CPC Chapter 14 Questions and Correct Answers Rated A+
The nervous system is composed of what two parts? -✔✔ Central and Peripheral Nervous
Systems
Response Feedback:
Rationale: The nervous system is comprised of two parts: (1) Central Nervous System (CNS)
which is the brain and spinal cord in command of the entire body movement and function. (2)
Peripheral Nervous System (PNS) which incorporates all the nerves running throughout the
body that sends information to, and receives instruction from the CNS.
Adrenal means: -✔✔ Near the kidneys
Response Feedback:
Rationale: Adrenal means near the kidneys; the adrenal glands are above each kidney.
A 42-year-old male with thyroid cancer is admitted to the hospital for hypersecretion of
calcitonin (functional activity) caused by the cancer. Choose the ICD-10-CM code(s) to report. -
✔✔ C73, E07.0
Response Feedback:
Rationale: When a patient has functional activity (thyrotoxicosis or disorders of thyrocalcitonin
secretion) associated with a neoplasm, the neoplasm should be reported first and the functional
activity caused by the neoplasm is reported as a secondary code. There is no documentation of
the patient having a history of other cancers so a Z code is not appropriate. In the ICD-10-CM
Alphabetic Index, look for Carcinoma/thyroid; there is no listing in the Alphabetic Index. Use the
instruction - see also Neoplasm, by site, malignant which is next to Carcinoma. In the Table of
Neoplasms, locate Neoplasm, neoplastic/thyroid (gland)/Malignant Primary (column) directing
you to code C73. In the Tabular List, C73 states to "Use additional code to identify any functional
activity." The second diagnosis code is in the Alphabetic Index under Hypersecretion/calcitonin
directing you to code E07.0. Verify code selection in the Tabular List.
Select the code for a patient diagnosed with thyrotoxicosis crisis with an overactive nodular
goiter. -✔✔ E05.21
, Response Feedback:
Rationale: The diagnosis is indexed under Thyrotoxicosis/with/goiter/nodular/with thyroid
storm guiding you to code E05.21. Verification in tabular indicates E05.21 is correct code
(thyroid crisis/storm). Verify code selection in the Tabular List.
A college student goes to the ER with symptoms of headache and high fever for the past two
days. A Lumbar Puncture is performed and spinal fluid is sent to the lab to check for meningitis.
What CPT® code is reported for this surgery? -✔✔ 62270
Response Feedback:
Rationale: The patient is not having an injection or an aspiration of contents found in the
nucleus pulposus, intervertebral disc, or paravertebral tissue. The procedure is a spinal puncture
in the lumbar area to determine if the patient has meningitis. Look in the CPT Index for Spinal
Tap/Lumbar guiding you to code 62270. Verify the code in the Nervous System section.
A 59-year-old female with failed back syndrome has undergone a recent test dose of intrathecal
narcotics with good pain response. She is brought to the operating room for preparation and
insertion of Medtronic programmable pain pump and intrathecal catheter. What CPT® codes are
reported for this surgery? -✔✔ 62362, 62350-51
Response Feedback:
Rationale: The patient is having an insertion of a programmable pump and an intrathecal
catheter implanted to infuse pain meds for pain management. An infusion of pain medications
is not performed. Look in the CPT Index for Infusion Pump/Spinal Cord guiding you to codes
62361-62362. Look in the CPT Index for Catheterization/Spinal Cord guiding you to codes
62350-62351 for the second code. Look in the Nervous System section to select the correct
code.
A 50-year-old with left internal carotid artery stenosis presents for a left carotid
thromboendarterectomy with electroencephalogram monitoring. Electroencephalogram (EEG)
leads were placed on his head prior to surgery. Throughout the procedure, EEG patterns were
symmetrical. What CPT® code is reported for this EEG Monitoring? -✔✔ 95955-26
Response Feedback:
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