CPT Coding : Evaluation And Management, Anesthesia, Radiology, Pathology And Laboratory, And Medicine Sections.
ALSO SEVERAL QUESTIONS FROM SURGERY SECTION AND 1 ICD-9-CM QUESTION.
Questions and Answers
- 1.
Patient is admitted to the hospital with acute abdominal pain. The attending medical physician requests a surgical consult. The consultant agrees to see the patient and conducts a comprehensive history and physical examination. The physician ordered lab work to rule out pancreatitis, along with an ultrasound of the gallbladder and abdominal x-ray. Due to the various diagnosis possibilities and the tests reviewed, a moderate medical decision was made.
- A.
99244
- B.
99222
- C.
99254
- D.
99204
Correct Answer
C. 99254Explanation
FROM EVALUATION AND MANAGEMENT SECTION.Rate this question:
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- 2.
An established patient returns to the physician's office for follow-up on his hypertension and diabetes. The physician takes the blood pressure and references the patient's last three glucose tests. The patient is still running above normal glucose levels, so the physician decides to adjust the patient's insulin. An expanded history was taken and a physical examination was performed.
- A.
99213
- B.
99232
- C.
99202
- D.
99214
Correct Answer
A. 99213Explanation
The correct answer is 99213. This code represents an established patient visit where the physician takes the blood pressure, references the patient's last three glucose tests, adjusts the patient's insulin, and performs an expanded history and physical examination. The other options do not accurately reflect the level of complexity and work involved in this visit.Rate this question:
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- 3.
Patient arrives in the emergency room via a medical helicopter. The patient has sustained multiple life-threatening injuries due to a multiple car accident. The patient goes into cardiac arrest 10 minutes after arrival. An hour and 30 minutes of critical care time is spent trying to stabilize the patient.
- A.
99285; 99288; 99291
- B.
99291; 99292
- C.
99291; 99292; 99285
- D.
99282
Correct Answer
B. 99291; 99292Explanation
The correct answer is 99291; 99292. This is because the patient arrives in the emergency room with life-threatening injuries and goes into cardiac arrest shortly after. The critical care time spent trying to stabilize the patient for an hour and 30 minutes qualifies for both codes 99291 and 99292, which represent prolonged services in critical care.Rate this question:
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- 4.
The physician provided services to a new patient who was in a rest home for an ulcerative sore on the hip. A problem-focused history and physical examination were performed and a straightforward medical decision was made.
- A.
99304
- B.
99325
- C.
99324
- D.
99334
Correct Answer
C. 99324Explanation
The correct answer is 99324. This code represents an evaluation and management service for a new patient in a rest home. The physician performed a problem-focused history and physical examination, indicating that the patient's condition was not complex. Additionally, a straightforward medical decision was made, further supporting the use of this code.Rate this question:
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- 5.
A doctor provides critical care services in the emergency department for a patient in respiratory failure. He initiates ventilator management and spends an hour and 10 minutes providing critical care for this patient.
- A.
99281, 99291, 99292, 94002
- B.
99291, 99292, 94002
- C.
99291, 94002
- D.
99291
Correct Answer
D. 99291Explanation
The correct answer is 99291 because this code represents the provision of critical care services in the emergency department for a patient in respiratory failure. The doctor spent an hour and 10 minutes providing critical care for this patient, which meets the criteria for reporting code 99291. The other codes (99281, 99292, and 94002) do not accurately describe the level of care provided or the specific circumstances of the patient's condition.Rate this question:
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- 6.
Services were provided to a patient in the emergency room after the patient twisted her ankle stepping down from a curb. The emergency room physician ordered x-rays of the ankle, which came back negative fora fracture. A problem-focused history and physical examination were performed and ankle strapping was applied. A prescription for pain was given to the patient. Code the emergency room visit only.
- A.
99201
- B.
99282
- C.
99281
- D.
99211
Correct Answer
C. 99281Explanation
The correct answer is 99281 because this code is used for an emergency room visit where a problem-focused history and physical examination were performed, and ankle strapping was applied. The patient did not require extensive medical decision-making or high complexity care, which would warrant a higher-level code. The other options (99201, 99282, 99211) do not accurately reflect the level of care provided in this scenario.Rate this question:
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- 7.
