Sample CPC or CCS questions and Answers

1. Which does not indicate the catheter was placed on the right side of the heart?

1. Pulmonary artery
2. Pulmonary wedge
3. Right ventricle
4. Aorta

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2.Which can be coded separately by the physician’s office during a cardiac catheterization?1

1. Intravascular ultrasound
2. Road mapping of artery
3. Interpretation of imaging
4. Placement of closure device

Rationale:  Since all the diagnostic cardiac catheterization CPT codes does not include intravascular ultrasound, it should be reported separately while coding cardiac catheterization procedures. These procedures include introduction, positioning and/or repositioning of the catheter within the vascular system; road mapping angiography, recording of intracardiac and/or intravascular pressures; intraprocedural injection for angiography; supervision and interpretation of angiography; and contrast injection to image the access site for placing a closure device.

Intravascular ultrasound CPT code +92978  should be coded separately in addition with primary procedure and use CPT code +92979 for each additional vessel.

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3. Which ICD-10-CM code would support medical necessity for an implantable cardioverter defibrillator placement for non-primary (secondary) prevention of sudden cardiac death?

1. I25.2
2. I25.5
3. I42.1
4. I47.2

Rationale: The list of ICD 10 codes except I47.2 does not meet indications for primary prevention. Implantable cardioverter defibrillator implantation of non-primary prevention of sudden cardiac death is performed due to the patient already experiencing an abnormal heart rhythm or cardiac arrest.

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4. True or False: When assigning ICD-10-CM codes, assume there is a link between diabetes and CKD when both conditions are documented.

1. True
2. False

Rationale: As per new updates, the physician documentation is not required to provide a link between the diagnoses of diabetes and chronic kidney disease (CKD). This link is assumed.

5. True or False: ICD-10-CM presumes a linkage between diabetes and osteomyelitis.

1. True
2. False

Rationale: ICD-10-CM does not presume a linkage between diabetes and osteomyelitis. The provider needs to document a linkage or relationship between the two conditions before it can be coded as such.

6. Which is proper ICD-10-CM coding for a patient with type 2 diabetes with documented diabetic ketoacidosis?

1. E10.10
2. E11.0, E87.2
3. E13.10
4. E13.10, E87.2

Rationale: Type 2 diabetes with diabetic ketoacidosis (DKA) is reported with E13.10 Other specified diabetes mellitus with ketoacidosis without coma. Do not separately report the DKA. No code exists for DKA with type 2 diabetes.