What does the term unique listed code mean? A. The medical ...

[Kikoku]

What does the term unique listed code mean?
 
  A. The medical documentation of the provided healthcare service
  B. The documentation guidelines that provide oversight for evaluation and management services
  C. The specific numeric code listing in the CPT book which represents the provided healthcare service
  D. The amount of time the clinician has spent providing care for the patient

Question 2

SAME DAY SURGERY
 
  Directions:
  Code the following cases for outpatient facility purposes using ICD-9-CM, ICD-10-CM, and CPT codes. Sequence codes in the correct order.
  Calculate the APC.
  Assign modifiers when appropriate.
  Use external cause codes when appropriate.
  Do NOT code procedures that are captured by the facility chargemaster.
 
  PATIENT: TERRY OFFICE
  RECORD NUMBER: 12-68-23
  DATE OF SERVICE: 04-10-XX
  PHYSICIAN: DR. KIM. M. D.
  SUBJECTIVE: This 72-year-old established patient presents today with complaints of a lump on the left side of his neck. The patient had been previously advised it would be best to excise the lump and send to pathology for definitive diagnosis.
  OBJECTIVE: Examination today reveals the patient has an area of induration, which is approximately 1.5 cm in diameter below his left jaw line. The procedure, risks, complications, and alternatives were discussed with the patient. The patient agreed to proceed with a resection of the lump today.
  ASSESSMENT: Lump left neck, which appears to be dermatofibroma.
  PROCEUDRE: The left jaw line was injected with local anesthetic. The 1.5 cm lump was excised with a wide excision. After resection, the lump appeared to be a dermatofibroma. Specimen was sent to pathology. Closure was performed with interrupted 40 Vicryl and Dermabond to seal the skin edges. Routine wound care was given. The patient is to follow up on a prn basis. We will call with pathology report results.
  PATHOLOGY: 1.5 cm Dermatofibroma left neck.
 
  ICD-9-CM diagnosis code(s): ___________________ __
  ICD-10-CM diagnosis code(s): ___________________ __
  CPT code(s) with modifier, if applicable: ___________________ __
  APC: ___________________ __

[Sierray]

Answer to Question 1

C

Answer to Question 2

Answers:
ICD-9-CM diagnosis code(s): 216.4
ICD-10-CM diagnosis code(s): D23.4
CPT code(s) with modifier, if applicable: 11422
APC: 20