Practice Quiz

Insurance and Medical Coding Test Prep - Question List

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51. PROCEDURAL NOTE
PATIENT: Ortiz, Pamela
AGE: 12
DATE: 04/16/2015
PREOPERATIVE DIAGNOSIS: Obstructive Sleep Apnea
POSTOPERATIVE DIAGNOSIS: Obstructive Sleep Apnea
PROCEDURE: Tonsillectomy and Adenoidectomy

The patient was anesthetized and placed on the operating table in a supine position. Her mouth was set open to allow access to the tonsils at the beginning of the pharynx. Both tonsils and adenoids appeared to be grossly enlarged. Using electrocautery, the patient’s tonsils were dissected from the subcapsular plane and removed from the pharynx. Minimal bleeding was noted on the right side of the tonsillar excision, which was cauterized to stop the bleeding. Adenoids were dissected in the same manner and no bleeding was noted. Thrombin was applied to both sides of the tonsillar excision to induce clotting and stop any additional bleeding that might occur postoperatively. The patient tolerated the procedure well and was given a pain medication prescription for possible throat pain. The physician recommended that the patient only consume cold foods and liquids for postoperative pain management. The patient was scheduled for a follow-up exam in one week.

How should you code this procedure?
  1. 42820, 327.23, 474.10
  2. 42821, 327.23, 474.10
  3. 42826, 42831, 474.10
  4. 42826, 42836, 474.10
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52. The physician performed a partial Nissen Fundoplasty via a lower thoracic incision. What is the correct code for this procedure?
  1. 43327
  2. 43328
  3. 43325
  4. 43331
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53. What is the difference between a craniotomy and a craniectomy?
  1. A craniotomy removes a part of the skull and allows the surgeon to perform the craniectomy
  2. They are the same thing
  3. A craniotomy removes a part of the skull and replaces it once the procedure is finished. A craniectomy removes a part of the skull and does not replace it.
  4. A craniotomy allows access into the patient’s spinal column. A craniectomy is repairs the patient’s spinal column.
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54. If a patient is in the prone position, he is:
  1. Lying flat on his back
  2. Lying flat on his stomach
  3. Sitting up straight
  4. Lying flat on his back with his feet elevated
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55. A doctor performed a partial pneumonectomy on a patient. This procedure included:
  1. Removing part of the patient’s lung
  2. Cutting into the patient’s abdomen
  3. Creating an opening in the patient’s chest
  4. Removing a patient’s entire spleen
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