Discussion: Integumentary Cardiovascular Discussion: Integumentary Car

Discussion: Integumentary Cardiovascular

Discussion: Integumentary Cardiovascular

 

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1.   A 38-year-old patient is admitted to the hospital due to a lesion in her right breast, and a painful lump and nipple discharge from the left breast. The physician places a percutaneous needle localization device in the right breast under ultrasound guidance, excises the right breast lesion, and then excises the lactiferous duct fistula in the left breast. What CPT codes should be assigned?

A. 19129-RT, 19284-RT, 19122-LT   B. 19125-RT, 19285-RT, 19112-LT   C. 19127-RT, 19283-RT, 19132-LT   D. 19122-RT, 19275-RT, 19142-LT
2.   A 92-year-old female patient experiences difficulty hearing in her left ear. She is prescribed a BICROS hearing aid that she can wear behind the ear. What HCPCS code is assigned?

A. V5250   B. V5320   C. V5220   D. V5240

 

3.   A 57-year-old patient is admitted to the hospital for a hip arthroscopy procedure. The patient is a normal healthy patient with no systemic disease. What CPT code should be assigned?

A. 01612-P1   B. 01402-P1   C. 01202-P1   D. 01312-P1

 

4.   An 80-year-old patient is admitted to the hospital with congestive heart failure. What ICD-10-CM code should be assigned?

A. K15.0   B. L50.5   C. K52.9   D. I50.9

 

5.   A 44-year-old female patient comes to the hospital for removal of a 4 cm malignant lesion from the arm. During the course of the procedure, the patient undergoes a 14 sq. cm adjacent tissue transfer from the right leg, as well as a 20 sq. cm split-thickness skin graft from the left arm. What CPT codes are assigned?

A. 14021, 15100-51   B. 14045, 15400   C. 14032, 15207   D. 14044, 15350

 

6.   A patient has a breast localization device placed through the skin using stereotactic guidance in order to treat two lesions. What codes would be assigned?

A. 19285, 19286   B. 19287, 19288   C. 19283, 19284   D. 19296, 19297

 

7.   A 19-year-old patient is diagnosed with acne vulgaris. The physician performs laser dermabrasion of the facial skin. What codes are assigned?

A. L50.5, 0HB1XZZ   B. L70.0, 0HD1XZZ   C. L70.5, 0HA1XZZ   D. L70.6, 0HQ1XZZ

 

8.   Implantation of a patient-activated cardiac event recorder is assigned to code

A. 33286.   B. 33282.   C. 33285.   D. 33284.

 

9.   A 27-year-old patient is diagnosed with a chalazion on the upper left eyelid, which is excised using an external approach. What ICD-10 diagnosis and procedure codes are assigned?

A. H04.16, 08BQXZZ   B. H02.14, 08BTXZZ   C. H00.14, 08BPXZZ   D. H07.19, 08BRXZZ

 

10.   A 77-year-old patient is diagnosed with an ear infection. She receives an injection of 40 mg of gentamicin sulfate. What HCPCS code should be assigned?

A. J1452   B. J1472   C. J1675   D. J1580

 

11.   A patient undergoes a transcanal labyrinthectomy. What code would be assigned?

A. 69930   B. 69915   C. 69955   D. 69905

 

12.   A 92-year-old patient is diagnosed with senile cataracts and bilateral sensorineural hearing loss. The physician performs a bilateral cataract extraction. What ICD-10 codes are reported?

A. H27.9, H90.3, 08KJ3ZZ, 08MK3ZZ   B. H26.9, H90.3, 08EJ3ZZ, 08LK3ZZ   C. H25.9, H90.3, 08DJ3ZZ, 08DK3ZZ   D. H21.9, H90.3, 08PJ3ZZ, 08NK3ZZ

 

13.   Mr. Oliver is an elderly gentleman who has been having problems with his vision for the previous three weeks. He is diagnosed with keratoconus, as well as hypertension with stage III chronic kidney disease, and diabetes mellitus, for which he takes long-term insulin. The anesthesiologist provided general anesthesia for this patient with severe systemic disease. After the administration of anesthesia, the surgeon performs an endothelial keratoplasty. Prior to performing the endothelial keratoplasty, the surgeon performs backbench preparation of the allograft. Code this scenario (including the anesthesiology service).

A. 65756, 65757, 00144-P3; H18.609, E11.65, R46.89, Z79.4   B. 65754, 65727, 00134-P1; H18.609, E11.40, I12.9, N18.4, Z79.899   C. 65756, 65757, 00144-P3; H18.609, E11.9, I12.9, N18.3, Z79.4   D. 65757, 65787, 00142-P2; H18.229, E11.51, I12.0, N18.9

 

14.   A 47-year-old female patient is seen for a worrisome lesion on the back of her hand. What ICD-10-CM code should be assigned?

A. L94.9   B. L98.9   C. L91.5   D. L97.4

 

15.   Breast reconstruction with transverse rectus with a TRAM flap would be assigned to code

A. 19370.   B. 19342.   C. 19369.   D. 19316.

 

16.   Ms. Nelson comes to the emergency room due to sustaining multiple lacerations after being pushed into a glass door during a physical altercation with her husband at a hotel. She sustained a 5 cm laceration on her right hand and a 7 cm cut on her neck. She also has a 5.0 benign lesion removed from her left arm. The physician performs a simple repair on the lacerations on her hand and neck. Code this scenario.

A. 11443, 12008-59; S61.209A, S31.652A, Y04.0XXA, W45.8XXA, V97.29XA   B. 11422, 12007-59; S51.809A, S61.351A, W86.8XXA, Y04.0XXA   C. 11409, 12005-59; S58.119A, S11.22XA, X19.XXXA, V95.13XA   D. 11406, 12004-59; S61.401A, S11.90XA, Y04.0XXA, W45.8XXA, Y92.29

 

17.   Biopsy of the lacrimal gland is assigned to code

A. 68520.   B. 68811.   C. 68815.   D. 68510.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

  • Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
  • Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
  • One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
  • I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

  • Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
  • In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
  • Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
  • Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

  • Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
  • Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
  • I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

  • I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
  • As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
  • It is best to paraphrase content and cite your source.

 

LopesWrite Policy

  • For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
  • Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
  • Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
  • Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

  • The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
  • Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
  • If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
  • I do not accept assignments that are two or more weeks late unless we have worked out an extension.
  • As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

  • Communication is so very important. There are multiple ways to communicate with me:
    • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
    • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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