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25 Questions

1. What kind of conditions originating in the perinatal period does chapter 16 deal with?

43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substancePayment status indicators0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discnewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive

2. Pt dx w/L4-5 lumbar neuropathy and discogenic pain. Pt underwent percutaneous intradiscal electrothermal annuloplasty (IDET) in radiology suite. What ICD-10-PCS code should be used?

Payment status indicators0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discnewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance

3. Pt presents to facility for upper endoscopy implant of material into muscle of lower esophageal sphincter, so what is correct coding, seq of pt's record?

newborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discPayment status indicators43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance

4. What is assigned to CPT codes to indicate whether serv or procedure will be reimb under the OPPS?

0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the disc43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substancenewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestivePayment status indicators

5. DRG and APC grpers are usually part of an encoding system in what healthcare settings?

newborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substanceAcute-care hospitals0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the disc

6. What happens if STEMI converts to NSTEMI due to thrombolytic therapy?

newborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discstill code as STEMI43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance

7. How is a PICC line, peripherally inserted central catheter, inserted?

0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the disc43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substanceA nurse places a PICC line into a large vein in your arm and guides the catheter up into the main vein near your heart where blood flows quickly. The nurse sutures (stitches) the PICC line in place and covers the site with a sterile bandage. An x-ray is done to make sure that the catheter is in the right place.newborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive

8. Pt tx in ED for swollen knee and aspiration of the joint was performed. Pt was discharged home. It is imp to make sure that what is doc and captured for billing purposes?

All services provided including dx and tx procedures, as well as phys services.0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the disc43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substancenewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive

9. Pt is seen for eval of right orbital roof fracture, so how should this be coded?

43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discnewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestiveS02.19XA, other fracture of base of skill, initial enc for closed fracture

10. What would increase the DRG for CHF?

43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discStage III pressure ulcernewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive

11. How often are Category II codes implemented and released?

newborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the disc43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substanceAs needed throughout the year; these updates can be obtained by accessing the AMA website and entering the term category II codes" into the site's search engine"

12. The highest-weight T procedure is reimbursed to what percentage?

43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discnewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive100%

13. What are signs of a possible MI?

0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discCPK elevation with MB enzymes elevation and EKG ST changesnewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance

14. Inpt procedures are coded with:

43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substanceICD-10-CMnewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the disc

15. Pt adm w/ESRD following kidney transplant, who also had angina and COPD, so dx would be seq as:

0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discnewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestiveESRD; status post kidney transplant; COPD; angina43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance

16. Inpt discharged w/dx of 'either irritable bowel of pancreatitis', so which cond would be PD?

0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discnewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substanceCode both and seq according to circumstances of adm

17. Pt takes Coumadin as prescribed and correctly adm'rd, however pt develops hematuria secondary to Coumadin use, so the correct coding would be:

newborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substanceHematuria, adverse reaction to Coumadin0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the disc

18. What code should be used when the procedure uses a laser during the endoscopy?

0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discAblation of tumors, polyps, or other lesions not amenable to removal by hot biopsy forceps, bipolar cautery, or snare techniquesnewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance

19. Carcinoma of multiple overlapping sites of the bladder, so dx cystoscopy and transurethral fulguration of bladder lesions (1.9cm, 6.0 cm) are undertaken. The appropriate CPT code(s) would be:

52240, Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of lg bladder tumor(s)43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substancenewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the disc

20. Pt adm w/lethargy, CHF, and pleural effusion. Pt underwent tx w/diuretics for CHF, which has cleared, and pleural effusion req thoracentesis to determine cause. At time of discharge, effusion was decr but not resolved, so correct coding would be:

43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discnewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestiveCHF and pleural effusion

21. If a C-Section occurs, the PD should be:

the condition established after study that was responsible for the patient's admissionnewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the disc43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance

22. Coding spvr concerned that pts dx'd w/carcinoid colon tumors were miscoded as malignant during last 6mo. To address this situation, what work processes could be undertaken?

43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discnewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestiveObtain case of malignant colon tumors from both cancer registry and billing system, import both lists into spreadsheet and compare them. ID cases that are not in the tumor registry that are in the billing system and then manually review to ensure they are not carcinoid tumors

23. What are the parts of an information system?

0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discData - People - Processes - Hardware - Software - Communications technologynewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance

24. If pt undergoes biopsy immediately before definitive sx for frozen section, how should this be coded with ICD-10-PCS codes?

newborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestiveOpen biopsy and definitive sx43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the disc

25. When no delivery occurs during an episode of care, the PD should be:

43236, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) with directed submucosal injection(s), any substance0S523ZZ, Destruction, lumbar vertebral disc, percutaneous (IDET is done w/thermal energy, or heat, directed into the outer disc wall, or annulus, and inner disc contents, or nucleus, via a heating coil, decreasing pressure inside the discdescriptive of the pregnancy complication that necessitated the encounternewborns affected by:: | maternal factors | disorders related to gestation length and fetal growth | birth trauma | respiratory | cardiovascular | hemorrhagic | endocrine | digestive

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❤ If you liked Fatskills, consider supporting us by checking out The Life Manuals You Never Got.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know? Privacy | Terms |

Without work one finishes nothing. - Ralph Waldo Emerson© 2026 Fatskills.com

All trademarks, logos and brand names are the property of their respective owners. All company, product and service names used in this website are for identification purposes only. Use of these names, trademarks and brands does not imply endorsement.

About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know?
Privacy | Terms |

Without work one finishes nothing. - Ralph Waldo Emerson
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