CPT Practice Final

Diagnosis: Second-and third-degree burns of 15% of total body surface Procedure: Subsequent dressing and debridement of partial-thickness burns Enter code ________________

16030

Destruction of 17 premalignant skin lesions Enter code _______________

17004

Ablation of malignant lesion of neck, 3.3 cm. Enter code ________________

17274

Excision of chest wall tumor including ribs Enter code ________________

19260

Left hip joint arthrodesis Enter code ________________

27284-LT

Removal of wood chip that was deep into the right thigh Enter code ________________

27372-RT

Diagnosis: Hematoma of right wrist Procedure: I & D Enter code ________________

25028-RT

A common bilateral fracture of the maxilla is called a(n) ____________________ fracture.

Le Fort

Code selection for replantation of a part of the upper extremities or the foot that has been traumatically amputated is determined by the side of the body for the amputated body part.

false

Dr. Jones completed a superficial removal of a cervical lymph node. Therefore, during this procedure, the nodes were located below the muscle tissue.

false

Dr. Long completed an open removal of deep cervical nodes. This procedure would be coded using a code from the incision codes.

false

During a transthoracic mediastinotomy, the mediastinum is entered by an incision in the sixth intercostal space.

false

Lymphatic vessels transport fluid to and from the thoracic cavity.

false

Melanoma is present only in skin cancers.

false

The largest organ of the lymphatic system is the ____________________.

spleen

Removal of the spleen

splenectomy

Repair of a ruptured spleen

splenorrphaphy

Thoracotomy for biopsy of pleura

32098

Using the CPT manual, select a code for anesthesia for all procedures on esophagus. Enter code ________________

00500

Procedure: ERCP

00732

Patient: Tom Smith Age: 6 months Anesthesia: General Procedure: Hernia repair, lower abdomen Enter code ________________

00834

Anesthesia: General Procedure: Total hip arthroplasty Enter code ________________

01214

Anesthesia: General Procedure: Open revision of total hip arthroplasty Enter code ________________

01215

Anesthesia: General Procedure: Plantar fasciotomy of the instep of the left foot. After the administration of anesthesia, the patient was placed in surgical position. A transverse incision, 1.5 inches (3.8 cm) in length, was made distal to the surface of the plantar heel and deepened down to the level of the fascia. A retractor was placed into the site and held with hemostasis. The plantar fascia was transected using a #15 sterile deep blade. The site was closed with horizontal mattress sutures. The patient tolerated the procedure well and was sent to the recovery room in stable condition. Enter code ________________

01470

Anesthesia: General Procedure: Second-degree burn excision with skin grafting for TBSA of 8 percent Enter code ________________

01952

Anesthesia: General Procedure: Low cervical cesarean section After the patient was prepared for surgery, a lower abdominal transverse incision was made, and the uterus was identified. A bladder retractor was placed, and a transverse incision was made in the lower uterine segment. A 6-pound, 4-ounce female infant was delivered. The baby was taken to the intensive care unit. The surgical wound was closed. The patient tolerated the procedure with minimal blood loss. Enter code ________________

01961

Bone debridement, 15 sq cm. Enter code ________________

11044

Biopsy of one skin lesion Enter code ________________

11106

Shaving of dermal lesion of the neck, 1.4 cm. Enter code ________________

11307

Shaving of 0.3 cm dermal lesion on the nose Enter code ________________

11310

Shaving of dermal lesion of lip, 1.3 cm. Enter code ________________

11312

Excision of benign lesion of scalp, 3.3 cm Enter code ________________

11424

Excision of benign lesion of nose with an excised diameter of 4.7 cm. Enter code ________________

11446

Diagnosis: Lesion on left upper arm area Procedure: Excision of 1-cm lesion; total excised diameter was 1.5 cm. Pathology: Malignant Enter code ________________

11602

Excision of malignant 0.8 cm lesion on the neck Enter code ________________

11621

Which code reports a 12.8-cm simple repair of a superficial wound of the neck?

12005

Diagnosis: Superficial wound on right side of face Procedure: 5.5-cm repair Enter code ________________

12014

Diagnosis: Multiple lacerations Procedure: 2.2-cm intermediate repair of laceration of arm 3.5-cm complex repair of laceration of forehead 3.4-cm intermediate repair of laceration of scalp Enter codes ________________and ________________

13132, 12032

Revision of reconstructed breast, left Enter code ________________

19380-LT

Diagnosis: Fracture of greater humeral tuberosity Procedure: Closed treatment with reduction of fracture Enter code ________________

23625

John Smith was skiing and fell. He sustained a fibular fracture. He was taken to the OR for an open treatment of a left distal fibular fracture with internal fixation. Using the CPT manual, select the appropriate code.

