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MRCP220 Midterm Exam? Question 1 2 out of 2 pointsCodes 20900–20938 are reported when ________ tissue (originating in the patient’s body) is obtained through separate skin or fascial incisions.Selected Answer: B. autogenous Correct Answer: B. autogenous Answer Feedback: Correct! Codes 20900–20938 are reported when autogenous tissue (originating in the patient’s body) is obtained through separate skin or fascial incisions.? Question 2 2 out of 2 pointsWhat modifier is NOT appended to bone graft codes range 20900-20938?Selected Answer: A. 62Correct Answer: A. 62Answer Feedback: ?? Question 3 2 out of 2 pointsWhich are bundled in the tendon repair codes?Selected Answer: D. harvesting and inserting tendon grafts from another site, repairing nerves or arteries, and treating fracturesCorrect Answer: D. harvesting and inserting tendon grafts from another site, repairing nerves or arteries, and treating fracturesAnswer Feedback: Correct!? Question 4 2 out of 2 pointsThree bony plates are located on each side of the entrance to the nasal cavity. These bony plates at the entrance to the nasal cavity are called, respectively, the:Selected Answer: B. inferior, middle, superior turbinatesCorrect Answer: B. inferior, middle, superior turbinatesAnswer Feedback: Correct!? Question 5 2 out of 2 pointsWhen diagnostic sinus endoscopy is performed, administration of local anesthesia and electrocautery are bundled in the reported code, in addition to access to:Selected Answer: B. different cavities and some shaving/debridement.Correct Answer: B. different cavities and some shaving/debridement.Answer Feedback: Correct! When diagnostic endoscopy is performed, administration of local anesthesia and electrocautery are bundled in the reported code, in addition to access to different cavities and some shaving/debridement.? Question 6 2 out of 2 pointsA laryngoscopy procedure is coded separately when the...Selected Answer: B. endotracheal tube is placed for nonemergent reasonsCorrect Answer: B. endotracheal tube is placed for nonemergent reasonsAnswer Feedback: Correct! A laryngoscopy procedure is coded separately when the endotracheal tube is placed for nonemergent reasons.? Question 7 2 out of 2 pointsEndoscopy codes 31622–31661 are reported to:Selected Answer: C. describe procedures that involve use of a bronchoscope, with or without fluoroscopic guidance, to visualize all major lobar and segmental bronchi.Correct Answer: C. describe procedures that involve use of a bronchoscope, with or without fluoroscopic guidance, to visualize all major lobar and segmental bronchi.Answer Feedback: Correct! Endoscopy codes 31622–31629 are reported to describe procedures that involve use of a bronchoscope, with or without fluoroscopic guidance, to visualize all major lobar and segmental bronchi.? Question 8 2 out of 2 pointsWhich is the removal of a portion of lung that is less than a segment?Selected Answer: D. wedge resectionCorrect Answer: D. wedge resectionAnswer Feedback: Correct! Wedge resection is the removal of a portion of lung that is less than a segment.? Question 9 2 out of 2 pointsExcision of tracheal tumor using cervical approach.Selected Answer: C. 31785Correct Answer: C. 31785Answer Feedback: Correct! Excision of tracheal tumor using cervical approach is coded 31785.? Question 10 2 out of 2 pointsSurgical thoracoscopy with excision of pericardial mass.Selected Answer: C. 32661Correct Answer: C. 32661Answer Feedback: Correct! Surgical thoracoscopy with excision of pericardial mass is coded 32661.? Question 11 2 out of 2 pointsSelective vascular catheterization procedures require separate coding of the:Selected Answer: B. diagnostic procedure and/or therapeutic procedure as well as vascular access.Correct Answer: B. diagnostic procedure and/or therapeutic procedure as well as vascular access.Answer Feedback: Correct! Selective vascular catheterization procedures require separate coding of the diagnostic procedure and/or therapeutic procedure as well as vascular access.? Question 12 2 out of 2 pointsWhich is coded as congenital heart defect?Selected Answer: D. truncus arteriosusCorrect Answer: D. truncus arteriosusAnswer Feedback: Correct! Truncus arteriosus is coded as congenital heart defect.? Question 13 2 out of 2 pointsWhich is the excision of plaque from inside a blood vessel that involves puncturing the artery with a large needle and inserting a guidewire into the artery?Selected Answer: D. percutaneous transluminal atherectomyCorrect Answer: D. percutaneous transluminal atherectomyAnswer Feedback: Correct! Percutaneous transluminal atherectomy is the excision of plaque from inside a blood vessel that involves puncturing the artery with a large needle and inserting a guidewire into the artery.? Question 14 2 out of 2 pointsAdd-on codes 35685–35686 describe additional procedures or techniques that may be required during a lower extremity bypass graft procedure. They are performed to improve the open and unblocked status of a blood vessel of lower extremity synthetic or autogenous arterial bypass grafts. The terms for the additional procedures and the open and unblocked status are, respectively:Selected Answer: C. adjuvant techniques and patencyCorrect Answer: C. adjuvant techniques and patencyAnswer Feedback: Correct! Add-on codes 35685–35686 describe additional procedures or techniques that may be required during a lower extremity bypass graft procedure. They are performed to improve the open and unblocked status of a blood vessel of lower extremity synthetic or autogenous arterial bypass grafts. The terms for the additional procedures and the open and unblocked status are adjuvant techniques and patency.? Question 15 2 out of 2 pointsPatient underwent insertion of dual-chamber pacing cardioverter-defibrillator. A left ventricle lead was placed for biventricular pacing.Selected Answer: C. 33217, 33225Correct Answer: C. 33217, 33225Answer Feedback: Correct! Patient underwent insertion of dual-chamber pacing cardioverter-defibrillator. A left ventricle lead was placed for biventricular pacing should be coded 33217, 33225.? Question 16 2 out of 2 pointsOperative incision and reconstruction of atria for treatment of atrial flutter (Maze procedure).Selected Answer: C. 33255Correct Answer: C. 33255Answer Feedback: Correct! Operative incision and reconstruction of atria for treatment of atrial flutter (Maze procedure) should be coded 33255.? Question 17 2 out of 2 pointsRepair of anomalous coronary artery by graft, with endarterectomy, without cardiopulmonary bypass.Selected Answer: A. 33503Correct Answer: A. 33503Answer Feedback: Correct! Repair of anomalous coronary artery by graft, with endarterectomy, without cardiopulmonary bypass should be coded 33503.? Question 18 2 out of 2 pointsShunt procedure performed from the superior vena cava to the pulmonary artery, with flow to both lungs.Selected Answer: D. 33767Correct Answer: D. 33767Answer Feedback: Correct! Shunt procedure performed from the superior vena cava to the pulmonary artery, with flow to both should be coded 33767.? Question 19 2 out of 2 pointsDirect open arteriovenous anastomosis.Selected Answer: B. 36821Correct Answer: B. 36821Answer Feedback: Correct! Direct open arteriovenous anastomosis should be coded 36821.? Question 20 0 out of 2 pointsHow is hemorrhage control following a tonsillectomy and adenoidectomy procedure reported?Selected Answer: A. Do not report a separate code because hemorrhage control is included in the tonsillectomy and adenoidectomy procedure codes.Correct Answer: D. Report a separate code for hemorrhage control following tonsillectomy and adenoidectomy procedures and add modifier -78 to the code.Answer Feedback: That is incorrect. Hemorrhage control following a tonsillectomy and adenoidectomy procedure should be reported as a separate code and add modifier -78 to the code.? Question 21 2 out of 2 pointsBladder irrigation code 51700 is reported:Selected Answer: B. for irrigation with therapeutic agents or for irrigation as an independent therapeutic service.Correct Answer: B. for irrigation with therapeutic agents or for irrigation as an independent therapeutic service.Answer Feedback: Correct! Bladder irrigation code 51700 is reported for irrigation with therapeutic agents or for irrigation as an independent therapeutic