Question 1 Incorrect

An established Medicare patient was evaluated for hematuria in the office. A medically appropriate history & physical Exam was performed and documented. A decision was made to perform a cystoscopy the same day. Can you charge for the E & M visit?  Yes or No

Correct Answer: Yes

Question 2 Incorrect

An established Medicare patient presented with acute onset of gross hematuria. No symptoms of frequency, urgency, flank pain, etc. No evidence of bladder distention or flank tenderness. Urine clear, RBCs TNTC, no pyuria, CT of flank and abdomen ordered and cystoscopy scheduled.  Which level established patient code should you charge? 2  3  4  or  5

Correct Answer: Level 4

Question 3 Incorrect

Patient was scheduled one month ago for a radical prostatectomy in AM.  Returned today for an evaluation. A complete pre-op evaluation including a preop H&P was performed, documented, and sent to the hospital. Decision was made to perform the surgery and a.m. as scheduled.  Can you charge for the E & M visit?  Yes  No

Correct Answer: No

Question 4 Incorrect

Patient had a TUR two weeks ago. Pt. treated today for Rt. ureteral stone with Ureteroscopy & lithotripsy. Which modifier would be appropriate to attach to the ureteroscopy with lithotripsy?
24  58  78  79

Correct Answer: -79

Question 5 Incorrect

A medically appropriate history and physical was performed and documented on a new Medicare patient. Patient has a long history of obstructive symptoms secondary to BPH. Prostate enlarged but smooth no nodules. He was started on a medication about a year ago by a urologist in a different state and has been doing quite for the past year. I elected to continue the medication and renewed his prescription. Which level new patient code should you charge?   2  3  4  or  5

Correct Answer: -2

Question 6 Incorrect

Patient scheduled for a routine surveillance cysto.  Cystoscopy revealed a bladder tumor. Patient was informed of the finding. 15 minutes was spent in explaining the problem and the recommended treatment. Can you charge for the E & M visit?  Yes  No

Correct Answer: Yes

Question 7 Incorrect

Patient is being seen at the request of Dr. Smith the admitting physician. Patient has severe, colicky, right flank pain that began seven hours ago. Complete ROS PFSH and H&P was, no change, except the patient is having less pain. Continues to have significant right flank tenderness. CT scan reviewed – right ureteral calculus, mid-ureter. Plan ureteroscopy with lithotripsy.  Which level initial visit hospital code should you charge?

Correct Answer: Subsequent visit code level 2

Question 8 Incorrect

ESWL of a 1 cm stone in the pelvis/ Rt kidney. Ureteroscopy; with Basket removal of 4 mm Stone in Lt upper ureter.  What would be the most appropriate modifier(s) that should be applied to receive payment?  -XS (-59 for private payers) modifier applied to the basket procedure  •  RT and LT applied to the appropriate procedure  •  XU applied to the lesser procedure

 Correct Answer: RT and LT applied to the appropriate procedure

Question 9 Incorrect

Patient had a TUR two weeks ago. Pt. treated today for Rt. ureteral stone with Ureteroscopy & lithotripsy. Which modifier would be appropriate to attach to the ureteroscopy with lithotripsy?  24  58  78  or  79

Correct Answer: -79

Question 10 Incorrect

Patient was seen in the ER with severe, colicky, right flank pain that began seven hours ago: • Complete ROS and PFSH • Comprehensive PE • Ultrasound viewed- obstruction mid-right ureter with Hydro • Dx Rt hydro, mid-ureteral obstruction • CBC ordered • CT with contrast ordered • Plan - admit for pain.  Which code should you charge? • Emergency room code level 4 • Emergency room code level 5 • Initial hospital care code level 2 • Initial hospital care code level 3

Correct Answer:  initial hospital care code level 3