AAPC - Chapter 11 Review ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)

A patient is seen to have an esophageal motility procedure with acid perfusion study performed. What CPT® code(s) is/are reported?

91010, 91013

What ICD-10-CM code is reported for internal hemorrhoids?

K64.8

What ICD-10-CM code is reported for a patient with a family history of colon cancer?

Z80.0

What are the CPT® and ICD-10-CM codes for a hemicolectomy performed on a patient with colon cancer?

44140, C18.9

What is the term that describes the removal of a portion or all of the stomach?

Gastrectomy

A patient is seen in the gastroenterologist's clinic for a diagnostic colonoscopy. When performing the service, the physician notes suspicious looking polyps and removes three using a snare technique to send to pathology for further testing. What is/are the correct CPT® code(s) to report?

45385

A 12 year-old patient had an adenoidectomy in 2013 and a second adenoidectomy this year. What CPT® code(s) is/are reported for the second adenoidectomy performed this year?

42836

If a perianal abscess is identified, incised and drained during the course of performing an internal and external hemorrhoidectomy, what CPT® codes are reported?

46255, 46050-51

A patient presents with a 2 cm benign lip lesion. The provider decides to remove the lesion along with a portion of the lip by performing a wedge excision. Single-layer suture repair is performed. What CPT® code(s) is/are reported for this service?

40510

What CPT® and ICD-10-CM codes are reported for diagnosis of a recurrent unilateral reducible femoral hernia repair?

49555, K41.91

What CPT® code(s) is/are reported when a physician makes two separate incisions to perform a laparoscopic appendectomy and laparoscopic cholecystectomy?

47562, 44970-59

A 40 year-old male patient is in the surgical suite to have an incarcerated hernia of his belly button repaired. What are the correct CPT® and ICD-10-CM codes reported?

49587, K42.0

What ICD-10-CM code is reported for non-erosive duodenitis?

K29.80

What is the correct ICD-10-CM code for a 30 year-old obese patient with a BMI of 32.5?

E66.9, Z68.32

What is the correct coding for a physician who performs an UGI radiological evaluation of the esophagus, stomach and first portion of the duodenum with barium and double-contrast in the hospital GI lab? (Physician is not employed by the hospital)

74246-26

An 11 year-old patient is seen in the OR for a secondary palatoplasty for complete unilateral cleft palate. Shortly after general anesthesia is administered, the patient begins to seize. The surgeon quickly terminates the surgery in order to stabilize the patient. What CPT® and ICD-10-CM codes are reported for the surgeon?

42220-53, Q35.9, R56.9

A female patient was taken to the emergency room for severe abdominal pain, nausea and vomiting. A WBC (white blood cell count) was taken and the results showed an elevated WBC count. The general surgeon suspected appendicitis and performed an emergency appendectomy. The patient had extensive adhesions secondary to two previous Cesarean deliveries. Dissection of this altered the anatomical field and required the surgeon to spend 40 additional intraoperative minutes. The surgeon discovered the appendix was not ruptured nor was it hot. Extra time was documented in order to thoroughly irrigate the peritoneum. What CPT® and ICD-10-CM codes are reported?

44950-22, R10.9, R11.2, D72.829

A 57 year-old patient with chronic pancreatitis presents to the operating room for a pancreatic duct-jejunum anastomosis by the Puestow-type operation. What are the correct CPT® and ICD-10-CM codes for the encounter?

48548, K86.1

A 56 year-old patient complains of occasional rectal bleeding. His physician decides to perform a rigid proctosigmoidoscopy. During the procedure, two polyps are found in the rectum. The polyps are removed by a snare. What CPT® and ICD-10-CM codes are reported?

45315, K62.1

A patient presents for esophageal dilation. The physician begins dilation by using a bougie. This attempt was unsuccessful. The physician then dilates the esophagus transendoscopically using a balloon (25mm). What CPT® code(s) is/are reported?

43220

Surgical laparoscopy with a cholecystectomy and exploration of the common bile duct for cholelithiasis.

What CPT® and ICD-10-CM codes are reported?

47564, K80.20

A 20 year-old patient presented to the hospital for a sigmoidoscopy due to a history of bloody stools for three weeks' duration. The patient was prepped for the sigmoidoscopy and the sigmoidoscope was passed without difficulty to about 40 cm. The entire mucosal lining was erythematosus. There was no friability of the overlying mucosa and no bleeding noted. No pseudo polyps were identified. Biopsies were taken at about 30 cm; these were thought to be representative of the mucosa in general. The scope was retracted; no other abnormalities were seen. What CPT® and ICD-10-CM codes are reported?

45331, K92.1

A patient suffering from cirrhosis of the liver from alcohol abuse presents with a history of coffee ground emesis (bleeding). The surgeon diagnoses the patient with esophageal gastric varices. Two days later, in the hospital GI lab, the surgeon ligates the varices with bands via an UGI endoscopy. What CPT® and ICD-10-CM codes are reported?

43244, K70.30, I85.11, F10.10

Margaret has a cholecystoenterostomy with a Roux-en-Y. Five hours later, she has an enormous amount of pain, abdominal swelling and a spike in her temperature. She is returned to the OR for an exploratory laparotomy and subsequent removal of a sponge that remained behind from surgery earlier that day. The area had become inflamed and was demonstrating early signs of peritonitis. What is the correct coding for the subsequent services on this date of service? The same surgeon took her back to the OR as the one who performed the original operation.

What CPT® code is reported?

49402-78

A 45 year-old patient with liver cancer is scheduled for a liver transplant. The patient's brother is a perfect match and will be donating a portion of his liver for a graft. Segments II and III will be taken from the brother and then the backbench reconstruction of the graft will be performed, both a venous and arterial anastomosis. The orthotopic allotransplantation will then be performed on the patient.

What CPT® codes are reported?

47140, 47146, 47147, 47135