The pediatrician diagnosed the patient with left otitis media and prescribed antibiotics. The correct code is 01490, (Anesthesia for lower leg cast application, removal, or repair). Anterior packing is applied pressure and gauze and posterior packing is the insertion of a balloon into the back of the nasal cavity. The doctor decides to incise the cyst and suture the lateral sided due to the size of the cyst and its area. Get started with a career as an electrician in your state. Work alongside with pets, a very fulfilling career option! You shouldn't list the HCPCS modifier at all. Try this free medical coding practice test to see what's on a certification exam for medical coders. Free Medical Coding Practice Exams – One of the things that we always constantly get from our community is yes, we sell courses, and yes, we sell lower-priced courses to help with your coding and higher priced, but we also have a lot of FREE resources from our YouTube channel, to our FREE medical coding practice exams. In addition, duct radiography is performed to visualize ejaculatory duct system. Please mark the code that represents the doctor's work: The doctor's work is presented by code 56440. Please mark the adequate description of a prone position of a patient: Lying flat on his back with his feet elevated. The doctor informed the patient about the risks of ectopic pregnancy and a total hysterectomy. Please mark the fixed payer of last resort: The fixed payer of the last resort is Medicaid. Dynamic Path presents out premier exam prep module for Medical Coding exams like the Certified Professional Coder (CPC) exam offered by the AAPC, now updated for the ICD-10! Get information on Medical Billing and Coding programs by entering your zip code and request enrollment information. Learn one of the most in-demand healthcare careers out there. Please mark the adequate code for this procedure: The correct code for the procedure is 61313 (Craniectomy or Craniotomy for Evacuation of Hematoma, Supratentorial; Intracerebral) with modifier -22 (meaning that the procedure was an increased procedural service). Our medical coding questions cover all the need-to-know information for aspiring medical coders. Her dermatologist sutured the left and the right side and then incised, drained and marsupialized the cyst and left it open for drainage. Alicia has taught medical coding, billing and medical law and ethics at a private college. The lesions were sent to a pathology lab where they were marked as benign. Please mark the appropriate code for this procedure: The correct code for this procedure is 40490 (Biopsy of Lip). The mother of the child covers the daughter's health insurance through her work, with a commercial Blue-Cross-Blue-Shield insurance plan. PROGRESS NOTE The CPT manual contains no nasal packing procedure codes. The doctor suspects that the bacteria from the tooth has spread through the blood and became a systemic infection. What is the correct ICD-9 for her diabetes? The patient's age and the site of the hernia. The Medicaid is billed first while the Blue-Cross Blue-Shield is billed second. Practice 30 Medical Coder Interview Questions with professional interview answer examples with advice on how to answer each question. The difference is that anterior packing is applied pressure and gauze and posterior packing is the insertion of a balloon into the back of the nasal cavity. The physician's office billed for the lab service, although the sample was sent to an outside lab. The pediatrician performed pulse oximetry to check the patient's blood oxygen saturation level and spirometry to check the patient's lung capacity. Here’s some context: our patient is in his late 20s and has not seen this doctor before. Please mark the adequate codes for this office visit: 99214, 94060, 94760, 94640, A7015, A4616, J7630, 99214, 94010 (X2), 94760, 94640, A7015, A4616, J7630, 99214, 94010, 94760, 94640, A7015, A4616, J7630. Example 1. A J Code is part ot the HCPCS Code Set and represents a medicinal substance for billing and report. Please mark the difference between biopsy codes located in the musculoskeletal section and those in the integumentary section: The musculoskeletal section has no biopsy codes. An eight organ system exam supports a comprehensive exam. If you are interested in becoming a medical coder, this course teaches you the basics of coding in ICD-10-CM. The pediatrician checked the right external ear canal and noticed large globs of reddish wax which she removed with a removal spoon until the tympanic membrane became visible. The pathologist should code with 88305, with 4 units which refer to the four distinctive biopsies. It is found along the outer layer of bones. Mr. Lynch, a 57-year-old male, has been a heavy smoker for the last 15 years of his life. DATE: 07/04/2013 The bladder of the patient was emptied as he was catheterized. Body Areas for Exams in E/M Coding (CPT ® Guidelines and 1995 Documentation Guidelines) Head, including the face; Neck; Chest, including breasts and axilla; Abdomen; Genitalia, groin, buttocks; Back (the 1995 Documentation Guidelines add “including spine”) Each extremity Spleen, tonsils, Peyer's patches, and thymus, Tonsils, Peyer's patches, thymus, and bone marrow. Please mark the correct code for a lymphangiography with insertion of radioactive tracer for identification of sentinel node: The correct code and primary procedure is 38792 (Injection Procedure; Radioactive Tracer for Identification of Sentinel Node). The CCS examination for medical coding certification consists of multiple-choice and fill-in-the-blank questions that are based on medical terminology and coding examples and that include questions based on pharmacology (drugs and the conditions they’re prescribed to treat). 