CHAPTER 16 r Anesthesia PRACTICAT With the use of the CPT manual, identify the following physical status modifiers: 9. Patient with a severe systemic disease that is a constant threat to life. Modifier: 10. Normal healthy patient. 11. Patient with a severe systemic disease. Modifier: f 3 12. Declared brain-dead patient whose organs are being removed for donor purpo$es. Modifier: V b Patient with mild systemic disease. Modifier: Pe Moribund patient who is not expected to survive without the operation. Modifier: P( Loca in the CPT manual index under the entry "A then subtermed by the anatomic site. Write the CPT index location olp the line provided (e.g., Anesthesia, Thyroid). Then locate the code identified ln the anesthesia section of the CPT manual. Choose the correct code and writelthe code on the line provided. 15. Dia ic arthroscopic procedure of knee joint. CPT Code: 16. Radical hysterectomy. Index location: cPTCode: '10,?t{'r; 17. Corneal transplant. Index location: CPT Code: Odd-numbered answers are located in Appendix B, while the full answer key is only available in the TEACH Instructor Resources on Evolve. 13. 14. Copyright O 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved 19. 20. 27. 18. Cesarean deliverY onIY' Index location: CHAIJ'IER 16 r Airesthesia patient having mild systemic late effect of Fen-Phen, taken as cPr code: f"tq b I OtoscoPY used Index location: in procedure for middle ear' CPT Code: Transurethral resection of the prostate. Index location: Anesthesia for a cardiac catheterization disease. CPT Code: cPr code: n 01lq Mitral valve regurgitation as a prescribed, initial encounter. qyr'rdc*n 22. Anesthesia for aggiqgqtomy on a healthy S-year-old patient. CPT Code: 00 f e D Assign the diagnosis code(s) for Questions 23-26. 23. Diverticulitis of colon with hemorrhage. ICD-10-CM Code: (ICD-9-CM Code: 24. Atherosclerosis of coronary artery bypass graft utilizing internal mammary artery. ICD-10-CM Code: (ICD-9-CM Code: 25. Toxic diffuse goiter with thyrotoxic crisis. ICD-10-CM Code: (ICD-9-CM Code: 26. ICD-L0-CM Codes: (ICD-9-CM Codes: Odd-numbered answers are located tn Appendtx B, while the full answer key is only available ln the TEACE Instructor Resources on D,volve. Copyright @ 2015 by Saunders, an imprint of Elsevier hc. AII riShts reserved. Surgery Guidelines and General Surgery THEORY Without the use of reference material, answer the following: 1. The more complex subsections referred to in the text are Integumentary, Musculoskeletal, Respiratory, Cardiovascular, Digestive, and 2. The information in the is necessary to correctly repeated elsewhere. code in the section, contains information that and the information is not 3. Notes may appear before subsections, subheadings, and subcategories within the CPT manual. 4. When a note is present, that note must be read and if the coding is to be accurate. 5. Within the Surgery Guidelin.

1. CHAPTER 16 r Anesthesia
PRACTICAT
With the use of the CPT manual, identify the following physical
status modifiers:
9. Patient with a severe systemic disease that is a constant
threat to life.
Modifier:
10. Normal healthy patient.
11. Patient with a severe systemic disease.
Modifier: f 3
12. Declared brain-dead patient whose organs are being
removed for donor
purpo$es.
Modifier: V b
Patient with mild systemic disease.
Modifier: Pe
Moribund patient who is not expected to survive without the
operation.
Modifier: P(
Loca in the CPT manual index under the entry
"A then subtermed by the anatomic site. Write the CPT index

2. location olp the line provided (e.g., Anesthesia, Thyroid). Then
locate the code
identified ln the anesthesia section of the CPT manual. Choose
the correct code
and writelthe code on the line provided.
15. Dia ic arthroscopic procedure of knee joint.
CPT Code:
16. Radical hysterectomy.
Index location:
cPTCode: '10,?t{'r;
17. Corneal transplant.
Index location:
CPT Code:
Odd-numbered answers are located in Appendix B, while the
full answer key is only available in the TEACH
Instructor Resources on Evolve.
13.
14.
Copyright O 2015 by Saunders, an imprint of Elsevier Inc. All
rights reserved
19.

