AAPC Ch. 12: Urinary System and Male Genital System Questions and Answers

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AAPC Ch. 12: Urinary System and Male Genital System Questions and Answers Which gland in the male reproductive system is partly muscular and partly glandular? Ans- Prostate Rationale: The prosta... te gland is the gland that is partly muscular and glandular. Where is urine formed? Ans- Kidneys Rationale: Urine is formed in the renal tubules and empties into the calyces, then into the renal pelvis of the kidney. It then travels through the ureters to the bladder. A 65-year-old woman diagnosed with a right renal tumor is status post hand-assisted laparoscopic nephrectomy. Pathology report reveals a definitive diagnosis of renal oncocytoma. What is the ICD-10-CM code? Ans- D30.01 RATIONALE: Look in the ICD-10-CM Alphabetic Index for Oncocytoma, which directs you to see Neoplasm, by site, benign. Look in the Table of Neoplasms for Neoplasm, neoplastic/renal/Benign column D30.0-. In the Tabular List report 5th character 1 for right kidney. Correct code choice is D30.01. Mr. Brown presents today with a sudden onset of chills and fever with dull pain in the flank over the kidneys, which are tender when palpated. He has urgency and frequency of urination. Diagnosis is acute pyelonephritis. What is the ICD-10-CM code? Ans- N10 RATIONALE: Acute pyelonephritis is coded N10, unless mention of a lesion of renal medullary necrosis is documented. Do not use chronic pyelone-phritis because the documentation clearly states "acute." Look in the ICD-10-CM Alphabetic Index for Pylonephritis/acute N10. Verify code selection in the Tabular List. A Urologist examines the urinary collecting system with a cystourethroscope and removes four bladder tumors by fulguration. Two tumors measured 1.5 cm and the other two tumors measured 2.5 cm and 3.0 cm. What code(s) should be reported? Ans- 52235 RATIONALE: Look in the CPT® Index for Fulguration/Cystourethroscopy with/Tumor. You are referred to 52234-52235, 52240, 52250. When different size bladder tumors are removed in one surgical session, the code selection is based on the largest tumor size. In this example, the largest tumor removed is 3.0 cm. Only one code is reported regardless of the number of tumors removed. Excision of urachal cyst and an incarcerated umbilical hernia repair were performed on a six-year-old male. Code the procedure: Ans- 51500 RATIONALE: Umbilical hernia repair codes are reported using CPT® 49580-49587 and are differentiated by the age of the patient and whether or not the hernia is reducible, incarcerated or strangulated. A reducible hernia is one that can be reduced to a normal position. An incarcerated or strangulated hernia is one that cannot be reduced to a normal position without surgical intervention. The description of CPT® 51500 Excision [Show More]

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