COC 2020 - FINAL EXAM STUDY QUESTIONS (SET 3)

COC 2020 - FINAL EXAM STUDY QUESTIONS (SET 3) A patient is diagnosed with pressure ulcers on each heel. Each heel displays bone involvement with evidence of necrosis and is identified as stage 4. Select the diagnosis code(s): - L89.614,L89.624 A patient is given Xylocaine, a local anesthetic, by injection in the thigh above the site to be biopsied. A small bore needle is then introduced into the muscle, about 3 inches deep, and a muscle biopsy is taken. What CPT code is reported for this service? - 20206 A patient is having a decompression of the nerve root involving two segments of the lumbar spine via transpedicular approach. Report the CPT® code(s). - 63056, 63057 A patient is having phacoemulsification ofan age-related nuclear cataract of the left eye. What ICD-10-CM code is reported? - H25.12 A patient is having surgery to repair a recurrent left inguinal hernia without obstruction. What ICD-10-CM code is reported? - K40.91 A patient is in outpatient surgery for a laparoscopic oophorectomy for a right ovarian cyst. After admission, the anesthesiologist discovered the patient had an upper respiratory infection and the surgery was cancelled. Applying the coding concept from ICD-10-CM guideline IV.A.I, what is the appropriate ICD-10-CM code selection? - N83.201, J06.9, Z53.09 A patient is in the hospital for a hysterosalpingogram due to her infertility for 10 years. She has no history of pelvic infection or surgery. A 5-F hysterosalpingogram catheter was used. The catheter balloon was inflated in the lower uterine segment. Contrast was administered through the catheter and multiple images were taken. Findings were possible right cornual contour abnormality manifested by focal extravasation and minimal intravasation of undetermined etiology. Recommend endovaginal ultrasound for further evaluation. What are the CPT ® and ICD-10-CM codes reported? - 58340, 74740, N97.9 A patient is in the outpatient radiology department of the hospital for an MRI of the brain to rule out stroke. His symptoms are slurred speech and headache. The ventricles and sulci are seen within the brain. There is no evidence of space-occupying lesion or intracranial hemorrhage. No abnormal extra-axial cerebral fluid collections are identified. Diffusion weighting imaging shows no abnormality. Impression is negative. What CPT ® and ICD-10-CM codes are reported by the facility? - 70551, R47.81, R51 A patient is receiving pain management treatment for chronic cervical pain caused by a motor vehicle accident. Report the ICD-10-CM code(s). - G89.21, M54.2, V49.9XXA A patient is referred to the hospital radiology clinic for numbness and tingling in the arms. The radiologist performs a Doppler analog waveform analysis, a volume plethysmography and a flow velocity signal of the arteries of both arms. What procedure and diagnosis codes are reported for the facility services? - 93922, R20.0, R20.2 A patient is respirator dependent and has a tracheostomy in need of revision due to redundant scar tissue formation surrounding the site. Under general anesthesia and establishing the airway to maintain ventilation, the scar tissue is resected and then repair is accomplished using a layered closure. What CPT ® and ICD-10-CM codes are reported? - 31830, L90.5, Z43.0, Z99.11 A patient is scheduled for closure of a cystostomy. The patient has a personal history of bladder carcinoma. After removing the sutures that secured the cystostomy tube to the skin and bladder, the surgeon removed the cystostomy tube and sutured the bladder musculature to repair the opening. The physician placed a drain tube, brought it out through a separate stab incision in the skin, and performed a layered closure. What CPT ® and ICD-10-CM codes are reported? - 51880, Z43.5, Z85.51 A patient is seen in the outpatient clinic for pain and the physician gives a series of 6 injections for the following muscles on the right side of the back: the rhomboid (1), trapezius (3), and latissimus dorsi (2). Report the CPT® code(s) for the trigger point injections. - 20553 A patient is seen in the emergency department to treat a second-degree burn to his right arm (9 percent) and third-degree burns on his chest and left arm (25 percent). Select the diagnosis codes. - T21.31XA, T22.30XA, T22.20XA, T31.32