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Medical |! Coding |! and |! Billing |! Final |! Exam |!
with |! precise |! detailed |! answers
During |! Mrs. |! Smith's |! visit |! to |! Dr. |! Johnson |! she |! provides |! a |! description |! of |! a |! concerning |! health |! condition.. |! Mrs. |! Smith |! believes |! that |! Dr. |! Johnson |! will |! use |! this |! information |! to |! evaluate |! and |! manage |! her |! condition |! and |! for |! no |! other |! purpose. |! Mrs. |! Smith's |! belief |! is |! an |! expectation |! of |! ____. |! - |! Correct |! answer |! ✔confidentiality The |! documentation |! type |! that |! contains |! various |! types |! of |! analyses |! or |! examinations |! of |! body |! substances |! collected |! from |! the |! patient. |! - |! Correct |! answer |! ✔Lab |! Report Vital |! statistics |! for |! live |! births |! that |! are |! sent |! to |! a |! healthcare |! database |! are |! an |! example |! of |! _____. |! - |! Correct |! answer |! ✔secondary |! data Which |! of |! the |! following |! is |! NOT |! a |! benefit |! of |! switching |! from |! a |! paper-based |! record |! to |! an |! electronic-based |! record? |! - |! Correct |! answer |! ✔Coding |! accuracy A |! portal |! through |! which |! patients |! can |! view |! and |! manage |! their |! healthcare |! information |! online |! is |! called |! a(n)_____ |! this |! information |! is |! owned |! and |! managed |! by |! ______. |! - |! Correct |! answer |! ✔personal |! health |! record; |! the |! patient Which |! of |! the |! following |! is |! an |! ancillary |! report? |! - |! Correct |! answer |! ✔Radiology
Which |! of |! the |! following |! is |! true |! in |! regard |! to |! the |! release |! of |! protected |! health |! information |! (ROI)? |! - |! Correct |! answer |! ✔A |! covered |! entity |! must |! provide |! access |! to |! PHI |! in |! the |! manner |! requested |! by |! the |! individual Healthcare |! Delivery |! Systems |! - |! Correct |! answer |! ✔ After |! suffering |! a |! stroke, |! a |! patient |! requires |! therapy |! to |! assist |! in |! performing |! activities |! of |! daily |! living |! such |! as |! getting |! dressed |! and |! cooking. |! Which |! department |! would |! assist |! this |! patient? |! - |! Correct |! answer |! ✔Occupational |! therapy Which |! federal |! agency |! is |! tasked |! with |! governing |! and |! regulating |! healthcare |! in |! the |! United |! States? |! - |! Correct |! answer |! ✔Department |! of |! Health |! and |! Human |! Services |! (DHHS) Dr. |! Taylor |! wants |! to |! join |! the |! medical |! staff |! at |! ABC |! hospital. |! Which |! of |! the |! following |! would |! the |! medical |! administration |! office |! check |! to |! see |! if |! Dr. |! Taylor |! meets |! the |! qualifications |! for |! hospital |! privileges? |! - |! Correct |! answer |! ✔Medical |! staff |! bylaws Which |! of |! the |! following |! is |! another |! name |! for |! outpatient |! care? |! - |! Correct |! answer |! ✔Ambulatory |! care Which |! of |! the |! follow |! departments/specialties |! uses |! radioactive |! substances |! to |! diagnose |! and |! treat |! patients? |! - |! Correct |! answer |! ✔Nuclear |! Medicine |! and |! Radiation |! Therapy
Which |! of |! the |! following |! is |! true |! about |! destruction |! of |! the |! health |! record? |! - |! Correct |! answer |! ✔Destruction |! must |! be |! done |! as |! part |! of |! the |! organization's |! usual |! course |! of |! business For |! which |! of |! the |! following |! is |! authorization |! NOT |! required |! for |! the |! release |! of |! protected |! health |! information? |! - |! Correct |! answer |! ✔All |! of |! the |! above Mary |! is |! a |! coder |! at |! ABC |! hospital. |! During |! her |! review |! of |! the |! documentation |! in |! Miss |! Miller's |! electronic |! health |! record, |! she |! reads |! reports |! from |! previous |! visits. |! Mary's |! actions |! are |! a |! violation |! of |! ______. |! - |! Correct |! answer |! ✔the |! standard |! of |! minimum |! necessary Reimbursement |! Methodologies |! - |! Correct |! answer |! ✔ Teri |! is |! verifying |! Medicare |! benefits |! for |! a |! certain |! procedure. |! The |! national |! coverage |! determination |! (NCD) |! he |! reviewed |! does |! not |! answer |! all |! his |! questions. |! Which |! of |! the |! following |! is |! the |! next |! resource |! Teri |! should |! consult |! for |! additional |! information? |! - |! Correct |! answer |! ✔Local |! coverage |! determinations |! (LCDs) Fee-for-service |! reimbursement |! provided |! after |! health |! services |! have |! been |! given |! is |! called____? |! - |! Correct |! answer |! ✔retrospective |! payment Billing |! for |! two |! or |! three |! codes |! when |! one |! comprehensive |! code |! is |! more |! appropriate? |! - |! Correct |! answer |! ✔Unbundling
Capitation, |! global/prospective |! payment, |! and |! prospective |! payment |! are |! examples |! of |! this |! type |! of |! reimbursement |! method. |! - |! Correct |! answer |! ✔Episode-of-care Under |! this |! reimbursement |! method, |! a |! third-party |! payer |! contracts |! with |! a |! healthcare |! provider |! to |! pay |! a |! flat |! fee |! per |! individual |! enrolled |! in |! the |! healthcare |! plan. |! - |! Correct |! answer |! ✔Capitation Dr. |! Johnson |! recommends |! a |! procedure |! for |! Mr. |! Thomas |! who |! is |! a |! Medicare |! patient. |! The |! procedure |! is |! not |! reimbursed |! under |! Mr. |! Thomas' |! Medicare |! policy. |! In |! order |! to |! bill |! Mr. |! Thomas |! for |! the |! procedure, |! Dr. |! Johnson's |! office |! must |! collect |! a(n)____ |! from |! Mr. |! Thomas. |! - |! Correct |! answer |! ✔advance |! beneficiary |! notice |! of |! noncoverage Which |! of |! the |! following |! is |! NOT |! an |! element |! of |! the |! healthcare |! reimbursement |! process? |! - |! Correct |! answer |! ✔clinical |! documentation |! review Sue |! was |! admitted |! to |! ABC |! hospital |! as |! an |! inpatient. |! During |! the |! admission, |! Dr. |! Butler |! removed |! her |! appendix. |! Dr. |! Butler |! would |! bill |! for |! his |! services |! with |! ___ |! codes |! submitted |! on |! a |! ____ |! claim |! form. |! - |! Correct |! answer |! ✔CPT; |! CMS- A |! pre-existing |! condition |! which, |! because |! of |! its |! presence, |! causes |! an |! increase |! in |! length |! of |! stay |! by |! at |! least |! one |! day |! in |! approximately |! 75% |! of |! cases. |! - |! Correct |! answer |! ✔Comorbid |! condition
The |! word |! which |! means |! loss |! of |! hearing |! due |! to |! the |! natural |! aging |! process. |! - |! Correct |! answer |! ✔Presbycusis Anatomy |! And |! Physiology |! - |! Correct |! answer |! ✔ Which |! of |! the |! following |! is |! NOT |! one |! of |! the |! 12 |! cranial |! nerves? |! - |! Correct |! answer |! ✔Radioulnar |! nerve Which |! structure |! contracts |! to |! form |! a |! slight |! vacuum |! in |! the |! chest |! cavity |! to |! facilitate |! inspiration? |! - |! Correct |! answer |! ✔Diaphragm The |! elongated |! middle |! portion |! or |! shaft |! of |! a |! long |! bone, |! often |! referred |! to |! as |! the |! body. |! - |! Correct |! answer |! ✔Diaphysis These |! nerves |! control |! the |! skeletal |! muscles |! and |! parts |! of |! the |! body |! that |! are |! under |! conscious |! control: |! - |! Correct |! answer |! ✔Somatic Which |! portion |! of |! the |! brain |! contains |! structures |! associated |! with |! visual |! reflexes |! and |! hearing? |! - |! Correct |! answer |! ✔Mesencephalon The |! three |! membranes |! that |! surround |! and |! protect |! the |! brain |! and |! spinal |! cord |! are |! collectively |! called: |! - |! Correct |! answer |! ✔Meninges The |! ________ |! of |! the |! lung |! is |! the |! medial |! depression |! where |! the |! primary |! bronchi |! and |! pulmonary |! blood |! vessels |! enter |! each |! lung. |! - |! Correct |! answer |! ✔hilum