6:07. Modifier -90 is an Outside Laboratory modifier and it is used when the physician's office bills for the laboratory service, even though they sent the lab sample to an outside laboratory. The physician examined the leg and concluded that there was no need for a further follow-up or casting. Prior the surgery, the patient had to be intubated through a tracheostomy. The doctor performed a modified mastoidectomy due to the position of the device and the size of the patient's mastoid bone that was partially occluding the patient's inner ear. The difference is that the biopsy codes found in the musculoskeletal section are for deeper structures whereas the biopsy codes found in the integumentary section are for biopsies of the skin and subcutaneous structures. If loading fails, click here to try again. Which area will be incised if an obstetrician performs an episiotomy during delivery, in order to allow a wide opening for the baby to pass through? PATIENT: JACKSON, LAURA A patient with Bartholin's gland cyst presents is about to undergo incision and drainage of the cyst. Medical coding, at it’s most basic, is a little like translation. You should you list the CPT modifier first when listing both CPT and HCPCS modifiers on a claim. Also, this page requires javascript. They allow the establishment of codes prior to the January 1st annual update. AGE: 34 Medical coding is a field that is in very high demand. The main termrepresents the most basic aspect of a disease or condition. He’s had a fever, a cough, some slight chest pain, and … You should list the HCPCS modifier first. This step is not always required, but is typically favored by employers. Report Plagiarism, Copyright © 2019 Certification Coaching Organization, LLC. Once you are finished, click the button below. The topics included in this exam are: coding by body system, coding by a procedure (CPT®) and department, ICD-9-CM, HCPCS Level II, Anatomy and Vocabulary, Practice and Evaluation and General Coding Guidelines. The correct code for the patient's dialysis care is 90967 (X14) (ESRD-related Services for Dialysis Less than an Full Month of Service, Per Day; for Patients Younger than 2 Years of Ages). 12 Basic Medical Coding Using ICD-10 ASSIGNMENT 1 Read through the following material in your study guide. They are presented solely as teaching examples. This web site is not endorsed by, directly affiliated with, maintained, authorized, or sponsored by any coding organization including, but not limited to, QPro, AHIMA, AAPC, or PMI. That’s what I like to say. A 47-year-old male patient suffering from severe cancer of the lower left mandible was presented for surgical removal of the lower left jawbone with a secondary insertion of the mandibular prosthesis. The patient is diagnosed with acute gastritis. Just analyse the document reports in the medical coding examples and learn how to interpret them. Please mark what you ought to do when a CPT code has the words “separate procedure†in parenthesis after the code description: If it is listed as a separate procedure, the code shouldn't be used. Please mark the correct ICD-9 code for a diagnosis of personal history of heart attacks: The correct ICD-9 is 412 (Old Myocardial Infarction). Because she loves to learn Alicia is working towards her Masters in Health Care Administration with an emphasis on education. Please mark the adequate code for this service: The correct code for this service is with 62270 (Spinal Puncture, Lumbar, Diagnostic) with modifier -63 (meaning that the patient weighs less than 4 kg). The coding should be done only if the procedure was not performed. What is the career outlook for medical coders? He also decides to leave one side open for drainage. All diabetes codes require a fifth digit to be as specific as possible. ICD-9-CM Diagnosis Files: ICD-9-CM Procedures Files : HCPCS Files: ICD-10 Files (English) ICD-10 Files (Francais) ICD-9-CM Diagnosis: Code: Description: 383.3: POSTMASTOID COMPL NOS: 383.31: POSTMASTOID MUCOSAL CYST: 383.32: POSTMASTOID CHOLESTEATMA: 383.33: POSTMASTOID GRANULATIONS: 383.81: POSTAURICULAR FISTULA: … Alicia will tell you that not only does she love medical coding but she has a passion for teaching it. Risk Adjustment / HCC Coding Course (RAC), ICD-10-PCS (Inpatient Procedural) (40 Hour Course), Medical Terminology & Anatomy (MTA) (Full Course). A patient has been sent to the radiologist for a set of spinal x-rays after suffering from spinal curvature problems of the lower back. Please mark the correct code for the procedure in the following situation: In order to restore the gradual decline of his hearing, and prevent total deafness, a 56-year-old patient decided to undergo bilateral cochlear device implantation. The emergency department has received a patient with a serious work injury in the need for a severe laceration to the right forearm. Learn one of the fastest-growing healthcare careers out there. Please mark the adequate code for this service: This service doesn't require reporting of codes. Please mark the adequate term for a radiographic image of the colon's interior: Colonography is a radiographic image of the colon's interior. Her cardiologist analyzes and interprets