CPT 1-22 Final

Arthrocentesis of the bursa of the finger is reported with code __________.

20600

Preoperative diagnosis: Mass on larynx Postoperative diagnosis: Pending pathology report Procedure: Laryngoscopy The patient was prepped and draped in the usual fashion and placed in the supine position. The operating table was turned to 90 degrees, and a donut headrest was used for stabilization. Mirrors were placed for indirect visualization. A laryngoscope was inserted and suspended for visualization. The larynx and the surrounding area were inspected, and a biopsy of the larynx was taken. Hemostasis was verified, and the scope was extracted. The patient tolerated the procedure and was sent to the recovery room.CPT code(s):

31510

Endoscopy Report Preoperative diagnosis: Foreign body in larynx Postoperative diagnosis: Same as above; material sent to pathology Procedure: This 69-year-old female was brought to the endoscopy suite and topical anesthesia was applied to the oral cavity and pharynx. The laryngoscope was then placed through the oral cavity into the laryngeal area. An aspirator device was fed through the scope and cleared of all saliva to better visualize the foreign body that was present. The foreign body was then removed and sent to pathology. The patient was stable and sent to the postprocedure area. There were no noted complications.CPT code(s):

31530

Nonobstetrical cerclage of the uterine cervix is reported using code __________.

57700

Code __________ reports an instrumental dilation of cervical canal.

57800

Intrauterine artificial insemination is reported using code __________.

58322

Code range __________ applies to procedures on the middle ear.

69420-69799

Code 38505 is used to report a biopsy or excision of a superficial lymph node performed by use of a(n) .

needle

Structures in the __________ are responsible for communication and control of the body.

nervous system

The spinal cord is a column of __________.

nervous tissue

Home Health Procedures/Services codes (99500-99600) are used by __________.

non-physician health care professionals

The __________ calculates the EDD, or estimated date of delivery.

obstetrician or birthing specialist

Place of service code 11 would report a service completed in the __________.

office

The first category of Evaluation and Management codes is __________.

office or other outpatient services

Estrogen and progesterone are produced in the __________.

ovaries

A __________ proton beam treatment delivered to a single treatment area utilizing an oblique port without compensation is reported using code 77520.

simple

The removal of the skin and superficial tissue of the vulvar area is a __________ procedure.

simple

Evaluation and Management codes that report home services are reported with code range __________.

. 99341-99350

The initial hospital care codes include both __________ and __________ patients.

. new and established

Patient Name: Matino, GretaMRN: 2223232Date: 02/02/20XX Procedure: Excision of orbital mass, left superior orbit Anesthesiologist performed the following:Anesthesia: Proparacaine was instilled in the left eye. The eye was then prepped and draped in the usual sterile manner. The superior aspect of the left orbit was injected with 2% Lidocaine with 1:200,000 epinephrine. Procedure was performed by the eye surgeon.CPT code assignment for the anesthesiologist would be:

00140

The anesthesia code used when a biopsy of soft tissue of the nose is performed is __________.

00164

Patient: Roberto Rodriguez MRN: 683940Date: October 19, 20XX Procedure: Repair of cleft palate This 2-year-old male was placed under general anesthesia for a repair of a congenital cleft palate.CPT code assignment for the anesthesiologist would be:

00172

Patient: Jackie Edwards MRN: 209385 Date: September 19, 20XX Procedure: Craniotomy This 38-year-old female has a hematoma, and a craniotomy was performed for the evacuation of the hematoma. She was placed under general anesthesia.CPT code assignment for the anesthesiologist would be:

00211

Patient: Jose Booth MRN: 549762Date: April 19, 20XX Procedure: Needle biopsy of thyroid This 9-month-old was placed under general anesthesia so that a needle biopsy of the thyroid could be performed.CPT code assignment for the anesthesiologist would be:

00322, 99100

Patient: Natalie Smith MRN: 893568Date: July 7, 20XX Procedure: Liver biopsy This 29-year-old female with a history of liver disease was placed under anesthesia for a percutaneous liver biopsy to rule out a malignant condition.CPT code assignment for the anesthesiologist would b