27792-LT

Ron Jones has had ongoing left shoulder pain for six months. Today, a diagnostic shoulder arthroscopy with synovial biopsy was completed. Using the CPT manual, select the appropriate code.

29805-LT

Using the CPT manual, determine which of the following codes does not code an excisional procedure.

30000

Using the CPT manual, determine which of the following codes would generally require the facilities available in a hospital setting.

30115

Timmy Jones was brought to Dr. Wright's office. His mother told the physician she thinks Timmy has an object lodged in his nose. Dr. Wright examined Timmy and found a small object in Timmy's left intranasal area. Dr. Wright removed the object. Using the CPT manual, select the correct code to use for the removal of the object.

30300

Sam Smith returns today to see Dr. Jones because of a nasal hemorrhage that has not been controlled by previous posterior nasal packs inserted two days ago. Today, Dr. Jones placed posterior nasal packs and cauterized the posterior area. Select the appropriate CPT code.

30906

Dr. Smith has determined that Mary has a 0.4-cm area of diseased tissue in her left ethmoid sinus that needs to be excised. Dr. Smith, using an intranasal approach, placed topical agents on the nasal mucosa to shrink the blood vessels. Local anesthesia was injected, and he retracted the middle turbinate to expose the sinus opening. A small curette was advanced to locate the diseased ethmoid cells of the anterior sinus. The diseased cells were removed.

31200

Wendy Time is an 18-month-old child with a tracheal anomaly. Dr. Long performed a tracheostomy.

31601

Dr. Won performed a rigid bronchoscopy with fluoroscopic guidance with bronchial thermoplasty for one lobe. Select the appropriate CPT code for this procedure.

31660

Paul Ting was brought into the ER following a motor vehicle accident. He is having difficulty breathing due to injuries sustained in the accident. The ER physician performed an emergency endotracheal intubation. Using the CPT manual, select the appropriate code for this procedure.

31500

Sally Jones had a previous tracheostomy incision. Dr. Smith performed a tracheobronchoscopy through the previous incision. Using the CPT manual, select a code for the tracheobronchoscopy.

31615

Dr. Wong has diagnosed Jim Johnson with a clot in the pericardial space. To remove the clot, a midline sternotomy was performed.; the pericardium was incised, and the clot was removed. The procedure recorded on the operative report was pericardiotomy. The appropriate code to report this procedure is ____.

33020

Direct repair of blood vessel of left leg

35226

Which of the following codes is not an add-on code?

33430

Code 33508 is an add-on code. List the range that code 33508 must be used in conjunction with. Range starts with code ________________and ends with code ________________.

33510, 33523

Dr. Long completed a repair of an atrial septal defect and a ventricular septal defect with a patch closure. Select the appropriate code(s) to report these procedures.

33647

Open transluminal balloon angioplasty of renal artery

35450

Dr. Long diagnosed Ted Smith with a blockage in the aorta. The doctor completed a bypass around the damaged artery that supplies the femoral-popliteal artery, using a harvested saphenous vein graft. The correct code(s) to report for this procedure is ____.

35556

Through incisions in the skin at the base of the neck, Dr. Jones dissected the subclavian artery to create a bypass around a section of the artery. Using a synthetic graft, a subclavian-subclavian bypass graft was completed. The appropriate code to report this procedure is ____.

35612

A certified registered nurse anesthetist is a registered nurse with ____ months of additional training in anesthesiology.

36

Percutaneous mechanochemical endovenous ablation therapy of incompetent vein of extremity with imaging and monitoring, first vein

36473

Percutaneous transluminal balloon angioplasty of the visceral artery

37246

Dr. Long completed the insertion of a peripherally-inserted central venous access device with a subcutaneous port. The patient was 3 years old. The appropriate code to use to report the procedure is ____.

36570

For the code range 37184-37216, list the codes that are add-on procedures. Codes ________________and ________________

37185, 37186

Which of the following codes could be reported as a primary procedure code?