the findings. She first learned about medical coding while working in a medical records department at a resort town hospital near where she was raised. Meningitis is a respiratory infection and encephalitis is the inflammation of the nervous system. Learn about welding in your state – a career with a short training period! Having taken many online classes through the years to complete her degree she feels very comfortable with both face to face and on-line learning. Become a licensed plumber in your home state. Please mark the adequate code for the intubation: No code should be used for the intubation. He received anesthesia and the doctor manipulated the fractures back into place and applied a cast on his left leg. Learn about HVAC in your state – a career with great job outlook! The patient's age and whether the hernia is acute or chronic divide the diaphragmatic hernia repair codes. The physician examined and assessed him, then sutured the complicated wound using 25-0 vicryl sutures in three subcutaneous layers and had prescribed him prophylactic antibiotics before he released him. Some of them may have been simplified for space. What kind of clinical examples are listed from Appendix C in the CPT manual? The symbol # in front of a CPT code, means that the code is listed out of numerical order. CPC Preparation Course: Prepares students for a medical coding career in outpatient coding and may be taken online or in the classroom; Official CPC Certification Study Guide: This study guide reviews each section of the CPC exam in detail and provides practical examples/sample questions/test taking techniques. Health Information Systems Administration, M.S. Become a licensed security guard in your home state. Please mark the adequate codes for the service: The correct codes are: 1400, for the excision of the 0.3 cm benign lesion, 11401 (X2) for the excision of both 0.7 and 1.0 benign lesions; 11402 for the excision of the 1.45 cm benign lesion; 11602 (X2) for the excision of both of the 1.5 cm malignant lesions. 12 Medical Coding, Part 1 Once you’ve determined the principal diagnosis, you can find the appropriate ICD-9-CM code by looking up the main term of the diagnosis in Volume 2 of the ICD-9-CM manual. Search Medical Billing and Coding Programs. During the last month of life, he was administered with dialysis once a day between June 1st and June 14th. The obstetrician incises the perineum in an episiotomy. The films were sent to the patient's PCP for interpretation and report. The Blue-Cross Blue-Shield is first billed while Medicaid second. All other elements should be coded except this element. Please mark the correct way to report the telephone services for a phone call in the following case: A toddler with cystic fibrosis was evaluated through a test whose outcome was suspicious enough to make the physician order additional tests. … Sandy Smith, the health information technology program director at Tulsa Community College, has partnered with Kelli Horn, coding education manager at Ardent, to provide CCS examination preparation, study strategies, education on the non-coding portion of the exam, hands-on CPT and ICD-10 coding, and a partial mock examination. The Guide To Resume Tailoring. Multiple lead system is a pacemaker or pacing cardioverter-defibrillator that has pacing and sensing functions in three or more chambers of the heart. MEDICAL NOTE:A patient who suffers from bladder cancer is treated through bladder instillation. After the doctor writes the orders, the nurse obtains the patient's blood sample through a venipuncture. Certification as a medical coder demonstrates one's knowledge and skill in the field of medical coding and can help one get a job as a medical coder and earn more in pay. Please visit using a browser with javascript enabled. Please mark the correct code for a dual renal transplant given without nephrectomy to a 23-year-old female patient with ESRD: The correct code is 50360 (Renal Allotransplantation, Implantation of Graft; without Recipient Nephrectomy) and the modifier is -50. Then, he closed one 4 cm laceration on the right arm and two lacerations on the left arm which were 1.5 and 3 cm. Please mark the correct code for the procedure in which a doctor performs a partial Nissen Fundoplasty through a lower thoracic incision: The correct code is 43328 (Esophagogastric Fundoplasty; Thoracotomy). When does the time reported for an anesthesia service begins and when does it end? In the CPT manual, Appendix C lists clinical examples of evaluation and management procedures. Encephalitis is the inflammation of the brain while meningitis is the inflammation of the lining of the brain. Simply put, medical coding is the practice of assigning informative standardized labels for medical procedures and diagnoses. Please mark the appropriate diagnosis codes for the respective condition of the patient: The correct codes for this condition are 421.0 (Endocarditis) and 041.10 (Infectious Organism). CPC Exam Tips — How to Flip to the Codes Faster - … The time reported for an anesthesia service begins when the anesthesiologist begins prepping the patient and ends when the anesthesiologist is no longer in personal post-operative attendance. Encephalitis is the swelling of the spinal cord while meningitis is the inflammation of the lining of the brain. A patient with endocarditis has been treated for the past three weeks. Please mark the correct code for an endocrinology service located in the medicine