1. Patient is discharged with hemiplegia and aphasia associated with cerebral infarction of left side of brain, and patient is right-handed with history of hypertension and compensated CHF with are both controlled with meds and treated in hospital. What codes are assigned?

2. Confidentiality includes the responsibility to:

3. If the billing department requests a copy of the OR when unlisted CPT codes are used, the coding staff should do what?

4. When should use of insulin be coded?

5. Pt undergoes inpatient px and final summary dx is difference from dx on path report, the coder should:

6. In outpt surgery, PTCA completed w/insertion of drug-eluting stent in left circumflex artery and non-drug-eluting stent inserted into left anterior desc artery of 56yo female; Assign correct code:

7. What is neodymium yttrium aluminum garnet or Nd:YAG?

8. What factors determine medical necessity?

9. When is bleeding used in digestive systems issues?

10. 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?

11. Pt adm to hosp due to fracture of rt hip and scheduled for open reduction with int fix, but pt dev cardiac arrhythmia which results in an inability to do planned surgery. Assign code for PD:

12. Determining med nec for outpt serv incl what?

13. Pt adm 2 wks after laminectomy for spinal stenosis w/headache (headache due to tear in dura accidentally occurred during prior laminectomy surgery). Pt taken to OR for repair of dura. How is this case coded?

14. What is the code assignment for CHF due to hypertension?

15. What are the goals of the resource-based relative value scale, RBRVS?

16. Pt adm to healthcare facility with ataxia and syncope, who has hx of lung cancer, and has a fractured arm from falling. Pt undergoes closed reduction in ED and complete workup for metastatic carcinoma of brain. Pt found to have metastatic carcinoma of lung to brain and undergoes radiation therapy. PD should be:

17. Mechanical ventilation codes do not req consideration of what?

18. If a patient has undergone outpt echocardiogram and cardiologist concludes mitral regurgitation, what should the coder do?

19. Most hospitals require a medical record is completed within:

20. What pts are adm w/vaginal bleeding, one of the financial analysts has determined that if one add'l procedure code were routinely added to each case, reimb would be incr, so this would be considered an ethical practice if:

21. Pt is admitted for chest pain, was stabilized and discharged. In subsequent adm, pt was admitted an outpt for left heart catheterization, coronary arteriography using 2 catheters, left ventricular angiography, and found to have arteriosclerotic heart disease. Pt has no hx of cardiac surgery. What is the proper sequencing of ICD-10-CM and CPT codes for outpt catheterization?

22. What are functions of outpt code editor (OCE)?

23. 45 yo female with chronic ulcerative enterocolitis and steroid induced osteoporosis due to long-term steroid use is coded how?

24. Where is a spigelian hernia?

25. Medicare pt receives inj of IM penicillin G benzathine, 100,000 units only, what is appropriate code?