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89 terms

CCA Practice Exam

Handout on 2/19/2010. Updated 3/3/2010. Answers are now final.
STUDY
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a significant procedure may not
be coded in addition to the principal diagnosis
a diagnosis cannot be coded if
there is no documentation in the report
the use of the fifth digit is required only when
none of the above
when codes are listed in slanted brackets in the alphabetical index it indicates that
both codes must be listed in the specified order
on the CMS form physicians will not be reimbursed if
six ICD-9 s are listed
review of systems would be located in which medical report
history and physical
CMS means
center for medicare and medicaid services
DMEPOS is
durable medical equipment prosthetics orthotics and supplies
abuse is
downcoding
an EOB
All of the above
presence of possib.e lung cancer as evidenced by presence of masses
radiology
this 19-year-old male received repair of his right cheek right ear and back of his neck the 2.3 laceration his neck required repair of the subcutaneous tissues whereas the laceration to his cheek which was 2cm and the ear which was 1 cm required repair of the subcutaneous and superficial fascia
12032, 12004
family history is a standard element in what type of medical report
history and physical exam
if 22-year-old patient sees another physician to obtain a second opinion consult about possible surgery and the history is detailed the exam is comprehensive and the medical decision making is moderate what is the code for this visit
99244
IPA is
all of the above
JCAHO
is joint commission on accreditation of hospital organizations
manipulation
all of the above
this 67-year-old female is diagnosed with renal failure and hypertension
403.91
medigap
insurance coverage to cover the costs of deductibles
UHDDS
uniform hospital discharged data set
OPPS
both B and C
percutaneous skeletal fixation is
none of the above
SOAP
both A and B
staff model HMO is
a group of physicians who are employees of an organization that provide health care
PID
caused by gonorrhea and chlamydial infection
synapse
the space between two neurons
sympathetic nerves
are autonomic
appendicular skeleton
includes the arms
accommodation is
ophthalmic adjustment
TURP
is transurethral resection of prostate
which of the following is not a part of the heart
carotid
pleural effusion is
often characterized by empyema
grading of neoplasms is
useful in determining prognosis for patient
tomography is
a series of pictures
arthrocentesis
Surgical puncture of a joint to removal of fluid
postural problems do not include
spondylosis
part of the small intestine do not include
cecum
planes of the body do not include
caudal
which of the following is not an endocrine gland
spleen
cellulitis is characterized by
inflammation of the skin
gouty arthritis
caused by a buildup of uric acid
ovarian cysts do not include
neuroblastoma
rhabdomyoma is coded as
either a benign or malignant neoplasm of the connective tissue
fluorescein angiography is not used to detect
retinal detachment
what type of error is in the following billing scenario?
upcoding
what type of billing error is in the following billing scenario? this 29-day-old female infant is seen by the pediatrician for one hour and 15 minutes for the first time in critical care. these services are coded as 99293
age
what type of error is in the following billing scenario? this 29-year-old male patient is diagnosed with glomerulonephritis due to diphtheria which is coded as 580.81
insufficient diagnosis
what type of error is in the following billing scenario? this 59-year-old male has been diagnosed with heart disease and malignant hypertension this is coded as 402.00
this question is deleted
what type of error is in the following scenario? this 49-year-old male patient is coded as 31200 for the procedure and 786.50 for diagnosis
linkage
what type of error is in the following billing scenario? this 24-year-old male patient receives services coded as 59100
gender
mohs' surgery is performed in a 55-year-old patient what modifier would be used
5 8
a 33-year-old female patient has ORIF for a fracture while visiting out of state when she returns to her home state she visits her physician the correct modifier would be
55
which of the following is not a combination vaccine code
90732
clinical pathology consultation is not
reporting of results without interpretative judgement
vaginal delivery after a previous cesarean delivery is coded as
59612
procedures associated with central venous access catheters so not include
implatation
fractures/dislocations are coded as
fractures
a procedure that arthrodesis may be performed in conjunction with is
all of the above
critical care visits are not based on
visit
if a seven-year-old patient had a well check two days ago and returns with complaints of severe headache with a history and exam that were expanded problem focused and medical decision making that is straightforward this would be coded as
99213
patient received closed treatment of a compound fracture of the shaft of the radius with manipulation what are the proper codes
813.21, 25505
which of the following is not a type of salmonella
lymphadenitis
co-morbidities are not considered in selecting an E/M code
unless their presence significantly increases the complexity of the medical decision
when multiple procedures are performed
proper anesthesia code is the code for the most complex procedure
which of the following is not a type of ectopic pregnancy
peroneal
patient has an incomtetent cervix that resulted in an incomplete spontaneous abortion
634.71, 654.53
this 29-year-old patient received second stage mohs' surgery for seven specimens which included immunohistochemisry
17305, 17310x2, 88342 -(17315 would be the proper updated code as 17305 has been deleted
this 56-year-female is diagnosed with diabetic maculae
250.50, 362.01
in the icd-9 book destruction is not
shaving
the extension of the foot downward is
plantar flexion
what is the basic unit for an APC visit
outpatient visit
an authorization for release of information would not include
patient's previous hospitalization
this 28-year-old male is diagnosed with prostatocystitis due to staphylococcus
601.3, 041.1 (041.19 would be the proper updated code)
guarantor
The person responsible for payment of services
an eponym is
a person's name
palliative means
relieving but not curing
in vitro means
experiments conducted outside of an organism
side effects of radiotherapy do not include
incontinence
OD means
right ear
medical necessity
provides linkage between CPT and ICD-9 codes
this 34-year-old woman with a history of multiparity presents today for sterilization
V25.2, V61.5
a CVA is not caused by
septicemia
this 51-year-old male who has ESRD had Gortex graft arteriovenous fistula inserted
585.6, 36830
what is a Fowler-Stephens procedure
orchiopexy
this 2-year-old male received a 20 sq.cm graft to his right leg after having been burned three months ago when a pot of hot water fell in him
15220, 1500
this 31-year-old male has an open rotator cuff repair
23410
what is not a type of presenting problem for E/M codes
detailed
wadge ovary specimen was submitted for microscopic pathology which included special staining
88305, 88312
this 56-year-old patient is having surgical complications from his colostomy which is malfunctioning
569.62