38115

Dr. Long placed a long-bore needle into the marrow cavity of the ribs. The bone marrow was aspirated with a large syringe and then placed it in a sterile container. The bone marrow was harvested for transplantation for a patient. The appropriate code to use for this procedure is ____.

38230

Tom Tighter has extensive swelling in a lymph node in the left inguinal region and he also has a fever. He is diagnosed with an abscess of a deep inguinal lymph node. Dr. Gon performed an extensive drainage of the abscess. Select the correct CPT code for the procedure.

38305

Cervical lymphadenectomy

38724

Excision of the left external iliac, hypogastric, and obturator lymph nodes

38770-LT

Patient Tom Smith is to undergo a lymphangiography. Dr. Jones is injecting a vital blue dye subcutaneously for the outlining of the skin lymphatics. After the vessels are visualized, Dr. Jones makes a small incision over the lymphatic vessel. A needle is cannulated, and a catheter is placed and secured. Additional dye is injected. X-rays are taken by Dr. Tin and then repeated 24 hours later. Dr. Jones then removed the needle and sutured the incision. Select the appropriate code(s) for Dr. Jones's services.

38790

Preoperative and postoperative diagnosis: Mass in mediastinum Procedure: Open exploration of the mediastinum with biopsy Pathology: Pending The patient was prepped, and an incision was made low in the front of the neck. The sternomastoid muscles and the cranial vessels were visualized and were pulled to the side. The trachea and thyroid were drawn to the center, exposing the space behind the esophagus. A mass was seen, and a biopsy was taken. Penrose drains were placed. The incision was closed with sutures. Minimal blood loss occurred. The patient was sent to the recovery room in satisfactory condition.

39000

Preoperative and postoperative diagnosis: Diaphragmatic tear Procedure: Repair of diaphragm The patient was prepped and draped in a sterile fashion. A chest incision was made to expose the tear in the diaphragm. The tear was visualized, and an artificial patch was used to repair the defect. In addition, nonabsorbable sutures were used to reinforce the patch. The chest incision was closed with staples, and a sterile dressing was applied. The patient was in stable condition and was taken to the recovery room.

39501

Patient age: 4 days old Preoperative and postoperative diagnosis: Diaphragmatic hernia Procedure: Hernia repair The patient was prepped and draped in the usual fashion. A transabdominal incision was made, and the herniated stomach was visualized. The stomach was returned to the appropriate position in the abdominal cavity. The hernia sac was cut away and removed. Sutures were placed in the diaphragm to narrow the enlarged opening. A chest tube was inserted. The abdomen was closed. Drains were placed, and the wound was sutured. The patient tolerated the procedure and was sent to the recovery room in stable condition.

39503

An anesthesiologist performed a history and physical exam that took 20 minutes to complete. The procedure required 80 minutes of anesthesia time. The time units used by the insurance company are calculated in 20-minute increments. How many units of time would be reported for this procedure?

4

Office visit report BP 120-78 Temperature 98.9º 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. Enter code ________________

99201

Which of the following codes would not be reported for an inpatient hospital encounter?

99213

Which of the following would be reported in a clinic?

99214

Code ___________________ reports observation care discharge day management.

99217

Dr. Jones is the admitting physician for patient Sally Smith. On the first day of hospitalization, Dr. Jones completes a comprehensive history and examination, and the medical decision making is of moderate complexity.

99222

Dr. Jones is the admitting physician for patient Sally Smith. On the first day of hospitalization, Dr. Jones completes a comprehensive history and examination, and the medical decision making is of moderate complexity. Enter code ________________

99222

Code ____________________ reports an emergency department visit for the evaluation and management of a patient that records a detailed history and examination and medical decision making of moderate complexity.

99284

Code ____________________ reports physician direction of emergency medical systems (EMS) emergency care, advanced life support.

99288

Mr. Hinds is a patient in the ICU listed in critical condition. Because of his condition, Dr. Jones spends 1 hour evaluating the patient. During this time, Dr. Jones reviewed X-rays that were taken, reviewed ECGs, and performed ventilation management.

99291

Code ____________________ would report a nursing facility discharge day management service of 45 minutes.

99316

Code ___________________ reports an E/M nursing facility service involving an annual nursing facility assessment that requires a detailed interval history, comprehensive examination, and medical decision making of low to moderate complexity.

99318

Code ____________________ would report a home visit E/M service that involved a problem-focused history and examination of a new patient and straightforward medical decision making.

