Test Bank for Understanding Current Procedural Terminology and HCPCS Coding Systems 6th Edit

Test Bank for Understanding Current Procedural

Terminology and HCPCS Coding Systems 6th Edition
by Bowie

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Name: Class: Date:

Chapter 07 Respiratory System

1. Dr. Smith determined that John Jones has an accumulation of fluid in the chest cavity. The doctor surgically punctured
through the space between John’s ribs, using an aspirating needle to withdraw the fluid from the chest cavity. This
procedure is known as a ____.
a. pleurodesis
b. thoracentesis
c. thorax puncture
d. thoracotomy
ANSWER: b
QUESTION TYPE: Multiple Choice

2. Robin was admitted to the hospital due to an accumulation of fluid in his lungs. To remove the fluid, Dr. Thomas
passed an aspiration needle over the top of a rib and punctured through the chest, entering the pleural cavity, and then
directed the needle into the fluid area of the lung, withdrawing the fluid. This procedure is known as a ____.
a. pleurectomy
b. pneumonectomy
c. pneumocentesis
d. pleurocentesis
ANSWER: c
QUESTION TYPE: Multiple Choice

3. Using the CPT manual, determine which of the following codes would generally require the facilities available in a
hospital setting.
a. 30300
b. 30110
c. 30115
d. 30200
ANSWER: c
QUESTION TYPE: Multiple Choice

4. Using the CPT manual, determine which of the following codes does not code an excisional procedure.
a. 30000
b. 30110
c. 31400
d. 32400
ANSWER: a
QUESTION TYPE: Multiple Choice

5. Which of the following procedures would not be coded using a code from the respiratory system codes?
a. Arytenoidectomy
b. Excision of skin of the nose
c. Chemical pleurodesis
d. Intranasal biopsy
ANSWER: b
QUESTION TYPE: Multiple Choice
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Chapter 07 Respiratory System

6. Sam Smith returns today to see Dr. Jones because of a nasal hemorrhage that has not been controlled by previous
posterior nasal packs inserted two days ago. Today, Dr. Jones placed posterior nasal packs and cauterized the posterior
area. Select the appropriate CPT code.
30901 Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method
30903 Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method
30905 Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial
30906 Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent
a. 30901
b. 30903
c. 30905
d. 30906
ANSWER: d
QUESTION TYPE: Multiple Choice

7. Which of the following codes reports a procedure completed to repair the nose?
a. 30100
b. 30124
c. 30430
d. 30915
ANSWER: c
QUESTION TYPE: Multiple Choice

8. Which of the following statements is false when describing an extensive nasal polyp excision?
a. The polyp’s shape can be very irregular and make the polyp more difficult to remove.
b. The number of polyps present may require more skill and effort for removal, making the excision more
extensive.
c. The physician should document that the removal was extensive and describe the excision to justify the
selection of the extensive code.
d. The CPT manual does not differentiate between simple or extensive nasal polyp excisions.
ANSWER: d
QUESTION TYPE: Multiple Choice

9. Which of the following statements is true?

a. All CPT codes in the respiratory system are considered bilateral procedures.
b. Modifier 50 is added to codes to report a bilateral procedure.
c. Modifier 50 is added to codes to report a unilateral procedure.
d. Modifier 50 is not used when reporting procedures completed in the ambulatory surgery setting.
ANSWER: b
QUESTION TYPE: Multiple Choice

10. Dr. Smith completed an ethmoidectomy. He removed the sinus located ____.
a. within the frontal bone behind the eyebrows
b. between the eyes
c. directly behind the nose at the center of the skull
d. below the eye and lateral to the nasal cavity
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Chapter 07 Respiratory System

ANSWER: b
QUESTION TYPE: Multiple Choice

11. Growths in the nasal cavity, known as nasal ____________________, are commonly associated with rhinitis.
ANSWER: polyps
QUESTION TYPE: Completion