3. 20.
27.
18. Cesarean deliverY onIY'
Index location:
CHAIJ'IER 16 r Airesthesia
patient having mild systemic
late effect of Fen-Phen, taken as
cPr code: f"tq b I
OtoscoPY used
Index location:
in procedure for middle ear'
CPT Code:
Transurethral resection of the prostate.
Index location:
Anesthesia for a cardiac catheterization
disease.
CPT Code:
cPr code: n 01lq
Mitral valve regurgitation as a
prescribed, initial encounter.

4. qyr'rdc*n
22. Anesthesia for aggiqgqtomy on a healthy S-year-old patient.
CPT Code: 00 f e D
Assign the diagnosis code(s) for Questions 23-26.
23. Diverticulitis of colon with hemorrhage.
ICD-10-CM Code:
(ICD-9-CM Code:
24. Atherosclerosis of coronary artery bypass graft utilizing
internal
mammary artery.
ICD-10-CM Code:
(ICD-9-CM Code:
25. Toxic diffuse goiter with thyrotoxic crisis.
ICD-10-CM Code:
(ICD-9-CM Code:
26.
ICD-L0-CM Codes:
(ICD-9-CM Codes:
Odd-numbered answers are located tn Appendtx B, while the
full answer key is only available ln the TEACE
Instructor Resources on D,volve.

5. Copyright @ 2015 by Saunders, an imprint of Elsevier hc. AII
riShts reserved.
Surgery Guidelines and
General Surgery
THEORY
Without the use of reference material, answer the following:
1. The more complex subsections referred to in the text are
Integumentary, Musculoskeletal, Respiratory, Cardiovascular,
Digestive,
and
2. The information in the
is necessary to correctly
repeated elsewhere.
code in the section,
contains information that
and the information is not
3. Notes may appear before subsections, subheadings,
and subcategories within the CPT manual.
4. When a note is present, that note must be read and
if the coding is to be accurate.
5. Within the Surgery Guidelines, the procedure
codes are presented in a list by anatomic site.

6. 6. According to the CPT manual, "Pertinent information [in the
reportl should include an adequate definition or
description of the nature, extent, need, time, effort, and
equipment
necessary to provide the service."
7. There are minor and procedure designations for
the purposes of a surgical package.
B. If a breast biopsy and mastectomy of the
during the same operative session, would
left breast were performed
both procedures be reported?
9. If a breast biopsy and right knee operation were performed
during the
same operative session, would both procedures be reported?
Odd-numbered answers are located in Appendix B, while the
full ansrver key is only availatrle in the TEACH
Instructor Resources on Evolve.
Copyright @ 2015 by Saunders, an imprint of Elsevier Inc. Al1
rights reserved.
CHAPTER 17 r Surgery Guidelines and General Surgery
10. The CPT manual describes the surgical
preoperative E/M servicer the operative
package as including one related

7. procedure, and immediate
11.
12.
care.
Local infiltration is considered anesthesia.
This term means a worsening as described in the text.
13. This type of anesthesia is not part of the surgical package'
14. The predefined number of days before and after a surgical
procedure are
referred to as the period.
What is the CPT code that reports a surgical tray?
What is the HCPCS code that reports a surgical tray?
17. According to the Medicare guidelines, a surgical package
includes the
treatment of comPlications bY the physician.
15.
16.
18. At an office visit, a decision for surgery
procedure was scheduled 21days later.
a. reported separately

8. b. included in the surgical procedure
Splitting open of the surgical wound is
was made. The surgical
Would the office visit service be:
L9,
zo. Inclusion or exclusion of a procedure in the CPT manual
insurance coverage or no health insurance coverage.
implies health
True or False?
Odd-numbered answers are located in Appendix B, while the
full answer key is only available in the TEACII
Instructor Resources on Evolve.
Copyright @ 2015 by Saunders, an imprint of Eisevier Inc. A11
rights reserved'
CHAPTER 17 r Surgery Guidelines and General Surgery
PRACTICAT
With the use of a CPT manual, answer the following:
21. The code range in the Surgical section is
22. The subsection that follows the Digestive System is the

