COC 2020 - FINAL EXAM STUDY QUESTIONS AND ANSWERS 2023 WITH COMPLETE SOLUTION(SET 2)
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COC 2020 - FINAL EXAM STUDY QUESTIONS AND ANSWERS 2023 WITH COMPLETE SOLUTION(SET 2)
A 7 year-old female was seen in the ED after being bit by a dog. The child received treatment for the bite to her left leg. She also received a rabies vaccine because the dog was known to have rabies. What are t...
coc 2020 final exam study questions and answers 2023 with complete solutionset 2 a 7 year old female was seen in the ed after being bit by a dog the child received treatment for the bite to her
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COC 2020 - FINAL EXAM STUDY QUESTIONS AND
ANSWERS 2023 WITH COMPLETE SOLUTION(SET 2)
A 7 year-old female was seen in the ED after being bit by a dog. The child received
treatment for the bite to her left leg. She also received a rabies vaccine because the dog
was known to have rabies. What are the correct diagnosis codes for this patient
encounter?
S81.852A, Z20.3, Z23, W54.0XXA
A 7 year-old is seen in the outpatient clinic. Blisters have appeared on the face, with
some of them bursting open. After examination, the diagnosis is impetigo. What is the
correct diagnosis code for this visit?
L01.00
A 7 year-old patient with asthma was experiencing acute exacerbation of his condition.
The parents rushed their son to the emergency department where the ED physician
performed a midlevel E/M service. In addition, an albuterol treatment was performed.
When the patient was stabilized, he was released in good condition to his parents. What
modifier is appended to the E/M service for the facility?
25
A 70-year -old female patient presents with a complaint of left knee pain with weight
bearing activities. She is also developing pain at rest. She denies any recent injury.
There is pain with stair climbing and start up pain. AP, lateral and sunrise views of the
left knee are ordered and interpreted. The diagnosis is left knee pain secondary to
underlying primary degenerative arthritis. What ICD-10-CM code(s) is/are reported?
M17.12 M17.12,
A 70-year-old woman is evaluated in a clinic for symptoms of increasing claudication.
After noninvasive vascular studies were performed, the decision was made to proceed
with diagnostic angiography and possible angioplasty of the suspected left extern al iliac
artery stenosis. After normal preparation for the angiography procedure, the left
common femoral artery is punctured and the catheter is passed proximally into the left
external iliac artery . Images were then taken and an 85 percent stenosis was noted.
The decision was made to perform angioplasty. Using the Seldinger technique, the
angiography catheter was removed and an angioplasty catheter with a balloon diameter
of 8 mm was advanced into the left external iliac artery and into the lesion without
difficulty. After two inflations to 8 mm, the follow-up angiography was performed and
showed good flow across the lesion. Pressures measured confirm the adequacy of the
therapy and that there is no residual gradient.
37220, 75710-59, 170.212
A 71 year-old patient presents to the outpatient clinic at the local hospital with COPD,
congestive heart failure, and hypertension. After a comprehensive evaluation, the
physician adjusts to the patient's hypertension medication due to the hypertension being
uncontrolled. The patient's other conditions were stable. The patient is to follow-up in
two weeks. What ICD-10-CM codes are reported?
I11.0, I50.9, J44.9
A 72 year-old female sustained a left radius fracture, resulting in volar angulation, radial
shortening and loss of radioulnar inclination. General anesthetic was administered. A
, standard dorsal central approach to the wrist was made. The capsule was opened in a
T fashion and the malunion site was identified. A series of osteotomes was utilized to
open the fracture site and the normal distal radial architecture was restored. The pie-
plate was placed on the distal radius utilizing a combination of 2.0 and 1.8 screws and
threaded pins for the distal segment and 2.7 screws proximally. Fragments were
secured, and Norian SRS was packed into the defect and allowed to harden. With this
completed, the wounds were copiously irrigated with normal saline. Soft tissue was
closed over the plate and distal radius secured with 2-0 Vicryl. What CPT ® code is
reported?
25400-LT
A 74 year-old male Medicare patient was admitted to a trauma center ED. The
ambulance personnel notified the trauma center of expected time of arrival and gave
pertinent information on the patient's condition. Upon arrival the patient was examined
immediately by the ED physician. 2 hours and 40 minutes of critical care were provided
before the patient was transferred to another hospital for his head injury. In addition to
critical care services the following services were performed: intubation (31500), EKG
(93005), chest X-ray (71045), CT of cervical spine without contrast (72125), and CT of
the head without contrast (70450). The critical care did not include time for the
procedures provided. Report the facility services.
G0390, 99291-25, 99292-25 x 3, 31500, 93005, 71045, 72125, 70450
A 74 year-old man was admitted by ambulance to a rural hospital ED with severe
shortness of breath. Soon after admission the patient went into cardiac arrest. The ED
physician intubated the patient and he was placed on a ventilator. Critical care time was
65 minutes and the intubation (31500) was not included in the critical care time. EKG
(93005), chest X-ray (71045), and blood gases (82803) were performed. The patient
with known congestive heart failure was then transferred to a cardiac facility for acute
hypertensive heart failure with pulmonary edema. Report the facility ED services and
the ICD-10-CM code(s).
99291-25, 31500, 93005, 71045, 82803, I11.0, I50.1, 146.2
A 75 year-old male who is five days post-coronary bypass grafting, presents today to
the Emergency Department with an acute MI. He has no prior history of MIs. In the
hospital's cardiac catheterization unit, a cardiac catheterization reveals a fresh thrombus
in the saphenous vein graft. PTCA is performed in addition to removal of the thrombus
by aspiration. What are the correct CPT ® and ICD-10-CM codes for the procedure?
92941, T82.868A, I21.3, Z95.1
A 75 year-old Medicare patient with type I diabetes was admitted to the ED in a diabetic
coma from a pump breakdown, in which he received too much insulin. He was treated in
the ED and critical care time for the facility was 70 minutes. The patient was transferred
to Observation for 8 hours prior to discharge. Report the facility charge and the
diagnoses.
99291, G0378 x 8, T85.614A, T38.3X1A, E10.641
A 78 year-old female patient suffering from rheumatic arthritis and myopathy presents to
the clinic's physical therapy department for 30 minutes of ultrasound treatments to the
right hand with the physical therapist in continual attendance. What CPT ® and ICD-10-
CM codes are reported for this service?
97035 x 2, M05.441
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