Involved |! in |! both |! the |! digestive |! and |! endocrine |! systems, |! the |! _________ |! secretes |! hormones |! as |! well |! as |! digestive |! juices |! for |! the |! breakdown |! of |! foods. |! - |! Correct |! answer |! ✔pancreas Introduction |! To |! Coding |! - |! Correct |! answer |! ✔ From |! the |! following |! list |! of |! clinical |! indicators, |! what |! is |! the |! diagnosis |! that |! is |! being |! evaluated? Impaired |! gag |! reflex |! (in |! patients |! that |! are |! unconscious |! or |! semi-conscious) |! after |! a |! stroke |! or |! brain |! injury Esophageal |! disorder |! (obstruction, |! cancer, |! stenosis, |! varices) Dysphagia Positive |! swallowing |! study Positive |! infiltrate |! on |! chest |! x-ray |! - |! Correct |! answer |! ✔Aspiration |! pneumonia Which |! of |! the |! following |! takes |! precedence |! over |! the |! ICD-10-CM |! Coding |! Guidelines? |! - |! Correct |! answer |! ✔Instructions |! and |! conventions Which |! of |! the |! following |! is/was |! NOT |! a |! result |! of |! CMS' |! use |! of |! Recovery |! Audit |! Contractors |! (RACs)? |! - |! Correct |! answer |! ✔Consolidation |! of |! Medicare |! parts |! A |! and |! B This |! terminology |! is |! only |! used |! in |! an |! electronic |! health |! record. |! - |! Correct |! answer |! ✔SNOMED |! CT
The |! second |! trimester |! is |! defined |! as |! 12 |! weeks |! 0 |! days |! to |! less |! than |! 28 |! weeks |! 0 |! days. |! - |! Correct |! answer |! ✔false When |! the |! physician |! documents |! suspected |! or |! possible |! avian |! influenza, |! a |! code |! from |! category |! J09 |! should |! be |! reported. |! - |! Correct |! answer |! ✔false ICD-10-CM |! Coding |! Scenarios |! - |! Correct |! answer |! ✔ A |! 10-year |! old |! male |! patient |! is |! seen |! in |! the |! emergency |! department |! for |! cough, |! difficulty |! breathing |! and |! wheezing |! more |! severe |! than |! his |! baseline. |! He |! responds |! well |! to |! treatment |! with |! nebulized |! albuterol |! and |! is |! discharged |! home |! with |! instructions |! to |! follow |! up |! with |! his |! primary |! care |! provider. |! The |! final |! diagnosis |! is: |! Acute |! bronchitis |! superimposed |! on |! COPD |! with |! asthma |! of |! severe |! persistent |! type |! with |! acute |! exacerbation. |! - |! Correct |! answer |! ✔J44.1, |! J20.9, |! J45. A |! patient |! presents |! with |! abdominal |! pain. |! After |! a |! complete |! work-up |! the |! patient |! is |! found |! to |! have |! an |! obstructive |! diaphragmatic |! hernia |! with |! gangrene |! - |! Correct |! answer |! ✔K44. A |! 7-year-old |! child |! was |! seen |! in |! the |! emergency |! room |! for |! a |! dog |! bite |! on |! her |! left |! thigh. |! She |! received |! an |! injection |! of |! rabies |! immunoglobulin |! since |! the |! dog |! was |! known |! to |! have |! rabies. |! - |! Correct |! answer |! ✔S71.152A, |! Z20.3, |! W54.0XXA
The |! patient |! is |! a |! 13 |! yr. |! old |! type |! 1 |! diabetic |! with |! proliferative |! retinopathy |! of |! both |! eyes |! who |! regularly |! uses |! insulin |! for |! control |! of |! blood |! sugar. |! - |! Correct |! answer |! ✔E10. A |! 67-year-old |! male |! patient |! went |! to |! his |! physician's |! office |! for |! a |! visit |! for |! his |! chronic, |! systolic |! CHF |! and |! hypertension. |! After |! examination, |! the |! physician |! determined |! the |! patient's |! condition |! is |! stable |! and |! will |! keep |! his |! current |! medication |! regimen |! the |! same. |! - |! Correct |! answer |! ✔I11.0, |! I50. A |! 14-year-old |! male |! patient |! was |! brought |! into |! the |! emergency |! room |! by |! his |! parents |! after |! he |! injured |! his |! left |! knee |! from |! sliding |! into |! third |! base |! during |! a |! high |! school |! baseball |! game. |! X-rays |! revealed |! a |! sprained |! anterior |! cruciate |! ligament. |! - |! Correct |! answer |! ✔S83.512A, |! W21.89XA, |! Y92.320, |! Y93.64, |! Y99. Recurrent |! tonsillitis |! and |! chronic |! tonsillitis |! - |! Correct |! answer |! ✔J03.91, |! J35. A |! 48-year-old |! female |! patient |! was |! admitted |! for |! hemodialysis |! for |! acute |! renal |! failure. |! The |! patient |! also |! has |! stage |! I |! chronic |! renal |! failure |! and |! hypertension. |!
