Health Care > EXAM > AAPC - Chapter 14 Review Exam Graded A (All)

AAPC - Chapter 14 Review Exam Graded A

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What disease is characterized by enlarged skeletal parts? - ANSWER Acromegaly What is the term for uncontrolled muscle movements? - ANSWER Dyskinesia What is the term for paralysis affecting one... side of the body? - ANSWER Hemiplegia What does contralateral mean? - ANSWER Affecting or originating in the opposite side. What specificity is added to Alzheimer's disease in ICD-10-CM? - ANSWER The onset of Alzheimer's disease. How is Streptococcal A Meningitis reported in ICD-10-CM? - ANSWER Streptococcal meningitis is reported first; Streptococcal, group A, as the cause of diseases classified elsewhere is reported second. A patient has a right thyroid lobectomy for a thyroid follicular lesion. An incision is made 2 cm above the sternal notch and carried through the platysma. The right thyroid was dissected free from the surrounding tissues. The isthmus was divided from the left thyroid lobe. The left thyroid lobe was explored revealing a single nodule. The right thyroid lobe was completely removed from the trachea and surrounding tissues. It was marked and sent off the table as a specimen. What CPT® code is reported? - ANSWER 60220 A patient with a status post (after or following) lumbar puncture headache receives an epidural blood patch. The patient's venous blood is injected into the lumbar epidural space; this blood forms a clot sealing the leak of CSF from the lumbar puncture. What CPT® and ICD-10-CM codes are reported? - ANSWER 62273, G97.1 A patient has a total thyroidectomy to remove thyroid cancer. Removal of all the lymph nodes along with the spinal accessory nerve, jugular vein and sternocleidomastoid muscles are performed to remove a malignant lymphatic chain. What CPT® and ICD-10-CM codes are reported? - ANSWER 60254, C73 A patient is receiving pain management treatment for chronic cervical pain caused by a motor vehicle accident. What ICD-10-CM code(s) and sequencing is/are reported? - ANSWER G89.21, M54.2 What ICD-10-CM code is reported for Ataxia telangiectasia? - ANSWER G11.3 A patient with chronic lumbago is seen by the provider to have an epidural injection of a non-neurolytic substance at the sacral level. What CPT® code is reported for this procedure? - ANSWER 62322 A provider is performing an experimental cervical sympathectomy on a patient with Raynaud's Syndrome. What CPT® and ICD-10-CM codes are reported? - ANSWER 64802, I73.00 A 50 year-old male is diagnosed with a tumor of the skull base just below the occipital tonsils. The neurosurgeon performs a transpetrosal approach to the posterior cranial fossa. He then performs an intradural removal of the tumor of the posterior cranial fossa at the base of the skull. Dural repair is done and the area is closed with Neurolon. What CPT® code(s) is/are reported? - ANSWER 61598, 61616-51 What ICD-10-CM code is used for intractable grand mal seizures without status epilepticus? - ANSWER G40.419 A 36 year-old male suffered back pain after heavy lifting and was found to have bilateral disc herniation. The patient was placed prone and general anesthesia given. Incision was then made with a 10-blade knife and dissection was carried downward through the thick adipose tissue to the fascia in a subperiosteal plane. The paraspinous muscles were reflected off L5 and S1. A laminotomy was drilled with the Midas Tex AMB on the inferior end of L5. The thecal sac was retracted medially. The microscope was brought in, direct with microdissection there was a massive disk herniation on the right side underneath the nerve root as well as the left. The disc was incised with an 11-blade knife and was cleaned out with a series of straight and angled curettes and rongeurs. The disc was intertwined with the posterior longitudinal ligament. The space was cleaned out, the foramina were checked and no further compression was found on any of the neural elements. What CPT® codes are reported for this procedure? - ANSWER 63030-50, 69990 A patient with McCune-Albright syndrome has a fibrous tissue neoplasm of the frontal bone (skull of cranium) extending into the orbit on the left. The surgeon excises the fibrous tissue neoplasm off the bone and down through the dura