The small intestine is divided into three parts. Which one of the following is NOT part of the small intestine?
Correct Answer: C
The correct answer is C. Cecum. The small intestine consists of three primary sections: * Duodenum * Jejunum * Ileum These parts collectively form the small intestine, responsible for digestion and absorption of nutrients. The duodenum is the first part, where food is mixed with bile and pancreatic enzymes to aid digestion. The jejunum follows, which is primarily involved in nutrient absorption, and the ileum is the final part of the small intestine, responsible for absorbing bile acids and vitamin B12. The cecum, however, is not part of the small intestine; it is the first part of the large intestine, specifically the beginning of the colon. It is situated at the junction between the small and large intestines. Thus, C. Cecum is the correct answer, as it is a structure of the large intestine, not the small intestine. Reference topics: Anatomy of the Digestive System; Small and Large Intestines
Question 42
A patient with end-stage renal disease (ESRD) receives hemodialysis 3x weekly in the office for one month. The nephrologist performs a comprehensive exam and supervises dialysis. What CPT and ICD-10-CM codes are reported?
Correct Answer: C
90960 = ESRD services, 4 or more visits/month N18.6 = End-stage renal disease Z99.2 = Dependence on renal dialysis
Question 43
Refer to the supplemental information when answering this question: View MR 000281 What anesthesia and diagnosis codes are reported for this case?
Correct Answer: D
CPT Code 00811: Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to the splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing This code is reported for anesthesia services provided during a colonoscopy that is diagnostic in nature. ICD-10-CM Code D62: Acute posthemorrhagic anemia This is the most accurate postoperative diagnosis. The operative report states "Anemia due to acute blood loss." ICD-10-CM Code N18.6: End stage renal disease This code captures the patient's documented history of ESRD. ICD-10-CM Code Z99.2: Dependence on renal dialysis This code is necessary to report the patient's dialysis status, as it affects the overall risk of the procedure. Why other options are incorrect: 00812: This code is for therapeutic colonoscopies, not diagnostic. D64.9: This code is for anemia, unspecified. D62 is more specific to the patient's condition. K62.5: This code is for lower gastrointestinal bleeding, but the anemia is the primary diagnosis in this case. Reference: CPT Code 00811: Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to the splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing ICD-10-CM Code D62: Acute posthemorrhagic anemia ICD-10-CM Code N18.6: End stage renal disease ICD-10-CM Code Z99.2: Dependence on renal dialysis AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.
Question 44
A patient returns for embryo transfer. The lab thaws cryopreserved embryos and cultures them for two additional days. What CPT coding is reported?
Correct Answer: A
89258 = Thawing of cryopreserved embryos 89250 = Culture of embryos, per day (reported once per encounter)
Question 45
(A female patient underwent a mastectomy on herleft breastlast year due to breast cancer. The surgery was successful in eliminating the cancer and no further treatment was required. However, a recent diagnosis now includes cancer thatmetastasized to her liver. What ICD-10-CM coding is reported?)
Correct Answer: B
When a prior malignancy has been eradicated and the patient is no longer receiving treatment for the primary site, ICD-10-CM directs you to use apersonal history of malignant neoplasmcode rather than an active primary cancer code. Here, the breast cancer was treated successfully last year and no further therapy was required, so the breast cancer ishistory, not active. The new current condition ismetastatic cancer to the liver, which is coded as asecondary malignant neoplasm of liver and intrahepatic bile duct (C78.7). Because the primary breast cancer is not documented as active or under current treatment, you donotcode an active breast malignancy (C50.-). Instead, you addZ85.3 (personal history of malignant neoplasm of breast)to show the prior cancer history relevant to the current metastatic disease. Option A incorrectly codes a primary liver cancer. Option C incorrectly codes active breast cancer. Option D codes metastasis to the adrenal gland, not the liver.
