2.
One lesion excised from the vulva is reported using code 56606. Code 56610 is used to report a biopsy of each additional lesion of the vulva after the first one.
Explanation
The given answer is false because code 56610 is not used to report a biopsy of each additional lesion of the vulva after the first one. Code 56610 is used to report a biopsy of the vulva, but it does not specify that it is for additional lesions. The correct code for reporting a biopsy of each additional lesion of the vulva after the first one would be a different code, not 56610.
3.
The hymen is a membrane that covers the external opening of the vagina.
Explanation
The hymen is a thin membrane that partially covers the vaginal opening in females. It is a natural part of the female anatomy and can vary in shape and size. The hymen can be stretched or torn due to various activities such as sexual intercourse, physical activity, or the use of tampons. Therefore, the statement "The hymen is a membrane that covers the external opening of the vagina" is true.
4.
Vulva repair is reported using codes 56800-56810.
Explanation
The given statement is true. Vulva repair procedures are coded using codes 56800-56810. These codes specifically pertain to the repair of the vulva, which is the external female genitalia. These codes are used to accurately document and bill for procedures performed on the vulva, ensuring proper reimbursement and accurate medical coding.
5.
If a destruction of a cyst, abscess, or a cautery destruction of a urethral caruncle is performed, the code set used to report this service is 56700-56740.
Explanation
The correct answer is False. The code set used to report the destruction of a cyst, abscess, or a cautery destruction of a urethral caruncle is not 56700-56740.
6.
Procedures performed on the female genital system may be performed endoscopically, laparoscopically, or open.
Explanation
Procedures performed on the female genital system can indeed be performed using different methods, including endoscopic, laparoscopic, or open techniques. This means that these procedures can be done using minimally invasive approaches such as using a small camera and instruments inserted through small incisions (endoscopic or laparoscopic), or through a traditional open surgery approach. Therefore, the statement "Procedures performed on the female genital system may be performed endoscopically, laparoscopically, or open" is true.
7.
A complete radical vulvectomy is reported using code 56633.
Explanation
The statement is true because code 56633 represents a complete radical vulvectomy, which is a surgical procedure that involves the removal of the entire vulva, including the underlying tissues and lymph nodes. This code accurately describes the procedure, making the statement true.
8.
A partial procedure is the removal of greater than 80% of the vulvar area.
Explanation
A partial procedure is not the removal of greater than 80% of the vulvar area. This means that the statement is false.
9.
A simple procedure is the removal of the skin and superficial subcutaneous tissue.
Explanation
The given statement states that a simple procedure involves the removal of the skin and superficial subcutaneous tissue. This implies that the procedure is not complex or extensive, but rather a relatively straightforward process. Therefore, the statement is true.
10.
A radical procedure, as it relates to the vulvectomy codes, is defined as the removal of less than 80% of the vulvar area.
Explanation
A radical procedure, as it relates to the vulvectomy codes, is not defined as the removal of less than 80% of the vulvar area.
11.
A colposcopy of the vulva with biopsy is reported using CPT code 56821.
Explanation
A colposcopy of the vulva with biopsy is reported using CPT code 56821. This means that the given CPT code is the correct code to use when reporting a colposcopy procedure of the vulva with a biopsy.
12.
Repairs of the vagina are reported using the ------------------------------------------------ code set.
Correct Answer
57200-57335
Explanation
The correct answer is 57200-57335 because these CPT codes specifically pertain to repairs of the vagina. The range of codes covers a variety of procedures, such as the repair of vaginal lacerations or the reconstruction of the vaginal canal. These codes are used to accurately report and bill for these specific types of vaginal repairs.
13.
A biopsy of the vaginal mucosa would be reported using the ------------------------------------------ code range.
Correct Answer
57100-57105
Explanation
A biopsy of the vaginal mucosa is a procedure in which a small sample of tissue is taken from the vaginal lining for examination. The code range 57100-57105 is used to report this procedure. Each code within this range represents a different method or extent of the biopsy procedure, allowing for specific documentation and billing purposes.
14.
Paravaginal defect repairs are reported using the -------------------------------- code range.
Correct Answer
57284-57285
Explanation
Paravaginal defect repairs are surgical procedures performed to correct the weakening of the vaginal wall. The correct code range for reporting these repairs is 57284-57285. These codes specifically identify the different types and complexities of paravaginal defect repairs performed by healthcare professionals.