- |! Correct |! answer |! ✔N17.9, |! I12.9, |! N18. Jean |! came |! into |! the |! office |! for |! concerns |! of |! frequent |! urination, |! and |! a |! migraine |! headache |! with |! aura |! and |! associated |! facial |! pain |! which |! she |! has |! had |! for |! 3 |! days. |! She |! has |! taken |! her |! migraine |! medicine |! with |! no |! relief. |! The |! physician |! performed |! a |! urinalysis |! with |! microscopy, |! and |! a |! 2 |! view |! paranasal |! sinus |! x- ray. |! The |! urinalysis |! revealed |! gross |! hematuria. |! The |! x-ray |! revealed |! acute |! maxillary |! sinusitis. |! Assessment: |! urinary |! tract |! infection, |! intractable |!
The |! patient |! is |! a |! newborn, |! delivered |! by |! cesarean |! section |! secondary |! to |! persistent |! occiput |! posterior |! presentation |! with |! obstruction. |! Upon |! examination |! the |! patient |! was |! normal |! with |! the |! exception |! of |! caput |! succedaneum |! secondary |! to |! sitting |! in |! the |! birth |! canal |! for |! so |! long. |! - |! Correct |! answer |! ✔Z38.01, |! P12.81, |! P03. CPT/HCPCS |! Coding |! Guidelines |! - |! Correct |! answer |! ✔ Wound |! closure |! consisting |! of |! steri-strips |! alone |! is |! classified |! as |! a |! simple |! repair. |! - |! Correct |! answer |! ✔false The |! reporting |! of |! test |! results |! with |! medical |! interpretive |! judgment |! is |! considered |! a |! clinical |! pathology |! consultation. |! - |! Correct |! answer |! ✔true Services |! performed |! to |! manage |! postoperative |! complications |! are |! included |! in |! the |! surgical |! package |! therefore |! they |! are |! not |! reported |! separately. |! - |! Correct |! answer |! ✔false The |! codes |! 31233-31298 |! are |! used |! to |! report |! bilateral |! procedures |! unless |! otherwise |! specified. |! - |! Correct |! answer |! ✔false For |! excision |! of |! benign |! lesions |! requiring |! more |! than |! simple |! closure, |! an |! intermediate |! or |! complex |! closure |! code |! should |! be |! reported |! in |! addition |! to |! the |! excision |! code. |! - |! Correct |! answer |! ✔true
Routine |! postoperative |! followup |! care |! is |! not |! covered |! under |! the |! surgical |! global |! package. |! - |! Correct |! answer |! ✔false Follow-up |! care |! for |! therapeutic |! surgical |! procedures |! includes |! care |! for |! complications, |! exacerbations, |! recurrences |! or |! the |! presence |! of |! other |! disease |! or |! injuries. |! - |! Correct |! answer |! ✔false When |! multiple |! procedures |! (other |! than |! E/M |! services, |! physical |! medicine |! and |! rehabilitation |! services, |! provision |! of |! supplies, |! or |! add-on |! codes) |! are |! performed |! at |! the |! same |! session, |! by |! the |! same |! individual, |! the |! additional |! procedure |! or |! service |! is |! identified |! by |! appending |! modifier |! 51 |! to |! the |! additional |! procedure |! or |! service |! code(s). |! - |! Correct |! answer |! ✔true Endovascular |! Revascularization |! codes |! 37220-37235 |! are |! built |! on |! progressive |! hierarchies |! with |! more |! intensive |! services |! inclusive |! of |! lesser |! intensive |! services. |! - |! Correct |! answer |! ✔true If |! tests |! are |! performed |! in |! addition |! to |! the |! tests |! included |! in |! a |! particular |! organ |! panel, |! those |! tests |! should |! be |! reported |! separately. |! - |! Correct |! answer |! ✔true When |! a |! Category |! III |! code |! is |! available, |! this |! code |! is |! reported |! instead |! of |! an |! unlisted |! code. |! - |! Correct |! answer |! ✔true A |! chief |! complaint |! is |! a |! concise |! statement |! describing |! the |! symptom, |! problem, |! condition, |! diagnosis |! or |! other |! factor |! that |! is |! the |! reason |! for |! encounter. |! - |! Correct |! answer |! ✔true