12. A surgical procedure in which an incision is made along one side of the nose is known as a(n)
____________________.
ANSWER: rhinotomy
QUESTION TYPE: Completion

13. Most rhinoplasty codes are considered ____________________, and third-party payers may not reimburse for the
procedure.
ANSWER: cosmetic
QUESTION TYPE: Completion

14. An initial rhinoplasty is also called a(n) ____________________ rhinoplasty.

ANSWER: primary
QUESTION TYPE: Completion

15. Surgical removal of the larynx is called a(n) ____________________.

ANSWER: laryngectomy
QUESTION TYPE: Completion

16. A rhinectomy in CPT is differentiated by the terms partial or ____________________ removal.

ANSWER: total
QUESTION TYPE: Completion

17. When a rhinoplasty includes a major septal repair, the procedure is known as a(n) ____________________.
ANSWER: septoplasty
QUESTION TYPE: Completion

18. Dr. Smith examined Tom Thomas’s nasal area. Dr. Smith noted a narrowing of the nasal vestibule. This condition is
known as nasal vestibular ____________________.
ANSWER: stenosis
QUESTION TYPE: Completion

19. Dr. Jones suspects that Sally Song has a tumor on her larynx. To directly view the tumor, he uses a laryngoscope. This
procedure is known as a direct ________________.
ANSWER: laryngoscopy
QUESTION TYPE: Completion

20. Dr. Might needs to view the bronchi of his patient. He will be completing a bronchoscopy to complete this. He is
inserting a rigid bronchoscope, also known as a(n) ____________________ bronchoscope, through the mouth to view the
bronchi.

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Chapter 07 Respiratory System

ANSWER: open-tube
QUESTION TYPE: Completion

Match the term with the correct definition.

a. Pharynx
b. Sinus
c. Bronchus
d. Lungs
e. Larynx
f. Trachea
QUESTION TYPE: Matching

21. The voice organ that connects the pharynx to the trachea
ANSWER: e

22. A tubular structure that extends from the base of the skull to the esophagus
ANSWER: a

23. A cavity located in the skull close to the paranasal area

ANSWER: b

24. Large air passages in the lung through which air is inhaled and exhaled
ANSWER: c

25. A tube-shaped structure in the neck that extends from the larynx to the bronchi
ANSWER: f

26. A pair of organs located in the thorax

ANSWER: d

Match the sinus with its anatomical location.

a. ethmoid
b. frontal
c. sphenoid
d. maxillary
QUESTION TYPE: Matching

27. Located below the eye and lateral to the nasal cavity
ANSWER: d

28. Located between the eyes

ANSWER: a

29. Located directly behind the nose at the center of the skull
ANSWER: c

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Chapter 07 Respiratory System

30. Located with the frontal bone behind the eyebrows
ANSWER: b

31. Using the CPT manual, select the appropriate code for the following procedural statement.
Pneumonostomy with open drainage of cyst
Enter code ________________
ANSWER: 32200
QUESTION TYPE: Completion

32. Using the CPT manual, select the appropriate code for the following procedural statement.
Diagnostic direct laryngoscopy with tracheoscopy for 2-day-old female
Enter code ________________
ANSWER: 31520
QUESTION TYPE: Completion

33. Using the CPT manual, select the correct code for the destruction of an intranasal lesion using an external approach.
Enter code ________________
ANSWER: 30118
QUESTION TYPE: Completion

34. Timmy Jones was brought to Dr. Wright’s office. His mother told the physician she thinks Timmy has an object
lodged in his nose. Dr. Wright examined Timmy and found a small object in Timmy’s left intranasal area. Dr. Wright
removed the object. Using the CPT manual, select the correct code to use for the removal of the object.
Enter code ________________
ANSWER: 30300
QUESTION TYPE: Completion

