AAPC - Chapter 20 Review Exam

A patient with chronic myeloid leukemia (CML), BCR/ABL-positive has an implanted access port for delivery of chemotherapy. The device needs to be irrigated before receiving treatment. What ICD-10-CM and CPT® codes are reported for the irrigation?

96523, C92.10

What ICD-10-CM code is reported for a fear of spiders?

F40.210

A patient with sickle cell anemia with painful sickle crisis received normal saline IV 100 cc per hour to run over 5 hours for hydration in the provider's office. She will be given Morphine & Phenergan, prn (as needed). What codes are reported?

96360, 96361 x 4, J7050 x 2, D57.00

A therapist in a residential care facility works with a nonverbal autistic child, age 4. In this session the therapist uses drawing paper and washable markers. The therapist sat with the child and began to draw on a sheet of paper. She gave paper and markers to the child and encouraged the child to draw. The psychotherapy session lasted 30 minutes.

90832, 90785, F84.0

A patient had several panic attacks at work disturbing her coworkers. She had been unable to explain any particular reason for her behavior. Her employer requested she be referred for counseling. After several sessions, her psychiatrist provided reports for her primary care provider and her insurer about her status and prognosis. What CPT® and ICD-10-CM codes are reported for the preparation of the report?

90889, F41.0

A patient with hypertensive end stage renal failure, stage 5, and secondary hyperparathyroidism is evaluated by the provider and receives peritoneal dialysis. The provider evaluates the patient once before dialysis begins. What CPT® and ICD-10-CM codes are reported?

90945, I12.0, N18.6, Z99.2, N25.81

A cardiologist provided an interpretation and report of an EKG. What CPT® code is reported?

93010

A 54 year-old female with uncontrolled type 1 insulin dependent diabetes and related peripheral vascular disease presents with a deep diabetic ulceration on the bottom of her right foot. The wound reaches into the fascia and appears to be draining. She acknowledges going barefoot frequently and is not certain how or when the wound occurred. After the provider discusses the seriousness of her condition he debrides the wound, using a water jet and surgical scissors. Size of wound is 70 sq. cm. He applied topical ointment and a sterile dressing. He counseled the patient about the need to wear shoes at all times and inspect her feet daily. He advised the patient to wear a water protective covering on her lower leg when taking a shower and to change the dressing daily, using ointment provided. A surgical shoe was provided. Patient is to return weekly until the wound heals and continue her insulin regime. If satisfactory progress does not occur, a graft may be considered. What codes are reported?

97597, 97598 x 3, L3260, E10.621, E10.51, L97.513

A 5 year-old fell on broken glass and required suturing of a laceration. Due to the age and combative behavior of the patient, the provider utilized moderate sedation while repairing the laceration. The provider gave the child 50 mg of Ketamine IM. A nurse monitored the patient during the procedure which took 30 minutes. What CPT® code is reported for moderate sedation?

99152, 99153

A patient has an open wound on his left lower leg caused by a cat bite. The animal tested negative for rabies, but the wound has failed to heal and became infected by Clostridium perfringens. The patient underwent hyperbaric oxygen therapy attended and supervised by the provider. What CPT® and ICD-10-CM codes are reported?

99183, S81.852A, B96.7, W55.01XA

A patient with hypertensive cardiovascular disease is admitted by his primary care provider. What is/are the correct ICD-10-CM code(s) for this encounter?

I11.9

What ICD-10-CM code is reported for post-mastectomy of the left breast?

Z90.12

A 55 year-old patient had several episodes of fecal incontinence. A colonoscopy had been performed one year ago with normal results. Anorectal manometry was performed to determine the pressure on the sphincter muscles. The test indicated a mild relaxation of the sphincter. Biofeedback training was prescribed. What CPT® and ICD-10-CM codes are reported?

91122, K62.89, R15.9

A 50 year-old male is coming in for an eye examination for iritis. His last visit to the office was two years ago. The ophthalmologist performs a review of history, external ocular and adnexal examination, routine ophthalmoscopy and a biomicroscopy. Iritis is not found. The eye examination is completely normal. What CPT® and ICD-10-CM codes are reported?

92012, Z01.00

A patient with coronary atherosclerosis underwent a PTCA in the left anterior descending and in the first diagonal of the LD. What CPT® code(s) is/are reported?

92920-LD, 92921-LD

A 55 year-old male has had several episodes of tightness in the chest. His provider ordered a PTCA (percutaneous transluminal coronary angioplasty) of the left anterior descending coronary artery. The procedure revealed atherosclerosis in the native vessel. It was determined a stent would be required to keep the artery open. The stent was inserted during the procedure.

92928-LD, I25.10

A 59 year-old male experienced left arm pain while cleaning the garage. There was no injury. His provider scheduled a 30-minute stress test using the Bruce Protocol at the hospital. There was no arm pain while on the treadmill; he did have a slight heart rhythm abnormality. The patient rested for 2 minutes. He had no further symptoms or pain. The cardiologist supervised the study, interpreted the test and dictated a report. What CPT® code(s) is/are reported?

93016, 93018

A patient with atrial fibrillation had a dual lead pacemaker implanted 1 year ago. Today she returns to the provider's office for evaluation of function of the device by analyzing and reviewing the parameters stored comparing it to current readings. It was determined minor adjustments and reprogramming were needed. What CPT® code is reported?

93280

A patient with severe atrial fibrillation presents for an EPS study. The cardiologist performs the professional component of a comprehensive EPS study, including right atrial and ventricular pacing/recording, bundle of His recording and induction of atrial fibrillation, and insertion and repositioning of multiple electrode catheters. What CPT® code(s) is/are reported?

93620-26

A child with suspected sleep apnea was given an apnea monitoring device to use over the next month. The device was capable of recording and storing data relative to heart and respiratory rate and pattern. The pediatric pulmonologist reviewed the data and reported to the child's primary pediatrician. What CPT® code(s) is/are reported for the monitor attachment, download of data, provider review, interpretation and report?

94774

A 5 year-old is brought in to see an allergist for generalized urticaria. The family just recently visited a family member that had a cat and dog. The mother wants to know if her son is allergic to cats and dogs. The child's skin was scratched with two different allergens. The provider waited 15 minutes to check the results. There was a flare up reaction to the cat allergen, but there was no flare up to the dog allergen. The provider included the test interpretation and report in the record.

95004 x 2

A patient who has had two recent seizures underwent a 3-hour EEG study. What CPT® code is reported?

95813

A patient diagnosed with amyotrophic lateral sclerosis has increasing muscle weakness in the upper extremities. The provider orders needle electromyography (EMG) to record electrical activity of the muscles. What CPT® and ICD-10-CM codes are reported?

95861, G12.21

A 30 year-old male cut his right hand on a nail repairing the gutter on his house. Six days later it became infected. He went to the intermediate care center in his neighborhood, his first visit there. The wound was very red and warm with purulent material present. The wound was irrigated extensively with sterile water and covered with a clean sterile dressing. An injection of Bicillin CR, 1,200,000 units was given. The patient was instructed to return in three to four days. The provider diagnosed open wound of the hand with cellulitis. A problem focused history and examination with a low MDM were performed. What are the codes?

99201, 96372, J0558 x 12, S61.411A, L03.113, W45.0XXA, Y93.H9

A patient with congestive heart failure and chronic respiratory failure with hypoxia is placed on home oxygen. Prescribed treatment is 2L nasal cannula oxygen at all times. A home care nurse visited the patient to assist with his oxygen management. What CPT® and ICD-10-CM codes are reported?

99503, I50.9, J96.11