00702

Patient Name: Wyon, Gabbie MRN: 049586Date: 3/4/20XX Procedure: Radical hysterectomy Anesthesiologist performed the following; General anesthesia was administered prior to the completion of a radical hysterectomy.CPT code assignment for the anesthesiologist would be:

00846

Patient Name: Jones, Joanne MRN: 029384Date: April 16, 20XX Procedure: Tubal ligation Anesthesiologist performed the following:The patient was placed under general anesthesia prior to the completion of a laparoscopic tubal ligation.CPT code assignment for the anesthesiologist would be:

00851

Patient Name: Mark Jumps MRN: 394567Date: June 18, 20XX Procedure: Arthroscopic total knee arthroplasty This 19-year-old soccer player sustained an injury to his left knee, and an arthroscopic total knee arthroplasty was performed with Dr. Jones administering the anesthesia.CPT code assignment for the anesthesiologist would be:

01402

Patient Name: Stan Tanks MRN: 774950Date: January 15, 20XX Procedure: Closed reduction of humerus Dr. Jones, anesthesiologist, used general anesthesia to sedate this patient prior to a closed reduction of the humerus.CPT code assignment for the anesthesiologist would be:

01730

__________ is the anesthesia code used for open or surgical arthroscopic procedures of the elbow.

01740

Patient Name: Mary Thomas MRN: 102938 Date: December 14, 20XX Procedure: Cesarean delivery of twin girls This 29-year-old patient was placed under general anesthesia for the delivery of two infant females.CPT code assignment for the anesthesiologist would be:

01961

Preoperative diagnosis: Cyst Postoperative diagnosis: Pending review of pathology findings Procedure: Fine needle aspiration cyst This 59-year-old male patient was prepped and draped in the usual fashion for a fine needle aspiration. The cyst on his right shoulder was identified, and the area was cleansed. A 25-gauge needle was guided, by palpation, into the cyst, and the fluid was removed from the cyst. The fluid was sent to pathology. The needle was withdrawn, and a bandage was placed over the wound site. There were no complications.CPT code(s):

10021

Code __________ is used to report an injection of the sinus tract for a diagnostic procedure.

20501

CPT code __________ is used for the removal of up to 15 skin tags.

11200

Preoperative and postoperative diagnosis: Painful enlarging right vulvar cyst Operation performed: Excision of right vulvar cyst Reason for surgery: This 34-year-old female patient has a vulvar cyst that is causing pain and discomfort.The patient was taken to the OR and placed in the supine position. IV analgesia was started, and then she has placed in the dorsal lithotomy position. The surgical site was prepared with Lidocaine 1%, and then epinephrine and bicarb was administered. A 20-mm cyst was seen on the medial right upper labia minora. A #15 blade was used to make a 1.2-cm incision, freeing the cyst. The cyst was removed. The area was closed with 5-0 Vicryl running interrupted sutures. The patient tolerated the procedure. She was placed back in the supine position and transferred to the recovery room in satisfactory condition.CPT code(s):

11422

Podiatry NoteThis 67-year-old diabetic patient is seen today for debridement of all nails on his right and left feet.He states that he is having a problem walking, and his feet are painful. The nails on both feet were debrided. There were no signs of infection or open wounds. He was instructed to continue to follow up with me on a regular basis to monitor any possible podiatric conditions due to his diabetes.CPT code(s):

11721

ER NoteThis 15-year-old male patient was playing and ran into a tree, and his hand was injured. His left thumb is swollen, and there is blood present beneath the nail. After the hand was cleansed, Lidocaine was used to anesthetize the area, and then an electrocautery needle was used to pierce the nail plate. The hematoma was drained successfully. For the site to drain, a loose dressing was put in place. Instructions were given on dressing changes. He was instructed to see his primary care provider if he experiences increased pain and to schedule a follow-up appointment within seven days.CPT code(s):

11740-FA

Office Procedure NoteThis 39-year-old patient returns to the office today because of a defect on the nail of his left big toe. He was seen three times in the last four months for this problem. This defect is very suspicious, and I felt it best to biopsy a portion of the nail plate and bed. The sample was sent to pathology. I told the patient that he will be called with the results, and then I will decide how to proceed.CPT code(s):

11755-TA

Code __________ is used to report therapeutic injections for the symptomatic pain associated with carpal tunnel.

