The nurse on the long-term care unit is concerned about the incidence of pressure ulcers in the facility. He has noted what feels like an increase in pressure ulcers for clients who have cognitive impairment. As he considers how to address this problem, it becomes clear that he must identify not only clients with cognitive impairment but also individuals with a combination of cognitive impairment and pressure ulcers.

He also notes that he would like to identify the clients with cognitive impairment who are most at risk before the pressure ulcers occur.

a. The nurse performs a retrospective chart audit on all current residents presently with cognitive impairment and pressure ulcers. This is known as what type of sampling?

A 68 years old patient comes to see you with complaint of increasing visual blurring, pain in one eye, halos around lights when driving at night, and some photophobia. Upon exams, you notice some conjunctival injection.

Question:

What would be the diagnosis for this patient.

The patient has a lumpectomy on July 1, 20xx. The final pathology report showed positive for cancer cells in the skin margins. The patient to surgery for re-excision by the same surgeon. What is the appropriate reporting for the surgeon’s services for re-excision? (CPT Assistant, March 2015)

Answer: _____________

2. Is it appropriate to report a complex wound closure for a large dead space left following a mastectomy? (CPT Assistant, 2017)

Answer: _________

3. The surgeon performed a laparoscopic appendectomy (44970) for a ruptured appendix. Because of the ruptured organ, the procedure required an extensive amount of work. What modifier would reflect this extra work? (CPT Assistant, December 2019)

Answer:_____________

Use of Modifiers Place a check mark in front of each of the following CPT code(s) that should not be appended with a LT (left) or RT (right) HCPCS Level II modifier.
1._________ 27816 Closed treatment of trimalleolar ankle fracture; without manipulation
2._________28150 Phalangectomy, toe, each toe
3._________11400 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms, or legs; excised diameter 0.5 cm or less
4._________ 19000 Puncture aspiration of cyst of breast
5. _________71060 Bronchography, bilateral, radiological supervision, and interpretation
6.__________ 58770 Salpingostomy

81 years old patient present to the clinic with complaint of decrease vision in the left eye, with worsening night vision. She states the glare from other headlights bother her so much she has given up night driving.
Question:
What is the diagnosis for this patient?