35. Using the CPT manual, select the appropriate code for the following procedure.
Dr. Smith has determined that Mary has a 0.4-cm area of diseased tissue in her left ethmoid sinus that needs to be excised.
Dr. Smith, using an intranasal approach, placed topical agents on the nasal mucosa to shrink the blood vessels. Local
anesthesia was injected, and he retracted the middle turbinate to expose the sinus opening. A small curette was advanced
to locate the diseased ethmoid cells of the anterior sinus. The diseased cells were removed.
Enter code ________________
ANSWER: 31200
QUESTION TYPE: Completion

36. Using the CPT manual, select the appropriate code for the following procedural statement.
Sphenoid sinusotomy with biopsy
Enter code ________________
ANSWER: 31050
QUESTION TYPE: Completion

37. Using the CPT manual, select the appropriate code for the following procedural statement.
Thoracoscopy of pericardial sac with biopsy
Enter code ________________
ANSWER: 32604
QUESTION TYPE: Completion

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Chapter 07 Respiratory System

38. Using the CPT manual, select the appropriate code for the following procedural statement.
Thoracotomy for biopsy of pleura
Enter code ________________
ANSWER: 32098
QUESTION TYPE: Completion

39. Using the CPT manual, select the appropriate code for the following procedural statement.
Repair of lung hernia through chest wall
Enter code ________________
ANSWER: 32800
QUESTION TYPE: Completion

40. Using the CPT manual, select the appropriate code for the following procedural statement.
Lysis of intranasal synechia
Enter code ________________
ANSWER: 30560
QUESTION TYPE: Completion

41. Dr. Smith took Sally Right to the operating room to perform a therapeutic fracture of the nasal inferior turbinate.
Using the CPT manual, select the appropriate code for this procedure.
Enter code ________________
ANSWER: 30930
QUESTION TYPE: Completion

42. Dr. Tin performed a diagnostic internal evaluation of the nose using a rigid fiberoptic endoscope. The endoscope was
placed in the nose, and an inspection of the internal nasal structures was completed. Using the CPT manual, select the
appropriate code for this procedure.
Enter code ________________
ANSWER: 31231
QUESTION TYPE: Completion

43. Using the CPT manual, select the appropriate code for the following procedural statement.
Maxillectomy with orbital exenteration
Enter code ________________
ANSWER: 31230
QUESTION TYPE: Completion

44. Dr. Long has determined that Robin Jones has optic nerve compression. Dr. Long completed a nasal endoscopy to
perform an optic nerve decompression. Using the CPT manual, select the appropriate code for this procedure.
Enter code ________________
ANSWER: 31294
QUESTION TYPE: Completion

45. Paul Ting was brought into the ER following a motor vehicle accident. He is having difficulty breathing due to
injuries sustained in the accident. The ER physician performed an emergency endotracheal intubation. Using the CPT
manual, select the appropriate code for this procedure.
Enter code ________________
ANSWER: 31500
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Chapter 07 Respiratory System

QUESTION TYPE: Completion

46. Using the CPT manual, select the appropriate code for the following statement.
Rigid fiberoptic laryngoscopy with stroboscopy
Enter code ________________
ANSWER: 31579
QUESTION TYPE: Completion

47. Dr. Won performed a rigid bronchoscopy with fluoroscopic guidance with bronchial thermoplasty for one lobe. Select
the appropriate CPT code for this procedure.
Enter code ________________
ANSWER: 31660
QUESTION TYPE: Completion

48. Using the CPT manual, select the appropriate procedure code for the following procedure.
Procedure: Laryngoplasty, medialization, unilateral
Enter code ________________
ANSWER: 31591
QUESTION TYPE: Completion

49. Sally Jones had a previous tracheostomy incision. Dr. Smith performed a tracheobronchoscopy through the previous
incision. Using the CPT manual, select a code for the tracheobronchoscopy.
Enter code ________________
ANSWER: 31615
QUESTION TYPE: Completion

