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1.Patient presents with an incisional hernia that is both recurrent and reducible. What is the correct code to use to identify the surgical procedure?

49465

49582

49565

49566


2. What is the correct code to use to indicate an intersex surgery where a female wants to become a male?

55970

55971

55980

55981


3. Colpopexy for displaced uterus using an abdominal approach is coded as:

57280.

57380.

57281.

57381.


4. Laparoscopy with fulguration of obstructed oviducts is coded as:

58650.

58660.

58670.

58680.


5. Incision and drainage of a deep penis abscess is coded as:

54015.

54016.

54115.

54116


6. Needle biopsy of the prostate using ultrasound guidance is coded as:

55600, 76942.

55700, 76941.

55710, 76943.

55700, 76942.

 7. Extensive biopsy of the mucosa of the vagina that requires closure is coded as:

57104.

57105.

57115.

57225.


8. Total open abdominal colectomy with ileostomy is coded as:

44151.

44150.

44152.

44100.


9. Renal biopsy with percutaneous incision is coded as:

50210.

50211.

50300.

50200.

10. Which urinary CPT code is typically bundled by third-party payers into other more complex surgical procedures?

52000

52005

52234

52204


11. Maria Lopez presents for an office visit complaining of a tightening in her throat when she attempts to swallow. She also states that she feels like she is choking when she tries to drink or eat. Maria also informs the doctor that she has been experiencing this problem for the last two months. She has minimized her food intake because of the discomfort she experiences when she tries to eat. Code 43213 is reported by the physician. What is Maria’s chief complaint? What is the description on code 43213? Does it include the use of fluoroscopy?

Your response should be at least 75 words in length.


12. A physician performs an examination of the upper gastrointestinal tract by means of endoscopic ultrasound. He reports code 43259. Is the physician permitted to report code 76975? Why, or why not?

Your response should be at least 75 words in length.


13. Typically, when coding for a tonsillectomy with or without an adenoidectomy, which are presented by code range 42820-42836, the procedure was completed bilaterally. In regards to coding guidelines and reimbursement methodologies, what will happen if the procedure is reported with modifier -50? What must be done if only one tonsil and/or adenoid is removed?

Your response should be at least 75 words in length.


14. There are several procedures that may be performed on a male patient suffering from prostatitis, benign prostatic hyperplasia (BPH), or prostate cancer. Provide an explanation of each of the following procedures: TUMT, TUNA, TURP, TUIP, and TULIP. Be certain to include the applicable CPT codes.

Your response should be at least 200 words in length.

PART 2.


1. Shunts are devices used to:

relieve pressure in the brain caused by fluid buildup.

monitor currents emanating from the brain.

decompress spinal nerves.

relieve pressure in the endocrine system caused by fluid buildup.


2. The initials that indicate a shunting procedure are:

CPC.

SCP.

SFP.

CSF.


3. In the Surgery of Skull Base, which of the following procedures describes what is done to the lesion?

Intubation

Approach

Radical

Definitive


4. The peripheral nervous system refers to the nervous structures outside of the:

brain.

central nervous system.

spine.

extremities.


5. Which of the following medical conditions is corrected by having a strabismus surgery?

The refractive surfaces of the eye are unequal

There is an opaque covering on or in the lens

Damaged cornea

Muscle misalignment


6. What is the most commonly known neuroplastic procedure?

Surgery of Skull Base

Craniectomy

Cisternal cervical puncture

Carpal tunnel release


7. When reporting a craniectomy/craniotomy procedure, what additional procedure may need to be performed?

Excision

Grafting

Intubation

Catheterization


8. The destruction codes in the Posterior Segment subsection include how many sessions?

1

2

4

6


9. Cataract and lens replacement uses how many different approaches?

3

2

4

1


10. The codes in the Eye and Ocular Adnexa subsection are represented by which of the following code ranges?

65091-68899

62310-62319

59840-59857

59855-59857


11. Based on the following situation, type the CPT CODE in the box below that represents the removal of impacted cerumen from both ears using wax curettes and suction


12. Based on the following situation, type the CPT CODE in the box below that represents an otoplasty of the right ear, with size reduction.


13. Based on the following situation, type the CPT CODE in the box below that represents a complex repair of intracranial arteriovenous malformation, supratentorial.


