Ccs General Quiz VI
Questions and Answers
- 1.
Common bile duct is part of the ....
- A.
Jejunum
- B.
Hepatobiliary Duct
- C.
Cystic Duct
- D.
Ileum
Correct Answer
B. Hepatobiliary DuctExplanation
Type 1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition. In this condition, the pancreas makes little or no insulin. Insulin is a hormone the body uses to allow sugar (glucose) to enter cells to produce energy.Rate this question:
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- 2.
If an angioplasty (repair of the artery) mentions a graft, meaning a portion of the artery was replaced previously, it is reported as a ___________________
Correct Answer
replacementExplanation
If an angioplasty mentions a graft, it means that a portion of the artery was replaced previously. Therefore, when reporting this procedure, it is described as a replacement.Rate this question:
- 3.
Magnetic adjustment of a shunt is AKA _______________ of a programmable shunt
Correct Answer
reprogrammingExplanation
There is no known relationship between acute kidney disease and hypertension.Rate this question:
- 4.
Modifier ______, Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission, may be appended to the CPT procedure code.
Correct Answer
caExplanation
sleeve gastrectomy and gastric band procedure ARE NOT synonymous
Morbid obesity MAY NOT be coded if mentioned only previous to bariatric surgery. Pt may no longer be obeseRate this question:
- 5.
Poor wound healing as a result of surgery codes to __________________, NEC T81.89.
Correct Answer
other complicationExplanation
I couldn't even find it in the index.Rate this question:
- 6.
ECT stands for ________________. Do not confuse with SPECT (single photon emission computerized tomography) in the CPT index
Correct Answer
electroconvulsive therapyExplanation
ECT stands for electroconvulsive therapy, a medical procedure in which electric currents are passed through the brain to induce controlled seizures. It is primarily used to treat severe depression, bipolar disorder, and certain other mental illnesses that have not responded to other treatments. ECT is different from SPECT (single photon emission computerized tomography), which is a diagnostic imaging technique used to visualize blood flow and activity in the brain.Rate this question:
- 7.
Misiprostol is the first line medication used to manage intrauterine fetal death
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Misoprostol is used off-label for a variety of indications in the practice of obstetrics and gyneclogy, including medication abortion, medical management of miscarriage, induction of labor, cervical ripening before surgical procedures, and the treatment of postpartum hemorrhage. Due to its wide-ranging applications in reproductive health, misoprostol is on the World Health Organization Model List of Essential MedicinesRate this question:
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- 8.
Dermatitis in the Radiation PORT area indexes to Dermatitis, _____________, Radiation
Correct Answer
due toExplanation
In people with ITP the immune system treats platelets as foreign and destroys them. The spleen is responsible for removing these damaged platelets and therefore removal of the spleen can help to keep more platelets circulating in the body.Rate this question:
- 9.
The epley maneuver, for BPPV is indexed under __________________
Correct Answer
cannalith repositioningExplanation
Epigastric pain is a name for pain or discomfort right below your ribs in the area of your upper abdomen. It often happens alongside other common symptoms of your digestive system. These symptoms can include heartburn, bloating, and gas. Epigastric pain isn't always cause for concern.Rate this question:
- 10.
Endoscopy involves inserting a long, flexible tube down your throat to examine the esophagus, stomach and the beginning of your small intestine, called the ______________
Correct Answer
duodenumExplanation
Peripheral neuropathy is a less precise term that is frequently used synonymously with polyneuropathy, but can also refer to any disorder of the peripheral nervous system including radiculopathies and mononeuropathiesRate this question:
- 11.
Which requires general anesthesia, rigid or flexible endoscopy?
Correct Answer
rigidExplanation
Rigid endoscopy requires general anesthesia because it involves inserting a rigid tube into the body, which can cause discomfort or pain to the patient. General anesthesia ensures that the patient is unconscious and does not feel any pain or discomfort during the procedure. On the other hand, flexible endoscopy is usually performed under sedation or local anesthesia, as the flexible tube used is more comfortable and less invasive.Rate this question:
- 12.