20526

Preoperative and postoperative diagnosis: 4-cm laceration of the left thigh.Procedure: Repair of laceration This 4-year-old male was prepped and draped in the usual fashion. The left thigh was cleansed, and 1% lidocaine was used to anesthetize the area. The laceration was measured and found to be 4 cm in length. The wound was examined, and no foreign bodies were found in the area. Eight sutures, placed in the subcutaneous fat layer of the skin, were used to close the wound. Additional sutures were placed to close the skin. The patient tolerated the procedure with no complications and was sent to the recovery area.CPT code(s):

12032

A 2.7-cm complex repair of the skin of the nose is reported with code __________.

13152

The CPT code used to report suction-assisted lipectomy, head and neck, is __________.

15876

Initial incision escharotomy is reported with code __________.

16035

Preoperative diagnosis: Warts Postoperative diagnosis: One wart on third toe of right foot and two warts on fourth toe of left foot.Due to the size of the warts, the patient was taken to the operating room for wart removal. The left foot was infiltrated with 1% lidocaine. The CO2 laser was prepared, and the wart on the right third toe was vaporized. The two larger warts on the fourth toe of the left foot were then vaporized. All areas were vaporized to a depth of 1.5 cm. A 3-mm margin was vaporized around all the lesions. Noting no complications, the patient was transferred to the recovery room in stable condition.CPT code(s):

17110

Preoperative and postoperative diagnosis: Bilateral breast hypoplasia and symmetryOperation performed: Bilateral augmentation mammoplastyThe patient was prepped and draped in the usual sterile fashion, and then general anesthesia was achieved. Local infiltration with 1% Lidocaine with 1:100,00 dilution of epinephrine was performed. On the right breast, using a #15 blade, an inframmammary incision was made and carried through the skin and subcutaneous issue. A Bovie electrocautery dissection was completed down to the pectoralis muscle, and a submuscular pocket was created. Saline was used to irrigate the site. Hemostasis was achieved.The same procedure then was completed on the left breast, with dissection performed in a symmetric fashion to recreate a submuscular pocket. Two implants were inspected, and they were placed in the submuscular pockets. Additional dissection was performed on the left side to achieve symmetry. 3-0 Vicryl sutures were used to close the muscle layer. The subcutaneous deep dermal layer was then closed with 3-0 Vicryl sutures and the subcuticlar with 4-0 Vicryl sutures. The wounds were dressed, and a Velcro breast band was placed on the superior aspect of the breast. After extubing the patient, she was sent to recovery in stable condition.CPT code(s):

19325-50

Procedural Note This patient presents with a subfascial soft tissue abscess for incision and drainage.After local anesthesia was administered, an incision was made over the abscess on the right arm and continued down to the fascia until the abscessed area was visualized below the deep fascia. The abscess was viewed, debrided, and then drained. The area was irrigated, and packing was placed. The patient tolerated the procedure and was instructed to follow up with me in one week.

20005

Procedural Note Preoperative diagnosis: Possible malignancy on muscle of left thigh After local anesthesia, a percutaneous bore needle was used to pierce the skin and fascia into the muscle to obtain a biopsy of the muscle tissue. The needle was removed with minimal blood. A bandage was placed on the site. The tissue sample was sent to pathology. The patient was in satisfactory condition after the procedure.CPT code(s):

20206

This 84-year-old patient presented today for an injection with ultrasound guidance with permanent recording and reporting due to degenerative arthritis of the left hip.Procedure:After MAC sedation, the left hip was prepped. The puncture site was injected with 1% Lidocaine with epinephrine. A 20-gauge extra-long spinal needle was placed at the neck-head junction, and Isovue was injected. Additional injections of Lidocaine, Marcaine, and Depo-Medrol 80 mg were given. A Band-Aid was placed on the injection site. There were no complications of the procedure, and the patient was sent to recovery.CPT code(s):

20611

Code __________ is used to report aspiration of a ganglion cyst, any location.

20612

Halo application, cranial, 7 pins placed, for thin skull osteology, is reported with code __________.

