Chapter 8 - Section Review Quizzes
The patient has developed plantar fasciitis, a painful condition in his heel and the sole of his foot. He has tried using shoe inserts and over-the-counter pain relievers but is still having pain. His physician performs an injection of the tendon sheath on the bottom of his foot. What procedure code is reported? A.28070 B.20550 C.28001 D.20553
Answer: B. 20550 Rationale: An injection of a single tendon sheath, or ligament, aponeurosis (for example, plantar fascia) is coded with a 20550. Look in the CPT® Index for Tendon Sheath/Injection
What is the correct ICD-10-CM code for a new patient seen for a left-sided nursemaid's elbow? A.S53.492A B.S53.032S C.S50.02XA D.S53.032A
Answer: D. S53.032A Rationale: Look up nursemaid's elbow, S53.03-. Verification in Tabular List verifies code choice S53.032A, for left elbow, initial encounter.
This type of connective tissue attaches a muscle to a bone: A.Ligament B.Vein C.Vertebra D.Tendon
Answer: D. Tendon Rationale: Tendons attach muscles to bone, and ligaments attach bones to other bones
Mary has pain in her temporomandibular joint. Her doctor decides to manipulate the joint under general anesthesia, and schedules her for this procedure the next day. What procedure code would be reported for the manipulation? A.21073 B.21480 C.21485 D.21060
Answer: A. 21073 Rationale: Manipulation of a TMJ requiring anesthesia would be reported with 21073. If the TMJ was dislocated, a different code would be used. Look in the CPT® Index for Temporomandibular Joint (TMJ)/Manipulation
The physician performs arthroscopic meniscus repair with partial medial and lateral repairs. What procedure code is reported? A.29883 B.29880 C.29882 D.27332
Answer: A. 29883 Rationale: Code 29883 is for an arthroscopy, knee, surgical; with meniscus repair (medial AND lateral). Look in the CPT® Index for Arthroscopy/Surgical/Knee, which gives a range of codes for procedures on the knee that can be done with an arthroscope.
Which type of muscles help control movement of the body, maintain posture, and help produce heat? A.Striated or skeletal B.Smooth or visceral C.Cardiac D.Involuntary
Answer: A. Striated or skeletal Rationale: Striated or skeletal muscles are often attached to bones and help move the body. They are considered voluntary muscles—meaning we have control over their movement
How would compartment syndrome of the lower extremity caused by an auto accident be listed in the ICD-10-CM Alphabetic Index? A.Syndrome/compartment/lower extremity B.Compartment syndrome/leg C.Syndrome/compartment/non-traumatic/leg D.Syndrome/compartment
Answer: A. Syndrome/compartment /lower extremity Rationale: Compartment syndrome is listed under Syndrome in ICD-10-CM. Traumatic is considered the default unless specifically stated as nontraumatic. An auto accident is considered a traumatic injury.
The patient came to the office for a therapeutic injection, left shoulder subacromial space. What procedure code is reported? A.20612 B.20610 C.20552 D.20550
Answer: B. 20610 Rationale: Code 20610 Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee, subacro-mial bursa), without ultrasound guidance indicates that the arthrocentesis is for aspiration and/or injection. The drug used in the injection (usually a steroid) is coded separately. Look in the CPT® Index for Arthrocentesis/Large Joint
Mrs. Williams has had a bunion on her right foot for many years and is scheduled for surgery to correct this condition. The doctor plans to do a double osteotomy of the metatarsal bone. What procedure code is reported? A.28296-RT, 28296-RT B.28299-RT C.28292-RT D.28291-RT
Answer: B. 28299-RT Rationale: A double osteotomy can be performed on the phalanx and the metatarsal, or by making two incisions on the metatarsal bone. Look in the CPT® Index for Osteotomy/Phalanges/Toe.
In the CPT® code book, 25000 and 25001 are for incisions in the tendon sheath on the wrist. Code 25000 is for the extensor tendon and 25001 is for the flexor tendon sheath. What is the difference between extension and flexion? A.Extension causes bending of the wrist; flexion causes straightening of the wrist. B.Extension causes straightening of the wrist; flexion causes bending of the wrist. C.Extension causes the wrist to move forward by rotating; flexion causes the wrist to move backward by rotating. D.Extension causes the wrist to move backward by rotating; flexion causes the wrist to move forward by rotating.
Answer: B. Extension causes straightening of the wrist; flexion causes bending of the wrist. Rationale: When muscles are named for their action, words like flexor and extensor are often included in the name. Flexion is bending of a limb or body part and extension is straightening of a limb or body part
What is the code for a traumatic fracture of the fifth metacarpal shaft on the right hand with delayed healing? A. S62.306G B. S62.326G C. S62.327D D. S62.316G
Answer: B. S62.326G Rationale: In the ICD-10-CM Alphabetic Index, look for Fracture/traumatic/metacarpal/fifth/shaft (displaced), which directs you to S62.32-. In the Tabular List, subcategory S62.32 requires a 6th character for laterality and a 7th character for type of encounter. S62.326G is the correct code. ICD-10-CM guidelines I.19.c states, "A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced."
A Colles' fracture is a fracture of what part of the body? A.Elbow B.Wrist C.Knee D.Ankle
Answer: B. Wrist Rationale: A Colles' fracture is a fracture of the distal radius and sometimes involves the ulna. These areas of the forearm bones are part of the wrist joint.
Julia tripped and fell down three stairs in her apartment. X-rays show a fracture of the metatarsal bone of her left great toe, and the physician treats the fracture with a special orthotic boot. What procedure code is reported? A.27752-TA B.27786-TA C.28470-TA D.27750-TA
Answer: C . 2 8 4 70 -TA Rationale: This is a closed treatment because no surgery was performed. The orthotic boot would be coded separately by the DME supplier. Look in the CPT® Index for Fracture/Metatarsal/Closed Treatment. Modifier TA is appended to indicate the left foot, great toe
Jeff was skateboarding and crushed the long arm cast (without further injury to the arm) that was placed for a fractured left radius and ulna. Another physician replaces the cast with a short-arm fiberglass cast. What procedure code is reported for the replacement cast? A.29085 B.29065 C.29075 D.29125
Answer: C. 29075 Rationale: The first cast or splint is included as part of the initial fracture treatment; because this was a replacement cast, it can be coded. For the short arm cast look in the CPT® Index for Cast/Elbow to Finger
How should you code an arthroscopic abrasion chondroplasty of the medial femoral condyle? A.29884 B.29862 C.29879 D.29860
Answer: C. 29879 Rationale: The medial femoral condyle is part of the knee. Look in the CPT® Index for Arthroscopy/Surgical/Knee 29871-29889. In the code section, review the indentations until you arrive at 29879 Abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture. Note that the code is in the arthroscopy section so it's not an open procedure
How would you code a new pathological fracture of the right femur due to postmenopausal osteoporosis? A.M81.0 B.M80.851A C.M80.051A D.M84.551A
Answer: C. M80.051A Rationale: Code M80.051A describes a pathological fracture of the right femur. In the ICD-10-CM Alphabetic Index look up Fracture/pathological/due to/osteoporosis/postmenopausal — see Osteoporosis/postmenopausal/with pathologic fracture. You're directed to M80.00. In the Alphabetic Index, there is no listing for femur. Review the subcategories for M80.0 in the Tabular List. Subcategory M80.05 is used to identify current pathological fracture of femur. 6th character 1 is used for the right femur and 7th character A is used for the initial encounter.
.In the CPT® code book, 28400 and 28405 are used when coding a calcaneal fracture. What is the difference between these two codes? A.One includes internal fixation and one does not. B.One is for a foot fracture and one is for an ankle fracture. C.One includes manipulation and one does not. D.One requires surgery and one does not.
Answer: C. One includes manipulation and one does not. Rationale: Both codes are used when coding a closed treatment of a calcaneal fracture. "Closed" treatment means there is not an incision made over the fracture site. Code 28400 is "without manipulation" and code 28405 is "with manipulation." Internal fixation is not a closed treatment procedure
Mrs. Smith underwent an arthrodesis of her spine for spinal deformity, posterior approach, segments L3-L5. What procedure code is reported? A.22810 B.22818 C.22802 D.22800
Answer: D. 22800 Rationale: Spinal arthrodesis is coded based on the approach; L3-L5 is considered three segments. Instrumentation is also coded, if performed. Look in the CPT® Index for Arthrodesis/Vertebra/Spinal Deformity/Posterior Approach.
Joe was in a motorcycle accident and fractured his right femur. The surgeon placed an intramedullary locking implant (nail) through a buttock incision. What procedure code is reported? A.27503-RT B.27508-RT C.27510-RT D.27506-RT
Answer: D. 27506-RT Rationale: The surgery is an open treatment of a closed femoral shaft fracture with internal fixation (intramedullary implant) and is reported 27506-RT. Look in the CPT® Index for Fracture/Femur/Peritrochanteric/Intramedullary Implant Shaft. Report modifier RT to indicate right femur
What is the correct 7th character in ICD-10-CM for a healing comminuted fracture of the right fibula, open, type 1? A.B B.D C.H D.E
Answer: D. E Rationale: Look up Fracture/fibula/comminuted S82.45-. Verification in the Tabular List indicates the correct 6th character is 1 for the right side. The correct 7th character is E, for subsequent encounter, open fracture Type 1. See the list of 7th digits under category S82. Per chapter 19 guidelines, "A fracture not indicated whether displaced or not displaced should be coded as displaced.