99341

Code __________ reports a home visit for an established patient that includes an expanded problem-focused interval history, an expanded problem-focused examination, and low complexity medical decision making.

99348

Code __________ reports prolonged evaluation and management service before and after direct patient care for the first hour.

99358

Code ____________________ reports the first hour of prolonged evaluation and management service before and after direct patient care.

99358

Code ____________________ would report a smoking and tobacco use cessation counseling visit of 15 minutes.

99407

Code ____________________ reports a basic life or disability examination that includes measurement of height, weight, and blood pressure, completion of a medical history following a life insurance pro forma, collection of blood sample or urinalysis complying with chain of custody protocols, and completion of necessary documentation and certificates.

99450

Code ____________________ reports he initial hospital or birthing center care, per day, for evaluation and management of a normal newborn infant.

99460

Tom Jump, a 5-month-old male, was admitted to the pediatric critical care unit due to difficulty breathing. Dr. Peds performed endotracheal intubation and determined that the child is in critical condition.

99471

Code ____________________ reports supervision by a control physician of interfacility transport care of a critically ill pediatric patient of 18 months of age for the first 30 minutes.

99485

Code ____________________ reports complex chronic care coordination services for the first hour of clinical staff time directed by a physician with no face-to-face visit per calendar month.

99487

Code ____________________ reports transitional care management services with communication with the patient within 2 business days of discharge, medical decision making of moderate complexity, and a face-to-face visit within 14 calendar days of discharge.

99495

Which of the following statements is false with regard to Emergency Department Service codes?

A distinction is made between new and established patients.

Which of the following is true?

Code 99218 is reported for initial observation care.

Which is the most complex level for an examination?

Comprehensive

Which of the following is not considered a key component when selecting an Evaluation and Management code?

Coordination of care

Medical decision making is based on all of the following except:

Examination of the patient

Which of the following procedures would not be coded using a code from the respiratory system codes?

Excision of skin of the nose

A brief history consists of five or more elements of the HPI.

False

A detailed examination is the highest level of examination and consists of a multisystem, or complete examination, of a single organ system.

False

Code 99336 can be reported as a telemedicine code.

False

Counseling is considered a key component when selecting an Evaluation and Management code.

False

Diagnostic procedures are completed to treat an established diagnosis.

False

Emergency department service codes are reported in the Medicine section of the CPT manual.

False

Evaluation and Management codes are used to code surgical procedures.

False

HCPCS level II modifiers are not used with anesthesia codes.

False

Inhalation of an anesthetic agent is introduced into a cavity of the body where there is a mucous membrane, such as the rectum.

False

Place of service codes are used by payers to specify the level of Evaluation and Management code reported.

False

Social history includes information regarding the patient's, and patient's family's, marital status, occupation, sexual history, and other social factors.

False

The American Medical Association publishes the Relative Value Guide for anesthesia codes.

False

The amount of data that a physician needs to review, and the complexity of the data reviewed, is considered when selecting the level of examination completed for the patient.

False

The epicardium is a double-walled sac enclosing the heart.

False

When locating CPT codes for anesthesia, the main terms to reference would be Surgery, then Anesthesia.

False

Constitutional elements of an examination include all except which of the following?

Inspection of the eyes

Which of the following statements is true?

Modifier 50 is added to codes to report a bilateral procedure.

Which of the following statements is false when describing an extensive nasal polyp excision?

The CPT manual does not differentiate between simple or extensive nasal polyp excisions.

A chief complaint is the reason for the patient encounter.

True

A new patient, as defined by the CPT manual, is a patient who has not received professional services from a physician, or another physician of the same specialty who belongs to the same group practice, within the past three years.

True

Anesthesia time is defined as the actual time spent providing anesthesia services.

True

Anesthesiologists bill for their services separately from the surgery charges.

True

Code 99201 can be reported as a telemedicine code.

True

Medicare requires the use of the CPT anesthesia codes to bill for anesthesia services.

True

Physical status modifiers are used to describe the patient's health status.

True

Regional anesthesia is accomplished through nerve, or field, blocking.

True

The SA node is also known as the sinoatrial node.

True

The Surgery chapter of the CPT manual is arranged by body system.

True

When selecting a type of history, the coder should review the chief complaint, history of the presenting illness, review of systems, and past family and social history.

