MCB FInal exam review

excision of a pilonidal cyst that was a complicated procedure

Third party payors determine the contents of a surgical package

if provider performs 2 E&M codes on same pt in same day; the modifier 25 is used

If the preop and postop diagnosis are different the preop one should be used

Code: encounter for treatment of pancytopenia due to primary angiosarcoma of the liver (2 codes)

Code: anesthesia for tracheobronchial reconstruction

reason for encounter is determine the extent of malignancy, primary site is designated at 1st listed diagnosis

The correct code for unlisted procedure of the breast is

The ICD does not include a procedure classification

Dr performs an extended exam of body area and organ systems - what level of examination?

Correct code: Acute cholecystitis with cholelithiasis

The term primary diagnosis is the same as first listed diagnosis

disseminated malignant neoplasm (C80.0) is used when no primary site are specified

includes / excludes notes are only listed tabular section, so its you must reference the tabular section with each code

Select 3 components of the RVU (relative value unit)

Modifiers are used to indicate what type of information?

The code range for home services is

what section guidelines contain the definition of the chief complaint

identify the main term: web fingers left hand

The modifier -AA is what type of modifier?

Each procedure must have its onw anesthesia code

HCPCS is collection of codes that represent: procedures, supplies products and services

there is no tissue remaining for pathological exam after this method has been used

identify main term: recurrent mania initial encounter

the rules that govern coding in healthcare settis are

Code: anesthesia for burr holes

Code: itching

Code: diabetes mellitus with unspecified retinopathy and with diabetic cataract (2 codes)

Code: congenital kidney disease

whic hCPT code is used to report materials and supplies by the provider for which no other CPT code exists

Fine needle aspiration biopsy of the breast without imaging

ICD code: screening colonoscopy for colon cancer

excision with a simple closure of benign lesion includes this type of anesthesia

A congenital abnormality is one you are born with

identify main term: minimal change nephrosis sequela

What are the divisions of the surgery section of the CPT based on?

HCPCS modifier for denial expected as not reasonable or necessary

Which organization has been responsible for development of the ICD 10?

Code (3 codes): multiple closed fx to the ribs, right side after falling down staircase at home, initial encounter

Code: acute pseudo-obstruction of the intestine

systemic lupus erythematosus with associated endocarditis (M32.11) is an example o dual coding

multiple codes are often required for late effects, complication codes ad obstetric codes:

Code: arteriosclerosis of native arteries of the left leg with gangrene

An adverse effect occurs when a drug has been correctly prescribed and administered and the pt develops a reaction

the anesthesia status modifier that indicates the pt condition at time anesthesia was administered is:

Which is true about ICD 10?

Code: primary malignancy of the left tonsil

when an excision is being done, the "margins" refer to the____ required to excise the lesion based on dr judgement

The postpartum period begins immediately after birth ad continues for 12 weeks

the various types of anesthesia are general, regional or local sedation

Code: long term use of aspirin

Code: hypertensive heart disease NOS

the request for opinion or advice from another provider is this type of service

Bruising would be an element to review in this organ system

If anesthesia given to pt who wasn't expected to survive without surgery, which physical status modifier would be added

Code: pulmonary embolism following incomplete spontaneous abortion (1 code)

Unit values are assigned and are determined on basis of resources needed for the provider's performance of service

excision of benign lesion 0.4 cm with simple closure

Drugs are available under which Medicare benefit?

which modifier is used when outside laboratory is used

The usual global period for major surgery is

A patient can have an unconfirmed diagnosis for more than 3 visits

code: anesthesia for repair of cleft palate

when reporting a stages procedure, which modifier is added to the CPT code?

which modifier is for professional component of diagnostic procedure?

Code: surgery -unlisted procedure, arthroscopy?

Medicare B pays for:

name 3 goals of the physician payment reform

unlisted codes are assigned to identify procedures for which there is no more specific code

All ICD 10 codes have 7 characters:

MEDICARE AND OTHER FEDERAL PAYERS DO NOT RECOGNIZE ____ CODES

(2 codes) subsequent encounter for joint injection for pt with acute pain due to sprained right acromioclavicular joint

A late effect is the residual effect after the acute phase of the illness or injury has passed

notable changes in ICD include expansion of signs and symptoms code

Code: osteomyelitis with draining sinuses of right great toe due to staphylococcus aureus

Medicare Advantage is also known as:

which Medicare coverage is for hospice care

the range of codes 10004-69990 would be found in this section of the CPT manual

How often are category III codes released?

A STEMI is also known as a Q-wave MI

modifier -57, decision for surgery is used with which type of service?

a list of the unlisted procedures for use in a specific section of the CPT manual is contained in

Code: Buerger's Disease

Code: pressure ulcer of the right elbow with partial thickness skin loss involving epidermis and dermis (1 code)

The CF (conversion factor) is a national dollar amount that is applied to services paid on the basis of: