renal disease has a nurse come in to her assisted living apartment on Tuesdays, Thursdays, and Saturdays to perform peritoneal dialysis. Each dialysis session lasts 3 hours. The nurse helps her with laundry and personal care on Tuesday, and with meals and personal care on Thursdays. What is the charge for a month of services when the month starts on a Wednesday and has 31 days?

99601 X13, 99602 X13, 99509 X10

99512 X13, 99509 X9

90966, 99509 X9

99601 X13, 99602 X13, 99509 X9

The correct answer is 99601 X13, 99602 X13, 99509 X9. This answer represents the charges for the nurse's services for a month. The nurse comes on Tuesdays, Thursdays, and Saturdays, which means there are 13 sessions of peritoneal dialysis (99601) and 13 sessions of assistance with laundry and personal care (99602). Additionally, there are 9 sessions of assistance with meals and personal care (99509). The charges for these services are multiplied by the number of sessions and added together to determine the total charge for the month.

Explanation

The correct answer is 99601 X13, 99602 X13, 99509 X9. This answer represents the charges for the nurse's services for a month. The nurse comes on Tuesdays, Thursdays, and Saturdays, which means there are 13 sessions of peritoneal dialysis (99601) and 13 sessions of assistance with laundry and personal care (99602). Additionally, there are 9 sessions of assistance with meals and personal care (99509). The charges for these services are multiplied by the number of sessions and added together to determine the total charge for the month.