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RESPIRATORY SYS- MED CODING {"THEORY" EXAM REVIEW}

  1. The 3 Coding Rules for:
    * SITE
    * ENDOSCOPIC PROCEDURES...
    • Rule #1: Extent
    • Rule #2: Approach
    • Rule #3: Surgical Endoscopy Always includes Diagnostic Endoscopy
  2. *Multiple Procedures R:
    • Bundled Serv's
    • - 51{Modifier}
    • Frequent Procedures
  3. *BILATERAL PROCEDURES R:
    • - FORMAT
    • - USE OF -50 or RT/LT(Medicaid)
  4. *LARYNGOSCOPIC PROCEDURE IS:
    * Direct-vs-Indirect
  5. *Procedures on the NOSE:
    1. Approaches
    2. Incision
    3. Excision
    • Approaches: Internal/External
    • Incision:
    • * Used 2 drain abscess or fluid
    • *Supplies "not incl'd"
    • Excision: IntraNasal Bx{Biopsy}
  6. *PACKING:
    • * GAUZE
    • * BALLOON
    • * CAUTERIZATION
    • * LIGATION
  7. TRUE OR FALSE
    A chest tube may be used as an indwelling method of raining the accumulated fluid in the plerual space? T or F
    "TRUE"
  8. Thoracoplasty is a procedure tht is perfomed 2 sep the inside of the chest cavity frm the lung 2 permit the collapse of the lung? T or F
    *FALSE*
  9. All sinus codes report bilateral procedures only? T or F
    *FALSE*
  10. When multiple procedures are performed through a scope during the same opeative session, only the major (most extensive) procedure should be reported. T or F
    *FALSE*
  11. A "direct" laryngoscopic proc means tht the physician uses a tongue depressor 2 hold the tongue dwn & view the epiglottis w/a mirror. T or F
    A surgical sinus endoscopy includes a sinusostomy (when appropriate) & diagnostic endoscopy.
  12. Endoscopic procedures R reported on the __ place(s) 2 which the scope is advanced?
    a. first

    • a) First
    • b. farthest
    • c. number of
    • d. surgical
  13. A diagnostic endoscopic preocedure is reported only when:
    • a.) *No surgical proc is performed during the same op session*
    • b.) a surgical procedure is performed during the same op session
    • c.) mulitiple surgical precideures r perfromed during the same op session
    • d.) no other code in tht section applies
  14. Bec. mst 3rd party payers dn't pay 4 cosmetic surgery, the phys mst carefully document __ 2 ensure reimbursement 4 non/cosmetic proc's



    B) Med. Nec
  15. Wht is the method tht a phys uses 2 control a nosebleed?



    • A) *All of the above*
    • *Packing
    • * Ligation
    • *Cauterization
  16. If the phys performs a lavage of the maxillary sinus, wht is he/she doing?
    • a) Washing the Maxillary Sinus
    • b) taking a bx w/in the maxillary sinus
    • c) opening the maxillary sinus
    • d) resahping the maxillary sinus
  17. Thoracentesis is performed w/draw fluid from the pleural space for a vairety of cond's incl???
    • a) Respiratory Failiure
    • b) atherosclerosis
    • c) renal failure
    • d) all of the abv
  18. Wht is a proc in which a scope is placed in/2 a bdy cavity???
    • a) indirect
    • b) open proc
    • c) Endoscopy
    • d) direct
  19. Which of the foll does not describe the Nasal Turbinates???
    • a) Exterior
    • b) superior
    • c) inferior
    • d) median
  20. The proc in which a scope is passed in/2 the Laynx & the phys can lk @ the Larynx is wht type of "Laryngoscopy"???
    • a) Indirect
    • b) inferior
    • c) direct
    • d) inferred
  21. In wht Surgery subsection wld u find the cde 4 the incision & drainage of a nasal abscess using an external approach 2 the abscess???
    • a) Integumentary Sys
    • b) Respiratory Sys
    • c) Evaluation & Management
    • d) Medicine
  22. Wht is the name of the proc in which mucus is removed frm the sinuses by flushing a saline solution through the sinus cavities???
    • a) dilation
    • b) drainage
    • c) endoscopy
    • d) Displacement
  23. This surgical proc is performed 2 reshape the nose???
    • a) bronchoplasty
    • b) pneumoplasty
    • c) Rhinoplasty
    • d) septoplasty
  24. Wht is the name of the surgical proc 4 the rearrangement of the nasal septum???
    • a) bronchoplasty
    • b) pneumoplasty
    • c) Septoplasty
    • d) rhinoplasty
  25. The term tht describes destruction by removing, usually by cutting, is:
    • a) laser
    • b) Ablation
    • c) bx
    • d) incision
  26. The term tht describes obtaining a tiss sample is:
    • a) laser
    • b) ablation
    • c) bx
    • d) incision
  27. Which modifier wld u use fi polyps were removed frm bth the left & right sides of the nose???
    • a) -50 or LT/RT
    • b) -21
    • c) -47
    • d) -54
Author
BrowneeE
ID
70965
Card Set
RESPIRATORY SYS- MED CODING {"THEORY" EXAM REVIEW}
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RESPIRATORY SYS- MED CODING {EXAM REVIEW}
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