An established patient was seen in her primary physician's office. The patient fell at home and came to the physician's office for an examination. Due to a possible concussion, the patient was sent to the hospital to be admitted as an observation patient. A detailed history and physical examination were performed and the medical decision was low complexity. The patient stayed overnight and was discharged the next afternoon.
- A.
99214; 99234
- B.
99214; 99218; 99217
- C.
99218
- D.
99218; 99217
Correct Answer
D. 99218; 99217Explanation
The correct answer is 99218; 99217. The patient was sent to the hospital to be admitted as an observation patient, which indicates that a higher level of care was required. The detailed history and physical examination were performed, suggesting a higher level of complexity. The patient stayed overnight, indicating a prolonged service. Therefore, the correct code would include both 99218 for the initial observation care and 99217 for the subsequent observation care.Rate this question:
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- 8.
An out-of-town patient presents to a walk-in clinic to have a prescription refilled for a nonsteroidal anti-inflammatory drug. The physician performs a problem-focused history and physical examination with a straightforward decision.
- A.
99211
- B.
99201
- C.
99212
- D.
99202
Correct Answer
B. 99201Explanation
The correct answer is 99201. This code represents an office or other outpatient visit for the evaluation and management of a new patient, which typically requires a problem-focused history and examination. The patient in this scenario is an out-of-town patient seeking a prescription refill, which suggests a straightforward case. Therefore, a level 1 evaluation and management code, such as 99201, would be appropriate.Rate this question:
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- 9.
Code anesthesia for upper abdominal ventral hernia repair.
- A.
00832
- B.
00750
- C.
00752
- D.
00830
Correct Answer
C. 00752Explanation
FROM ANESTHESIA SECTION.Rate this question:
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- 10.
An office consultation is performed for a postmenopausal woman who is complaining of spotting in the past 6 months with right lower quadrant tenderness. A detailed history and physical examination were performed with a low-complexity medical decision.
- A.
99242
- B.
99243
- C.
99253
- D.
99254
Correct Answer
B. 99243Explanation
The correct answer is 99243. This code is appropriate because the patient's complaint of spotting and right lower quadrant tenderness requires a detailed history and physical examination, which is consistent with a moderate-complexity medical decision.Rate this question:
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- 11.
Code anesthesia for total hip replacement
- A.
01210
- B.
01402
- C.
01230
- D.
01214
Correct Answer
D. 01214Explanation
The correct answer is 01214. This code anesthesia for total hip replacement.Rate this question:
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- 12.
Code anesthesia for vaginal hysterectomy
- A.
00846
- B.
00944
- C.
00840
- D.
01963
Correct Answer
B. 00944 -
- 13.
Code anesthesia for placement of vascular shunt in forearm.
- A.
01844
- B.
01850
- C.
00532
- D.
01840
Correct Answer
A. 01844Explanation
The correct answer is 01844 because it specifically refers to the code for anesthesia during the placement of a vascular shunt in the forearm. This code is used to indicate the administration of anesthesia during this specific procedure, allowing for accurate billing and documentation.Rate this question:
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- 14.
Code anesthesia for decortication of left lung.
- A.
01638
- B.
00542
- C.
00546
- D.
00500
Correct Answer
B. 00542 -
- 15.
Code anesthesia for total shoulder replacement.
- A.
01760
- B.
01630
- C.
01402
- D.
01638
Correct Answer
D. 01638Explanation
The correct answer is 01638. This code represents the anesthesia for total shoulder replacement. Anesthesia is the administration of medication to prevent pain during a surgical procedure. Total shoulder replacement is a surgical procedure where the damaged parts of the shoulder joint are removed and replaced with artificial components. Therefore, anesthesia is necessary to ensure that the patient does not experience any pain or discomfort during the surgery.Rate this question:
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- 16.
Code anesthesia for cesarean section.
- A.
00840
- B.
