Coding Monthly Test September 2020

10 Questions | Total Attempts: 40

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Coding Monthly Test September 2020

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Questions and Answers
  • 1. 
    What is the CPT for below Narration for client#5? Pt was placed on a12 Lead ECG which was transmitted to ARMC with NSR.CREW:EMT_BASIC; A-EMT
  • 2. 
    What is the CPT and Modifier for below Scenario for client #22? Pt. lying in bed pulseless and apneic. Pt. states that her husband did not wish to be resuscitated; but that he does not have a DNR. Manual CPR was initiated and 3 lead was applied.  Pt. asystole on monitor.  Defib. pads were applied.  Pt. was moved from bed to floor.  Medical control spoke with crew and situation was explained.  Medical control asked to speak with pt. wife. After speaking to pt. wife, medical control approved field termination and resuscitation efforts were abandoned
  • 3. 
    What is the CPT for below narration for client#262? M32 DISPATCHED TO  Warren County Jail 5787 St Rt 63 Lebanon, OH 45036 FOR ABDOMINAL PAIN, UPON ARRIVAL MET AT MAIN ENTRANCE BY NURSE WITH INMATE IN A WHEELCHAIR. STATING HE HAD EXTREME ABD PAIN AFTER FEELING LIKE HE HAD TO HAVE A BOWEL MOVEMENT. PT HAS HALF A LUNG REMOVED DUE TO IN INFECTION 5+ YEARS AGO. 2 IV ATTEMPTED IN PTS LEFT HAND. WITH NO SUCCESS. PT PLACED ON CARDIAC MONITOR FINDING SINUS RHYTHM. REPORT CALLED TO ER ENROUTE WITH A 6 MIN ETA. PT PLACED IN COVIDPRECAUTION WING 109. REPORT GIVEN TO NURSE BEDSIDE. ASG-EMT-P
  • 4. 
    What is the CPT for below narration for Client #18?  Upon arrival, pt is alert to name anddate of birth, unknown on address, where she is, what store she was at, unable to hold conversation, unable to answer questions appropriately.ALS medic on board established central venous line and rode along . Pt care transferred to ER staff. Crew: EMT _BASIC; EMT_BASIC
  • 5. 
    What is the CPT for below Narration for #15? DISPATCHED TO ABOVE LOCATION FOR LIFT ASSIST. UPON ARRIVAL PT HAD SEVERE MUSCLAR WEAKNESS AND UNABLE TO GET UP AT THE PREVIOUS NIGHT, IMMEDIATELY CALLED 911 THIS MNG. CREW ARRIVED AT THE DOOR OF THE PT'S RESIDENCE ALERT AND ORIENTED, PTS ALLOWS FOR EVALUATION/TREATMENT , BUT DID NOT WANT TO BE TRANSPORTED.FAMILY ADVISES TO CALL BACK AND MEDIC SERVICES RETURNED BACK TO STATION.
  • 6. 
    REPITATIVE PCS CAN BE CONSIDERED VALID FOR 60DAYS ONLY WHEN THE PHYSICIAN SIGNATURE IS DONE BY??
    • A. 

      MD

    • B. 

      DO

    • C. 

      PHYSICIAN

    • D. 

      ALL OF THE ABOVE

  • 7. 
    What is the Modifier for below Scenario? Dispatch for a 62-year-old male fall victim upon arriving on scene male patient was on couch lying down complaining of pain from right hip and tailbone assisted patient in wheelchair brought patient cot assisted patient cot secured patient rails times two straps times three loaded patient in squad performed rapid trauma exam.  Obtain baseline vitals placed patient on 3 L nasal cannula due to low SPO2 stat.  Patient is diabetic blood sugar was 144.  Upon doing a rapid trauma exam found patients right hip out of place. Notify Dispatch that we needed air medical Air evac 89 accepted flight.  Air medical gave a 10 minute ETA. We met helicopter in Ash ridge at Russellville fire station 46. Obtain patients, vitals waited on helicopters arrival. Transportation  throughout was uneventful. Turned over patient care to air Medical crew  Pain Quality: Onset - 1 Hours;  Pain Quality: Onset - 90 Minutes;  Pain Quality: Onset - 1 Hours;  Pain Quality: Onset - 1 Hours.
  • 8. 
    PCS is Valid for one day Transport when it was documented as WHEEL CHAIR BOUND/BED BOUND with RN signature
    • A. 

      True

    • B. 

      False

  • 9. 
    What is the CPT for #261 for below Narration? Medic 652 dispatched to SOUTHEASTERNCORRECTIONAL FACILITY  for 63 y/o m CP. Upon arrival at Sally Port crew was held up for vehicle inspection and to pick up guards. Crew was directed to medical. Found INMATE pt A&O, PWD, ABCs intact, medical staff advised pt was on his way to chow at which time he started having CP and became diaphoretic, also advised 12 was normal however pt had stent placed in 2000 and pt ha been given 324 of ASA PTA. Assisted pt to cot and secured in POC, along with guard securing shackles. Placed pt on 4 and 12 lead showing NSR no elevation or depression. Pt stated chest pain was sharp 6/10 radiating to right arm, denied any other complaints. Pt to truck secured cot. En route took vs continued 4 and 12 lead, attempted 20g LAC unsuccessful, transmitted 12 to FMC. Unable to obtain IV and pt refused any further attempts. Unable to give NTG d/t lack of IV access. Called in report with no orders given. Upon arrival moved pt to bed and transferred care to OSU.
  • 10. 
    What is the special guideline for #301 paint creek IH and HI Transports?
    • A. 

      Bill IH and HI transports as Non Emergent

    • B. 

      Bill IH and HI transports as Emergent

    • C. 

      Do not bill IH and HI Transports

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