AAPC CPC Chapter 11 A - ✔✔A patient with hypertension is scheduled for same day surgery for removal of her gallbladder due to chronic gallstones. She is examined preoperatively by her cardiologist to be cleared for surgery. What ICD -10-CM codes are reported by the cardiologi st? A) Z01.810, K80.20, I10 B) I10, Z01.818, K80.20 C) K80.20, I10, Z01.810 D) K80.21, Z01.89, I10 D - ✔✔A patient is admitted for a simple primary examination of the gastrointestinal system to rule out GI cancer. An Esophagogastroduodenoscopy (EGD) is pe rformed, which includes examination of the esophagus, stomach and portions of the small intestine. During the examination, a stricture of the esophagus is identified and subsequently dilated via balloon dilation (20 mm). What CPT® and ICD -10-CM codes are reported? A) 43235, K22.2 B) 43235, C15.9 C) 43248, Q39.3 D) 43249, K22.2 D - ✔✔A screening colonoscopy is performed on a 50 year -old patient with a family history of colon cancer. Multiple polyps were found during the procedure. Two polyps in the transver se colon were removed with hot forceps cautery. Three polyps in the ascending colon were removed via snare. Portions of all polyp tissues were to be sent to pathology. What are the correct CPT® and ICD -10-CM codes for this patient encounter? A) 48584 x2, 4 5385 x3, K63.5 B) 45384, 45385 -59, K63.5, Z12.11, Z80.0 C) 45384 x2, 45385 x3, Z80.0, K63.5, Z12.11 D) 45384, 45385 -59, Z12.11, D12.3, D12.2, Z80.0 B - ✔✔A 33 year -old male patient presents to the endoscopy suite to determine if he has an ulcer. The physi cian performs a diagnostic scope through the esophagus, stomach and into the duodenum and jejunum. During the scope the patient has a severe drop in blood pressure and the physician discontinues the procedure, but not before observing and diagnosing a blee ding ulcer on the stomach lining as well a perforated ulcer in the jejunum. A repeat examination is planned. What CPT® and ICD -10-CM codes are reported? A) 43235 -52, K25.4, K28.5 B) 43235 -53, K25.4, K28.5 C) 43200 -52, K25.5, K28.5 D) 43235 -53, K25.4, K28.1 A - ✔✔A patient presents for esophageal dilation. The physician begins dilation by using a bougie. This attempt was unsuccessful. The physician then dilates the esophagus transendoscopically using a balloon (25mm). What CPT ® code (s) is/are reported? A) 43220 B) 43450 -53, 43220 C) 43450, 43220 D) 43220, 43450 -52 D - ✔✔How do you report a screening colonoscopy performed on a 65 year -old Medicare patient with a family history of colon cancer? The physician was able to pass the scope to the cecum. What CPT® and ICD -10-CM codes are reported? A) 45330, Z13.818, Z80.0 B) 45378, Z12.11, Z85.038 C) G0104, Z13.818, Z85.038 D) G0105, Z12.11, Z80.0 A - ✔✔A patient presents with a 2 cm benign lip lesion. The provider decides to remove the les ion along with a portion of the lip by performing a wedge excision. Single -layer suture repair is performed. What CPT® code(s) is/are reported for this service? A) 40510 B) 11442, 12011 -51 C) 40510, 12011 -51 D) 11442, 40510 A - ✔✔What is the correct ICD -10-CM code for a patient with IBS? A) K58.9 B) K59.2 C) K58.0 D) K59.8 A - ✔✔What is the correct CPT ® coding for a partial distal gastrectomy with Roux -en-Y reconstruction with vagotomy? A) 43633, 43635 B) 43634, 43635 C) 43621, 43635 D) 43633, 43640 -51 D - ✔✔What CPT ® and ICD -10-CM codes are reported for diagnosis of a recurrent unilateral reducible femoral hernia repair? A) 49550, K41.91 B) 49555, K41.21 C) 49505, K41.31 D) 49555, K41.91 D - ✔✔In ICD -10-CM, how is Crohn's disease of the small intestine with intestinal obstruction reported? A) Crohn's disease of the small intestine is reported first with intestinal obstruction reported as a secondary diagnosis. B) Intestinal obstruction is reported first with Crohn's disease of the small intestine is reported as a secondary. C) One combination code is reported to indicate Crohn's disease of the small intestine with intestinal obstruction. D) Crohn's disease of the small intestine is reported as regional enteritis of the small intestines. C - ✔✔A patient is seen in the gastroenterologist's clinic for a diagnostic colonoscopy. When performing the service, the physician notes suspicious looking polyps and removes three using a snare technique to send to pathology for further testing. What is/are the correct CPT® code(s) to report? A) 45378, 45385 -51 B) 45380 C) 45385 D) 45378, 45380 -51 C - ✔✔What ICD -10-CM code(s) is reported for ulcerative colitis with rectal bleeding? A) K51.511 B) K52.9, K62.5 C) K51.911 D) K51.90 D - ✔✔What is the CPT ® code for removal of a foreign body from the esophagus via the thoracic area? A) 43215 B) 43020 C) 43500 D) 43045 B - ✔✔Where is the vermilion border located? A) Underneath the tongue B) Upper and lower lips C) Stomach lining D) In the esophagus C - ✔✔What ICD -10-CM code is reported for internal hemorrhoids? A) K64.4 B) K64.9 C) K64.8 D) K64.0