Primary |! low |! transverse |! cesarean |! section. |! After |! the |! patient |! was |! appropriately |! consented, |! consent |! was |! signed |! and |! placed |! in |! the |! chart. |! The |! patient |! was |! taken |! to |! the |! operating |! room. |! Epidural |! anesthesia |! was |! dosed. |! Subsequently, |! patient |! prepped |! and |! draped |! in |! the |! usual |! sterile |! fashion. |! A |! Pfannenstiel |! skin |! incision |! was |! carried |! down |! to |! the |! level |! of |! the |! fascia. |! The |! fascia |! was |! explored |! and |! dissected |! off |! the |! rectus |! muscle. |! Muscle |! was |! split |! in |! the |! midline. |! Peritoneum |! entered |! bluntly |! and |! incision |! extended |! superiorly |! and |! inferiorly. |! Bladder |! blade |! was |! placed |! in. |! Visceroperitoneum |! was |! dissected. |! Lower |! uterine |! incision |! was |! created |! with |! sharp |! scalpel |! and |! infant |! delivered |! in |! breech |! presentation |! without |! any |! difficulty. |! Bulb |! suction |! of |! the |! oropharynx |! and |! nasopharynx |! and |! handed |! to |! pediatric |! nursing |! in |! attendance. |! Cord |! blood |! was |! obtained. |! Placenta |! was |! delivered. |! Uterus |! was |! externalized. |! Intrauterine |! cavity |! cleaned |! with |! clean |! laps |! and |! bilater |! - |! Correct |! answer |! ✔ 59514 A |! 36-year-old |! male |! patient |! came |! into |! the |! orthopedic |! surgeons' |! office |! 3 |! days |! after |! being |! in |! the |! emergency |! room. |! He |! had |! fallen |! off |! the |! ladder |! at |! home |! and |! hurt |! his |! ankle. |! This |! is |! the |! patient's |! initial |! visit. |! The |! physician |! performs |! a |! detailed |! history, |! an |! expanded |! problem |! focused |! exam; |! medical |! decision |! making |! is |! low |! complexity. |! The |! physician |! performs |! and |! interprets |! a |! left |! ankle |! x-ray |! 2 |! views. |! The |! physician |! interprets |! the |! x-ray |! that |! the |! patient |! has |! a |! closed |! bimalleolar |! fracture |! on |! the |! left |! ankle. |! He |! treated |! this |! closed |! fracture |! bimalleolar |! fracture |! without |! manipulation |! by |! applying |! the |! initial |! cast |! while |! the |! patient |! is |! in |! the |! office. |! - |! Correct |! answer |! ✔99202-25, |! 27808-LT, |! 73600-LT Philip, |! a |! 60-year-old |! male |! patient, |! has |! end-stage |! renal |! failure |! and |! comes |! to |! the |! laboratory |! today |! for |! his |! monthly |! urinalysis |! (qualitative, |! microscopic |! only). |! - |! Correct |! answer |! ✔ 81015
