(A patient presents to the urgent care facility with multiple burns acquired while burning debris in his backyard. After examination the physician determines the patient hasthird-degree burns of the left and right posterior thighs (10%). He also hassecond-degree burnsof theanterior portion of the right side of his chest wall (8%)andupper back (6%).TBSA is 24%withthird-degree burns totaling 10%. What ICD-10-CM codes are reported, according to ICD-10-CM coding guidelines?)
Correct Answer: D
Burn coding requires (1) code each burn site bylocation, laterality, and degree, and (2) add aTBSAcode when appropriate. The patient hasthird-degree burnsof both thighs (right and left), so the correct site/degree codes areT24.311A(third-degree burn of right thigh, initial encounter) andT24.312A(third-degree burn of left thigh, initial encounter). He also hassecond-degree burnsof the right anterior chest wall and the upper back, reported withT21.21XA(second-degree burn of chest wall, initial encounter) andT21.23XA(second-degree burn of back wall, initial encounter). TBSA is24%(falls in the 20-29% category), andthird-degree is 10%(falls in the 10-19% third-degree category), so the correct TBSA code isT31.21. Option D matches the required site /degree codes and the correct TBSA/third-degree percentage code pairing.
CPC Exam Question 197
A woman at 36-weeks gestation goes into labor with twins. Fetus 1 is an oblique position, and the decision is made to perform a cesarean section to deliver the twins. The obstetrician who delivered the twins, provided the antepartum care, and will provide the postpartum care. What CPT coding is reported for the twin delivery?
Correct Answer: D
* Cesarean Delivery with Antepartum and Postpartum Care: The procedure involved the cesarean section delivery of twins, including antepartum and postpartum care. * CPT Code 59510: This code is used for routine obstetric care including antepartum care, cesarean delivery, and postpartum care. The code is not reported per fetus but per delivery, even when delivering multiples. References: * AMA's CPT Professional Edition (current year)
CPC Exam Question 198
(What doesNCCIstand for, and what is its purpose?)
Correct Answer: D
NCCIstands for theNational Correct Coding Initiative. Its purpose is to promote correct coding by identifying code pairs that shouldnotbe reported together in most circumstances, helping preventunbundlingand improper payment. The NCCI includesProcedure-to-Procedure (PTP) editsand guidance that reflect common clinical coding conventions (for example, when one service is considered integral to another). Importantly, NCCI edits do not "eliminate the need for modifiers"; rather, they clarify when a modifier (such as-59or an appropriate X{EPSU} modifier) may be allowedonly whendocumentation supports that the services were truly distinct (different site, session, lesion, or other qualifying circumstance). Options A and C incorrectly name the initiative and misstate its function, and option B is not the correct expansion or purpose. For CPC exam readiness, understand NCCI as a primary Medicare edit set widely used as a reference by many payers, supporting consistent and accurate reporting and reducing payment errors.
CPC Exam Question 199
A patient undergoes lumbar puncture with catheter placement under CT guidance to drain CSF. What CPT coding is reported?
Correct Answer: B
62272 = Lumbar puncture with catheter for CSF drainage 77012 = CT guidance for needle placement
CPC Exam Question 200
A patient presents with fever, cough, SOB, and a recent history of COVID-19. A PCR test was positive for COVID-19. The provider documents a final diagnosis of "pneumonia with history of COVID-19." What ICD-10-CM coding is reported?
Correct Answer: A
The provider documents history of COVID-19, not active COVID-19. Z86.16 = Personal history of COVID-19 J18.9 = Pneumonia, unspecified organism Codes U07.1 and U09.9 are for current or post-COVID conditions, which are not documented here. Therefore, A is correct.