20664

Indication for surgery This 49-year-old female patient sustained a proximal tibial plateau fracture three years ago, which was repaired with both internal and external fixation. Since that time, she has developed significant pain due to degenerative disease in the previous fracture area. She presents today for hardware removal.Post operative diagnosis: Retained hardware right knee Surgical procedure: Removal of hardware from right knee proximal tibia Procedure: The patient was placed in the supine position. The right leg was prepped and draped after the patient was placed under general anesthesia. High on the right thigh a tourniquet was placed, and the leg was exsanguinated using an Esmarch bandage. An incision was made and carried down through the skin and subcutaneous level down to the level of the hardware. Removal of the screws and plates occurred. The fracture was united at the time of closure. The wound was closed with staples and 2-0 Dexon. The patient tolerated the procedure and was taken to the recovery area.CPT code(s):

20680-rt

Ear cartilage grafting, autogenous, to nose, is coded to__________.

21235

A biopsy of soft tissue of the thorax is reported with code __________.

21550

Modifier __________ reports an increased procedural service.

22

Modifier __________ reports unusual anesthesia.

23

Procedures completed on the shoulder are in code range __________.

23000-23929

Marty went to the doctor's office with a sore throat and an upset stomach. The doctor performed an exam and evaluation of Marty. In the course of the evaluation, Marty mentioned he was having some back pain. The doctor also evaluated this issue and performed an osteopathic manipulation on one body region. The doctor reported a 99213 with a(n)---------- modifier and a 98925 for the OMT.

25

Diagnosis: Right radial shaft fracture Procedure: Open reduction internal fixation of radius The patient was placed in the supine position with an armboard extension. A nonsterile tourniquet was placed on the right arm. An incision was made proximal to the distal palmar crease and then extended to the level of the elbow crease through the subcutaneous tissue until the flexor carpi radialis tendon was identified. Further dissection of the area revealed that the fracture was at the insertion of the FPL tendon. The fracture was reduced with bone forceps and clamps. A 12-hole DC plate was fitted to the normal curvature of the volar aspect of the radius. The plate was fixed to the shaft. The screw holes were filled, and there was adequate reduction of the radial shafting. Full supination and pronation were achieved. Hemo statis was achieved, and the wound was irrigated to remove all debris. The subcutaneous tissue was closed using 2-0 Vicryl sutures, and a 3-0 nylon suture was used to close the skin. Sterile dressings were applied, and the patient's arm was placed in a sugar-tong splint. The patient was taken to the recovery room in good condition.CPT code(s):

25515-rt

Dr. Whoo interprets an MRI of the temporomandibular joint. This is reported with code 70336, appended with modifier

26

Preoperative diagnosis: Mass on right middle finger, middle phalanx Pathology: Benign tumor from middle phalanx Operation: Excision of benign tumor of middle phalanx of finger The patient was prepped, and a digital block was achieved using 2.5 cc of 0.25% Marcaine and 1% Xylocaine. The finger was exsanguinated, and a tourniquet was placed. An incision was made over the mass and carried through the subcutaneous tissue. The mass was removed via curettes to scrape the mass from the bone. The specimen was labeled and sent to pathology. Irrigation of the wound occurred, and the skin was closed in layers. A sterile dressing was applied, and the patient was taken to the recovery area in stable condition.CPT code(s)

26210-f7

Preoperative and postoperative diagnosis: Painful left index finger due to previous crush injury Procedure: Amputation of left index finger The patient was placed under general anesthesia, and a 1% Lidocaine and 0.5% Marcaine with epinephrine was administered to perform a digital block for the left index finger. A tourniquet was inflated on the left arm. An incision was made over the mid aspect of the proximal phalanx of the left index finger with dissection of the subcutaneous tissue. The digital nerves were cut, and then sharp dissection was taken down to the bone, dividing the flexor and extensor tendons. A bone cutter was used to divide the bone, and the finger was removed. The vessels and nerves were ligated, and the bone was smoothed off with a rongeur. The skin was closed with 5-0 nylon sutures and a dressing applied. The tourniquet was deflated. There was minimal blood loss, and the patient was taken to the recovery room in satisfactory condition.CPT code(s):

26951-f1

Modifiers __________ and __________ are approved for ambulatory surgery center hospital outpatient services.

