Exam 2

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The passage discusses ICD-10 codes related to HIV/AIDS, skin grafts, anesthesia and surgical procedures.

The skin is the largest organ of the body.

17311, 17312, 17315 x 6

Assume patient admitted for anemia with possible HIV infection

ICD 10 Code for Anemia is D64.9

A patient with AIDS developed Encephalitis as a manifestation of AIDS and is


seen in the office for encephalitis

ICD 10 code is B20, G05.3

A lady with AIDS got urine pregnancy test. Test result showed she was positive for
pregnancy. Which of the following codes is assigned first ?

• Z21

• B20

• O98.7-

• Z71.7
A 34-year-old male returned for getting his HIV test result today and physician confirmed that he
has AIDS. What is the correct ICD code?

• Z71.7

• B20

• O98.7-

• Z21
Michael was brought to the hospital with low-grade fever and severe anemia. Physician collected
blood from this patient and is waiting for the test result. Choose the correct code for this scenario.

• Z71.7

• B20

• R75

• Z21
Peterson is seen in the doctor’s clinic. He is very much worried to learn from the doctor that his
wife is found to have HIV positive test result without any symptoms. How do you code Peterson’s
condition…..

• Z20.6

• B20

• R75

• Z21
• Q. What's the outer-most layer of your skin called?

• Epidermis
• Dermis
• Subcutaneous fat layer
• All of the above

• Q. What is the largest organ of your body?


• Liver
• Kidneys
• Skin
• None of the above

Q-Mohs surgery was provided to a patient with a malignancy on his head. The
surgeon provided both the surgery and the pathology services. There was a
first-stage excision with 10 tissue blocks and a second stage excision with 6
tissue blocks. Which codes apply to this procedure?
17311, 17312, 17315 x 6
Q-A patient suffered burns on the arm, torso, and leg. The surface size of the
area to be excised involves 20 sq cm of the arm, 80 sq cm on the torso, and
30 sq cm on the leg. The total area to be excised is 130 sq cm. Treatment
included excision of burn eschar and then placement of a split-thickness skin
graft to each of the three areas. Which codes apply to this procedure?
• 15002, 15003, 15100, 15101
Q-Sam had six actinic keratoses destroyed. How would you report this service ? 1
point
a. 17004
b. 17000,17003
c. 17000, 17003 x 5
d. 17110, 17111 x 5
Q-. History: A 41 – year old male with an open wound to the left upper leg presents
for debridement of the skin graft site, followed by a split-thickness skin
graft.Procedure: After informed consent was obtained, the patient was taken to the
operating room, where he was prepped and draped in a fashion. The VAC machine
was disconnected. The wound was malodorous. Tissue was debrided the total size is
now 150 sq cm prepped and ready. Skin was harvested at 15/1000 th of an inch, at
the patient’s request, from the trunk. An epinephrine-soaked gauze, 1/10,000
dilution, as well as Maracaine 0.5% with1:200,000 dilution of epinephrine, was
applied to the wound. Injection around the donar site was carried out with the same
Marcaine solution. Marcaine 0.5% with 1:200,000 dilution of epinephrine was
infiltrated around the left upper leg. Next , the skin graft was meshed at a 1.5:1
ratio. The skin graft, 150 sqcm, was applied to the left upper leg and a 4-0 chronic
surface was used. Next the VAC sponge was placed over the skin graft. The skin graft
area was secured with stiomahesive dressing around the edge. The patients donor
site was dressed with xeroform gauze and a Telfa, Kerlix gauze, ABD, and tape. The
patient tolerated the procedure well and left the operating room in good condition.
Needle and sponge counts were correct. How would you report the professional
services for this case ? 1 point
a. 15004, 15005-51, 15273-51, 15274-59
b. 15002,15100,15101-51
c. 15004, 15005, 15273, 15274
d. 15100, 15101, 15002-51,
Q-. Dr. Dan completed a 2.4 cm simple defect closure to the excision on the arm and
a 10.4 cm intermediated wounddefect closure to the leg. How would the closures be
reported ? 1 point
a. 12034, 12002-59
b. 12034’12002, 12045
c. 12034, 12001-59
d. All closures are bundled with excision procedu
Q- A patient has a pressure ulcer on his left ischial tuberosity. After examination a
decision ismade to complete debridement. The documented area debrided is 32 sq
cm, including muscleand subcutaneous tissue. How should you report this service? 1
point
a. 97597-LT, 97598-LT-51
b. 11044-LT, 11047-LT-51
c. 11043-LT, 11046-LT
d. 11043-LT, 11046-LT, 97597-LT-59, 97598-LT-51
106. Roger, a 28-year-old patient, was hit by a car while riding his bike. After two
days in acoma, he was pronounced brain dead. His family, following Roger’s wishes,
consented to theharvesting of his vital organs. Dr. Malley, an anesthesiologist,
provided anesthesia for theseprocedures. How should Dr. Malley report her
service(s)? 1 point
a. 01999-AA-P5
b. 01990-QX-P6
c. 01990-AA-P6
d. Bundled with procedure

102. James, a 74-year-old patient who has severe hypertension that is difficult to
manage, cut his lower right leg while water skiing. He suffered a deep open wound
of the right lower leg with exposed fibula due to the injury. He underwent an
emergency muscle flap repair with grafts from his right thigh to the right lower leg
to repair the open defect. This case required general endotracheal anesthesia with
medical necessity for both an anesthesiologist and an independently acting CRNA.
What anesthesia codes should Dr. Smith, the anesthesiologist, andJane, the CRNA,
report? 1 point
a. Dr. Smith: 01480-P3, 99100, 99140-51; Jane: 01480-P3, 99100, 99140-51
b. Dr. Smith: 01470-QZ-P3, 99100-51; Jane: 01470-AA-P3, 99100-51
c. Dr. Smith: 01480-AA-P3, 99100, 99140; Jane: 01480-QZ-P3, 99100, 99140
d. Dr. Smith: 01470-AA-P3, 99100, 99140; Jane: 01470-QZ-P3, 99100, 99140

100. A healthy 32-year-old patient required an urgent vaginal hysterectomy


following delivery ofher third baby.What anesthesia code(s) should you report for
this case? 1 point
a. 01962-P1, 01969-51
b. 01967-P1, 01969
c. 01963-P1
d. 01962-P

124. A patient had an inconclusive HIV test. Which diagnosis code is used to report
this finding ? 1 point
a. R76.9
b. B20
c. R75
d. Z2

75. A surgeon performed aa Joplin procedure with tendon transplants under general
anesthesia for a healthy 35-year old patient. How would the surgeon report his
services for both the surgery and anesthesia in this case ? 1 point
a. 01470-P2, 99140
b. 01470-P1
c. 01470-P1, 28294-51
d. 28899

74. Dr.Myron, an anesthesiologist, performed general anesthesia for a Walsh


modified radical prostatectomy on a74-year old male patient with mild
hypertension. Which codes capture the services performed by Dr.Myron ? 1 point
a. 55810,00865-P2
b. 00865-P2
c. 00865,99100- P2
d. 99100,55810-51.00865-51

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