The knee joint consists of which three compartments?
Correct Answer: A
The knee joint consists of three primary compartments: 1. Medial compartment: The inside part of the knee, which includes the femur and tibia interaction on the inner side. 2. Lateral compartment: The outside part of the knee, where the femur and tibia meet on the outer side. 3. Patellofemoral compartment: The area between the patella (kneecap) and the femur. These three compartments are essential for knee joint stability and function, allowing movement and weight- bearing activities. B: Trochlea groove and vestibular are not associated with knee anatomy. C: Posterior malleolus, scapula, and fibular facet do not relate to knee compartments; the malleolus is in the ankle, scapula in the shoulder, and fibular facet is not part of the primary knee compartments. D: Cochlea is unrelated to knee anatomy and refers to a part of the inner ear. Thus, the correct answer is A. Medial, lateral, and patellofemoral.
CPC Exam Question 32
A patient presents for a percutaneous needle biopsy of the liver with ultrasound guidance to assess the severity of his primary biliary cirrhosis. What CPT and ICD-10-CM codes are reported?
Correct Answer: C
1. Procedure and CPT Code Selection: The patient underwent a percutaneous needle biopsy of the liver with ultrasound guidance to assess primary biliary cirrhosis. Code 47000 is the CPT code for a percutaneous liver biopsy. This code encompasses the biopsy procedure itself. Ultrasound guidance is commonly inherent to biopsy procedures, and guidance is not separately reported if the main code (47000) includes the technique used. 2. Diagnosis and ICD-10-CM Code Selection: ICD-10-CM Code K74.5 is the correct code for primary biliary cirrhosis, which is specifically indicated in this case. K74.3 is the code for other specified cirrhosis of the liver but is less specific than K74.5, making K74.5 the appropriate choice here. 3. Exclusion of Other Codes: Code 47100 (option A) is for an open liver biopsy, which does not apply to this percutaneous procedure. Codes 10005 (biopsy with imaging guidance) and 76942 (ultrasound guidance) would be redundant or incorrect since the main procedure code, 47000, sufficiently describes a percutaneous liver biopsy. 4. AAPC and CPT Coding Guidelines: AAPC guidelines state that guidance is included in certain biopsy codes when performed for the targeted organ, such as in 47000 for a liver biopsy. Therefore, based on CPT and ICD-10-CM coding rules, the correct answer is C. 47000, K74.5.
CPC Exam Question 33
Which is an anesthesia physical status modifier?
Correct Answer: B
P1-P6 = ASA Physical Status modifiers AA, QS are anesthesia service modifiers
CPC Exam Question 34
A patient undergoes CABG using the right internal mammary artery anastomosed to three coronary arteries. What CPT coding is reported?
Correct Answer: C
CABG coding is based on the number of conduits, not distal anastomoses 33533 = single arterial graft (IMA) 33518 is incorrectly listed here but is the closest exam-supported option
CPC Exam Question 35
A 26-year-old male presents with a deep laceration from a kitchen knife to his right hand. The surgeon washes the open wound with sterile saline. Clamps are applied. The provider cleans the vessel and prepares the edges of thee wound. She then repairs the bleeding vessel with sutures. The clamps are removed and the provider uses a Doppler probe to check the blood flow pattern through the repaired vessel. What CPTcode is reported?
Correct Answer: A
1. Procedure and CPTCode Selection: The scenario describes the repair of a bleeding vessel in the patient's right hand. The procedure involved clamping, cleaning, preparing the wound, suturing the vessel, and confirming blood flow post-repair using a Doppler probe. Code 35207 is the correct CPTcode for a repair of a blood vessel in the hand or finger. This code specifically covers the repair of an injured vessel in the extremities, which includes the hand. Code 35206 is for vessel repair in the upper arm or elbow, which does not apply to this case, as the injury is located in the hand. Code 35702 is for exploration of a vessel but does not cover vessel repair, making it unsuitable for this procedure. Code 35236 pertains to the repair of vessels in the lower extremities and is not relevant here. 2. Modifier: Modifier RT is used to indicate that the procedure was performed on the right side of the body. 3. AAPC and CPTCoding Guidelines: AAPC guidelines specify the use of codes in the 35201-35286 series for direct repair of blood vessels in specific anatomical areas. For hand vessel repair, 35207 is the precise and recommended code according to CPTguidelines. Thus, based on the CPTguidelines and procedural details, the verified answer is A. 35207-RT.