Blood in stool, black stool, hematochezia, melenachezia, is indexed under ___________
Correct Answer
occultExplanation
Blood in stool, black stool, hematochezia, and melenachezia are all symptoms that indicate the presence of blood in the stool. These symptoms are classified under "occult" because they are not easily visible or detectable by the naked eye. Occult blood in the stool refers to small amounts of blood that cannot be seen without the use of specialized tests, such as a fecal occult blood test. This term is used to describe hidden or concealed bleeding in the gastrointestinal tract, which may be indicative of various underlying conditions such as ulcers, polyps, or colorectal cancer.Rate this question:
- 13.
Endoprosthesis is the same as ________________
Correct Answer
endograftExplanation
Endoprosthesis refers to a medical device that is implanted inside the body to replace or support a damaged or diseased organ or structure. An endograft is a specific type of endoprosthesis that is used to repair blood vessels, particularly in the aorta. It is a fabric tube supported by a metal framework that is inserted into the blood vessel to reinforce and redirect blood flow. Therefore, endograft and endoprosthesis are essentially the same thing, both referring to medical devices used for internal organ or structure support or replacement.Rate this question:
- 14.
Radical neck dissection is the removal of all _________________________
Correct Answer
ipsilateral cervical lymph nodesExplanation
35 - 45 mm HgRate this question:
- 15.
Protection of PHI was changed from indefinite to ______ years after death.
Correct Answer
50Explanation
Women experiencing a missed abortion may have no self-awareness due to the lack of obvious symptoms.Rate this question:
- 16.
The HIPAA Privacy rule may be waived during a ________________.
Correct Answer
natural disasterExplanation
The HIPAA Privacy rule may be waived during a natural disaster. This is because during a natural disaster, there may be a need for immediate medical attention and sharing of health information to ensure the safety and well-being of individuals affected. Waiving the HIPAA Privacy rule allows healthcare providers to quickly exchange necessary information without the usual restrictions, facilitating efficient and effective emergency response and care.Rate this question:
- 17.
Endovascular Ultrasound is found under _______________ in the CPT index
Correct Answer
intravascularExplanation
The correct answer is intravascular. This means that Endovascular Ultrasound can be found under the category or section of intravascular in the CPT index. This suggests that the procedure or technique of Endovascular Ultrasound is related to or involves the use of ultrasound within blood vessels or the vascular system.Rate this question:
- 18.
Hepatitis screening is under screening, disease, ____________NEC
Correct Answer
viralExplanation
The given answer, "viral," is correct because hepatitis is a viral disease. Hepatitis refers to the inflammation of the liver, and it can be caused by various viruses such as hepatitis A, B, C, D, and E. These viruses are transmitted through different routes, such as contaminated food or water, blood transfusions, or sexual contact. Therefore, when conducting hepatitis screening, it is essential to test for the presence of viral infections to identify and diagnose the specific type of hepatitis.Rate this question:
- 19.
Subacromial bursitis is a common etiology of ________________ pain. It results from inflammation of the bursa, a sac of tissue present under the acromion process of the _______________. It is usually brought about by repetitive overhead activities or trauma.
Correct Answer
shoulderExplanation
It is fixed by glenohumeral debridement, a minimally-invasive procedure is used to remove tissue in the shoulder joint that has been
damaged from arthritis, overuse or injury. The physician uses a small camera, called an
arthroscope, which is inserted into the shoulder joint.Rate this question:
- 20.
A planned aortic valve replacement procedure is discontinued after the initial thoracotomy and before any incision is made in the heart muscle, when the patient becomes hemodynamically unstable. This procedure is coded as an ___________________.