This |! patient |! is |! returning |! for |! evaluation |! of |! right |! heel |! pain |! that |! has |! been |! evident |! now |! for |! a |! year |! and |! a |! half. |! It |! is |! worse |! with |! activity. |! He |! has |! been |! on |! Motrin |! without |! significant |! benefit. |! Inserts |! have |! been |! used |! with |! marginal |! help. |! This |! area |! was |! injected |! with |! 10 |! mg |! of |! Kenalog-40. |! The |! procedure |! was |! tolerated |! well. |! No |! other |! intervention |! at |! this |! time. |! - |! Correct |! answer |! ✔96372, |! J This |! 40-year-old |! male |! patient |! with |! a |! history |! of |! poorly |! controlled |! diabetes |! has |! had |! a |! wound |! on |! the |! medial |! portion |! of |! his |! left |! lower |! extremity |! for |! approximately |! 10 |! days. |! He |! does |! not |! recall |! a |! specific |! bite |! but |! believes |! it |! may |! be |! due |! to |! an |! insect |! bite. |! It |! has |! been |! draining |! purulent |! material. |! The |! leg |! has |! been |! more |! red |! and |! swollen |! than |! normal. |! The |! patient |! states |! that |! his |! leg |! is |! normally |! chaffed, |! swollen, |! and |! somewhat |! erythematous |! secondary |! to |! his |! diabetes |! and |! poor |! circulation. |! Denies |! any |! fevers |! or |! chills. |! Patient |! cannot |! recall |! when |! his |! last |! tetanus |! update |! was, |! so |! we |! did |! that |! today. |! - |! Correct |! answer |! ✔90714, |! 90471 A |! patient |! with |! stress |! incontinence |! requires |! repair |! for |! cystocele |! and |! incomplete |! vaginal |! prolapse. |! The |! physician |! elects |! to |! perform |! a |! paravaginal |! defect |! repair. |! An |! abdominal |! incision |! is |! made |! and |! entry |! into |! the |! space |! of |! Retzius |! gland. |! Six |! sutures |! are |! placed |! through |! the |! anterior |! lateral |! edge |! of |! the |! vaginal |! wall |! and |! then |! through |! the |! fascia |! condensation |! over |! the |! obturator |! internus |! muscle |! to |! the |! inferior |! aspect |! of |! the |! pubic |! bone |! along |! the |! arcus |! tendinous |! to |! the |! ischial |! spine. |! Additional |! anchors |! were |! placed |! at |! the |! level |! of |! the |! urethrovesical |! junction |! to |! correct |! the |! cystocele. |! - |! Correct |! answer |! ✔ 57284 What |! is |! the |! type |! of |! sedation |! that |! allows |! a |! procedure |! to |! be |! performed |! without |! pain |! to |! the |! patient |! when |! the |! patient |! is |! not |! completely |! asleep? |! - |! Correct |! answer |! ✔conscious |! or |! moderate
The |! patient |! is |! here |! today |! to |! follow |! up |! on |! his |! chronic |! renal |! failure. |! He |! is |! a |! 59-year-old |! with |! multiple |! medical |! problems |! including |! complicating |! diabetes |! with |! severe |! neuropathy |! and |! idiopathic |! dilated |! cardiomyopathy. |! Laboratory |! today: |! Glucose |! 224, |! sodium |! 139, |! potassium |! 4, |! chloride |! 96, |! carbon |! dioxide |! 34, |! urea |! nitrogen |! 4, |! creatinine |! 2.2, |! total |! calcium |! 8.9, |! and |! phosphorus |! 3.2. |! The |! patient |! needs |! to |! continue |! current |! treatment. |! Also |! reemphasized |! the |! salt |! restriction |! to |! 2 |! grams |! per |! day |! and |! moderation |! in |! protein |! intake |! to |! 0.6 |! gram |! per |! kilogram |! per |! day. |! - |! Correct |! answer |! ✔80048, |! 84100 The |! patient |! is |! here |! for |! a |! follow |! up |! of |! his |! nonhealing |! left |! great |! toe |! ulcer. |! Examination |! of |! his |! nonhealing |! wound |! showed |! it |! to |! be |! essentially |! covered |! up |! with |! callous |! and |! suboptimal |! tissue. |! This |! was |! debrided |! back |! at |! the |! bedside |! to |! healthy |! granulation |! tissue |! at |! his |! first |! consultation. |! Since |! this |! time |! he |! has |! been |! undergoing |! wet-to-dry |! dressing |! changes |! b.i.d. |! via |! his |! wife |! who |! is |! experienced |! in |! this |! technique. |! Examination |! of |! his |! ulcer |! today |! shows |! a |! very |! well |! taken |! care |! of |! ulcer. |! There |! is |! beefy |! granulation |! tissue |! at |! the |! bed |! of |! the |! majority |! of |! the |! ulcer. |! The |! ulcer |! today |! measures |! approximately |! 