we’ll be having CPC practice questions that can help you pass your exam I welcome you to the first episode of the medical coding game [Music] thank you please hit that like And subscribe button for more updates about the medical coding world and here are the Categories for this game first we have diagnosis Mania all about icd-10-cm coding next is skin to skin. Free CPC Mock Test 2024, Free CPC Practice Exam PDF 2024
We’ll be covering topics from your 10 000 series third is bone and tone your 20 000 series questions third is or fourth is we then breathe out all about respiratory system the next one is my heart will go on all about your cardiovascular system and lastly we have Mission digestion all About digestive system the first category that we’ll be discussing today is diagnosis Mania all about icd-10-cm coding here is your first question you can pause the video if you want to answer this one to find the answers in your book right timer Starts Now what is used in icd-10-cm when two conditions cannot occur together example is congenital versus acquired of the same condition Foreign all right so let’s answer this question all right so this one requires you to check. Free CPC Mock Test 2024, Free CPC Practice Exam PDF 2024
Where if you memorize your guidelines in the icd-10-cm book it’s fine but the easiest way out to get this question correctly is by simply checking your what guideline section under your convention check section A all right so go right here under your excludes notes so under your excludes notes guys you just have to check for these two types Of excludes no you have your excludes one and excludes two but most of the guidelines and questions will appear from this guideline right here under excludes one so basically if a certain code has excludes one notes under it right that means you cannot code them together all right so it’s written here in capitalized later the book is like shouting to you not quoted here so it indicates that these two conditions cannot occur together at the Same time you can query the provider if the doctor thinks that the circumstance when the two conditions are unrelated to each other all right but again if it’s not clear always query the provider but basically. Free CPC Mock Test 2024, Free CPC Practice Exam PDF 2024
If you have excludes one note you cannot code them together okay congratulations on your first question so the answer for this one is letter what is excludes one that’s going to be letter c all right so let’s not proceed to the Next one all right so this is going to be worth 400 this money is just imagination okay I will not be providing your price of course right of course the learning is enough okay for this episode itself so let’s now proceed to your second question I a 27 year old man is experiencing headache with dizziness the provider documents auditory vertigo of the left ear the doctor diagnosed possibility of Meniere’s disease so what are or is the diagnosis you will be reporting for today timer Starts Now okay let’s now answer this question so few things to check here what is the chief complaint that’s going to be headache and dizziness the doctor or documented auditory vertigo of which part the left ear so take note laterality is important in your icd-10-cm coding all right so again it will be indicated if it’s left Right or both ears in some cases but let’s check the doctor diagnosed possibility of Meniere’s disease things or terms like possibility possible probable maybe I’m not sure 50 percent so those are terms of uncertainty right if the doctor is uncertain with the diagnosis itself it cannot be coded all right so therefore you can go to either the signs and symptoms present or the more specific code here or the more specific diagnosis which is auditory Vertigo all right now you have R codes here r42 and r51. 9 which are your headache and dizziness so eliminate these two right here most probably will eliminate letter D as well because it’s uh added and coded with your h81 point zero two here which is your Meniere’s disease Meniere’s disease will not be coded because it’s your possible diagnosis only for this day please take that into consideration eliminate this You will be left with age 81. 312 all right so that’s going to be your oral vertical or auditory vertical of the left ear this is very important laterality is a must for this type of questions congratulations for getting this question correctly all right that’s gonna be worth 400 dollars all right so let’s now proceed to the third question worth six hundred dollars a single view x-ray is performed for pain in the right index finger this is The first time the patient visited this provider the Radiology report shows a fractured proximal phalanx that is dislocated timer starts [Music] all right let’s now check the answer okay so for this one guys all you need to do is to check what happened what’s the chief complaint you have your pain in the right index finger so take note guys That if it’s about the musculoskeletal system uh injuries like this you just have to check the specific part all right wherein the injury happened so or the condition is happening so you have your pain in the right index finger and then check the result of the Radiology here you have fractured proximal Phalanx that is dislocated but before we go to your answer I just want to show something here so go to your icd-10-cm guidelines and locate in the same Paragraph of your guidelines for letter C coding of traumatic factors under chapter 19. Free CPC Mock Test 2024, Free CPC Practice Exam PDF 2024