Correct Answer
open inspection of the mediastinumExplanation
The planned aortic valve replacement procedure was stopped before any incision was made in the heart muscle due to the patient becoming hemodynamically unstable. In this case, the surgeon performed an open inspection of the mediastinum, which involves examining the area between the lungs where the heart is located. This procedure allows the surgeon to assess the patient's condition and determine the best course of action.Rate this question:
- 21.
Which type of cataract extraction breaks up the lens? Extracapsular or Intracapsular
Correct Answer
intracapsularExplanation
intracapsular breaks up the lens, while extracapsular (posterior capsule) removes lens in one pieceRate this question:
- 22.
Neurorraphy is surgical ______________ of a divided nerve and codes to repair
Correct Answer
suturingExplanation
Neurorraphy is a surgical procedure that involves suturing a divided nerve in order to repair it. Suturing is the process of stitching the two ends of the nerve back together, allowing for proper healing and restoration of nerve function. This technique is commonly used in cases of nerve injury or trauma, helping to reconnect the nerve fibers and promote nerve regeneration.Rate this question:
- 23.
There is no specific code for swabbing for COVID-19. Swab collection is included in E/M service. However, if collected in the office and transported to the laboratory, CPT code ______ can be billed
Correct Answer
99000Explanation
If multiple coronary arteries are bypassed, a separate procedure is coded for each
coronary artery that uses a different device and/or qualifier.Rate this question:
- 24.
Liquid embolization of the right internal iliac artery to treat acute hematoma by stopping blood flow is coded to the root operation ____________.
Correct Answer
occlusionExplanation
control vs a more descript root operation
Suctioning of residual blood to achieve hemostasis during a transbronchial cryobiopsy is considered integral to the cryobiopsy procedure and is not coded separately.
Rate this question:
- 25.
A complete injury to the spinal cord (produces total loss of all motor and sensory function below the level of injury)is called ________________. Both sides of the body are equally affected. Even with a complete SCI, the spinal cord is rarely cut or transected.
Correct Answer
tetraplegiaExplanation
Tetraplegia, also known as quadriplegia, refers to a complete injury to the spinal cord that results in total loss of motor and sensory function below the level of injury. This condition affects both sides of the body equally. It is important to note that even though the spinal cord is rarely cut or transected in a complete SCI, the loss of function is still significant.Rate this question:
- 26.
A complete injury of the spinal cord at C3 indexes to Injury, Spinal, Cervical, ____________________________
Correct Answer
complete lesionExplanation
The reason is because the inspection is included in the procedure bronchoscopic irrigation is a procedure in which cells are taken from the inside of the airways that lead to the lungs.
A bronchoscope (a thin, tube-like instrument with a light and a lens for viewing) is inserted through the nose or mouth into the lungs.Rate this question:
- 27.
Laminotomy removes part or most (laminectomy removes all) of a ___________ called the lamina.
Correct Answer
spinal boneExplanation
decompresses the spinal canal, reducing pressure on the spinal cord or spinal nerves to relieve pain.Rate this question:
- 28.
If tension pneumothorax is caused by trauma, code _______________pneumothorax
Correct Answer
traumaticExplanation
Example: Lysis of intestinal adhesions is coded to the specific intestine body part value.Rate this question:
- 29.
Endovascular therapy (EVT) is a treatment for patients with acute ischemic strokes that removes the __________ from the brain, which ultimately caused the stroke
Correct Answer
clot, thrombusExplanation
Examples: Freeing a nerve root from surrounding scar tissue to relieve pain is coded to the root operation Release.
Severing a nerve root to relieve pain is coded to the root operation Division.Rate this question:
- 30.
H/o stroke stands for heterogenic ossification. It is the formation of ________ in soft tissue. It is a sequela effect of a stroke
Correct Answer
boneExplanation
H/O stroke stands for heterotopic ossification, not heterogenic ossification. Heterotopic ossification is the formation of bone in soft tissue, which occurs as a complication of a stroke. This abnormal bone growth can restrict joint movement and cause pain and inflammation. It is important to manage and treat heterotopic ossification to prevent further complications and improve the patient's quality of life.Rate this question:
- 31.