15.
Insertion of IUD is reported with code ------------
Correct Answer
58300
Explanation
The correct answer for the given question is 58300. This code is used to report the insertion of an intrauterine device (IUD). An IUD is a small, T-shaped device that is inserted into the uterus to prevent pregnancy. The code 58300 specifically represents the insertion of the IUD, indicating that the procedure was performed.
16.
The removal of uterine fibroid tumors from the wall of the uterus is reported using code range ----------------.
Correct Answer
58140-58146
Explanation
The correct answer is 58140-58146 because this code range specifically represents the removal of uterine fibroid tumors from the wall of the uterus. These codes are used to report the procedure accurately and ensure proper documentation and billing.
17.
The code range used to report the cautery of the cervix is ------------------------------------.
Correct Answer
57510-57513
Explanation
The code range 57510-57513 is used to report the cautery of the cervix. This means that these codes are used to document and bill for the procedure of using heat or electricity to destroy or remove abnormal tissue from the cervix. These codes are specific to this particular procedure and are used by healthcare providers to accurately report and track the services provided.
18.
If open occlusion of the fallopian tubes is performed, code 58627 should be used to report this service.
Explanation
The correct answer is False. The code 58627 should not be used to report open occlusion of the fallopian tubes. This code is used for laparoscopic ligation or transection of the fallopian tubes. Open occlusion of the fallopian tubes would require a different code that is specific to that procedure.
19.
A colpocentesis is the aspiration of fluid through the vaginal wall into a syringe.
Explanation
A colpocentesis is a medical procedure where fluid is aspirated from the vaginal wall using a syringe. This procedure is commonly performed to collect samples for diagnostic purposes, such as testing for infections or abnormal cells. By inserting a needle through the vaginal wall, healthcare professionals can extract fluid for further analysis. Therefore, the statement that a colpocentesis involves the aspiration of fluid through the vaginal wall into a syringe is true.
20.
Code 56606 is an add-on code and should be used only in conjunction with 56605.
Explanation
The given statement is true because code 56606 is classified as an add-on code, which means it cannot be used alone and must be used in conjunction with code 56605. This suggests that code 56606 provides additional information or services that are supplementary to those provided by code 56605.
21.
Endoscopic and open procedures of the vagina are reported using CPT codes 57420-57425.
Explanation
The given statement is false. Endoscopic and open procedures of the vagina are not reported using CPT codes 57420-57425. The correct CPT codes for endoscopic and open procedures of the vagina may vary, but they are not within the range of 57420-57425.
22.
When you are reporting vaginal approach procedures, dilation of the cervix (57800) should be reported separately, as it is a routine part of the surgical field encountered.
Explanation
When reporting vaginal approach procedures, dilation of the cervix (57800) should not be reported separately because it is considered a routine part of the surgical field encountered. Therefore, the statement is false.
23.
When reporting the service of the introduction of a diaphragm, the cost of the diaphragm is included in the introduction.
Explanation
The explanation for the answer "False" is that when reporting the service of introducing a diaphragm, the cost of the diaphragm is not included. The cost of the diaphragm would be a separate expense that is not directly related to the introduction of the service. Therefore, the statement is incorrect.
24.
Hydatidiform mole, also known as a "molar pregnancy," results from genetic abnormalities.
Explanation
Hydatidiform mole, also known as a "molar pregnancy," is indeed caused by genetic abnormalities. This condition occurs when there is an abnormal fertilization of the egg, leading to the growth of abnormal tissue instead of a normal pregnancy. The resulting genetic abnormalities can cause the growth of a mass in the uterus, which can resemble a cluster of grapes. Therefore, the statement "Hydatidiform mole, also known as a 'molar pregnancy,' results from genetic abnormalities" is true.
25.
Antepartum introduction and repair are reported using codes from the 59200-59350 code set.
Explanation
The statement "Antepartum introduction and repair are reported using codes from the 59200-59350 code set" is true. This means that when reporting antepartum introduction and repair procedures, the appropriate codes to use are within the 59200-59350 code range.
26.
Normal maternity care includes monthly visits up to 36 weeks gestation.
Explanation
Normal maternity care includes monthly visits up to 36 weeks gestation. The given statement is false because normal maternity care includes monthly visits up to 28 weeks gestation, not 36 weeks. After 28 weeks, the visits become more frequent, typically every two weeks until 36 weeks, and then weekly until delivery.
