Ch 12 review questions AAPC CPC

Circumcision with adjacent tissue transfer was performed on a 2 month-old. What CPT® code(s) is/are reported for this service?

14040, 54161-51

a patient comes in for removal of calculus from the renal pelvis via renal endoscopy through an established nephrostomy. What are the CPT codes?

50060

what is the correct CPT code for a percutaneous pyelostolithotomy with dilation and basket extraction measureing 1 cm

50080

Patient is a 68 year-old male admitted for left flank nephrectomy with partial ureterectomy. He has left renal atrophy and chronic renal inflammation. The pathology report reveals marked glomerulosclerosis, chronic inflammation of the kidney, renal pelvis and ureter. What CPT® and ICD-10-CM codes are reported for this service?

50220-LT, N26.9, N28.89

the urologist is called into the operating room to repair a kidney laceration status post MVA. The urologist examines the kidney and repairs a small 2 cm laceration of the kidney. What is the CPT code?

50500

left ureteral stent placement and extracorporeal shock wave therapy or lithotripsy (ESWL) of the left kidney are performed. What CPT code is reported?

50590-LT

The patient has a 3.6 cm tumor in the lower pole of the right kidney. A percutaneous right renal cryosurgical ablation is performed. What CPT® code is reported for this service?

50593-RT

What CPT® code is reported for removal of ureteral stones via laparoscopy?

50945

A partial cystectomy is performed due to the prior administration of radiation. It is complicated due to extensive adhesions and required and additional 2 hours beyond the usual cystectomy procedure. What CPT® code is reported for this service?

51555

When a cystectomy is performed, there are various means of diverting the urine. One method is to create a neobladder which allows the patient to void through his or her urethra. Which code describes this procedure?

51596

A 63 year-old gentleman comes into the ED complaining of the urge to urinate but has been unable to empty his bladder. The provider decides to place a Foley catheter to relieve the urine retention due to prostate hypertrophy. What is the code selection for the procedure and diagnosis codes?

51702, N40.1, R33.8

The patient presents to the office for cystometrogram (CMG). Complex CMG with voiding pressure studies is done. Intraabdominal voiding pressure studies and complex uroflowmetry are also performed. What CPT® code(s) is/are reported for this service?

51728, 51797, 51741-51

transurethral resection of a medium size (3.0) bladder tumor was performed in an outpatient setting. CPT Code?

52235

The patient is a 53 year-old male with a benign prostatic hypertrophy causing urinary obstruction and requires the placement of a temporary urethral stent. What CPT® code is reported for this service?

52332

The urologist performs a cystourethroscopy with ureteroscopy to fulgurate a ureteral lesion. What is/are the CPT® code(s) for the procedure?

52354

The patient is a very pleasant 72 year-old female noted to have bilateral nephrolithiasis. Her left stones were treated ureteroscopically and her right stone was very large. It was treated with an ureteroscopic procedure and there were no global days. She comes in today for her second ureteroscopic procedure to remove the remaining stone fragments. Right ureteroscopy, laser lithotripsy and right ureteral stent exchange were performed. What CPT® code(s) is/are reported for this service?

52356

Cystoscopy, left ureteroscopy, holmium laser lithotripsy, stone manipulation, stent removal and replacement are performed. The holmium laser was used to break up a cluster of stones at the ureteropelvic (UP) junction which were removed with a basket and a Gibbons stent was exchanged. Previous CT scan showed stones in the lower right pole. It was decided to proceed with ureteroscopy. Ureteroscope was inserted in the right ureter, confirming multiple stones within the proximal ureter. These were basketed and removed. What CPT® codes are reported for this service?

52356-LT, 52352-59-RT

Transurethral resection of bladder neck and nodular prostatic regrowth. What CPT® code is reported for this service?

52630

Benign prostatic hypertrophy with outlet obstruction and hematuria. Operation: TURP Anesthesia: Spinal Description of procedure: The patient was placed on the operating room table in sitting position and spinal anesthesia induced. He was placed in the lithotomy position, prepped and draped appropriately. Resection was begun at the posterior bladder neck and extended to the verumontanum (a crest near the wall of the urethra). Posterior tissue was resected first from the left lateral lobe, then right lateral lobe, then anterior. Depth of resection was carried to the level of the circular fibers. Bleeding vessels were electrocauterized as encountered. Care was taken to not resect distal to the verumontanum, thus protecting the external sphincter. At the end of the procedure, prostatic chips were evacuated from the bladder. Final inspection showed good hemostasis and intact verumontanum. The instruments were removed, Foley catheter inserted and the patient returned to the recovery area in satisfactory condition. What CPT® code is reported for this service?

52640

GreenLight laser vaporization of the prostate is performed. What CPT® code is reported for this service?

52649

A 63 year-old male presents for the insertion of an artificial inflatable urinary sphincter for urinary incontinence. A 4.5 cm cuff, 22 ml balloon, 61-70 mmHg artificial inflatable urinary sphincter was inserted. What CPT® code is reported for this service?

53445

patient is a 40 year old female presenting for repeat urethral dilation for urethral stricture using the instillation of saline solution. What is the CPT code?

53661

Patient presents today for treatment of benign prostatic hypertrophy (BPH) and urinary retention by transurethral microwave thermotherapy (TUMT). What CPT® and ICD-10-CM codes are reported for this service?

53850, N40.1, R33.8

A clamp circumcision is performed without dorsal block on a newborn baby boy. What CPT® code is reported for this service?

54160-52

Patient presents to the emergency room with complaints of an erection lasting longer than two hours. Saline solution is used to irrigate the corpora cavernosa. What CPT® code is reported for this service?

54220

Closure of exstrophy of the bladder is performed with epispadias repair. What CPT® code is reported for this service?

54390

Patient is status post radical retropubic prostatectomy with erectile dysfunction, presenting for penile implant. An inflatable penile prosthesis is inserted. What CPT® code is reported for this service?

54408

A fracture of the corpus cavernosum penis is repaired. What is the correct code?

54440

Vasectomy reversal is performed, bilaterally, using the operating microscope. Choose the procedure code(s).

55400-50, 69990

Cryosurgical ablation of the prostate is performed for prostate cancer. What CPT® and ICD-10-CM codes are reported for this service?

55873, C61

A 67 year-old gentleman with localized prostate cancer will be receiving brachytherapy treatment. Following calculation of the planned transrectal ultrasound, guidance was provided for percutaneous perineal placement of 1-125 seeds into the prostate tissue. What CPT® code is reported for needle placement to insert the radioactive seeds into the prostate

55875

Carcinoma of the bladder dome

C67.1

Patient is admitted for acute bilateral pyelonephritis. What is the appropriate ICD-10-CM code?

N10

preoperative diagnosis: hematuria. postop diagnosis: right renal calculi and bladder calculus

N20.0, N21.0

what are the filtering units of the kidney called?

nephrons

What are the reproductive glands that produce male hormones

testes