9. System.
23. What type of microscope has a subsection of the Surgery
section?
24. T}re difference between |OOZL arrd 10022 is that one is
with
and one is without it.
25. According to the parenthetical information following code
10022, for a
percutaneous needle biopsy other than fine needle aspiration,
see
for salivary gland.
26. According to the Surgery Guidelines, codes designated as
" should not be reported in
addition to the code for the total procedure or service of which
it is
considered an integral component.
According to the Surgery Guidelines, follow-up care for
@:,',Y[?:if,:"*lTsincrudesonrvthatcarewhich
According to the Surgery Guidelines, the code range for
Maternity Care
and Delivery is
According to the Surgery Guidelines, this is the code for
unlisted
procedures of the lip.

10. According to the Surgery Guidelines, this is the code for
unlisted
procedures of the urinary system.
Odd-numbered answers are located in Appendlx B, while the
full answer key ls only avallabte in the TEACE
Instructor Resources on Evolve.
Copyright @ 2015 by Saunders, an impdnt of ElSevier Inc. Al1
rights resewed.
to
27.
zB.
29.
30.
CHAPTER 18 r Integumentary System
PRACTICAT
Using the CPT and ICD-10-CM/ICD-7-CM manuals, code the
following services:
23. Joan, an established patient, comes into the office to have
an intermediate
repair of a 2.6 cm wound on her right arm. A surgical tray was
used.

11. CPT Codes:
ICD-10-CM Code:
(ICD-9-CM Code:
24.
25.
26.
27.
Rita, an established patient, has a 76.2 cm
surgical tray is used.
CPT Codes:
ICD-IO-CM Code:
(ICD-9-CM Code: )
Lisa, an established patient, has
image guidance for a left breast
pathology report later indicated
CPT Codes:
simple repair of the cheek. A
a percutaneous biopsy with stereotactic
mass. A surgical tray was used. The
a neoplasm of uncertain behavior.
ICD-10-CM Code:

12. (ICD-9-CM Code: )
what code would be used to report Mr. Jones's visit to Dr. Green
2 weeks after major surgery?
CPT Code:
_)
Excision axillary hidradenitis, complex repair.
CPT Code:
ICD-1O-CM Code:
(ICD-9-CM Code: _)
28. Debridement; 16 sq. cm. subcutaneous tissue and muscle
due to a
diabetic foot ulcer.
CPT Code:
)
odd-numbered anrswers are located ln Appendix B, while the
frrll answer key is only avallable tn the TEACEInstructor
Resources on Evolve.
copynight @ 2015 by Saunders, an impdnt of Elsevier Inc. An
dghts reserved.
ICD-10-CM Code:
(ICD-9-CM Code:
ICD-IO-CM Codes:

13. (ICD-9-CM Codes:
CHAPTER 18 r Integumentary System
2g. Removal of tissue expander without insertion of prosthesis'
CPT Code:
Excision of abscessed pilonidal cyst; comPlicated.
CPT Code:
ICD-IO-CM Code:
(ICD-9-CM Code:
31. Removal of subdermal contraceptive implant'
CPT Code:
ICD-L0-CM Code:
(ICD-9-CM Code:
32. Debridement of four fingernails due to onychomycosis'
CPT Code:
ICD-1O-CM Code:
(ICD-9-CM Code:
Excision of 4 cm benign lesion of face (most rcsource

14. excision of 3 cm benign lesion of neck.
intensive) and
& cpr Code(s):
& tco-ro-cM code(s):
(& tco-g-cM code(s):
34. Excision of a 2.5 cm malignant lip lesion and two malignant
lesions of
the skin of the chest, each 1.5 cm in diameter'
& cpr code(s):
& lco-ro-cM code(s):
(& ICD-e-cM code(s):
35. Destruction by laser of three premalignant actinic keratoses
lesions.
& cpr code(s):
& Ico-ro-cM code(s):
(& lco-s-cM code(s): )
& Ur." to decide number of codes necessafy to correctly answer
the questlon.
odd-numbered answers are located in Appendlx B, whlle the full
answer key ls only avallable in the TEACE
Instructor Resources on Evolve.