27.
Services unrelated to pregnancy should be reported using the Evaluation and Management codes.
Explanation
Evaluation and Management codes are used to report services that are unrelated to a specific procedure or condition, such as general check-ups or consultations. Therefore, it is true that services unrelated to pregnancy should be reported using the Evaluation and Management codes.
28.
Chorionic villus is another term for placenta.
Explanation
The chorionic villus is a structure that forms part of the placenta during pregnancy. It is responsible for the exchange of nutrients and waste products between the mother and the developing fetus. Therefore, it is correct to say that the chorionic villus is another term for the placenta.
29.
Obstetrics is the specialty that deals with women during pregnancy, childbirth, and the period immediately following childbirth.
Explanation
Obstetrics is indeed the specialty that focuses on the care of women during pregnancy, childbirth, and the postpartum period. This field of medicine ensures the well-being of both the mother and the baby throughout the entire process, from prenatal care to delivery and the early stages of motherhood. Obstetricians are trained to handle various complications and provide necessary medical interventions during pregnancy and childbirth. Therefore, the given answer, "True," accurately reflects the definition and scope of obstetrics.
30.
The embryo is referred to as the fetus from the first six weeks of pregnancy until birth.
Explanation
The given statement is false. The embryo is referred to as the fetus from the ninth week of pregnancy until birth, not the first six weeks. During the first six weeks, the developing human is considered an embryo, and it is only after this period that it is referred to as a fetus.
31.
Vesicocentesis is reported using 59012.
32.
Code 59076 is used to report fetal shunt placement, including ultrasound guidance.
Explanation
Code 59076 is used to report fetal shunt placement, including ultrasound guidance. This means that when a fetal shunt is placed, and ultrasound guidance is used during the procedure, code 59076 is the correct code to report it. Therefore, the statement "Code 59076 is used to report fetal shunt placement, including ultrasound guidance" is true.
33.
Code 59030 would be used to report fetal monitoring during labor.
Explanation
Code 59030 is not used to report fetal monitoring during labor. Fetal monitoring during labor is typically reported using different codes such as 59025 or 59026, depending on the type of monitoring used. Code 59030 is actually used to report fetal monitoring outside of labor, such as during antepartum visits.
34.
Code 59409 is used to report a normal vaginal delivery without forceps.
Explanation
Code 59409 is used to report a normal vaginal delivery without forceps. This means that if a patient undergoes a vaginal delivery without the use of forceps, this code would be used to report the procedure. Therefore, the statement is true.
35.
A(n) -------------------- ---------------- is a delivery in which there is a surgical procedure (incision) performed through the abdominal wall to extract the fetus.
Correct Answer
Cesarean section
Explanation
A Cesarean section is a surgical procedure where an incision is made through the abdominal wall to deliver the fetus. This method is typically used when a vaginal delivery poses risks to the mother or baby, such as in cases of breech presentation, multiple pregnancies, or certain medical conditions.
36.
A hysterectomy performed after a cesarean delivery is reported using CPT add-on code ---------------------.
Correct Answer
59525
37.
Delivery of the placenta is reported using CPT code --------------------.
Correct Answer
59414
Explanation
The correct CPT code for reporting the delivery of the placenta is 59414. This code specifically refers to the delivery of the placenta following childbirth. It is important to accurately report this code to ensure proper documentation and billing for the delivery process.
38.
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care is reported using code ----------------------------
Correct Answer
59400
Explanation
The correct answer is 59400. This code is used to report routine obstetric care, which includes antepartum care (care provided during pregnancy), vaginal delivery, and postpartum care (care provided after delivery). It encompasses the comprehensive management of a normal pregnancy and delivery, including prenatal visits, labor and delivery, and postpartum check-ups.
39.
--------------------------------------- services include hospital care and office visits immediately following birth, up to six weeks.
Correct Answer
Postpartum
Explanation
The given information describes services that are provided immediately after birth and up to six weeks. This period is commonly known as the postpartum period, which refers to the time after childbirth when the mother's body undergoes various physical and emotional changes. During this time, medical care is often required to monitor the mother's health and provide support for any complications or issues that may arise. Therefore, the correct answer is "Postpartum."
40.