1 |! cm |! in |! diameter. |! Selective |! debridement |! down |! to |! the |! level |! of |! the |! bone |! was |! done |! to |! remove |! fibrinous |! exudate |! at |! the |! base |! of |! the |! wound. |! As |! mentioned |! before, |! the |! rest |! of |! the |! wound |! shows |! very |! good |! granulation |! tissue. |! - |! Correct |! answer |! ✔ 97597 A |! 29-year-old |! patient |! is |! referred |! for |! placement |! of |! a |! tunneled |! central |! venous |! catheter |! with |! subcutaneous |! port. |! To |! facilitate |! the |! advancement |! of |! the |! catheter |! and |! ensure |! accurate |! placement |! fluoroscopy |! is |! used. |! - |! Correct |! answer |! ✔36561, |! 77001
A |! 51-year-old |! male |! patient |! comes |! in |! for |! his |! chemotherapy |! treatment. |! The |! chemotherapy |! is |! injected |! into |! the |! pleural |! cavity |! with |! thoracentesis. |! - |! Correct |! answer |! ✔ 96440 This |! patient |! has |! been |! treated |! for |! Crohn's |! disease |! of |! the |! small |! intestine. |! She |! has |! had |! several |! exacerbations |! but |! has |! been |! maintained |! on |! drug |! therapy. |! She |! is |! being |! seen |! now |! for |! extreme |! pain, |! which |! on |! x-ray |! shows |! small |! bowel |! obstruction. |! Patient |! will |! be |! taken |! to |! surgery |! immediately. |! During |! the |! surgery |! a |! partial |! excision |! of |! the |! terminal |! ileum |! was |! performed |! to |! release |! the |! obstruction. |! There |! was |! also |! a |! resection |! of |! the |! jejunum |! that |! was |! very |! inflamed. |! An |! end-to-end |! anastomosis |! was |! completed |! on |! both |! segments. |! The |! patient |! tolerated |! the |! procedure |! well. |! - |! Correct |! answer |! ✔44120, |! 44121 Susan |! is |! a |! 32-year-old |! patient |! who |! has |! a |! suspicious |! tumor |! in |! the |! lower |! outer |! quadrant |! of |! the |! left |! breast. |! The |! physician |! discusses |! a |! treatment |! option |! with |! her |! in |! the |! event |! carcinoma |! is |! found, |! including |! immediate |! reconstruction |! following |! mastectomy. |! On |! 1/12/xxxx |! she |! had |! excision |! of |! the |! tumor, |! which |! the |! physician |! had |! previously |! identified |! by |! placing |! a |! radiological |! marker |! in |! the |! left |! breast. |! A |! frozen |! section |! revealed |! infiltrating |! ductal |! carcinoma |! in |! the |! left |! breast. |! With |! the |! patient |! still |! under |! general |! anesthesia, |! the |! physician |! performed |! a |! left |! modified |! radical |! mastectomy |! with |! axillary |! lymph |! node |! removal |! and |! removal |! of |! pectoralis |! minor |! muscles |! only. |! Immediately |! following |! the |! mastectomy, |! the |! patient |! had |! a |! breast |! prosthesis |! (reconstruction) |! of |! the |! left |! breast. |! - |! Correct |! answer |! ✔19307-58- LT, |! 19340-58-51-LT, |! 19125-51-LT Aaron, |! a |! 33-year-old |! male |! patient, |! has |! been |! suffering |! from |! chronic |! fatigue. |! His |! physician |! sent |! him |! to |! the |! laboratory |! to |! have |! a |! TSH |! test |! run. |! - |! Correct |! answer |! ✔ 84443
