integrated billing and coding exam
prep 100% Accurate!!
A neurologist specializes in diagnosis and treatment of conditions of the nervous system, including
the brain and______. - ANSWER spinal cord
Digestive system common health concerns include peptic ulcers ,______, and colon or rectal cancer. -
ANSWER irritable bowel syndrome
A geriatric specialist may also be known as a ______. - ANSWER geriatrician
Endocrinologists are physicians whose _____ involves the diagnosis and treatment of abnormalities
of the endocrine system. - ANSWER specialty
Neurosurgery is a sub-specialty for physicians who diagnose and treat conditions affecting the
neurological system, such as brain tumors or hydrocephalus. These professionals may also work with
patients for ______. - ANSWER pain management
CASE STUDY - Pt is a 7-month-old male brought in by his mother. She states that she picked the child
up from their babysitter's house, and he has been listless and unresponsive since. There has been no
loss of consciousness.Eyes are glazed and unfocused with petechia showing in sclera. MRI brain con?
rms shaken infant syndrome with intracranial contusion of brainstem.Child is admitted to hospital
NICU for observation.Authorities noti?ed of suspected abuse. What code or codes should be used? -
ANSWER T74.4XXA,S06.370A,Y30.XXXA, 99471, 70551
CASE STUDY - This 89-year-old male was seen in his room at the Sun City Nursing Home for his
regular annual check-up. Pt is stable and doing well on his current regime of medications. PE shows
age-appropriate condition. HEENT unremarkable. Coordination with resident medical director to
review and af?rm medical plan of care.What code or codes should be used? - ANSWER Z00.00,
99397
CASE STUDY - Procedure performed: Colonoscopy Physician: Matthew Appellet, MD Indications:
History of in?ammatory bowel disease Procedure: The patient was given no premedication at her
request and the Olympus PCF-130 colonoscope was used. The mucosa of the rectum was essentially
normal apart from some mild nonspeci?c edema. Photographs and biopsies were obtained. The
remainder of the rectum was normal. The sigmoid was normal as was the descending colon, splenic ?
,exure, transverse colon, hepatic ?exure, right colon, and cecum. No evidence of polyps, tumors,
masses, or in?ammation. The scope was then withdrawn, these ?ndings con?rmed. The procedure
was terminated and the patient tolerated it well.Impression: Normal colonic mucosa through the
cecum.Plan: Await results of rectal biopsies.What code or codes should be used? - ANSWER Z85.00
45380
A pediatrician typically may treat patients until they reach the age of______. - ANSWER 18
GERD stands for______. - ANSWER Gastroesophageal reflux disease
A subspecialty of pediatrics is adolescent medicine, which addresses healthcare issues specifically
for______. - ANSWER teenagers
Neonatology is a pediatric subspecialty that addresses diagnosis and treatment of disorders in
______. - ANSWER newborns
Neurologists identify, diagnose, and treat such diseases as ______ disease, Alzheimer's disease,
meningitis, and stroke. - ANSWER Parkinson's
CASE STUDY - S: Pt is a 31-year-old female who comes in with a sharp pain in the center of her torso.
She states that the pain, which began approximately one week ago, comes and goes, is more severe
at night, and shoots through to her back. The pain is lessened when she drinks a lot of water and
worse after meals.O: Ht 5'4 Wt. 125 lb. R 20. T 98.6. BP 110/80. HEENT: unremarkable. Chest sounds
normal. Abdominal, B-scan, ultrasound indicates impacted gallstone without obstruction. Surgery is
recommended.A: Gallstone, impacted, no obstruction P: Pt to call for appointment for surgery. What
code or codes should be used? - ANSWER K80.20, 99283, 76700
CASE STUDY - S: Pt is a 11-day-old male who is brought in by his father because it appears to him that
the child had some kind of seizure the day before, and again last night. He states that this is
frightening to his wife, and he admits, he is worried, too.O: Wt. 7 lb. 9 ounces, T 98.6. Complete
blood work, EEG, and ECG ordered.PE reveals no anomalies.A: Convulsions in newborn P: 1. Follow-
up appointment once test results are received 2.Instructions on care given to father. What code or
codes should be used? - ANSWER P90, 99213
CASE STUDY - Procedure performed: Colonoscopy Physician: Matthew Appellet, MD Indications:
History of in?ammatory bowel disease Procedure: The patient was given no premedication at her
request and the Olympus PCF-130 colonoscope was used. The mucosa of the rectum was essentially
normal apart from some mild nonspeci?c edema. Photographs and biopsies were obtained. The
remainder of the rectum was normal. The sigmoid was normal as was the descending colon, splenic ?
, exure, transverse colon, hepatic ?exure, right colon, and cecum. No evidence of polyps, tumors,
masses, or in?ammation. The scope was then withdrawn, these ?ndings con?rmed. The procedure
was terminated and the patient tolerated it well.Impression: Normal colonic mucosa through the
cecum.Plan: Await results of rectal biopsies.What code or codes should be used? - ANSWER Z85.00
45380
Lesions of brachial plexus - ANSWER G54.0
Select an ICD-10-CM code for congenital fistula of the salivary gland. - ANSWER Q38.4
A women with a twin pregnancy presents to the office. /She is informed that her ultrasound
indicated that baby 2 has hydrocephalus. The patient is counseled on the condition and how it
affects the pregnancy. A referral is made to see the perinatologist for recommendations. - ANSWER
O33.6XX2
A women at 16 weeks of her pregnancy presents to her OB/GYN for hemorrhoids. - ANSWER
O22.42, Z3A.16
An E/M nursing facility service involving an annual nursing facility assessment that requires a detailed
interval history, comprehensive examination, and medical decision making that is of low to moderate
complexity is reported with code ____________________. - ANSWER 99318
Using a CPT manual, select the appropriate code for the following: Office visit report BP 120-78
Temperature 98.9 Mary is a new patient seen today for a mild rash on her left arm. Her skin was
examined, and it is noted that the rash is only on her left arm. She has no other complaints at this
time. She was instructed to apply an over-the-counter anti-rash cream. - ANSWER 99201
Using a CPT manual, select the appropriate code for the following: Emergency Room Report Tom
Pounds was transported to the ER via ambulance following a motorcycle accident. On arrival, the
patient was unconscious. He was evaluated, and it was determined that he had massive internal
injuries and abdominal bleeding. He was sent to the operating room for exploratory surgery. -
ANSWER 99285
Using a CPT manual, select the appropriate code for the following: Bill Many was admitted for
observation on 2/4/XX for management of left upper quadrant pain. A detailed history was obtained,
and a comprehensive examination was completed. Diagnostic testing was inconclusive. Medical
decision making was of low complexity. - ANSWER 99234