Code range ---------------------------------------------- would be referenced when a patient who had a previous cesarean delivery now has a successful vaginal delivery.
Correct Answer
59610-59614
Explanation
The code range 59610-59614 would be referenced when a patient who had a previous cesarean delivery now has a successful vaginal delivery. These codes specifically pertain to postpartum care and include services such as routine postpartum follow-up visits, examination of the uterus, and assessment of the healing process after the vaginal delivery. They do not include any services related to the cesarean delivery itself.
41.
---------------------------- is a procedure in which an amniocentesis needle is inserted into the umbilical vessel to obtain blood from the fetus.
Correct Answer
Cordocentesis
Explanation
Cordocentesis is a procedure where a needle is inserted into the umbilical vessel to obtain blood from the fetus. This procedure is typically performed to diagnose genetic disorders, infections, or blood disorders in the fetus. It allows for direct access to the fetal blood supply and provides more accurate and detailed information compared to other prenatal tests. Cordocentesis is usually performed under ultrasound guidance to ensure the safety of both the mother and the fetus.
42.
CPT code ------------ would be used to report fetal fluid drainage. This code includes the ultrasound guidance.
Correct Answer
59074
Explanation
CPT code 59074 is used to report fetal fluid drainage, which involves the removal of excess amniotic fluid from the uterus. This procedure is typically performed under ultrasound guidance to ensure accuracy and safety. The code 59074 includes the cost of the ultrasound guidance, making it the appropriate choice for reporting this specific procedure.
43.
The condition in which there is less than sufficient amniotic fluid present is called --------------------------.
Correct Answer
Oligohydramnios.
Explanation
Oligohydramnios is the term used to describe the condition in which there is less than sufficient amniotic fluid present. This condition can occur due to various reasons such as kidney problems in the fetus, placental dysfunction, or ruptured membranes. Oligohydramnios can have negative effects on the developing fetus, including impaired lung development, growth restriction, and complications during delivery. Prompt medical intervention and monitoring are necessary to manage oligohydramnios and ensure the well-being of both the mother and the baby.
44.
The abbreviation EDC means --------------------------------------------------------------------------.
Correct Answer
Estimated date of confinement
Explanation
The abbreviation EDC stands for Estimated Date of Confinement. This term is commonly used in the medical field to refer to the estimated due date of a pregnant woman. It is the date on which the woman is expected to give birth or be "confined" to the hospital for delivery. This abbreviation is widely used in medical records and discussions to track the progress of pregnancy and plan for the delivery accordingly.
45.
Antepartum care is the care rendered during the time prior to childbirth.
Explanation
Antepartum care refers to the medical care and support provided to a pregnant woman during the period before childbirth. This includes regular check-ups, monitoring the health of the mother and fetus, providing necessary vaccinations and screenings, and offering guidance on nutrition and exercise. Therefore, the statement "Antepartum care is the care rendered during the time prior to childbirth" is true.
46.
A spontaneous abortion can be elective or therapeutic and is induced by medical personnel working within the law.
Explanation
The statement is false because a spontaneous abortion, also known as a miscarriage, is not induced by medical personnel. It occurs naturally without any intervention and is not under the control of medical professionals. Elective or therapeutic abortions, on the other hand, are procedures that are performed by medical personnel.
47.
Services such as fetal monitoring during labor, delivery of the placenta, and episiotomy are not included in most delivery services and should be coded separately.
Explanation
Services such as fetal monitoring during labor, delivery of the placenta, and episiotomy are actually included in most delivery services and should not be coded separately.
48.
During the second week through the eighth week of pregnancy, the embryo grows and develops into a fetus.
Explanation
During the second week through the eighth week of pregnancy, the embryo undergoes significant growth and development, transitioning into a fetus. This is a crucial period where major organs and body systems are formed. Therefore, it is accurate to say that the embryo grows and develops into a fetus during this time.
49.
Delivery services include any workup performed relative to the admission and management of labor as well as ultrasounds performed before the mother goes home from the hospital.
Explanation
The given statement is false. Delivery services do not include ultrasounds performed before the mother goes home from the hospital. Delivery services typically refer to the medical procedures and care provided during labor and childbirth, including monitoring the mother and baby's health, administering pain relief, and assisting with the delivery process. Ultrasounds performed before discharge would fall under prenatal care or postnatal care, but not delivery services. Therefore, the correct answer is false.