27, 73

Preoperative and postoperative diagnosis: Painful bunion of the right foot Operation performed: Correction of bunion—Silver bunionectomy After being placed in the supine position, the patient was prepped and draped. IV sedation with a local consisting of 15 cc of 1:1 mixture of 0.5% Marcaine plain with 2% Xylocaine with epinephrine was administered. A 5-cm curvilinear incision was made over the first MPJ and carried deep through the subcutaneous tissue, with dissection down to the deep fascia. The prominent medial bunion was exposed, and the bunion was excised at the sagittal groove. The wound area was flushed with normal saline, and the deep structures were closed with 3-0 and 4-0 Vicryl. The skin was closed with 4-0 nylon in a horizontal mattress fashion. The wound was then dressed. The patient tolerated the procedure and was sent to the recovery area.CPT code(s):

28292-rt

Operative diagnosis: Carpal tunnel syndrome of the right hand Procedure: Endoscopic carpal tunnel release The patient was anesthetized with local anesthesia and IV sedation. After the patient was placed in the supine position, a tourniquet was placed on the right arm. A 1.5-cm horizontal incision was made at the wrist, and the subcutaneous tissue was dissected to gain entrance for the endoscope. The operative area was visualized on the monitor. The transverse carpal ligament was released. The scope was removed, and the wound was irrigated and closed with 3-0 Prolene in a running subcuticular stitch. Additionally, Steri-Strips and a sterile dressing were applied, and the tourniquet was deflated. Blood loss was minimal. Patient was stable and sent to recovery.CPT code(s):

29848-rt

Preoperative and postoperative diagnosis: Left knee arthrosis Procedure: Arthroscopy and debridement The patient was prepped and brought into the operating room, where general anesthesia was administered. The knee was prepped, and a video arthroscopy was performed using the anterolateral and anteromedial portals. The scope confirmed the diagnosis. In the medial compartment, the degenerative meniscus was debrided with a shaver. The large osteophytes were removed with a bur. After removal, it was noted that there was improved extension. In the lateral compartment, a small anterior horn of the tear was debrided and shaved back to the meniscal tissue. The portals were sutured with nylon sutures. Sterile dressings were applied. The patient was in stable condition and was sent to the recovery room.CPT code(s):

29877-lt

A total rhinectomy is reported with code __________

30160

Preoperative and postoperative diagnosis: External and internal nasal deformity Procedure: Septorhinoplasty with major septal repair The patient was placed in the supine position under general anesthesia. This is the first time that this patient has undergone rhinoplasty. A cocaine-soaked pledget was placed in the nasal cavity, and the nasal septum and cartilaginous regions were exposed. After the blood vessels shrank, 1% Lidocaine with 1:100,000 epinephrine was injected into the nasal mucosa. The deformity was visualized via incisions noting the concave of the nasal septum. The cartilage was trimmed, and fat was removed from the subcutaneous regions. The dorsum was reshaped with files, and the periosteum was incised at the caudal aspect of the nasal bones, with a small portion of the bone resected. A vertical incision was made in the septal mucosa, and the cartilage was removed. All incisions were closed in single layers. The nose was dressed with the standard rhinoplasty dressing, and a Denver splint was placed to support the changes in the bone. Estimated blood loss was minimal. The patient was taken to the recovery area in stable condition.CPT code(s):

30420

Physician Office Procedure NoteThis 76-year-old patient is being seen today because of spontaneous nasal hemorrhages. This patient has leukemia and is experiencing frequent bleeding from his nose. He was seen on Monday of this week, and I packed his nose with posterior nasal packing. He returned today and is still bleeding, and I again posteriorly packed his nose to control the nasal hemorrhage. He was instructed to go directly to the emergency department if the bleeding increases at any point.CPT code(s):

30906

Sphenoid sinusotomy with biopsy is reported with code __________.

