Ch 12 review questions AAPC CPC – Flashcards

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question
What are the reproductive glands that produce male hormones
answer
testes
question
what are the filtering units of the kidney called?
answer
nephrons
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what is the correct CPT code for a percutaneous pyelostolithotomy with dilation and basket extraction measureing 1 cm
answer
50080
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left ureteral stent placement and extracorporeal shock wave therapy or lithotripsy (ESWL) of the left kidney are performed. What CPT code is reported?
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50590-LT
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preoperative diagnosis: hematuria. postop diagnosis: right renal calculi and bladder calculus
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N20.0, N21.0
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a patient comes in for removal of calculus from the renal pelvis via renal endoscopy through an established nephrostomy. What are the CPT codes?
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50060
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Carcinoma of the bladder dome
answer
C67.1
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patient is a 40 year old female presenting for repeat urethral dilation for urethral stricture using the instillation of saline solution. What is the CPT code?
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53661
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the urologist is called into the operating room to repair a kidney laceration status post MVA. The urologist examines the kidney and repairs a small 2 cm laceration of the kidney. What is the CPT code?
answer
50500
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transurethral resection of a medium size (3.0) bladder tumor was performed in an outpatient setting. CPT Code?
answer
52235
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GreenLight laser vaporization of the prostate is performed. What CPT® code is reported for this service?
answer
52649
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Transurethral resection of bladder neck and nodular prostatic regrowth. What CPT® code is reported for this service?
answer
52630
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Patient is status post radical retropubic prostatectomy with erectile dysfunction, presenting for penile implant. An inflatable penile prosthesis is inserted. What CPT® code is reported for this service?
answer
54408
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Cryosurgical ablation of the prostate is performed for prostate cancer. What CPT® and ICD-10-CM codes are reported for this service?
answer
55873, C61
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Patient presents today for treatment of benign prostatic hypertrophy (BPH) and urinary retention by transurethral microwave thermotherapy (TUMT). What CPT® and ICD-10-CM codes are reported for this service?
answer
53850, N40.1, R33.8
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A partial cystectomy is performed due to the prior administration of radiation. It is complicated due to extensive adhesions and required and additional 2 hours beyond the usual cystectomy procedure. What CPT® code is reported for this service?
answer
51555
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Closure of exstrophy of the bladder is performed with epispadias repair. What CPT® code is reported for this service?
answer
54390
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A 63 year-old gentleman comes into the ED complaining of the urge to urinate but has been unable to empty his bladder. The provider decides to place a Foley catheter to relieve the urine retention due to prostate hypertrophy. What is the code selection for the procedure and diagnosis codes?
answer
51702, N40.1, R33.8
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The urologist performs a cystourethroscopy with ureteroscopy to fulgurate a ureteral lesion. What is/are the CPT® code(s) for the procedure?
answer
52354
question
A 63 year-old male presents for the insertion of an artificial inflatable urinary sphincter for urinary incontinence. A 4.5 cm cuff, 22 ml balloon, 61-70 mmHg artificial inflatable urinary sphincter was inserted. What CPT® code is reported for this service?
answer
53445
question
Patient is admitted for acute bilateral pyelonephritis. What is the appropriate ICD-10-CM code?
answer
N10
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The patient has a 3.6 cm tumor in the lower pole of the right kidney. A percutaneous right renal cryosurgical ablation is performed. What CPT® code is reported for this service?
answer
50593-RT
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Patient is a 68 year-old male admitted for left flank nephrectomy with partial ureterectomy. He has left renal atrophy and chronic renal inflammation. The pathology report reveals marked glomerulosclerosis, chronic inflammation of the kidney, renal pelvis and ureter. What CPT® and ICD-10-CM codes are reported for this service?
answer
50220-LT, N26.9, N28.89
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Vasectomy reversal is performed, bilaterally, using the operating microscope. Choose the procedure code(s).
answer
55400-50, 69990
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When a cystectomy is performed, there are various means of diverting the urine. One method is to create a neobladder which allows the patient to void through his or her urethra. Which code describes this procedure?
answer
51596
question
What CPT® code is reported for removal of ureteral stones via laparoscopy?
answer
50945
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The patient is a 53 year-old male with a benign prostatic hypertrophy causing urinary obstruction and requires the placement of a temporary urethral stent. What CPT® code is reported for this service?
answer
52332
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A clamp circumcision is performed without dorsal block on a newborn baby boy. What CPT® code is reported for this service?
answer
54160-52
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Patient presents to the emergency room with complaints of an erection lasting longer than two hours. Saline solution is used to irrigate the corpora cavernosa. What CPT® code is reported for this service?
answer
54220
question
A fracture of the corpus cavernosum penis is repaired. What is the correct code?
answer
54440
question
Cystoscopy, left ureteroscopy, holmium laser lithotripsy, stone manipulation, stent removal and replacement are performed. The holmium laser was used to break up a cluster of stones at the ureteropelvic (UP) junction which were removed with a basket and a Gibbons stent was exchanged. Previous CT scan showed stones in the lower right pole. It was decided to proceed with ureteroscopy. Ureteroscope was inserted in the right ureter, confirming multiple stones within the proximal ureter. These were basketed and removed. What CPT® codes are reported for this service?
answer
52356-LT, 52352-59-RT
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Circumcision with adjacent tissue transfer was performed on a 2 month-old. What CPT® code(s) is/are reported for this service?
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14040, 54161-51
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The patient is a very pleasant 72 year-old female noted to have bilateral nephrolithiasis. Her left stones were treated ureteroscopically and her right stone was very large. It was treated with an ureteroscopic procedure and there were no global days. She comes in today for her second ureteroscopic procedure to remove the remaining stone fragments. Right ureteroscopy, laser lithotripsy and right ureteral stent exchange were performed. What CPT® code(s) is/are reported for this service?
answer
52356
question
A 67 year-old gentleman with localized prostate cancer will be receiving brachytherapy treatment. Following calculation of the planned transrectal ultrasound, guidance was provided for percutaneous perineal placement of 1-125 seeds into the prostate tissue. What CPT® code is reported for needle placement to insert the radioactive seeds into the prostate
answer
55875
question
Benign prostatic hypertrophy with outlet obstruction and hematuria. Operation: TURP Anesthesia: Spinal Description of procedure: The patient was placed on the operating room table in sitting position and spinal anesthesia induced. He was placed in the lithotomy position, prepped and draped appropriately. Resection was begun at the posterior bladder neck and extended to the verumontanum (a crest near the wall of the urethra). Posterior tissue was resected first from the left lateral lobe, then right lateral lobe, then anterior. Depth of resection was carried to the level of the circular fibers. Bleeding vessels were electrocauterized as encountered. Care was taken to not resect distal to the verumontanum, thus protecting the external sphincter. At the end of the procedure, prostatic chips were evacuated from the bladder. Final inspection showed good hemostasis and intact verumontanum. The instruments were removed, Foley catheter inserted and the patient returned to the recovery area in satisfactory condition. What CPT® code is reported for this service?
answer
52640
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The patient presents to the office for cystometrogram (CMG). Complex CMG with voiding pressure studies is done. Intraabdominal voiding pressure studies and complex uroflowmetry are also performed. What CPT® code(s) is/are reported for this service?
answer
51728, 51797, 51741-51
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