a fracture not indicated as closed or open should be coded to closed and a fracture not indicated whether this place or not display should be coded to this place so do not forget about this important guideline here all right so you have a patient here who has fractured proximal Phalanx that is dislocated so it was not mentioned here if it’s displaced or not displaced so You will be coding this one as this place according to the guideline that I have shown you earlier all right placed proximal Phalanx fracture okay now let’s go and check your letter A here it looks like letter B is out because if you have this location in fracture of the same sides the same scenario you just have to code your fracture all right which is a more severe case than your dislocation so Eliminate letter B here let’s go to letter A as 62. 640 all right your s62. 640 is you’re not the non-displaced fracture of the proximal Phalanx number one it’s uh mentioned here as non-displaced so as I’ve told you guys it’s a displaced fracture we’ll be coding here so we will be eliminating letter A all right although it’s not listed it’s not Written it’s displaced but that’s the default okay that’s the guideline let’s go to your letter c s 62. Free CPC Mock Test 2024, Free CPC Practice Exam PDF 2024
6 10A all right let’s just say then eliminates letter B here okay all right at 62. 6 10A so let’s go a little bit backwards this place fracture yes is it proximal phalix yes is it right index finger yes so go Everything is complete proximal pharynx of the right index finger which is this place so we’ll choose letter c so congratulations for getting that 600 so let’s now proceed to the fourth question is in the facility today for a screening system your arthroscopy to detect cancer the provider found the polyp in the bladder and removed it immediately so what’s the code that should be reported timer starts you can pause the video Here okay so let’s now answer this question all right so you have a patient who is here for a screaming procedure take note that if the chief complaint is screening all right you may have to code your Z codes here even though there’s a definite diagnosis that was found for example in this case there’s a polyp that was found all right because according to the guidelines of your Zed codes all right so all right if it’s a Screening procedure that’s done all right for that patient if it’s the chief complaint of the patient rather than going there for a diagnostic testing which is different from screening all right so code your Z codes if the screening exam is planned all right so please take note of that just like in the question earlier all right the screening procedure was done if all right if there is a finding of the doctor for the screening procedure that Was done you will be coding that as your second daddy diagnosis so please take note of that okay all right so you have some Z codes here under letter a c and b so you have Z 12. 6 all right versus your d41. Free CPC Mock Test 2024, Free CPC Practice Exam PDF 2024
4 here so again if you will check letter b it’s totally out because the reason for visit is screening right and we will definitely eliminate letter d because it’s a standalone code there was a finding of the doctor here called the Pollen right so the only question here that you need to ask again compare letter a and letter C is the sequence you have the 41. 4 here which is for polyp right of the bladder which should not be coded as your initial diagnosis because there is a planned screening visit of this patient although there was a finding diagnosed by a doctor so you will be coding and choosing letter C for this case all right so I hope it’s clear guys take note of that so we have this Should a condition be discovered during the screening then the code for the condition may be assigned as your additional diagnosis okay let’s now proceed to your fifth and final question for one thousand dollars all right here is your question a patient underwent abdominal aortic aneurysm repair last week and percents day with post-op congenital heart failure what’s the code that you will Report for this visit timer starts [Music] all right you can unpause the video so let’s find out what’s the answer and how it should be solved okay you have to check what’s the current condition of the patient today not the condition that was treated long time ago or just last week just like what we have in this scenario we have abdominal aortic aneurysm but it was Repaired last week and there’s no evidence that the patient has it today all right so that’s number one reminder for this scenario okay now let’s check uh your CHF or congestive heart failure code all right we can find that under I 50. 9 if you will check your tabular index okay so i50. Free CPC Mock Test 2024, Free CPC Practice Exam PDF 2024
9 is your CHF so that’s going to be your code that will assign however are we going to code it as a standalone code or should we code the past condition of This patient or if there’s any status code or any type of previous abdominal aortic aneurysm diagnosis that we can find from the choices take note guys that if it’s a cardiovascular procedure some codes might appear in your I codes even though it was repaired already last week right or if there’s some sort of complications that arised okay from that specific condition that happened before but let’s check your i-97. 121 real quick okay Your i-97 codes are let’s check okay intra operative or post-procedural complications now let’s check i-97. 121 all right post procedural cardiac arrest following other surgery is it Cardiac Arrest that happened or if you go here at the bottom you have your i-97.
13 post procedural heart failure all right so following other surgery that other surgery was your abdominal Aortic aneurysm repair all right so we can eliminate this right it’s codable for the post-op complication because that is the reason why all right the patient has congestive heart failure as explained under this word right here okay so if you will check i-97. 131 you can see i-97. 131 on both choices so you have your CND here however there’s a code here i71. Free CPC Mock Test 2024, Free CPC Practice Exam PDF 2024
4 so just simply go to i-71. 4 which has this pack of course it’s The abdominal aortic aneurysm but it’s already repaired last time right so you don’t have to code it anymore today because all you need to do is decode the complication plus the reason or the complication code which is your i-97.
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