WK4 QUESTION HP-213

1) Codes 20900–20938 for grafts (or implants) are reported when __________ tissue (originating in the patient’s body) is obtained through separate skin or fascial incisions.

Responses

• allogenous

allogenous

• rhytid

rhytid

• osteogenesis

osteogenesis

• autogenous

autogenous

2) A patient suffered a traumatic complete amputation of the left forearm in an accident and underwent replantation surgery. Which CPT code is reported?

Responses

• 20805-LT

20805-LT

• 20802-LT

20802-LT

• 20808-LT

20808-LT

• 20838-LT

3) Two surgeons performed an osteotomy and bone graft during the same operative session. Which CPT coding rule applies?

Responses

• Do not report a separate code for the osteotomy.

Do not report a separate code for the osteotomy.

• Add modifier -51 (Multiple Procedure) to the bone graft code.

Add modifier -51 (Multiple Procedure) to the bone graft code.

• Do not add modifier -62 (Two Surgeons) to the bone graft code.

Do not add modifier -62 (Two Surgeons) to the bone graft code.

• Do not report a separate code for the bone graft.

4) Which activities are bundled in the tendon repair codes?

Responses

• Extension of the excision, harvesting and inserting tendon grafts from another site, and repairing nerves or arteries

Extension of the excision, harvesting and inserting tendon grafts from another site, and repairing nerves or arteries

• Application of immobilization, repair of nerves or arteries, and repair and closure of tendon sheath

Application of immobilization, repair of nerves or arteries, and repair and closure of tendon sheath

• Harvesting and inserting tendon grafts from another site, repairing nerves or arteries, and treating fractures

Harvesting and inserting tendon grafts from another site, repairing nerves or arteries, and treating fractures

• Application of immobilization, extension of the excision, and repair and closure of tendon sheath

5) The Pelvis and Hip Joint heading in the Musculoskeletal System subsection includes codes for procedures performed on the

Responses

• head and neck of the femur.

head and neck of the femur.

• head, neck, and tibial plateau of the femur.

head, neck, and tibial plateau of the femur.

• femur and its tibial plateau.

femur and its tibial plateau.

• femur and popliteal bone.

femur and popliteal bone.

6) Conversion of previous hip surgery to total hip arthroplasty, left side. Select the proper code.

Responses

• 27132-LT

27132-LT

• 27134-LT

27134-LT

• 27130-LT

27130-LT

• 27137-LT

27137-LT

7) Under fluoroscopic guidance, arthrocentesis was performed for injection of medication, left acromioclavicular joint, for pain relief. Select the proper code(s).

Responses

• 23130-LT, 77002

23130-LT, 77002

• 20605-LT, 77002

20605-LT, 77002

• 20600-LT, 77002

20600-LT, 77002

• 23044-LT, 77002

8)Arthroscopy of the right ankle with fusion of the tibiotalar and fibulotalar joints. Select the proper code(s).

Responses

• 29899-RT

29899-RT

• 29894-RT, 29899-RT

29894-RT, 29899-RT

• 29894-RT

29894-RT

• 29894-RT, 29899-51-RT

9) A 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. Select the proper code(s).

Responses

• 26600-F7

26600-F7

• 26600-F7, 26600-51-F8, 29085

26600-F7, 26600-51-F8, 29085

• 26600-F8, 29085

26600-F8, 29085

• 26600-F7, 26600-F8

10) Bilateral reconstruction of medial collateral ligament, elbow, with tendon graft. Select the proper code.

Responses

• 24344-50

24344-50

• 24345-50

24345-50

• 24346-50

24346-50

• 24360-50

11) Three bony plates are located on each side of the entrance to the nasal cavity. These bony plates and the entrance to the nasal cavity are called, respectively, the

Responses

• nasal vestibules and septum.

nasal vestibules and septum.

• turbinates and nasal vestibule.

turbinates and nasal vestibule.

• septum and turbinates.

septum and turbinates.

• septum and nasal vestibule.

septum and nasal vestibule.

12) When diagnostic endoscopy is performed, administration of local anesthesia and electrocautery are bundled in the reported code, in addition to access to

Responses

• different cavities and extensive shaving/debridement.

different cavities and extensive shaving/debridement.

• different cavities and some shaving/debridement.

different cavities and some shaving/debridement.

• one cavity and extensive shaving/debridement.

one cavity and extensive shaving/debridement.

• one cavity and some shaving/debridement.

13) In which situation is a laryngoscopy procedure code separately reported?

Responses

• Tracheostomy

Tracheostomy

• Diagnostic laryngoscopy only

Diagnostic laryngoscopy only

• Endotracheal tube to provide air passage in an emergency

Endotracheal tube to provide air passage in an emergency

• Endotracheal tube for nonemergent reasons

Endotracheal tube for nonemergent reasons

14) Endoscopy codes 31622–31629 are reported to

Responses

• describe multiple procedures performed and reported with codes 31622–31629. (Each code is reported separately, and modifier -51 is added to the subsequent codes.)

describe multiple procedures performed and reported with codes 31622–31629. (Each code is reported separately, and modifier -51 is added to the subsequent codes.)

• describe procedures that are not distinct surgical procedures and that are considered integral components of one another.

describe procedures that are not distinct surgical procedures and that are considered integral components of one another.

• describe procedures that involve use of a bronchoscope, with or without fluoroscopic guidance, to visualize all major lobar and segmental bronchi.

describe procedures that involve use of a bronchoscope, with or without fluoroscopic guidance, to visualize all major lobar and segmental bronchi.

• indicate that these procedures do not include obtaining diagnostic specimens as part of the examination.

15) Which is the puncture of the pleural space with a transthoracic needle to drain fluid or to obtain material for diagnostic study?

Responses

• Lobectomy

Lobectomy

• Segmentectomy

Segmentectomy

• Pneumocentesis

Pneumocentesis

• Wedge resection

16) A patient underwent surgical sinus endoscopy on the left frontal sinus. Maxillary antrostomy and removal of tissue from the maxillary sinus were also performed. Select the proper code(s).

Responses

• 31276-LT, 31231-LT

31276-LT, 31231-LT

• 31276-LT, 31267-51-LT

31276-LT, 31267-51-LT

• 31070-LT, 31231-LT

31070-LT, 31231-LT

• 31276-LT, 31070-LT, 31231-LT

17) Bilateral sinusotomy of the frontal, maxillary, and sphenoid sinuses. Select the proper code(s).

Responses

• 31090-50-51

31090-50-51

• 31090-50

31090-50

• 31070-50, 31020-50, 31050-50

31070-50, 31020-50, 31050-50

• 31070, 31020-51, 31050-51

18) Partial anterovertical laryngectomy. Select the proper code.

Responses

• 31370

31370

• 31375

31375

• 31380

31380

• 31382

19) Excision of tracheal tumor using cervical approach. Select the proper code.

Responses

• 31750

31750

• 31781

31781

• 31785

31785

• 3178

20) Surgical thoracoscopy with excision of pericardial mass. Select the proper code.

Responses

• 32650

32650

• 32658

32658

• 32661

32661

• 32662