SBS Chapter 13, 22, 23

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Review

What is it called when the diaphragm is out of normal position and has moved up farther into the thoracic cavity?

hernia

The ____ manufactures most blood cells.

bone marrow

This type of lymphadenectomy is the removal of the lymph nodes, glands, and surrounding tissues:

radical

Mediastinum codes are identified by which factor?

surgical approach

This bone marrow is collected from the patient and later transplanted or reinfused back into the patient from whom it came.

autologenic

CPT Code for Bone marrow biopsy by needle aspiration.

38221

The procedure used to develop an artificial opening through the abdominal wall is:

exteriorization

A gastrostomy tube is placed inside the stomach for:

feeding purposes

What two words are important factors in coding hernia repair?

incarcerated/strangulated

The first step in choosing the correct digestive endoscopic procedure code is to identify the ____ of the procedure.

extent

Category I CPT codes have ____ digits.

5

In which CPT appendix would additions, deletions, and revisions be found?

Appendix B

The universal health insurance form for submission of outpatient services is the:

CMS1500

Where is specific coding information about each section located?

Guidelines

Into the subarachnoid space (administration for drugs)

Intrathecal

Into the vein (administration for drugs)

Intravenous

Into the muscle (administration for drugs)

Intramuscular

Under the skin (administration for drugs)

Subcutaneous

Through the respiratory system (administration for drugs)

Inhalant solution

HCPCS is divided into two levels. List the names of the levels, in order, and the level numbers:

A. Current Procedural Terminology or CPT, Level I
B. National Codes, Level II

There are four groups of codes that are used by CMS for temporary assighnment until a definitive decision can be made about the correct code assignment. What are the alphabetic letters of these four groups of codes?

K, G, Q, S (in any order)

Are all HCPCS modifiers numeric?

No

CPT stands for...

Current Procedural Terminology

The CPT manual often reflects the technologic advances made in medicine with these codes.

Category III codes

Hospital bed, fixed height with rails and mattress.Provide the correct HCPCS Level II code for the hospital bed.
HCPCS Code:__________

E0250
The coder should refer to the Alphabetic Index in the HCPCS manual. Locate the main term "Bed" and then the subterm "Hospital." The coder is given the code E0250-E0270, E0300-E0329. After carefully reviewing each code, the coder selects E0250. The description indicates any type of rails; the cases does not indicate what type of rails the bed has, so this would be the best choice.

Laparoscopic removal of the spleen.
CPT Code: ___________

38120
The coder should locate the main term "Laparoscopy" in the CPT manual index. Then the term "removal" and the body part "spleen." The coder is given the code 38120. The coder should then verify this in the tabular list of the CPT.

50 year old male Medicare patient comes in for a colorectal screening of the entire colon; patient has a family history of colon cancer.
HCPCS Code:__________

G0105
Screenings of Medicare patients should always be coded from the HCPCS manual. The coder should reference the Alphabetic Index and reference the main term "Screening" and then the subterm colorectal. The coder is given a code range of G0104-G0106. After carefully reviewing each code the code selects G0105 because this patient has a family history of colon cancer therefore, he is at a much higher risk than a person who does not have a family history.

Repair of laceration of diaphragm by means of abdominal approach.
CPT Code: _____________

39501
The coder should begin in the Index of the CPT manual. Locate the main term "Repair" and then look for the body site "Diaphragm" and then the sub-subterm laceration. The coder is given the code 39501. The coder should then verify this code in the index.

Enterotomy of the small intestine for removal of a foreign body.
CPT Code: __________

44020
The coder should begin the Index of the CPT manual and locate the main term "Intestine, small" and then locate the sub term "biopsy." The code is given 44020. The coder should then verify the code in the tabular list

Surgical laparoscopic placement of a gastric band.
CPT Code: __________

43770
The coder should locate the main term "Laparoscopy" in the CPT manual index. Then find the subterm "Gastric Restrictive procedures." The coder is given 43644-43645 and 43770-43775. After carefully reviewing the codes the coder should select the code 43770.

Ligation of an intraoral salivary duct.
CPT code:__________

42665
The coder should reference the CPT manual index and locate the main term "Ligation" and then the subterm "salivary duct." The coder is given the coder 42665. The coder should verify this code in the CPT tabular list to confirm

Partial splenectomy for a 3 year-old child with sickle cell disease, HB-C with crisis.
CPT code: ___________

38101
The coder should first reference the CPT manual index. Locate the main term "Splenectomy" then locate the subterm "Partial." The code is given the code 38101 and should verify this in the tabular list of the CPT manual.

Drainage of an extensive lymph node abscess. Pathology report indicated Staphylococcus.
CPT code:__________

38305
The coder should locate the main term "Incision and Drainage." Then locate the subterm "Abscess" and the sub subterm Lymph node. You are given the code range 38300-38305. After careful review the coder should select the code 38305 because of the term "extensive", which it states in the case.

Esophagogastric fundoplasty
CPT Code: __________

43325
The coder should begin by referencing the main term "Fundoplasty" in the CPT manual index. The coder is given 43325. The coder should then look up the code in the tabular section and select 43325.

Level II national codes are not used in which setting?

inpatient

Which of the following would be used to code drugs?

J codes

T/F The diaphragm is a wall of muscle that separates the thoracic and abdominal cavities.

True

T/F If totally unrelated to the condition requiring critical care, code 43752 can be coded with the critical care codes.

False

________________ is the term that describes the displacement of an organ or tissue that protrudes through the wall or from the cavity that usually contains it.

hernia

The lymph node excision category codes are based on what two things?

method and location

The mediastinum category code range is

39000-39499

Transection of the esophagus with repair for esophageal varices. CPTCode:______

43401

What word describes a lymphadenectomy in which only the lymph nodes are removed?

limited

T/F The mediastinum is located between the lungs.

True

Bone marrow biopsy by needle aspiration. CPT Code: ___

38221

Repair of an initial reduced inguinal hernia; with hydrocelectomy in a patient who is 28 months of age. CPT Code: ___

49500

The first step in choosing the correct digestive endoscopic procedure code is to identify the ____ of the procedure.

extent

Excision, lesion of the palate with a simple primary closure. CPT Code: ___

42106

I&D of a peritonsillar abscess.
CPT Code: ___

42700

A diagnostic esophagoscopy was performed. During the procedure an esophageal polyp was found and removed by hot biopsy forceps. CPT Code: ___

43216

Plastic repair of the cleft lip/nasal deformity primary bilateral, one of two stages. CPT Code: ___

40702

Laparoscopic splenectomy CPT Code: ___

38120

The ____ manufactures most blood cells.

bone marrow

This type of lymphadenectomy is the removal of the lymph nodes, glands, and surrounding tissues:

radical

What is it called when the diaphragm is out of normal position and has moved up farther into the thoracic cavity?

hernia

The destruction by electrosurgery of fourteen papillom a lesions in the anal area. CPT Code: ___

46924

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