01961
- C.
00940
- D.
01960
Correct Answer
B. 01961 -
- 17.
Code anesthesia for procedures on bony pelvis.
- A.
00400
- B.
01170
- C.
01120
- D.
01190
Correct Answer
C. 01120Explanation
The correct answer is 01120. This code represents the anesthesia for procedures on the bony pelvis. Anesthesia is often required for surgeries or procedures involving the pelvis to ensure that the patient remains comfortable and pain-free during the operation. Code 00400 is for anesthesia for procedures on the spine and spinal cord, 01170 is for anesthesia for procedures on the urinary system, and 01190 is for anesthesia for procedures on the female genital system. None of these codes specifically match the given scenario of procedures on the bony pelvis, making 01120 the correct answer.Rate this question:
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- 18.
Code anesthesia for corneal transplant.
- A.
00144
- B.
00140
- C.
00147
- D.
00190
Correct Answer
A. 00144 -
- 19.
Administration of initial oral radionuclide therapy for hyperthyroidism.
- A.
78015
- B.
77402
- C.
78099
- D.
79005
Correct Answer
D. 79005Explanation
FROM RADIOLOGY SECTION.Rate this question:
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- 20.
Patient comes into the outpatient department at the local hospital for an MRI of the cervical spine with contrast. Patient status post automobile accident.
- A.
72156
- B.
72142
- C.
72149
- D.
72126
Correct Answer
B. 72142Explanation
The correct answer is 72142. This code represents an MRI of the cervical spine without contrast. Since the patient is status post automobile accident, it is important to evaluate the cervical spine for any potential injuries or abnormalities. However, in this case, the MRI is performed without contrast, which means that no dye or contrast agent is used to enhance the visibility of certain structures or abnormalities. This code accurately describes the procedure performed in this scenario.Rate this question:
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- 21.
Obstetric patient comes in for a pelvimetry with placental placement.
- A.
74710
- B.
76946
- C.
76805
- D.
76825
Correct Answer
A. 74710Explanation
The correct answer is 74710. This code represents a pelvimetry procedure, which is a diagnostic test used to measure the dimensions of the pelvis. In this case, the obstetric patient is coming in for a pelvimetry with placental placement, indicating that the procedure will involve assessing the size and shape of the pelvis as well as determining the location of the placenta. The other codes listed are not relevant to this specific procedure.Rate this question:
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- 22.
Patient comes into his physician's office complaining of wrist pain. Physician gives the patient an injection and sends the patient to the hospital for an arthrography. Code the complete procedure.
- A.
73115
- B.
73100
- C.
73110
- D.
25246; 73115
Correct Answer
D. 25246; 73115Explanation
The correct answer is 25246; 73115. The patient is complaining of wrist pain and the physician decides to perform an arthrography, which is a procedure used to diagnose joint problems. The injection given by the physician is likely a contrast agent that will be used during the arthrography. The code 73115 represents the arthrography procedure itself, while 25246 represents the injection of contrast agent. Therefore, both codes are necessary to accurately code the complete procedure.Rate this question:
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- 23.
Patient has carcinoma of the breast and undergoes proton beam delivery of radiation to the breast with a single port.
- A.
77523
- B.
77432
- C.
77520
- D.
77402
Correct Answer
C. 77520Explanation
The correct answer is 77520 because it is the CPT code for "Proton treatment delivery; simple." In this scenario, the patient has carcinoma of the breast and is undergoing proton beam delivery of radiation to the breast with a single port. Therefore, 77520 is the appropriate code to represent this procedure.Rate this question:
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- 24.
CT scan of the head with contrast.
- A.
70460
- B.
70542
- C.
70551
- D.
70470
Correct Answer
A. 70460Explanation
The correct answer is 70460 because it is the correct CPT code for a CT scan of the head with contrast. The other options are not appropriate because they either do not specify the use of contrast or are incorrect codes for other procedures.Rate this question:
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- 25.
Patient undergoes x-ray of the foot with three views.
- A.
73620
- B.
73610
- C.
73630
- D.
