Question 1

The Respiratory System subsection is arranged by_________site.

Accepted Answer

Anatomic

Question 2

The procedure in which a scope is placed through a small incision and into a body cavity is called a/an?

Accepted Answer

endoscopy

Question 3

When coding endoscopic procedures you must be certain to code to the fullest ________ of the procedure and to code the correct approach for the procedure.

Accepted Answer

extent

Question 4

If more than one distinct procedure was performed during an endoscopic procedure, what modifier would you add to the lesser-priced service?

Accepted Answer

-51

Question 5

What type of endoscopy is always bundled into a surgical endoscopy?

Accepted Answer

diagnostic

Question 6

A(n) _________ laryngoscopy is performed when a physician uses a tongue depressor to hold the tongue down and view the epiglottis with a mirror.

Accepted Answer

Indirect

Question 7

A(n) ___________laryngoscopy is performed when the endoscrope is passed into the larynx and the physician can look at the larynx through a scope.

Accepted Answer

direct

Question 8

An otorhinolaryngologist is a physician who specializes in treating condtions of the __________, _____________, and _________

Accepted Answer

Ear, Nose, Throat

Question 9

When coding a nasal abscess or a nasal biopsy of the skin using the external approach, you use codes from the _____________System subsection.

Accepted Answer

integumentary

Question 10

When coding a nasal abscess or a nasal biopsy using the internal approach, you use codes from the __________System subsection

Accepted Answer

Respiratory

Question 11

What are the three sections of turbinates? ____________, ______________, and _____________

Accepted Answer

Superior, Middle, Inferior

Question 12

What is the name of the therapy in which the physician flushes saline solution into the sinuses to remove mucus or pus?

Accepted Answer

Displacement

Question 13

a unilateral, total lung lavage following smoke inhalation

Accepted Answer

CPT: 32997 ICD10: J70.5 ICD9: 508.2

Question 14

performed as a separate procedure, a parietal pleurectomy for pleurisy with bacterial, nontuberculous effusion.

Accepted Answer

CPT: 32310 ICD10: M43.00 ICD9: 738.4

Question 15

resection of apical lung tumor, secondary site malignant neoplasm, with chest wall resection and reconstruction, unknown primary site.

Accepted Answer

CPT: 32504 ICD10: C78.0, D49.9 ICD9: 197.0, 239.9

Question 16

removal of a crayon lodged inside nasal passage, office procedure

Accepted Answer

CPT: 30300  ICD10: T17.0XXA ICD9: 932

Question 17

surgical right nasal cavity endoscopy with polypectomy for nasal polyps

Accepted Answer

CPT: 31237 ICD10: J33.0 ICD9: 471.0

Question 18

direct, operative laryngoscopy for removal of button lodged in 2 year old child\'s larynx

Accepted Answer

CPT: 31530 ICD10: J38.7 ICD9: 478.79

Question 19

indirect laryngoscopy with biopsy of nodule

Accepted Answer

cpt: 31510 icd10: j18.9 icd9:486

Question 20

internal approach used to drain nasal septum hematoma

Accepted Answer

cpt: 30020 icd10: j39.8 icd9: 478.9

Question 21

external, simple, left frontal sinusotomy for chronic frontal sinusitis

Accepted Answer

cpt: 31070-LT icd10: d31.60 icd9: 22.41

Question 22

surgical sinus endoscopy with sphenoidotomy for acute sphenoidal sinusitis

Accepted Answer

cpt 31287 icd10 j01.30 icd9 461.3

Question 23

submucous resection of nose with scoring of cartilage and contouring for an overdevelopment of nasal bones, acquired

Accepted Answer

cpt 30520 icd10 m95.0 idc9 738.0

Question 24

Jack rogers developed chest pain and difficulty breathing. he has also been coughing up thick blood-tinged sputum. a chest radiograph shows an ill-defined mass. a diagnostic bronchoscopy of one lung is performed and a specimen of the endobronchial mass is taken. while the patient remains hospitalized, the pathology report comes back 2 days later positive for primary cancer of upper lobe and a lobectomy is performed.

Accepted Answer

cpt: 31625 icd10: r07.9 icd9: 786.50

Question 25

James Wilson has been having difficult breathing and has had continual chronic ethmoidal sinusitis. Dr. Adams takes James to the operating room to perform a sinus endoscopy with right anterior and posterior ethmoidectomy and removal of polyps.

Accepted Answer

cpt: 31255 icd10: r68.89 icd9: 796.4

Question 26

Mary Bronson has a nosebleed that wont stop. she goes to the emergency department, where anterior packing is done to control the anterior nasal hemorrhage. she also has documented benign hypertension

Accepted Answer

cpt: 30901 icd10: r04.0 icd9: 784.7

Question 27

Rhinoplasty can be performed either_____, through external skin incisions, or closed, through _____ incisions.