15. 30.
33.
facial
Copyright @ 2015 by Saunders, an imprint of Elsevier Inc' All
rights reserved'
CHAPTER 18 I
malignant lesion of the eyelid.
8S cpr code(s):
ts; fCn-1O-CM Cocle(s):
(ffr ICD-9-CM Code(s):
CPT Codes:
ICD-10-CM Codes: (W code),
(W code), (Y code)
(ICD-9-CM Codes: (E code),
(E code),
(E code))
(E code),

16. 38. Electrosurgical destruction of a 1.0 cm malignant lesion of
the neck.
..s cpr code(s):
iib tco-io-cM code(s):
(& ICD-o-CM Cocte(s):
39. Cryosurgical destruction of 10 flat warts on the hand.
trb cPr code(s):
&iq tco-ro-CM Code(s):
(& rCD-g-cM Code(s):
Integumentary System
36. Destruction of 4.0 cm
37. Suzanne osterland, a -year-old, is brought to the office by
her father.
Suzanne was playing on the swing set at the playground when
she fell
approximately 5 feet from the top step of the play set. when she
fell,
she struck her leg on a birdbath rim ana tnen bn the playground
gardener's pail with several garden forks protruding over the
rim,
sustaining 12.9 cm,3.1 cm, and 2.7 cm lacerations of the lower
right
leg, requiring deep-layered closure accomplished after
subcutaneous
tissue debridement of 18 sq. cm.

17. 40. Laser destruction of multiple malignant lesions, as follows:
right hand, 2.7 cm on left hand, 5.2 cm on right hand, 4.3
hand, 0.3 cm on right eyelid, 0.5 cm on left eyelid.
3.4 cm on
cm on left
& cpr code(s):
&r tco-to-cM code(s):
(& ICD-q-cM code(s): _)
@ user to decide number of codes necessary to co*ecfly answer
the questio..
odd-numbered answers are located in Appendix B, while the full
answer key is only available in the .IEACH
Instructor Resources on Evolve.
Cop}right @ 2015 by Saunders, an imprint of [,lsevier Inc. A1l
rights reserved
I
CHAPTER 18 r Integumentary System
41. Debridement of
& cpr code(s):
back for extensive eczematous skin, 2Oo/o body surface.
& tco-ro-cM code(s):
(& tco-s-cM code(s):

18. 42. Bilateral blepharoplasty of upper eyelid due to ptosis.
& cpr code(s):
& tcp-ro-cM code(s):
(& ICD-9-cM code(s):
43. Initial, local treatment, first-degree burn, of
surface. The burn was caused by steam from
accidentally was connected improperly.
back of hand, 5olo body
a pipe at his home that
& cpr code(s):
& tco-ro-cM code(s):
(& ICD-o-cM code(s):
44. Mohs micrographic surgery of arm for a poorly defined
neoplasm, flrst stage, 4 tissue blocks.
malignant
& cpr code(s):
& rco-ro-cM code(s):
(& ICD-I-cM Code(s):
45. Mastotomy with drainage of deep abscess.
& cpr code(s):

19. & rco-ro-cM code(s):
1& Ico-o-cM code(s):
& U""r to decide number of codes necessary to correctly answer
the question.
Odd-numbered answers are located in Appendlx B, while the
full answer key is only available ln the TEACE
Instflrctor Resources on Evolve.
Copyright @ 2015 by Saunders, an imprint of Elsevier Inc. A11
rights reserved.
ECO 2013 Macroeconomics
Writing Assignment # 3
International Trade
Writing Prompt:
International trade has been a great boon for many countries
and, in general, has been more beneficial for the world than not.
However, there are both costs and benefits associated with
international trade. Present and discuss two advantages of
international trade and two disadvantages of international trade.
Develop a response that includes examples and evidence to
support your ideas, and which clearly communicates the
required message to your audience. Organize your response in a
clear and logical manner as appropriate for the genre of writing.
Use well-structured sentences, audience-appropriate language,
and correct conventions of standard American English.