True

A skin substitute used to close the skin temporarily is called ____ dermal replacement.

acellular

Use of bone marrow cells taken from a donor and then transplanted into the patient

allogenic bone marrow transplant

Reconstruction of a vessel

angioplasty

Use of a fiberoptic scope to visualize within noncoronary vessels

angioscopy

This valve is located between the aorta and the left ventricle.

aortic valve

A(n) ____________________ is an endoscopic instrument used to visualize the interior structures of a joint.

arthroscope

Dr. Jones completed an extensive drainage for lymphadenitis. Prior to assigning the code for the extensive drainage, the coder should ____.

assign the code if there is documentation in the patient's record that records the reason for the extensive treatment and a description of the extent of the treatment

A(n) ____ graft is a type of graft where tissue taken from one part of a person's body is grafted to another part of the same person's body.

autogenous

Cultivation of a patient's own bone marrow cells for transplantation

autologous bone marrow transplant

The lymph nodes located in the armpit area are the ____________________ nodes.

axillary

The combination of inhalation, injection, and instillation anesthesia is known as ____________________ anesthesia.

balanced

The inflation of a balloon in a vessel to push and flatten plaque against the vessel wall

balloon angioplasty

Every anesthesia code has a basic value, also known as a(n) ____________________unit, assigned to it.

base

Dr. Smith completed an ethmoidectomy. He removed the sinus located ____.

between the eyes

Large air passages in the lung through which air is inhaled and exhaled

bronchus

An anterior mediastinotomy is known as a(n) ____________________ mediastinotomy.

cervical

The ____________________ nodes are the lymphatic nodes that are located in the neck.

cervical

Transportation of fluid away from the tissues of the body toward the thoracic cavity occurs via the lymphatic ________________or vessels.

channels

Which type of history includes documentation of four or more elements of the history of the present illness, a complete review of systems, and a complete past, family, and social history?

comprehensive

Most rhinoplasty codes are considered ____________________, and third-party payers may not reimburse for the procedure.

cosmetic

The process of removing tissue by scraping is ____________________.

curettage

A procedure, completed to clean a wound site, which involves the removal of dirt or foreign objects, along with tissue that may be necrotic or damaged, is called ____________________.

debridement

When completing skin grafts, the area receiving the graft is the ____ site.

defect

A cutting instrument, called a(n) ____________________, is used for debridements and skin grafting.

dermatome

Cryosurgery, electrosurgery, and chemosurgery are all forms of ____.

destruction

The type of examination involving not only the affected area of the illness, but also other systems or related organs, is a ____.

detailed examination

The only hernia repair codes that are NOT located in the digestive system range of codes are the codes for the repair of ____________________ hernias.

diaphragmatic

Dr. Smith placed a(n) ____________________ splint on David's arm to limit mobility, but not totally prohibit it.

dynamic

The removal of plaque deposits from blood vessels

endarterectomy

The innermost layer of the heart is the ____ and is referred to as the lining of the heart.

endocardium

Located between the eyes

enthmoid

Epidural blocks are the injection of an anesthetic agent into the ____________________ space above the dura mater.

epidural

The objective portion of a SOAP note contains the ____.

exam of the patient

1 inch equals 2.45 centimeters.

false

A cardiac pacemaker corrects and manages arteriosclerosis.

false

A dual-chamber pacemaker has two electrodes that are placed in the two ventricles of the heart.

false

A rib spreader is a device that is used to remove a rib.

false

A tendon comprises fibers and cells that cause movement and are able to contract.

false

An electrode controls the heart rate, energy output, and pacing modes of a cardiac pacemaker.

false

The application of force to a limb using felt applied to the skin is skeletal traction.

false

The circulatory system is viewed as a subsystem of the hemic and lymphatic systems.

false

The diaphragm is a dome-shaped muscle separating the abdomen from the inguinal area.

false

The epidermis is the thick layer of tissue located below the surface of the skin.

false

The heart is divided into two chambers.

false

The main function of the spleen is to produce bone marrow.

false

The main role of bone marrow is to filter the blood.

false

The spleen is located in the right upper abdomen.

false

Unbundling codes is an accurate way to report two procedures performed on the same date of service.

false

Wound exploration is completed to determine the extent of an injury, but it does not include enlargement of the wound site.

false

Located with the frontal bone behind the eyebrows

frontal

Lymph nodes are also known as lymph ________________.

glands

A radiologic procedure used to assist the physician in viewing an area or locating a mass or other image is imaging____________________.