31050

This 24-year-old patient was brought to the emergency room with difficulty breathing after being stung by a bee. The patient is experiencing a severe reaction to the bee sting. She was able to administer the EpiPen but she is still in need of breathing assistance. An emergency tracheostomy was performed, after which the patient was resting comfortably.CPT code(s):

31603

Ambulatory Surgery Center ReportPatient history: This 34-year-old male patient was in an accident five years ago, and at that time had a permanent tracheostomy due to the extent of the injury. He now presents with scar tissue in the area of the tracheostomy.Preoperative and postoperative diagnosis: Redundant scar tissue surrounding a tracheal stomaProcedure: Repair of the tracheal stomaThe patient was placed under general anesthesia, and the airway was established for proper ventilation during the procedure. An incision was made to resect the redundant scar tissue that had formed around the tracheal stoma. The skin was reanastomosed and closed in sutured layers. Blood loss was minimal. The patient was sent to the recovery area in satisfactory condition.CPT code(s):

31613

Endoscopy Report Preprocedure diagnosis: Rule out malignant lesion of right upper lobe of bronchus Post procedure diagnosis: Pending pathology report Procedure: Under conscious sedation, this 82-year-old female was sedated. The airway was anesthetized, and a flexible bronchoscope has advanced through the oral cavity through the larynx using fluoroscopic guidance. The bronchus was viewed, and a lesion was identified. A biopsy of the tissue was taken from the right upper lobe of the bronchus. No other lesions were visualized. Bleeding was found to be minimal, and the scope was removed. The tissue sample was sent to pathology. The patient was sent to the recovery area in stable condition.CPT code(s):

31625

Preoperative diagnosis: Small unidentified mass in the right lung Postoperative diagnosis: Same Procedure: Bronchoscopy with biopsy with washings Conscious sedation of Fentanyl, 20 mcg, and 2 mg of Versed was administered to this patient. A bronchoscope was introduced through the left nostril and moved down past normal vocal cord structure and into the bronchial tree on the right side. There were no ulcerations of the mucosa. Fluoroscopic guidance allowed for the bronchoscope to move into the upper lobe of the right lung. Endobronchial biopsy of a small mass was noted, and washings and brushings were taken. The sample was sent for histology. The patient tolerated the procedure well.CPT code(s):

31625, 31623

Preoperative diagnosis: Foreign body in bronchus Postoperative diagnosis: Foreign body in bronchus Procedure: Removal of a foreign body in the bronchus of the left lung via scope The patient was consciously sedated, and a bronchoscope was introduced into the left nasal passage. There were no abnormal structures noted as the scope was placed into the left bronchial tree. In the left bronchial tree, there was a foreign body, and the bronchial tree appeared slightly inflamed. The foreign body was removed and sent to pathology for inspection. The scope was removed, and the patient tolerated the procedure and was sent to recovery in stable condition.CPT code(s):

31635

James Tree is a patient at an intermediate care facility. Today he is being seen by Dr. Rip because of a state mandate for the resident to be seen every six months. Code 99315 was reported with modifier ------to report the mandated service.

32

Code __________ is reported for a thoracostomy with rib resection for empyema.

32035

Procedure Note This 32-year-old female was brought to the emergency department by her sister with right-side chest pain. Patient states that pain is between 9 and 10 on the pain scale. She has been having shortness of breath for the last four hours. She was fine yesterday except for a little fatigue. The pain started when she woke up this morning. A chest x-ray showed some suspicious area at the left base. At this time it was determined that a percutaneous needle biopsy of the lung should be completed. This procedure was performed, and the patient is resting.CPT code(s):

32405

code __________ reports the first of three distinct components performed during a lung transplant.

32850

Code(s) __________ are used to report backbench work for lung transplantation.

32855-32856

Dr. Jackson performed a therapeutic pneumothorax on Sally Small and reported code 32960. Later that same day, the procedure was repeated. How should the second procedure be reported? Report coDE------- with modifier -------

32960, 76

Procedure: Replacement of pacemaker generator The patient was brought to the operating room and was prepped and draped in the usual fashion. The patient was consciously sedated. The previous subcutaneous right infraclavicular skin pocket was identified, and an incision was made in this area to remove the previously inserted generator. The atrial and ventricular leads were checked. Since the pocket was clean, it was determined that the same pocket could be used for the reinsertion of a new generator. A pulse generator was placed and tested. Noting no complications, the physician sutured the site. The patient was found to be in stable condition and was returned to the recovery room in satisfactory condition.CPT code(s):

33228

Insertion of pacing cardioverter-defibrillator pulse generator only, with existing single lead, is reported with code __________.

33240

Dr. Cook is performing a pulmonary valve replacement. Dr. Samson is the assistant surgeon for the case. Dr. Cook reports code 33475, whereas Dr. Samson should report code------- with modifier------- .