27648; 73615
Correct Answer
C. 73630Explanation
The correct answer is 73630. This code represents a radiographic examination of the foot with three views. It is used when the patient undergoes an x-ray procedure that captures images of the foot from different angles to provide a comprehensive view of the area. This code accurately describes the specific type of imaging study performed on the patient's foot.Rate this question:
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- 26.
Unilateral mammogram with computer-aided detection with further physician review and interpretation.
- A.
77055, 77032
- B.
77055-22
- C.
77056-52, 77051
- D.
77055, 77051
Correct Answer
D. 77055, 77051Explanation
The correct answer is 77055, 77051. This answer is correct because it includes both codes necessary for a unilateral mammogram with computer-aided detection and further physician review and interpretation. Code 77055 is used for the mammogram itself, and code 77051 is used for the physician's review and interpretation of the results.Rate this question:
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- 27.
Pregnant female comes in for a complete fetal and maternal evaluation via ultrasound.
- A.
76856
- B.
76805
- C.
76811
- D.
76810
Correct Answer
C. 76811Explanation
The correct answer is 76811. This code represents a complete fetal and maternal evaluation via ultrasound. It is used when a pregnant female undergoes an ultrasound examination to assess both the fetus and the mother's health. This code covers a comprehensive evaluation and is appropriate for this scenario.Rate this question:
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- 28.
Ultrasonic guidance for the needle biopsy of the liver. Code the complete procedure.
- A.
47000; 76942
- B.
47000; 76937
- C.
47000; 76999
- D.
47000; 77002
Correct Answer
A. 47000; 76942Explanation
The correct answer is 47000; 76942. This code combination indicates that the procedure performed was an ultrasonic guidance for needle biopsy of the liver. The code 47000 represents the needle biopsy procedure, while the code 76942 represents the ultrasonic guidance used during the procedure.Rate this question:
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- 29.
What code is used for a culture of embryos less than 4 days?
- A.
89251
- B.
89272
- C.
89268
- D.
89250
Correct Answer
D. 89250Explanation
FROM PATHOLOGY AND LABORATORY SECTION.Rate this question:
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- 30.
Basic metabolic panel (calcium, total) and total bilirubin.
- A.
80048; 82247
- B.
80053
- C.
80100
- D.
82239; 80400; 80051
Correct Answer
A. 80048; 82247Explanation
The correct answer is 80048; 82247. The basic metabolic panel (calcium, total) and total bilirubin are both included in this panel. The code 80048 represents the basic metabolic panel, which includes tests for glucose, calcium, electrolytes, and kidney function. The code 82247 represents the test for total bilirubin, which measures the level of bilirubin in the blood and helps diagnose liver or gallbladder problems. These two codes together cover the tests mentioned in the question.Rate this question:
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- 31.
Huhner test and semen analysis.
- A.
89325
- B.
89258
- C.
89310
- D.
89300
Correct Answer
D. 89300 -
- 32.
Chlamydia culture.
- A.
87110
- B.
87106
- C.
87118
- D.
87109; 87168
Correct Answer
A. 87110 -
- 33.
Partial thromboplastin time utilizing whole blood.
- A.
85732
- B.
85730
- C.
85245
- D.
85246
Correct Answer
B. 85730Explanation
The correct answer is 85730 because it is the correct CPT code for partial thromboplastin time (PTT) testing using whole blood. PTT is a laboratory test used to evaluate the blood's ability to clot properly. The code 85732 is incorrect because it is for prothrombin time (PT) testing, not PTT. The codes 85245 and 85246 are also incorrect as they are not related to PTT testing.Rate this question:
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- 34.
Pathologist bills for gross and microscopic examination of medial meniscus.
- A.
88300
- B.
88302; 88311
- C.
88325
- D.
88304
Correct Answer
D. 88304Explanation
The correct answer, 88304, refers to the billing code for the microscopic examination of the medial meniscus. This code is used when a pathologist examines the tissue sample of the meniscus under a microscope to make a diagnosis or identify any abnormalities. It is important to bill for both the gross examination (88300) and the microscopic examination (88304) to ensure accurate reimbursement for the services provided.Rate this question:
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- 35.
