CPC Practice Exam – Medical Coding Study Guide

 Buy Now
  

Example 1: Medical Terminology

The term “Salping-Oophorectomy” refers to

a. The removal of the fallopian tubes and ovaries


b. The surgical sampling or removal of a fertilized egg


c. Cutting into the fallopian tubes and ovaries for surgical purposes


d . For surgical purposes

Rational

Answer: A

The term “salp”, which means tube, refers to the ovary. And the suffix “ectomy” is for surgically removing. CPT books, such as the professional edition published by the AMA, contain pages that include common medical terms. These pages were created prior to the )

coding guidelines.

Example 2: ICD-10-CM

Jim fell into flames after tripping over a bonfire. Jim suffered multiple burns. Jim was transported by ambulance to the emergency department. He was treated for second- and third-degree burns to his face, forearms and shoulders, as well as for third degree burns to his front thighs.

a. T20. 20XA, T20. 30XA, T22. 259A, T22. 219A, T24. 319A, T31. 42, X03.0XXA


b. T20. 30XA, T24. 319A, T22. 299A, T31. 42, X03.0XXA


c. T20. 09XA, T22. 099A, T24. 099A, T31. 64, X03.0XXA


d. T20. 30XA, T22. 299A, T24. 319A, T31. 64, X03.0XXA

Rational

Answer: B

Burn codes always have at least three codes: A burn code, a total body surface area code, or T31 category code, and an external cause code. Burn codes have the following rules, which can be found at the beginning of the ICD-10-CM manual under Guideline I.C. 19.d Coding of burns and corrosions. Code only one area to the highest degree. You would code the second degree for burns to the arm. If you are sequencing burn codes, it is important to list the highest-degree burn code first, and then end with the lowest. If you are dealing with first-degree burns to your face or third-degree burns to your arm, then list the arm first, followed by the face. For question 33, answer B is correct because its codes describe the highest degree burn to each location and the burn codes are also arranged the in the correct order of highest to lowest degree of burn. We start by looking at the third-degree burns. In this instance, the thigh and face burns. Burn/ face will bring up Burn/ head. Burn, head, third degree is T20.30-. Search for Burn, thigh, third degree and you will find T24.319-9-. Second degree burns affect the forearms and upper arms. The index, Burn, arm refers to Burn, upper, and limb. Looking up Burn, upper limb, multiple sites to code for both the upper arm and forearm, you will find that second degree is T22.299-. These characters require seven characters. The seventh character is A for the initial encounter. The T31. 42 (TBSA code) has the correct calculation when using the rule of nine (fourth digit burned to any degree; 9 x 5 = 45; five areas burned are head, arm1, arm2, leg1, leg 2; 5th digit describes only 3rd degree burns which are head (9), leg1 (9), and leg2 (9). 9×3=27). To find the code using the index, look up Burn, extent 40-49 percent with 20-29 percent third degree burns which points to T31.42. The bonfire incident is accurately described by the external cause code. In the External Causes Index, look up Exposure, fire, not in building or structure which designates code X03.0. This also requires a seventh character of A, making the code X03.0XXA. Verify all codes in Tabular.

Example 3: Anesthesia

When does anesthesia start?

a. After the induction of anesthesia is complete


b. During the pre-operative exam prior to entering the OR


c. When the anesthesiologist begins preparing the patient for the induction of anesthesia


d. Once the supervising physician signs over the patient’s care to the anesthesiologist

Rational

Answer: C

The answer to this question is found in the anesthesia code guidelines under the title “Time Reporting “

Buy Now,

http://brainheal.cpcprexam.hop.clickbank.net/

Created by InShot
l