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AAPC-CPC Chapter 15 questions with 100% correct answers rated A+
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AAPC-CPC Chapter 15 What ICD-10-CM code is reported for mild no proliferative diabetic retinopathy with macular edema? - correct answer E11.3219 Response Feedback: Rationale: In the ICD-10-CM Alphabetic Index look for Diabetes/type 2/with/retinopathy/no proliferative/mild/with macular edema and ...

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  • November 22, 2023
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  • 2023/2024
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AAPC-CPC: Chapter 15
What ICD-10-CM code is reported for mild no proliferative diabetic retinopathy with macular edema? - correct answer E11.3219
Response Feedback: Rationale: In the ICD-10-CM Alphabetic Index look for Diabetes/type 2/with/retinopathy/no proliferative/mild/with macular edema and you are directed to E11.321-. The Category E11.- indicates the type of diabetes. Since the type is not indicated, the default is type 2 per ICD-10-CM guideline I.C.4.a.1. Verify code selection in the Tabular List. The code requires a 7th character to identify the eye involved. Because the laterality of the eye is not indicated in the question, use the 7th
character 9 for unspecified eye.
What ICD-10-CM code is reported for suppurative otitis media in the right ear? - correct answer H66.41
Response Feedback:Rationale: Look in the ICD-10-CM Alphabetic Index for Otitis/media/suppurative which directs you to H66.4-. In the Tabular List a 5th character is required to identify the laterality.
A surgeon performed a cataract extraction with an intraocular lens implant on the right eye of a Medicare patient. What modifier(s) would be reported? - correct answer RT
Response Feedback:Rationale: Modifiers RT and LT are used to identify procedures performed on paired organs such eyes, ears, breasts (excluding skin) or on sides of the body.
What ICD-10-CM code is used to report acute actinic otitis externa of the left ear? - correct answer H60.512
Response Feedback:Rationale: In the ICD-10-CM Alphabetic Index look for Otitis/externa/acute/actinic and you are directed to H60.51-. Verification in the Tabular List indicates a 5th character is reported for laterality. 5th character of 2 is for left ear.
What ICD-10-CM code(s) is/are reported for bilateral cataracts? - correct answer H26.9
What ICD-10-CM code is reported for left lower eyelid basal cell carcinoma? - correct answer C44.1192
The patient was taken to the operating room. The provider everts the upper eyelid and places clamps across the everted undersurface of the upper lid. The tissue distal to the clamps is excised or resected. This tissue includes conjunctiva, tarsus, Muller's muscle and the distal insertion of the levator aponeurosis. The remaining tissue is reattached and sutured. What CPT® code is reported? - correct answer 67908
A patient with a cyst like mass on his left external auditory canal was visualized under the microscope and a microcup forceps was used to obtain a biopsy of tissue along the posterior superior canal wall. What CPT® code is reported? - correct answer 69105-LT
Patient had an abscess in the external auditory canal which was incised and drained in the office. What CPT® code is reported? - correct answer 69020
What CPT® code is reported for a tympanoplasty with mastoidotomy and with ossicular chain reconstruction in the right ear? - correct answer 69636-RT
Rationale: In the CPT® Index look for Tympanoplasty/with Antrotomy or Mastoidotomy/with Ossicular Chain Reconstruction and you are directed to 69636. Append modifier RT to identify the procedure is performed on the right ear.
What CPT® code is reported for removal of foreign body from the external auditory canal without general anesthesia? - correct answer 69200
A patient had another recession strabismus procedure of the lateral rectus muscle. This muscle had previously been recessed during an operative session six months ago which resulted in scarring of the extraocular muscle. What CPT® code(s) is/are reported? - correct answer 67311, 67332
Response Feedback:Rationale: In the CPT® Index look for Strabismus/Repair/One Horizontal Muscle (the lateral rectus muscle is a horizontal muscle). You are directed to 67311. Strabismus surgery add-on code 67332 is used to indicate the procedure is performed on a patient with scarring of the extraocular muscles. The parenthetical note for this code states to use 67332 in conjunction with 67311-67318.
What information does ICD-10-CM add to many of the codes for eye disorders or injuries? - correct answer Laterality (eye affected).Rationale: ICD-10-CM lists many of the codes for eye disorders or injuries
based on which eye was affected (laterality - left, right, bilateral or unspecified).
To code for the operating microscope, what verbiage are you looking for in the medical record? - correct
answer The operating microscope was sterilely draped and brought into the surgical field.

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