Cytopathology of cervical Pap smear with automated thin-layer preparation utilizing computer screening and manual rescreening under physician supervision.
- A.
88175
- B.
88148
- C.
88160; 88141
- D.
88161
Correct Answer
A. 88175 -
- 36.
Pathologist performs a postmortem examination including brain of an adult. Tissue is being sent to the lab for microscopic examination.
- A.
88309
- B.
88025
- C.
88099
- D.
88028
Correct Answer
B. 88025Explanation
The correct answer is 88025. This code represents the microscopic examination of brain tissue. In a postmortem examination, the pathologist examines the tissues to determine the cause of death and identify any underlying diseases or conditions. By performing a microscopic examination of the brain tissue, the pathologist can further investigate any abnormalities or diseases that may have contributed to the individual's death.Rate this question:
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- 37.
Clotting factor VII.
- A.
85220
- B.
85240
- C.
85362
- D.
85230
Correct Answer
D. 85230 -
- 38.
IV push of one antineoplastic drug.
- A.
96401
- B.
96409
- C.
96411
- D.
96413
Correct Answer
B. 96409Explanation
FROM MEDICINE SECTION : INJECTION AND INTRAVENOUS INFUSION CHEMOTHERAPY AND OTHER HIGHLY COMPLEX DRUG OR HIGHLY COMPLEX BIOLOGIC AGENT ADMINISTRATION.Rate this question:
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- 39.
One-half hour of IV chemotherapy by infusion followed by IV push of a different drug.
- A.
96413
- B.
96413; 96411
- C.
96413; 96409
- D.
96409; 96411
Correct Answer
B. 96413; 96411Explanation
The correct answer is 96413; 96411. This code combination represents the administration of two different drugs through intravenous (IV) methods. The first code, 96413, denotes the infusion of one drug over a half-hour period. The second code, 96411, represents the IV push administration of another drug. This combination accurately reflects the scenario described in the question.Rate this question:
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- 40.
Caloric vestibular test using air.
- A.
92543; 92700
- B.
92543; 92543
- C.
92700
- D.
92543
Correct Answer
C. 92700Explanation
The correct answer is 92700. The given information indicates a series of codes, and the correct answer is the last code in the sequence.Rate this question:
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- 41.
Patient presents to the emergency room with chest pains. The patient is admitted as a 23-hour observation. The cardiologist orders cardiac workup and the patient undergoes left heart catheterization via the left femoral artery with visualization of the coronary arteries and left ventriculography. The physician interprets the report. Code the heart catheterization.
- A.
93452; 93455
- B.
93452; 93458
- C.
93458
- D.
93459
Correct Answer
C. 93458Explanation
The correct answer is 93458. This code is appropriate because the patient underwent left heart catheterization via the left femoral artery with visualization of the coronary arteries and left ventriculography. Code 93458 specifically represents left heart catheterization including coronary angiography, ventriculography, and left heart catheterization.Rate this question:
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- 42.
Patient with hematochromatosis had a therapeutic phlebotomy performed on an outpatient basis.
- A.
99195
- B.
36522
- C.
36514
- D.
99199
Correct Answer
A. 99195Explanation
The correct answer is 99195. In this scenario, the patient with hematochromatosis underwent a therapeutic phlebotomy, which involves the removal of blood to reduce the iron overload in the body. The code 99195 specifically represents a phlebotomy performed on an outpatient basis, making it the most appropriate choice in this case. The other options (36522, 36514, 99199) do not accurately describe the procedure or the setting in which it was performed.Rate this question:
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- 43.
A physician performs a PTCA with drug-eluting stent placement in the left anterior descending artery and angioplasty only in the right coronary artery.
- A.
92928-LD; 92929-RC
- B.
92928-LD; 92920-RC
- C.
92928-LD; 92920-RC
- D.