mater. Prophylactic decompression of the optic nerve was also performed. What CPT® and ICD-10-CM codes are reported? - ANSWER 61564, Q78.1 A 26 year-old patient presents with headache, neck pain and fever and is concerned he may have meningitis. The patient was placed in the sitting position and given 0.5 mg Ativan IV. His back was prepped and a 20-gauge needle punctured the spine between L4 and L5 with the return of clear fluid. The cerebrospinal fluid was reviewed and showed no sign of meningitis. What CPT® code is reported? - ANSWER 62270 A patient is diagnosed with an injury to the right side facial nerve. In the OR suite the surgeon performs a neurorrhaphy with nerve graft to restore innervation to the face using microscopic repair. The surgeon created a 2 cm incision over the damaged nerve, dissected the tissues and located the nerve. The damaged nerve was resected and removed. The 3.0 cm graft taken from the sural nerve was sutured to the proximal and distal ends of the damaged nerve. What CPT® and ICD-10-CM codes are reported? - ANSWER 64885, 69990, S04.51XA Postoperative Diagnosis: Carpal tunnel syndrome right wrist The patient was brought to the operating room and sedated with anesthesia. After sterile prepping and draping of the right hand, wrist and arm, the patient's area of incision was infiltrated with xylocaine/Marcaine infiltration. An Esmarch bandage was used to exsanguinate the right hand and wrist and used about the distal forearm as a tourniquet. A curvilinear incision was made on the palmar aspect of the right wrist. Dissection was carried out through the skin and subcutaneous tissue. Bleeding was controlled. The median nerve and its branches were identified, retracted and protected at all times. The ligament was incised from proximal to distal. A thorough decompression was carried out. A neurolysis was carried out. The nerve was found to be flattened and ischemic underneath the transverse carpal ligament. The fascia was closed and the tourniquet was released. A dressing was applied and the patient was transferred to recovery room. What CPT® code is reported? - ANSWER 64721-RT A 15 year-old is taken to surgery for crushing his index and middle fingers and injuring his digital nerves. The provider located the damaged nerves in both fingers and sutures them to restore sensory function. What CPT® codes are reported? - ANSWER 64831, 64832 A patient with primary hyperparathyroidism undergoes parathyroid sestamibi (nuclear medicine scan) and ultrasound and is found to have only one diseased parathyroid. A minimally invasive parathyroidectomy is performed. What CPT® and ICD-10-CM codes are reported for the surgery? - ANSWER 60500, E21.0 A patient with a right side, benign adrenal adenoma has a laparoscopic adrenalectomy. What CPT® and ICD-10-CM codes are reported? - ANSWER 60650, D35.01 A patient with a malignant neoplasm of the spinal meninges is receiving a programmable pump implantation for chemotherapy. The patient is placed in the prone position where the provider made a midline incision overlying the area of the spinal cord. The reservoir was placed in the subcutaneous tissues and attached to the previously placed catheter. Layered sutures were used to close the incision. The patient tolerated the procedure well and was released in good condition. What CPT® and ICD-10-CM codes are reported for this procedure? - ANSWER 62362, C70.1 A 55 year-old man presents with uncontrolled tremors that have become quite severe and are now disabling. A trial of a deep brain stimulator electrode is recommended. The patient is placed in the head holder adapter for the frame. The scalp is incised exposing the skull using a perforator to make a single burr hole 2.5 cm from the midline at the level of the coronal suture exposing the dura and is punctured for access. Microelectrode recording (MER) and stimulation is done to target and reposition the electrodes to determine the best placement for the neurostimulator electrode. The neurostimulator electrode array is placed in the thalamus and fastened into position with radiographic image monitoring placement. The lead is coiled in a pocket under the galea, which is sutured closed, followed by skin closure. What CPT® code is reported? - ANSWER 61867 [Show More]

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