A 30-year-old patient with a scalp defect is having plastic surgery to insert tissue expanders. The provider inserts the implants, closes the skin, and increases the volume of the expanders by injecting saline solution. Tissue is expanded until a satisfactory aesthetic outcome is obtained to repair the scalp defect.
What CPT code is reported?
A. 11960A driver loses control of a vehicle and crashes into a guardrail on the side of the highway. The patient sustains a fracture of the anterior fossa cranial base. Imaging confirms involvement of the sphenoid sinus, but no cerebrospinal fluid (CSF) leak is identified. The patient undergoes a surgical nasal sinus endoscopy with sphenoidotomy to evaluate and treat the sinus injury. No CSF leak repair is performed.
What is the correct procedure and diagnosis coding combination to report this service?
A. 31287, S02.19XA, V47.5XXA, Y92.411Procedure: Excision of a 6.0 cm malignant lesion of the right forearm with adjacent tissue transfer using a rotation flap.
Pre/Post-op Dx: Basal cell carcinoma, right forearm.
Anesthesia: Local (1% Xylocaine with epinephrine).
Defect size: 8 sq cm.
Specimen: Sent for frozen section margin control; margins confirmed clear.
Closure: Rotation flap from adjacent healthy tissue, total area 8 sq cm, secured with layered closure (5-0 Vicryl/6-0 Prolene).
What CPT(R) coding is reported?
A. 14020, 11606-51What is the medical term for a procedure that creates an opening between the bladder and the rectum?
A. GastroenterocolostomyWhich is a TRUE statement for Place of Service (POS) codes for professional claims?
A. Reporting an incorrect POS may result in claim denial.A flexible sigmoidoscopy is performed with ablation of two sigmoid colon polyps.
What CPT(R) and ICD-10-CM codes are reported?
A. 45346, K63.5A physician orders a CT scan of the abdomen without contrast.
What CPT(R) coding is reported?
A. 72197A patient undergoes a percutaneous liver biopsy with ultrasound guidance for primary biliary cirrhosis.
What CPT(R) and ICD-10-CM codes are reported?
A. 47000, 76942, K74.3View MR 099403
MR 099403
New Patient Office Visit
Patient presents for initial 1-week well-child visit. Had jaundice since birth but now is resolved. Mother does not have any current concerns, but wants to talk about blood-work. Baby has home health nurse x 1 visit to date. Baby eating well:
approximately 15 minutes each breast.
Having BM qd. Urination: Normal.
Patient accompanied by both parents and older sister; parents have no specific concerns.
Newborn screening is normal.
Diet: Breastfeeds q 2 to 3 hrs. Breastfeeding is going well overall. Patient is interested in nursing. Awakens to nursing regularly: left side 15 minutes, right side 15 minutes. Audible signs of milk transfer. Patient appears satisfied after breastfeeding; is alternating breasts. Mother does not use feeding supplement.
Patient experiencing 6 to 8 wet diapers per day. Stools appear yellow glow and seedy. No difficulties with constipation or diarrhea. Sleeps on back and side. Wakes up to feed every 2 to 4 hours. Patient alert. Cries intermittently but is easily consoled. Infant able to lift head, turn head side to side and exhibit equal movements on extremities. Patient is able to startle to sound. Alert to voice. Discussed feeding schedule and feeding tips with parents. Advised no bottle propping. Discussed bathing tips. Discussed: Noisy breathing, burping, cool mist humidifier use, hiccups and immunizations. Discussed bonding and use of pacifier. Emphasized importance of proper usage of car seat. Also reminded importance of patient sleeping on back. Discussed animals in home and proper precautions.
Past Family Medical and Social History: Reviewed and updated.
Exam:
Weight: 7 lbs. 9 oz. Rectal Temp: 97.9. Height: 19 inches. Head Circ: 18.7
Healthy appearing infant. Well-nourished and alert. Weight: Within normal range for stated age. Mucus membranes: Moist and pink. Capillary refill: Brisk-less than two seconds. Respiratory pattern: Unremarkable. No grunting or nasal flaring.
Umbilical cord: Not present.
Head proportion: Normal. Head: Normocephalic and symmetrical. Palpation reveals smooth, symmetric skull.
Anterior fontanelle: Slightly concave and soft. Posterior fontanelle is present.
PERRLA: EOMI ENMT: External ears: Inspection reveals ears normal in size, position and alignment.
Auditory canals are patent. Tympanic membranes: Normal landmarks. No fluid or erythema. Nares: Bilaterally are patent.
Nasal mucosa: No discharge. Palate: Normal in appearance. Rooting reflex: Present. Sucking reflex: Present.
Neck: Supple, no masses.
Resp: Lungs clear bilaterally.
CV: PMI is not displaced. Rhythm: Regular. No heart murmur. Pulses: Femorals 2+ bilaterally.
GI: Abdomen: Non-distended, nontender and soft. Umbilicus: Inverted and absent.
Bowel sounds: Normal and active. No palpable hepatosplenomegaly.
Anus/Perineum: Normal
Musculoskeletal:
Spine: Spinal contour: Normal. Gluteal fold: Normal. Upper Extremities: Normal to inspection and palpation.
Shoulders: Palpate smooth. Clavicles: Normal, stable.
Skin: No rash, lesions or petechiae. No jaundice.
Neurological: Babinski reflex: Present bilaterally. Moro reflex: Present.
Assessment: Routine infant child check: Patient doing well post-op with no obvious sign of jaundice.
What E/M code is reported?
A. 99381A 64-year-old with congestive heart failure (CHF) has pericardial effusion. The provider inserts a needle under ultrasound guidance, aspirating the fluid from the pericardial sac.
What CPT(R) coding is reported?
A. 33017, 76942Nowadays, the certification exams become more and more important and required by more and more enterprises when applying for a job. But how to prepare for the exam effectively? How to prepare for the exam in a short time with less efforts? How to get a ideal result and how to find the most reliable resources? Here on Vcedump.com, you will find all the answers. Vcedump.com provide not only AAPC exam questions, answers and explanations but also complete assistance on your exam preparation and certification application. If you are confused on your AAPC-CPC exam preparations and AAPC certification application, do not hesitate to visit our Vcedump.com to find your solutions here.