guidance

Code 99205 reflects a(n) ____________________ complexity of medical decision making.

high

A chronological description of the patient's current illness is the ____.

history of the present illness

The ____________________ lymph nodes are located in the upper femoral triangle of the thigh.

inguinal

When an anesthetic agent is administered directly into the bloodstream, it is known as ____.

injection

A(n) ____ repair code would be used to report a layered closure or the extensive cleansing of a heavily contaminated wound.

intermediate

The administration of fluids and blood products, monitoring of noninvasive vitals, and the administration of the anesthesia are all component parts of the ____________________ care for a patient.

intraoperative

Surgical removal of the larynx is called a(n) ____________________.

laryngectomy

Dr. Jones suspects that Sally Song has a tumor on her larynx. To directly view the tumor, he uses a laryngoscope. This procedure is known as a direct ________________.

laryngoscopy

The voice organ that connects the pharynx to the trachea

larynx

The tying off of blood vessels

ligation

An anesthetic agent applied topically to the skin or injected subcutaneously is known as ____________________ anesthesia.

local

A pair of organs located in the thorax

lungs

Dr. Jones completed a drainage of an enlarged lymph node. The term for an enlarged lymph node is ____________________.

lymphadenitis

An incision made into a lymph node

lymphangiotomy

Reduction, also known as ____________________, is completed to realign a bone.

manipulation

Located below the eye and lateral to the nasal cavity

maxillary

A lighted scope used to visualize the mediastinum, the trachea, and the major vessels of the mediastinum is known as a(n) ____________________.

mediastinoscope

The space in the thoracic cavity that lies behind the sternum and between the two pleural sacs is called the ____________________.

mediastinum

The complexity of establishing a diagnosis and/or selecting a management option is referred to as the complexity of the ______ decision making of the case.

medical

This valve is located between the left atrium and the left ventricle.

mitral valve

Common sites for skin tags include the axillae, ____________________, and inguinal areas.

neck

Dr. Might needs to view the bronchi of his patient. He will be completing a bronchoscopy to complete this. He is inserting a rigid bronchoscope, also known as a(n) ____________________ bronchoscope, through the mouth to view the bronchi.

open-tube

The placement of a device to correct and manage heart dysrhythmias

pacemaker insertion

Information regarding major illnesses, surgeries, injuries, and hospitalizations is part of the ____.

past history of the patient

Removal of fluid from the pericardial space by insertion of a fine needle to aspirate the fluid

pericardiocentesis

A tubular structure that extends from the base of the skull to the esophagus

pharynx

Robin was admitted to the hospital due to an accumulation of fluid in his lungs. To remove the fluid, Dr. Thomas passed an aspiration needle over the top of a rib and punctured through the chest, entering the pleural cavity, and then directed the needle into the fluid area of the lung, withdrawing the fluid. This procedure is known as a ____.

pneumocentesis

Growths in the nasal cavity, known as nasal ____________________, are commonly associated with rhinitis.

polyps

The history and exam performed by the anesthesiology staff is part of which component of care?

preoperative care

An initial rhinoplasty is also called a(n) ____________________ rhinoplasty.

primary

A limited examination of the affected body area or organ system is a(n) ____________________-focused examination.

problem

An examination that surrounds only the problem that brought the patient into the office is a ____.

problem-focused examination

This valve is located between the pulmonary artery and the right ventricle.

pulmonary valve

During the administration of anesthesia, the case was complicated by emergency conditions. The type of code to report this occurrence with an addition to the anesthesia code would be ____.

qualifying circumstance code

Removal of all the lymph nodes and the tissue under the skin

radical lymphadenectomy

ORIF is the abbreviation for open ________________internal ________________.

reduction fixation

Located directly behind the nose at the center of the skull

sphenoid

A surgical procedure in which an incision is made along one side of the nose is known as a(n) ____________________.

rhinotomy

When a rhinoplasty includes a major septal repair, the procedure is known as a(n) ____________________.

septoplasty

Removal of a lesion from the epidermal or dermal layer of the skin, without incising or slicing into the subcutaneous level of the skin, is known as ____________________.

shaving

A cavity located in the skull close to the paranasal area

sinus

When selecting codes for the treatment and repair of fractures, coders must be able to identify the ____________________ of the fracture and, in some cases, the exact area of the bone that is treated.

site

A complete PFSH includes ____.

social, family, and past patient history

When a physician wants to immobilize an extremity completely, a(n) ____________________ splint would be placed on the extremity.

static

Dr. Smith examined Tom Thomas's nasal area. Dr. Smith noted a narrowing of the nasal vestibule. This condition is known as nasal vestibular ____________________.

stenosis

Casts and ____________________ are used to treat fractures, immobilize an area, and prevent movement.

strapping

The lymph nodes located under the mandible or lower jaw are the ____________________ lymph nodes.

submandibular

Biopsies taken on lymph nodes are differentiated between ____________________ or deep.

superficial

The removal of the synovial membrane of a joint is a(n) ____________________.

synovectomy

Dr. Smith determined that John Jones has an accumulation of fluid in the chest cavity. The doctor surgically punctured through the space between John's ribs, using an aspirating needle to withdraw the fluid from the chest cavity. This procedure is known as a ____.

thoracentesis

Which of the following anatomical areas does not have a major concentration of lymph nodes?

thoracic

Lymph nodes are a collection of lymphatic ________________.

tissue

A rhinectomy in CPT is differentiated by the terms partial or ____________________ removal.

total

A tube-shaped structure in the neck that extends from the larynx to the bronchi

trachea

A repair of a paraesophageal hiatal hernia is commonly completed by making a(n) ____________________-approach incision and then returning the herniated stomach to its correct position.

transabdominal

This valve is located between the right atrium and the right ventricle.

tricuspid valve

A benign lesion is also referred to as a nonmalignant tumor.

true

A biopsy is a procedure which removes a sampling of tissue for pathological examination.

true

A complete bilateral cervical lymphadenectomy would be reported with the addition of modifier 50.

true

A repair of a laceration of the diaphragm can be completed by an abdominal or chest incision.

true

A subungual hematoma is the collection of blood under the fingernail or toenail.

true

A transthoracic mediastinotomy, code 39010, also includes either a transthoracic or median sternotomy.

true

After a repair of a paraesophageal hiatal hernia, the herniated stomach is returned to the correct position, and the diaphragm is sutured to prevent reherniation.

true

Arthroplasty is defined as plastic surgery completed on a joint.

true

Blood flowing away from the heart leaves through the aorta and the pulmonary artery.

true

Blood flowing to the heart from the upper part of the body enters the right atrium of the heart.

true

Code 20200 reports a superficial biopsy of a muscle.

true

Code 38100, total splenectomy, is a separate procedure code. Therefore, it is not reported if another procedure is completed.

true

Code 39499 reports unlisted procedures completed on the mediastinum. When using this code, the coder should determine that the record clearly documents the procedure in case the payer requests additional information to justify the selection of this code.

true

Code selection for injections into joints or the bursa depends on the site of the procedure.

true

Codes 38207-38215 are reported only once per day.

true

Codes for total and partial splenectomies are considered separate procedure codes. Therefore, they are not reported when another procedure is performed.

true

Fine needle aspiration is aspiration by which a fine needle is inserted into the body site and then draws fluid from the site.

true

Osteoclasis is the process of creating a surgical fracture of a bone to correct a deformity.

true

Removal of a bone is known as osteoectomy.

true

The CPT manual differentiates, by assigning different codes, an excision of a mediastinal cyst from an excision of a mediastinal tumor.

true

The CPT manual provides two different codes for the excision of a mediastinal cyst and for the excision of a mediastinal tumor.

true

There are no National Correct Coding Initiative guidelines for coding procedures completed on the mediastinum and diaphragm.

true

To select codes correctly for excisions of lymph nodes, the coder must determine if the procedure was an open procedure or completed via the use of a needle.

true

Two different codes in the CPT manual report a splenectomy: one code reports a partial splenectomy, and another code reports a total splenectomy.

true

When fluoroscopic guidance is used to complete a pericardiocentesis, an additional code is billed for the fluoroscopic guidance.

true

When local anesthetics are injected into the carpal tunnel to relieve pain, the procedure is considered a therapeutic procedure.

true

When the cardiac impulses reach the junction of the atria and the ventricles, the AV node directs the impulses to the ventricles, causing the ventricles to contract.

true

The draining of fluid from the pericardial space by placing a long needle into the pericardial space and then placing an indwelling catheter attached to a drainage bag

tube pericardiostomy

The lower chambers of the heart are the ____.

ventricles