50. Using the CPT manual, select the appropriate code for the following procedure.
Wendy Time is an 18-month-old child with a tracheal anomaly. Dr. Long performed a tracheostomy.
Enter code ________________
ANSWER: 31601
QUESTION TYPE: Completion

51. Using the CPT manual, select the appropriate code for the following procedure.
Drainage of hematoma of the nasal septum
Enter code ________________
ANSWER: 30020
QUESTION TYPE: Completion

52. Using the CPT manual, select the appropriate code for the following procedure.
Lateral rhinotomy for foreign body removal
Enter code ________________
ANSWER: 30320
QUESTION TYPE: Completion

53. Using the CPT manual, select the appropriate code for the following procedure.
Maxillectomy
Enter code ________________
ANSWER: 31225
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Chapter 07 Respiratory System

QUESTION TYPE: Completion

54. For the code range 31231 to 31294, list the codes that are separate procedure codes.
Enter codes ________________and ________________
ANSWER: 31231 31237
QUESTION TYPE: Completion

55. Using the CPT manual, select the appropriate code for the following procedure.
Percutaneous needle biopsy of mediastinum
Enter code ________________
ANSWER: 32405
QUESTION TYPE: Completion

56. Using the CPT manual, select the appropriate code for the following procedure.
Percutaneous tracheal puncture with transtracheal injection
Enter code ________________
ANSWER: 31612
QUESTION TYPE: Completion

57. Using the CPT manual, select the appropriate code for the following procedure.
Rhinoplasty of the lateral and alar cartilages with elevation of nasal tip
Enter code ________________
ANSWER: 30400
QUESTION TYPE: Completion

58. Using the CPT manual, select the appropriate code for the following procedure.
Partial rhinectomy
Enter code ________________
ANSWER: 30150
QUESTION TYPE: Completion

59. Using the CPT manual, select the appropriate code for the following procedure.
Insertion of nasal septal button
Enter code ________________
ANSWER: 30220
QUESTION TYPE: Completion

60. Using the CPT manual, select the appropriate code for the following procedure.
Intranasal repair choanal atresia
Enter code ________________
ANSWER: 30540
QUESTION TYPE: Completion

61. Using the CPT manual, select the appropriate code for the following procedure.
Extranasal ethmoidectomy total
Enter code ________________
ANSWER: 31205

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Test Bank for Understanding Current Procedural Terminology and HCPCS Coding Systems 6th Edit

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Chapter 07 Respiratory System

QUESTION TYPE: Completion

62. Using the CPT manual, select the appropriate code for the following procedure.
Complex tracheostoma revision with flap rotation
Enter code ________________
ANSWER: 31614
QUESTION TYPE: Completion

63. Using the CPT manual, select the appropriate code for the following procedure.
Carinal reconstruction
Enter code ________________
ANSWER: 31766
QUESTION TYPE: Completion

64. Using the CPT manual, select the appropriate code for the following procedure.
Percutaneous needle biopsy of pleura
Enter code ________________
ANSWER: 32400
QUESTION TYPE: Completion

65. Using the CPT manual, select the appropriate code for the following procedure. Cricotracheal resection
Enter code ________________
ANSWER: 31592
QUESTION TYPE: Completion

66. Using the CPT manual, select the appropriate code for the following procedure. Laryngoplasty for laryngeal stenosis
with graft for 9 year old
Enter code ________________
ANSWER: 31551
QUESTION TYPE: Completion

67. Using the CPT manual, select the appropriate code for the following procedure. Partial laryngectomy horizontal
Enter code ________________
ANSWER: 31370
QUESTION TYPE: Completion

68. Using the CPT manual, select the appropriate code for the following procedure. Flexible laryngoscopy with
destruction of lesion with laser, unilateral
Enter code ________________
ANSWER: 31572
QUESTION TYPE: Completion

69. For the code range 31615 to 31651, list the codes that are add-on codes.
ANSWER: 31627, 31632, 31633, 31637, 31649, 31651
QUESTION TYPE: Essay

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