Accepted Answer

open intranasal

Question 28

Endoscopic maxillary antrostomy

Accepted Answer

CPT code: 31256

Question 29

Direct laryngoscopy for removal of fish bone

Accepted Answer

CPT code: 31530

Question 30

After the airway is sufficiently anestheized, a flexible bronchoscope is inserted through the mouth and advanced to the bronchus, where a transbronchial biopsy of one lobe is obtained

Accepted Answer

CPT code: 31628

Question 31

Diagnostic thoroscopy of the mediastinal space is accomplished with the use of a flexible endoscope is inserted through a small inicision on the chest (no biopsy was performed)

Accepted Answer

CPT code: 32601

Question 32

Segmental resection o the right single lung lobe using a flexible endoscope (surgical thoracoscopy)

Accepted Answer

CPT code: 32663

Question 33

Biopsy of an intranasal lesion

Accepted Answer

CPT code 30100  ICD-10: J34.89  ICD-9:478.19

Question 34

Primary rhinoplasty including major septal repair due to deviated nasal septum, acquired

Accepted Answer

CPT code:30420  ICD-10: J34.2  ICD-9:470

Question 35

Anterior control of nasal hemorrhage by means of limited chemical cauterizeation and simple packing.

Accepted Answer

CPT code: 30901  ICD-10: R04.0  ICD-9:784.7

Question 36

Septoplasty with contouring and grafting

Accepted Answer

CPT code:30520

Question 37

Removal of crayon from nose of 5-year-old boy, conducted as an office procedure

Accepted Answer

CPT code: 30300

Question 38

Lavage of maxillary sinus, bilateral

Accepted Answer

CPT Code:31000

Question 39

Simple left frontal sinusotomy using an external approach

Accepted Answer

CPT code: 31070-LT

Question 40

Unilateral sinusotomy of frontal, ethmoid, and sphenoid

Accepted Answer

CPT code:31090

Question 41

Right radical maxillary sinusotomy

Accepted Answer

CPT code:31030-RT

Question 42

Pterygomaxillary fossa surgery, transfacial approach, due to chronic antritis of maxillary sinus

Accepted Answer

CPT code: 31040  ICD-10:J01.01 ICD-9:473.0

Question 43

Diagnostic larynostomy

Accepted Answer

CPT code:31320

Question 44

Laryngotoplasty, two stages, for repair of congenital laryngeal web, removal of spacer

Accepted Answer

CPT code:31580

Question 45

Emergency establishment of positive airway by means of endoctracheal intubation

Accepted Answer

CPT code:31500

Question 46

Subtotal supraglottic laryngectomy with removal of adjacent lymph nodes and tissue due to a primary malignant neoplasm of glossoespiglottic folds

Accepted Answer

CPT code:31368  ICD-10:C10.1  ICD-9:146.4

Question 47

Pharyngolaryngectomy with radical neck dissection for a primary malignant neoplasm of the pharyngeal region.

Accepted Answer

CPT code:31390  ICD-10:C14.0  ICD-9:149.0

Question 48

Emergency tracheostomy, cricothyroid approach

Accepted Answer

CPT code:31605

Question 49

Excision of a tumor of the trachea, cervical

Accepted Answer

CPT code:31785

Question 50

Transtracheal injection for bronchography (code only the injection procedure)

Accepted Answer

CPT Code:31715

Question 51

Planned tracheostomy in 47 year old patient with acute respiratory failure

Accepted Answer

CPT code:31600  ICD-10:J96.00  ICD-0:518.81

Question 52

Catheterization with bronchial brush biopsy for bronchiolitis, acute.

Accepted Answer

CPT code:31717  ICD-10:J21.9  ICD-9:466.19

Question 53

Catheterization with bronchial brush biopsy (code only the biopsy).

Accepted Answer

CPT code:31717

Question 54

Thoracotomy for exploration

Accepted Answer

CPT code:32100

Question 55

Percutaneous needle lung biopsy

Accepted Answer

CPT code: 32405

Question 56

Lobectomy and bronchoplasty performed at same surgical session

Accepted Answer

CPT code:32480

Question 57

Resection of an apical malignant lung neoplasm

Accepted Answer

CPT code:32503  ICD-10:C34.10  ICD-9:162.3

Question 58

Pneumonostomy with open drainage of absess (pulmonary necrosis)

Accepted Answer

CPT code:32200  ICD-10:J85.2  ICD-9:513.0

Medical Coding Ch. 20 Review ~Theory, Practical, Quick Check, & Exercises – Flashcards

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