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WEEK 2 DOMAIN 1 CLASSIFICATION QUESTIONS AND ANSWERS
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WEEK 2 DOMAIN 1 CLASSIFICATION QUESTIONS AND ANSWERS Left carotid artery excision for tumor of carotid body A. 60600 B. 21555 C. 60699 D. 60605 Assign code 60605 for the procedure consisting of a excision of the left carotid artery for a carotid body tumor. This code encompasses everything pe...

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  • December 18, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • week 2 domain 1 classification questions and answe
  • patient is 24 weeks pregnant and arrives in the em
  • patient complains of recurrent syncope following c

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WEEK 2 DOMAIN 1 CLASSIFICATION
QUESTIONS AND ANSWERS
Left carotid artery excision for tumor of carotid body
A. 60600
B. 21555
C. 60699
D. 60605 - answer Assign code 60605 for the procedure consisting of a excision of
the left carotid artery for a carotid body tumor. This code encompasses everything
performed. No additional codes are needed.
In this case, it's important to select the correct code that specifically identifies the
location of the tumor excised (carotid body as opposed to neck). It's also important to
identify the code that includes both the excision of the carotid body as well as the
excision of the carotid artery.

Identify the correct root operation, in ICD-10-PCS, for the following:
Colon polyp fulguration
A. detachment
B. destruction
C. extraction
D. excision - answer ICD-10-PCS uses its own definitions of these root operation
terms:
Destruction: Physical eradication of all or a portion of a body part by the direct use of
energy, force, or a destructive agent
Detachment: Cutting off all or a portion of the upper or lower extremities
Excision: Cutting out or off, without replacement, a portion of a body part
Extraction: Pulling or stripping out or off all or a portion of a body part by the use of force
The correct answer is destruction. (Fulguration is destruction of tissue by use of
electrical current.)

Patient is 24 weeks pregnant and arrives in the emergency room following an
automobile accident. No fetal movement or heartbeat noted. Patient is taken to the OB
ward where prostaglandin is given to induce abortion.
A. 59840
B. 59855
C. 59850
D. 59841 - answer Assign code 59855 for an induced abortion, prostaglandin. No
additional codes are needed.
To determine the correct code, you must identify how the abortion was induced
(prostaglandin as opposed to dilation and curettage, dilation and evacuation, or
amniocentesis injections).

, Patient complains of recurrent syncope following carotid thromboendarterectomy.
Patient returns 2 weeks after initial surgery and undergoes repeat carotid
thromboendarterectomy.
A. 35201
B. 33510
C. 35301
D. 35301, 35390 - answer Assign code 35301 for the carotid thromboendarterectomy
procedure. No additional codes are needed.
In this case, you must first identify the correct procedure (thromboendarterectomy) and
the specific location of the procedure (carotid). You also must take into consideration
when the second procedure was performed (2 weeks after initial surgery as opposed to
more than one month after original operation).

A 10 sq cm epidermal autograft to the face from the back
A. 15115
B. 15110, 15115
C. 15120
D. 15110 - answer Skin transplanted from one location to a different location on the
same person is considered an autograft. An epidermal autograft consists of epidermal
tissue. Only if the donor site requires skin grafting or flaps, an additional code should be
reported. Assign code 15115 for the 10 sq cm epidermal autograft from the back to the
face. No additional codes needed as it is less than 100 sq cm.

A patient is admitted to the hospital for repair of a recurrent incarcerated epigastric
hernia. The surgery is canceled after the chest X-ray revealed lower lobe pneumonia.
The patient is placed on antibiotics for treatment of the pneumonia.
A. J18.9, J43.6
B. J18.9, K43.0, Z53.09
C. K43.6, J18.1, Z53.09
D. K43.6, J18.9 - answer Recurrent incarcerated epigastric hernia = K43.6
Lower lobe pneumonia = J18.1
Cancellation of surgery = Z53.09
The code reporting the cancellation of surgery must be included.

ICD-10-PCS codes have a unique structure. An example of a valid code in the ICD-10-
PCS system is
A. 013.2
B. L03.311
C. 2W3FX1Z
D. B2151 - answer ICD-10-PCS codes contain 7 characters that can be letters or
numbers. Each code is made up of any one of the 10 digits 1-9 and any one of 24
letters A-H, J-N, and P-Z. The letters "O" and "I" are not used so as not to be confused
with the numbers "0" and "1."

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