Ambulatory Care Coding 80 questions.

This assignment requires Ambulatory Care Coding experience.You CAN NOT google these questions for the answers.Must be CPC, CCS, or RHIT certified coder.Please check 40 that are answered, 40 that are unanswered.Need by 09.16.2015Ambulatory Care CodingPatient had a left femoral hemiorraphy for a recurrent hernia, what is the correct code assignment?C. 49555A patient was taken to the endoscopy suite. The endoscopy was passed into the esophagus and continued into the duodenal bulb. Based on this documentation, what CPT code would be selected to represent this procedure?43200432344323543260Which of the following is not coded separately from the coronary artery bypass procedure?Upper extremity arteryUpper extremity veinSaphenous veinFemoropoplitear segment of a veinWhich of the following CPT codes should be used for an emergency curettage due to retained placenta after normal vaginal delivery?58120591604932059840How do you code a retropubic subtotal prostatectomy?B. 55831Treatment of a missed abortion, completed surgically a 22 weeks is coded as?C. 59821Which of the following CPT codes describes the surgical removal of kidney stones through an incision in the body of the kidney.                D.50060The patient undergoes the closure of a nephrocutaneous fistula, how is this coded?               B. 50520The patient provides a kidney to a sibling who has renal failure. An open procedure is performed. How is this coded?B. 5032010. Principles of ICD-9-CM coding for ambulatory care encounters includes.               A. Ambulatory care diagnoses should be coded to the highest of certainly at the conclusion of the encounter.               B. Code suspected diagnoses as if the disease or injury existed. C. conditions previously treated and no longer existing are coded.D.Only the most significant diagnosis should be coded.Level  2 codes of the HCPCS coding system are maintained by the:D.Center for medicare and Medicaid services.J1020 injection methylprednisolone acetate, 20 mg is an example of aC. Level 2 codeLevel one of HCPCS consists ofCPT codesThe inclusion of a code in COT indicates that the procedure is:Commonly performed across the countryEndorsed by the AMAReimbursed by third party payersThe three key components used in defining the levels of E/M services are:History, examination, medical decision making.The differences between a new patient and an established patient is whether the patient received professional services from the physician or another physician of the same specialty who belongs to the same group of practiceWithin the past three yearsMary Cole, who is recovering from pneumonia, returns to her physicians for follow up. Dr. Small reviews a recent x-ray, performs a problem focus examination followed by a short discussion of findings. CPT code assigned.99212Refer to the medical decision making table in your CPT book. Given the following information determine the type of medical decision making involved. Number of diagnoses/management options _ limited, amount and/ or complexity of data reviewed _ moderate risk of complications and / or morbidity or mortality high.High complexityLow complexityModerate complexityStraightforwardJoan Harrington is required by required by her insurance company to obtain a second opinion consultation prior to undergoing a hysterectomy, she presents to Dr. Marks who conducts a comprehensive history and physical examination medical decision making is moderate. Dr. Marks concurs that the surgery is necessary. Dr. Marks assigns the following CPT code for the visit.B. 99244Which code is used to report anesthesia services for a Medicare patient undergoing a tranurethal resection of the prostate?00914Cystourethroscopy with fulguration of bladder tumor (2.5 cm inside) is coded.52235A biopsy of skin and subcutaneous tissue (3 lesions) would be coded.C.11643A debridement of the skin, subcutaneous tissue and muscle is coded.C.1104324. Bisch of procedure6317025. Open reduction of fracture of the distal fibula with internal fixation 2779226. Transurethral resection of prostate following urethral dilation.5260127. Repeat cry cautery of the cervix.575105751157511, 57511571328. Two facial lacerations are repaired with layer closure. One is 10 cm and the other is 3 cm. 120161203512052, 120541205529. Esophagoscopy for removal of foreign, body is coded.4304543200, 43215432154324730. Simple hemorrhoidectomy, internal and external with fistulectomy. 4625543255, 46270462574625831. Arthroscopy of knew with synovial biopsy.0138227330298702987532. A patient develops difficulty during surgery and the physician discontinues the procedure, identify the modifier that may be reported by the physician to indicate that the procedure was discontinued. -52-53-73-7433. EGD with laser destruction of a pedunculated polyp in the duodenum. 