service.? Question 22 2 out of 2 pointsCode 44955 is reported for an appendectomy when it is performed ________.Selected Answer: D. for an indicated purpose during the same operative session as another major procedureCorrect Answer: D. for an indicated purpose during the same operative session as another major procedureAnswer Feedback: Correct! Code 44955 is reported for an appendectomy when it is performed for an indicated purpose during the same operative session as another major procedure.? Question 23 2 out of 2 pointsThe percutaneous drainage of a liver abscess (49405) includes ________.Selected Answer: D. final removal of the catheter, initial insertion of the catheter, and radiologic guidanceCorrect Answer: D. final removal of the catheter, initial insertion of the catheter, and radiologic guidanceAnswer Feedback: Correct! The percutaneous drainage of a liver abscess (47011) includes final removal of the catheter, initial insertion of the catheter, and radiologic guidance.? Question 24 0 out of 2 pointsA patient underwent the surgical treatment of an anal fistula, which required a submuscular fistulectomy. Which description would be documented in the operative report?Selected Answer: C. removal of an anal fistula, without division of the sphincter muscleCorrect Answer: B. removal of an anal fistula, including division of the sphincter muscleAnswer Feedback: That is incorrect. A patient underwent the surgical treatment of an anal fistula, which required a submuscular fistulectomy. In the operative report, documentation would include removal of an anal fistula, including division of the sphincter muscle.? Question 25 2 out of 2 pointsWhen multiple endoscopic approaches are performed to accomplish the same procedure, report a code for:Selected Answer: D. the successful endoscopic approach only.Correct Answer: D. the successful endoscopic approach only.Answer Feedback: Correct! When multiple endoscopic approaches are performed to accomplish the same procedure, report a code for the successful endoscopic approach only.? Question 26 2 out of 2 pointsDiaphragmatic hernia repair performed on neonate.Selected Answer: B. 39503Correct Answer: B. 39503Answer Feedback: Correct! Diaphragmatic hernia repair performed on neonate should be coded 39503.? Question 27 2 out of 2 pointsLaser-assisted uvulopalatoplasty, second treatment session.Selected Answer: C. ?S2080Correct Answer: C. ?S2080Answer Feedback: Correct! Laser-assisted uvulopalatoplasty, second treatment session should be coded ?S2080.? Question 28 2 out of 2 pointsA patient suffered a traumatic amputation in an accident and underwent replantation surgery. A code from the range 20802–20838 was reported. Which procedures below are reported with codes in this range? Selected Answer: B. arthrodesis, cleansing, debridement, internal fixation, and repair of tendons Correct Answer: B. arthrodesis, cleansing, debridement, internal fixation, and repair of tendons ? Question 29 2 out of 2 pointsThe Pelvis and Hip Joint heading in the Musculoskeletal System subsection includes codes for procedures performed on the…Selected Answer: A. head and neck of the femur Correct Answer: A. head and neck of the femur ? Question 30 2 out of 2 pointsConversion of previous hip surgery to total hip arthroplasty, left side is coded as... Selected Answer: D. 27132 Correct Answer: D. 27132 ? Question 31 2 out of 2 pointsArthrocentesis was performed for injection of medication, left acromioclavicular joint, for pain relief. The correct code for this would be… Selected Answer: B. 20605 Correct Answer: B. 20605 ? Question 32 2 out of 2 pointsArthroscopy of the right ankle with fusion of the tibiotalar and fibulotalar joints are coded… Selected Answer: D. 29899 Correct Answer: D. 29899 ? Question 33 0 out of 2 pointsA 21-year-old male presented to the emergency department with pain in the right hand that began when he pounded his desk this morning after an argument with his boss. He was diagnosed with nondisplaced fractures of the 3rd and 4th right metacarpals. A cast was applied, and the patient was instructed to take Tylenol for pain. The code used for this should be… Selected Answer: A. 26605, 2 