Atherectomy (a _____________-based procedure used to remove plaque buildup in the arteries. It includes balloon angioplasty if performed in the same vessel)
Correct Answer
catheterExplanation
Atherectomy is a procedure used to remove plaque buildup in the arteries. It involves the use of a catheter, which is a thin tube that is inserted into the artery to reach the site of the plaque. The catheter is then used to mechanically remove or break up the plaque, allowing for improved blood flow. In some cases, balloon angioplasty may also be performed during the atherectomy procedure to further open up the artery and improve blood flow.Rate this question:
- 32.
Laparoscopic-assisted sigmoidectomy is coded to the approach ___________.
- A.
External
- B.
Open Endoscopic
- C.
Closed
- D.
Open
Correct Answer
D. OpenExplanation
Laparoscopically (percutaneous endoscopic approach coded)
Laparoscopically-assisted open (open approach coded)
Laparoscopic converted to open (both approaches coded)Rate this question:
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- 33.
If the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Alphabetic Index at the same indentation level, code both and sequence the ___________ code first.
Correct Answer
acuteExplanation
If the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Alphabetic Index at the same indentation level, we should code both conditions. However, we should sequence the acute code first.Rate this question:
- 34.
A PET scan of the lungs is considered ________________________
Correct Answer
nuclear medicineExplanation
A PET scan of the lungs is considered nuclear medicine because it involves the use of a radioactive substance, known as a tracer, to produce detailed images of the lung tissue. The tracer is injected into the patient's bloodstream and is taken up by the cells in the lungs. The radioactive emissions from the tracer are then detected by a special camera, which creates images that can help diagnose and monitor various lung conditions, such as cancer, infections, and pulmonary embolism. Nuclear medicine techniques, including PET scans, are commonly used in the field of radiology to provide valuable information about the structure and function of organs and tissues.Rate this question:
- 35.
________________ Scratch Test, also called a skin prick test, checks for immediate allergic reactions
Correct Answer
percutaneousExplanation
Assign first the appropriate code from category T86.-, Complications of transplanted organs and tissue, followed by code C80.2,
Malignant neoplasm associated with transplanted organ. Use an additional code for the specific malignancy.Rate this question:
- 36.
Proximal for bone is _______________
Correct Answer
upper endExplanation
proximal end (eg, olecranon or coronoid process) ulnaRate this question:
- 37.
Procedures performed on a device only and not on a body part are specified in the root operations _____________, Irrigation, Removal, Replacement, and Revision, and are coded to the procedure performed.
Correct Answer
changeExplanation
Irrigation of percutaneous nephrostomy tube is coded to the root operation Irrigation of indwelling device in the Administration section
A Removal procedure is coded for taking out the device used in a previous replacement procedure. Therefore two codes would be assigned if an existing prosthetic device is replaced—a Replacement code and a Removal code.Rate this question:
- 38.
__________________ patch testing is a method of diagnosing allergic contact dermatitis
Correct Answer
epicutaneousExplanation
Example: Fragmentation of kidney stone performed via percutaneous nephrostomy is
coded to the approach Percutaneous.Rate this question:
- 39.
Closed reduction of fracture is coded to the approach _______________.
Correct Answer
externalExplanation
Procedures performed indirectly by the application of external force through the
intervening body layers are coded to the approach External.Rate this question:
- 40.
When Stage V Kidney disease (N18.5) is listed as requiring chronic dialysis, code ____________________, N18.6 instead AND the Z-code for dialysis dependence
Correct Answer
esrd, end stage renal diseaseExplanation
Procedures performed within an orifice on structures that are visible without the aid of
any instrumentation are coded to the approach External.Rate this question:
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Current Version
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Mar 01, 2023Quiz Edited by
ProProfs Editorial Team -
May 18, 2017Quiz Created by
Mike
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