92920-RC; 92929-LD
Correct Answer
B. 92928-LD; 92920-RCExplanation
The correct answer is 92928-LD; 92920-RC. This answer indicates that the physician performed a PTCA with drug-eluting stent placement in the left anterior descending artery (LAD) and angioplasty only in the right coronary artery (RCA). The codes 92928-LD and 92920-RC specifically represent these procedures, with LD indicating the LAD and RC indicating the RCA.Rate this question:
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- 44.
Transesophageal echocardiography (TEE) with probe placement, image, and interpretation and report.
- A.
93307
- B.
93303; 93325
- C.
93312; 93313; 93314
- D.
93312
Correct Answer
D. 93312Explanation
The correct answer, 93312, refers to the performance and interpretation of a transesophageal echocardiography (TEE) procedure. TEE involves inserting a probe into the esophagus to obtain detailed images of the heart and surrounding structures. The procedure provides valuable information about the structure and function of the heart, allowing for the diagnosis and monitoring of various cardiac conditions. The code 93312 includes both the placement of the probe and the interpretation and reporting of the images obtained during the procedure.Rate this question:
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- 45.
Which code listed below would be used to report an esophageal electrogram during an EPS?
- A.
93600
- B.
93615
- C.
93612
- D.
93616
Correct Answer
B. 93615Explanation
The code 93615 would be used to report an esophageal electrogram during an EPS.Rate this question:
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- 46.
Cardioversion of cardiac arrhythmia by external forces.
- A.
92961
- B.
92950
- C.
92960
- D.
92970
Correct Answer
C. 92960Explanation
The correct answer is 92960 because it is the only code that specifically refers to cardioversion of cardiac arrhythmia by external forces. The other codes listed are not related to cardioversion.Rate this question:
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- 47.
Osteopathic manipulative treatment to three body regions.
- A.
98926
- B.
98941
- C.
97110
- D.
97012
Correct Answer
A. 98926Explanation
The correct answer is 98926. This code represents osteopathic manipulative treatment to three body regions. Osteopathic manipulative treatment is a hands-on approach used by osteopathic physicians to diagnose, treat, and prevent illness or injury. In this case, the treatment is focused on three specific body regions. The other codes listed (98941, 97110, 97012) are not relevant to osteopathic manipulative treatment or do not specify the number of body regions being treated.Rate this question:
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- 48.
Patient presents to the Respiratory Therapy Department and undergoes a pulmonary stress test. CO2 production with O2 uptake with recordings was also performed.
- A.
94450
- B.
94620
- C.
94002
- D.
94621
Correct Answer
D. 94621Explanation
The correct answer is 94621. This code represents the performance and interpretation of a pulmonary stress test, which includes measurements of CO2 production and O2 uptake. The other codes listed are not specific to pulmonary stress tests or do not include the necessary components for this particular scenario.Rate this question:
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- 49.
Patient presents to the hospital for debridement of a diabetic ulcer of the left ankle. The patient has a history of recurrent ulcers. Medication taken by the patient includes Diabeta and the patient was covered in the hospital with insulin sliding scales. The decubitus ulcer was debrided down to the bone.
- A.
11043, +11047
- B.
11043, +11046
- C.
11044
- D.
11044, +11047
Correct Answer
C. 11044Explanation
The correct answer is 11044 because this code represents the debridement of a full-thickness skin and subcutaneous tissue ulcer. The patient's ulcer was debrided down to the bone, which indicates a deep tissue ulcer. The other codes listed do not accurately represent the depth of the ulcer or the extent of the debridement.Rate this question:
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- 50.
Patient presents to the emergency room following a fall from a tree. X-rays were ordered for the left upper arm, which showed a fracture of the humerus shaft. The emergency room physician performed a closed reduction of the fracture and placed the patient in a long term spica cast. Code the diagnoses and procedures, excluding the x-ray.
- A.
24505-LT
- B.
24515-LT
- C.
24505-LT, 29065
- D.
24500-LT
Correct Answer
A. 24505-LTExplanation
The correct answer is 24505-LT. This code represents the closed reduction of the fracture of the humerus shaft performed by the emergency room physician. The addition of "LT" indicates that the procedure was performed on the left side.Rate this question:
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