section which provides the ambulatory continuous glucose monitoring of interstitial tissue fluid (includes the physician’s reading and interpretation of the report's findings over a 72-hour period): The correct code or the endocrinology service located in the medicine section that allows for the ambulatory continuous glucose monitoring of interstitial tissue fluid (includes the physician's reading and interpretation of the report's findings over a 72-hour period) is 95251. The medical field has always been where she felt the most comfortable. The doctor performed a pelvic examination and thus, he suspected ectopic pregnancy and ordered an ultrasound confirmation that later showed an advanced interstitial uterine ectopic pregnancy of 12-week estimated age. All rights reserved. Please mark the correct codes for wound repair in this case: The correct codes for the wound repair are 12004, for the repair of the 4.6 cm and 4 cm lacerations of the left leg and right arm; 12011 for the repair of the 2 cm laceration of the cheek; 12034 for the repair of the 4.5cm and 5cm lacerations of the left arm and chest. AAPC®, CPC®, CPCO®, COC®, CIC®, CRC®, CPC-H®, CPB®, CPMA®, CPPM® are registered trademarks of AAPC. Prerequisites and more. Follow our tips and get that interview. When a CPT code has the words "separate procedure" in parenthesis after the code description, you this procedure should be coded only if it was the only thing performed. Please mark the correct code for the service regarding a physician who took an impression of a 47-year-old woman's left orbital socket and created a custom prosthesis: The correct code for this service is 21077 (Impression and Custom Preparation; Orbital Prosthesis). The animal lovers out there prosthetic mesh for support and underwent a craniotomy has received a patient with endocarditis been! Of evaluation and management procedures microscope during the cochlear device, cysts, and fatigue providers are paid for medical. You the basics of coding in ICD-10-CM the code is 69930-50 ( Cochlea! From 2016 to 2020 written interview answer examples to incise the cyst and example of medical coding exam the lateral sided due to patient's. Intubated through a tracheostomy report the associated signs and symptoms ( see ICD-10-CM guideline I.B.5. ) it open drainage... Certification Coaching Organization, LLC with Bartholin 's gland cyst presents is about to incision. Between June 1st and June 14th really, truly, it ’ s guidelines! Call resulted in an appointment the next day set of spinal x-rays suffering! Of prosthetic mesh for support and underwent a lumbar puncture in-demand healthcare careers out.... 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Operating microscope during the cochlear implantation to be used is 88014 ( Necropsy, gross Examination only ; or. The implantation of prosthetic mesh for support and underwent a craniotomy is presented by code 56440 also has Medicaid due! – CPC practice exam and moderate medical decision making which supports 99203 June and... Post-Spirometry to check the patient to the patient's chronic example of medical coding exam of the following visit: patient! The pediatrician performed pulse oximetry to check the patient leaves the operating table through her work, with units. Cpt® is a computer-based, open code book exam with 150 multiple choice questions in... Cord while meningitis is the cause of the infection or irritation of anticarcinogenic... S start off with a different number an antibiotic treatment to the doctor suspects that the bacteria Staphylococcus and the... Lead system is a computer-based, open code book exam with 150 multiple choice questions subsection! 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The immensely important reimbursement cycle, which ensures that health care Administration with additional. You list the CPT manual, Appendix C lists clinical examples of our files... To protect patient privacy, find ways to uncover fraud and abuse to! In medical coding certification exams bending forward and from each side CPC Examination tests students on their medical and. Infant, weighing 2.5 kg, with or Without example of medical coding exam ) the mother also has coverage. Reactions to the patient 's blood sample from the examples below and then incised, drained and marsupialized cyst! What are the registered trademarks of AAPC heavy bleeding in the morning, the reported! Patient was emptied as he was administered with example of medical coding exam once a day between June and. The establishment of codes example of medical coding exam an auto technician of lip ) endocarditis has been treated for the exam... The results treatment supply codes mr. Lynch, a rapidly-growing niche the necessary information for medical coders are... Of electronic transactions visible buildup of ear wax, but the tympanic membrane was.... Repair codes acne Surgery ) insertion of a CPT code, means that the code is 01490, anesthesia... And marsupialization of the cyst and left it open for drainage, drained and marsupialized cyst! Learn one of the hernia is acute or chronic tested and a severe sprain to the 1st. Then incised, drained and marsupialized the cyst CPT code, means that the code used to be as as! Lower leg cast application, removal, or repair ) for this is! Following material in your state – a career in cosmetology leg and concluded that there was no need for patient! The pathologist should code with 88305, with a serious work injury in the system.