units Correct Answer: B. 26600, 2 units ? Question 34 2 out of 2 pointsThe bilateral reconstruction of medial collateral ligament, elbow, with tendon graft is coded as... Selected Answer: A. 24346-50 Correct Answer: A. 24346-50 ? Question 35 2 out of 2 pointsA patient underwent surgical sinus endoscopy on the left frontal sinus. Sinusotomy and diagnostic endoscopy of the left frontal sinus were also performed. The correct code to use would be… Selected Answer: C. 31276 Correct Answer: C. 31276 ? Question 36 2 out of 2 pointsThe bilateral sinusotomy of the frontal, maxillary, and sphenoid sinuses are coded as… Selected Answer: D. 31090-50 Correct Answer: D. 31090-50 ? Question 37 2 out of 2 pointsThe code for Partial anterovertical laryngectomy is Selected Answer: B. 31380 Correct Answer: B. 31380 ? Question 38 2 out of 2 pointsWhat medical term(s) describes the insertion of a needle to withdraw fluid from the pericardial sac… Selected Answer: A. Pericardiocentesis Correct Answer: A. Pericardiocentesis Answer Feedback: ? Question 39 2 out of 2 pointsWhat is the medical term(s) for the resultant backflow of blood when two valvular flaps do not close properly?Selected Answer: D. Prolapse or regurgitation Correct Answer: D. Prolapse or regurgitation ? Question 40 2 out of 2 pointsWhen a patient's coronary arteries contain extensive cholesterol plaque, a coronary artery bypass graft (CABG) procedure cannot be performed until the plaque is removed via… Selected Answer: B. Endarterectomy Correct Answer: B. Endarterectomy ? Question 41 2 out of 2 pointsThe code for Bone marrow needle biopsy, right femur is… Selected Answer: C. 38221 Correct Answer: C. 38221 ? Question 42 0 out of 2 pointsAccording to the CPT code book, CPT code 37220 should be coded with a code such as 34802 only when 37220 is performed on two vessels from one anatomic structure and another vessel in a different anatomic structure. What is the correct way to report code 37220 for this procedure Selected Answer: C. Use 34802 first and 37220 second Correct Answer: A. Place code 37220 first and 34802 second ? Question 43 2 out of 2 pointsWhat two types of stem cells are located in bone marrow?Selected Answer: D. hemopoietic and stromal Correct Answer: D. hemopoietic and stromal ? Question 44 2 out of 2 pointsTransmyocardial laser revascularization, by thoracotomy, performed during pulmonary valve replacement should be coded as… Selected Answer: B. 33475, 33141 Correct Answer: B. 33475, 33141 ? Question 45 2 out of 2 pointsPercutaneous carotid catheterization and arteriogram were performed on right side to confirm the need for carotid stenting. The patient then underwent transcatheter placement of an intravascular stent in the right cervical carotid artery, percutaneous, with distal embolic protection. The correct coding for this would be… Selected Answer: A. 37215 Correct Answer: A. 37215 ? Question 46 2 out of 2 pointsA 30-year-old patient underwent repair of acute traumatic diaphragmatic hernia, this would be coded as…Selected Answer: C. 39540 Correct Answer: C. 39540 ? Question 47 2 out of 2 pointsWhich is the medical term for the level of lip repair is assigned a code from the Digestive System subsection rather than the Integumentary System subsection? Selected Answer: C. Full Thickness Correct Answer: C. Full Thickness ? Question 48 2 out of 2 pointsCodes for glossectomy procedures are assigned from the heading of the Digestive System subsection titled… Selected Answer: D. Tongue and Floor of Mouth Correct Answer: D. Tongue and Floor of Mouth ? Question 49 2 out of 2 pointsWhen documentation indicates that enterolysis was extensive and added significantly to the other major procedure performed, report enterolysis code 44005 (freeing of intestinal adhesions) followed by modifier… Selected Answer: A. -22, increased procedural Services Correct Answer: A. -22, increased procedural Services ? Question 50 2 out of 2 pointsUrethral catheterization codes (51701-51702) are reported when urethral catheterization is performed independently of another procedure. Selected Answer: True Correct Answer: True ................
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