Which entity offers compliance program guidance to form the basis of a voluntary compliance program for a provider practice?
A. Centers for Medicare & Medicaid Services (CMS)A patient arrived at the emergency department experiencing pain in both legs. The ED physician ordered a comprehensive duplex scan of the arteries in both lower extremities to rule out arteriosclerosis.
What CPT(R) and ICD-10-CM codes are reported?
A. 93926 x 2, I70.303, M79.604, M79.605An established patient suffering from migraines without aura, no mention of intractable migraine, and no mention of status migrainosus, is seen by his ophthalmologist whoconducts a visual field examination of both eyes. The examination was accomplished plotting four isopters utilizing the Goldmann perimeter testing method. The patient and requesting physician receive the interpretation and report on the same date of service.
What procedure and diagnosis codes are reported for this encounter?
A. 92082, G43.009A patient with pneumonia has a sputum culture and blood drawn to test for fungus.
What CPT codes are reported?
A. 87040, 87070A patient has a recurrent ventral hernia that is strangulated. The physician repairs a two centimeter hernia with mesh.
What CPT coding is reported?
A. 49613A patient presents to the ER from a nursing home after the patient was found to have a foul-smelling, large sacral pressure ulcer during daily nursing rounds. The ER provider swabbed the wound for culture (which measured at 7 cm in largest diameter); then cleaned the site before painting with povidone around the entire sacrum to reduce cutaneous bacterial load. The provider made an elliptical excision with 3 mm margins around the outer edge of the ulcer and removed the lesion in its entirety. Further examination revealed deep tissue damage, prompting muscle and segmental bone removal. The wound was then closed using a layered skin flap closure.
What CPT(R) coding and ICD-10-CM coding is reported?
A. 15933, L89.153The mediastinum is:
A. A location in the chest, bounded by the sternum, diaphragm, and lungsPreoperative diagnosis: Right thigh benign congenital hairy nevus.
Postoperative diagnosis: Right thigh benign congenital hairy nevus.
Operation performed: Excision of right thigh benign congenital hairy nevus, excision size with margins 4.5 cm and closure size 5 cm.
Anesthesia: General.
Intraoperative antibiotics: Ancef.
Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and was thought to have changed over the past year.
The family requested excision. They understood the risks involved, including but not limited to the risks of general anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of its location and the patient's age. They consented to proceed.
Description of procedure: The patient was seen preoperatively in the holding area, identified, and brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with 6 cc of 1% lidocaine with epinephrine 1:100,000. After an adequate amount
of time, a #15 blade was used to sharply excise this full thickness. The specimen was passed to pathology
for review. The wound required limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and 4-0 Monocryl running subcuticular in the skin. The wound was cleaned and dressed with Dermabond and Steri-Strips. The patient was then cleaned and turned over to anesthesia for extubation. She was extubated successfully in the operating room and taken to the recovery room in stable condition. There were no complications.
What CPT(R) coding is reported for the procedure?
A. 11406, 12032What is the medical term for a procedure that creates a connection between the gallbladder and the small intestine?
A. HepatocholangiostomyA patient is diagnosed with diabetic polyneuropathy.
Using ICD-10-CM coding guidelines, what ICD-10-CM coding is reported?
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