4325043234, 43258432394325834. What is the correct code assignment for ligation of four hemorrhoids?A. 46945, 46946B. 46946C. 46900, 46910D. 4692435. Which of the following is vital for determing why an insurance company paid less than expected?CPT code bookThe explanation of benefitsKnowledge of the insurance regulationTalking to the patient36. To properly link the diagnosis to the service what should be listed in box 24 of the CMS_1500 claim form?The place of service codeOne linking reference number from box 21The CPT code numberThe ICD_9-CM code number37. Which set of percentages is correct for initial hospital services, 99221 65, 99222 296, 99223 362, 99231 261, 99232 410, 99233 1744%, 19%, 23%13%, 45%, 42%9%, 41%, 50%36%, 57%, 24%38. A claim is denied because the CPT code and place of service code do not match. Where would the coder look to solve this problem for the future?B. Fee schedule database 39. A patient presents with a closed fracture of the supracondylar humerus and receives open treatment with intercondylar: How should this be coded?D.2454640. Red blood cell count, differential white blood cell count, and platelet count automated, is coded as?C. 85041, 85004, 8504941. An asthmatic patient is treated with two nebulizer inhalation treatment on the same day by the same physician, using prefilled vials of 0.5 mg of albuterol and 2.5 mg normal saline. How is this coded?94640, 94640-76, J7611, J761194664-7694664, 94664-22, J7611x694640, 9464042. A catheter is placed into the renal pelvis for injection. The same physician perfors both the injections and the supervision and interpretation. How is this coded?50392, 74475-2650392, 7447574475-267447543. Magnetic resonanceimagaing cholangiopancreatograpy on a 25 year old male 7418576498580375804244. A rapid influenza test is performed with a commercial test kit. When complete, the technician visually reads the results as positive, how is this procedure coded?8727587276874008780445. Some reconstructive plastic surgical procedures are performed in multiple stages. What modifier should the surgeon report when the patient is returned to sugery for a planned stage procedure?C. 5846. Accu-check home blood glucose monitor A4258E0607A4253E0607, A425347. CT of maxillofacial area, with and without contrast.70488704877045070486, 7048748. Two- view x-ray of sacrum and cocoyyD. 82607, J342049. What is the correct code for a nonabsorption vitamin B_12 level?8260882607J342082607, J342050. RS&I of bilateral extremity angiograph 7571651. When clinical laboratory tests are reported on the same day, what modifier should be assigned?B. 9152. In addition to the claim submitted by the surgeon, the assistant surgeon bills for his or her services. What modifier does the assistant surgeon attach to the procedure code?6252818053. A female patient about undergo chemo, decided to harvest and store eggs for later attempts at pregnancy. How is the laboratory service of storage coded?8934289346893438952854. Visual acuity screening9917355. Comprehensive opthalmology evaluation for a new patient.9920492012920049200256. Binaural hearing aid check92539925919259092591, 9253957. Individual interactive psychotherapy, outpatient, 50 minutes.                D. 90834, 9078458. EEG, awake and sleep                 B. 9581959. With the use of imaging, the patient had a percutaneous needle core biopsy of the left brest.                 D. LT60. Barium enema with KUB                C. 7427061. Planned sigmoidoscopy with removal of foreign body under conscious sedation, procedure not completed due to hypotension. How would the physician report this?               C. 5362. Comprehensive oral examination D0150D0145D0502D012163. A radiologist interprest x-ray for a community hospital. The equipment belongs to the hospital. What modifier should the radiologist append to his CPT code?26TC595264. Replacement of a nonprogrammable epidural drug infusion pump 623606236262360, 623616236165. Initiation and management of continuous positive airway pressure ventilation9466066. Removal of foreign body from cornea using a slit lamp 652056522265205, 652226522067. Cervical collar, foam, un-adjustableL0150L0180E0856L012068. Hearing aid, monaural, behind the ear.V5241V5298V5160V506069. The physician provides a patient covered by commercial insurance with a peak flow meter to use at home.                     D.   5809670. The physician performs an arthroscopic debridement of the shoulder, extensive, with chondroplasty and abrasion, arthroplasty. An arthroscopic mumford procedure is also performed. How is this coded? 11044-RT, 23120-RT29823-RT, 29824-RT11044-RT, 29824-RT29823-RT, 23120-RT71. The modifier used to report therapeutic interventional procedures on the right coronary artery is.RTRC50LC72. The physician performs an open repair of the medical meniscus of right knee: How is this coded.C. 27403-RT73. Modified radical mastectomy 1930774. The physician treats a patient who has osteomyelitis of the left scapula following a past injury. A piece of dead bone is removed from the body of the scapula. How is this coded?                    A. 23172-LT75. The physician performed a partial avulsion of the nail plate of the left thumb.A. FA76. Surgical sinus endoscopy with spenoidotomy                       C. 3128777. Percutaneous thrombectomy of AV Fistual Graft3687035331929733536378. Prosthetic aortic value placement, using CP bypass                      C. 3340579. Diagnostic lumber puncture                     A. 6227080. Catheterization of Eustachian tubes, tympanic approach696316940569405-5069400