14. Based on the following situation, type the CPT CODE in the box below that represents a sclera lesion excision, left eye.


15. Based on the following scenario, type the CPT CODE in the box below that represents the procedure(s) that were performed.
 

Location: Inpatient Hospital
 

OPERATIVE REPORT
 

PRE/POSTOPERATIVE DIAGNOSIS: Herniated disc L4-5 on the left
 

PROCEDURE PERFORMED: Laminotomy, foraminotomy, and removal of disc at L4-5 on the left
 

ANESTHESIA: General
 

DESCRIPTION OF PROCEDURE: Under general anesthesia, the patient was placed in the prone position. The back was prepped and draped in the usual manner. Incision was made in the skin and extended through subcutaneous tissue. The lumbodorsal fascia was divided. The erector spinae muscles were bluntly dissected from the lamina of L4-5. The interspace was localized via x-ray. We then performed a generous laminectomy/foraminotomy and saw the problem. There was sequestered disc on the body of L4-L5. I entered the disc space and removed much degenerating material both medially and laterally. Having cleaned out the disc space, I was satisfied the root was decompressed. We passed a hockey stick down the foramen and laterally there were no free fragments. We then irrigated the wound and closed the wound in layers utilizing double knotted 0 Chromic on the lumbodorsal fascia with 0 Vicryl, 2-0 plain in the subcutaneous tissue, and surgical staples on the skin. A dressing was applied. The patient was discharged to the recovery room in stable condition.


16. Based on the following situation, type the CPT CODE in the box below that represents a bilateral repair of blepharoptosis with frontalis muscle technique.


17. Based on the following scenario, type the CPT CODE in the box below that represents the procedure(s) that were performed.

Location: Outpatient Hospital
 

OPERATIVE REPORT
 

PRE/POSTOPERATIVE DIAGNOSIS: Glaucoma of the right eye
 

PROCEDURE PERFORMED: Sequential cyclocryotherapy, right eye
 

ANESTHESIA: Regional nerve block
 

DESCRIPTION OF PROCEDURE: 74-year-old female patient was placed on the operating table in the supine position and given a regional nerve block. Patient was then prepped and draped in the usual sterile manner for ophthalmic surgery. A wire lid speculum was used to separate the lids of the right eye. Markings were then made in the superior temporal quadrant and the right inferior nasal quadrant of the patient’s right eye. A cryoprobe -112 degrees F was inserted for five seconds using the freeze-thaw-freeze method of cryotherapy in both of the aforementioned quadrants. There were no complications and the patient tolerated the procedure well. Maxitrol ointment, Telfa, and two pads were applied to the eye and the patient was taken to recovery.


18. Based on the following situation, type the CPT CODE in the box below that represents a removal of a superficial foreign body in the external left eye.


19. Based on the following scenario, type the CPT CODE in the box below that represents the procedure(s) that were performed.
 

Location: Outpatient Hospital
 

OPERATIVE REPORT
 

PREOPERATIVE DIAGNOSIS: Chronic otitis media with effusion
 

POSTOPERATIVE DIAGNOSIS: Same
 

PROCEDURE PERFORMED: Bilateral tympanostomies with placement of ventilation tubes
 

PROCEDURE: After the patient was placed under general anesthetic, the right canal was cleared of wax and prepped with Betadine. A radial incision was made in the anterior-inferior quadrant and thick mucoid fluid was suctioned from behind this drum. A 0.39-mm ventilation tube was inserted. The left canal was then cleared of wax and prepped with Betadine. A radial incision was made in the anterior-inferior quadrant and thick mucoid fluid was suctioned from behind this drum. A 0.39-mm ventilation tube was inserted. The canal was then filled with Ciprodex on both sides and cotton in the external auditory meatus. The patient was awakened from her anesthetic and returned to the recovery room in stable condition. Prognosis immediate/remote is good. Blood loss is 0.


20. Based on the following situation, type the CPT CODE in the box below that represents incision and drainage of an infected thyroglossal duct cyst.

21. What is the relationship between the endocrine system and the nervous system?   What are some things that are unique to CPT coding of the nervous system and/or the endocrine system? 75 words


PART 3.

 ALL OF THE ATTACHMENTS ONLY DO EVEN NUMBERS ONLY!!!!!!!!!!!!!!!!

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