33475, 80

Code __________ is used to report harvesting of an upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure.

35500

Check My Work CPT code __________ reports an introduction of a needle into a vein.

36000

Preoperative diagnosis: Leukemia, in remission Postoperative diagnosis: Same Procedure: Tunneled venous access port removal Reason for procedure: This 8-year-old male completed chemotherapy.The patient was prepped and draped in the normal sterile fashion. His right side was anesthetized, and an incision was made above the port area. The port was a tunneled device with a subcutaneous port that was peripherally inserted. The incision was taken down to the device, which was freed. The retention sutures were identified and cut. After confirmation that the device was free, it was removed. Hemostasis was obtained, and the wound was closed in layers using 3-0 nylon. A sterile dressing was applied to the area. Patient vitals were taken, and the patient was noted to be stable. He was sent to the recovery room in stable condition.CPT code(s):

36590

Dr. Short completed an injection procedure for a splenoportography. Select the correct code(s) for this service.

38200

Dr. Long placed a long-bore needle into the marrow cavity of the ribs. The bone marrow was aspirated with a large syringe and then placed it in a sterile container. The bone marrow was harvested for transplantation for a patient. The appropriate code to use for this procedure is ____.

38230

Simple drainage of a lymph node abscess is reported using code __________.

38300

Laparoscopic procedures on the lymph nodes are coded to range __________.

38570-38589

Code __________is used to report the removal of lymph nodes in the suprahyoid area.

38700

Superficial axillary lymphadenectomy is reported using code __________.

38740

Code __________ is used to report the removal of a lymph node in the inguinofemoral area, superficial.

38760

Unlisted procedures on the hemic system are reported using code __________.

38999

Using the CPT manual, select the appropriate code for the following procedure. Preoperative and postoperative diagnosis: Mass in mediastinum Procedure: Open exploration of the mediastinum with biopsy Pathology: Pending The patient was prepped, and an incision was made low in the front of the neck. The sternomastoid muscles and the cranial vessels were visualized and were pulled to the side. The trachea and thyroid were drawn to the center, exposing the space behind the esophagus. A mass was seen, and a biopsy was taken. Penrose drains were placed. The incision was closed with sutures. Minimal blood loss occurred. The patient was sent to the recovery room in satisfactory condition.

39000

A mediastinotomy, transthoracic approach, including either transthoracic or median sternotomy, requires code __________.

39010

Code __________ reports resection of mediastinal cyst.

39200

Select the appropriate code for the following procedure. Preoperative and postoperative diagnosis: Mediastinal cyst Procedure: Removal of cyst

39200

Select the appropriate CPT code for the following procedure. Removal of mediastinal tumor

39220

Code __________ is used for mediastinoscopy with biopsies.

39401

Select the appropriate CPT code for the following procedure. Biopsy of mediastinum mass via mediastinoscopy

39401

Code __________ reports repair of laceration of diaphragm.

39501

Using the CPT manual, select the appropriate code for the following report. Preoperative and postoperative diagnosis: Diaphragmatic tear Procedure: Repair of diaphragm The patient was prepped and draped in a sterile fashion. A chest incision was made to expose the tear in the diaphragm. The tear was visualized, and an artificial patch was used to repair the defect. In addition, nonabsorbable sutures were used to reinforce the patch. The chest incision was closed with staples, and a sterile dressing was applied. The patient was in stable condition and was taken to the recovery room.

39501

Code __________ represents the repair of a neonatal diaphragmatic hernia with chest tube insertion and creation of ventral hernia.

39503

Using the CPT manual, select the appropriate code for the following report. Patient age: 4 days old Preoperative and postoperative diagnosis: Diaphragmatic hernia Procedure: Hernia repair The patient was prepped and draped in the usual fashion. A transabdominal incision was made, and the herniated stomach was visualized. The stomach was returned to the appropriate position in the abdominal cavity. The hernia sac was cut away and removed. Sutures were placed in the diaphragm to narrow the enlarged opening. A chest tube was inserted. The abdomen was closed. Drains were placed, and the wound was sutured. The patient tolerated the procedure and was sent to the recovery room in stable condition.

39503

Code __________ reports repair of acute diaphragmatic hernia, traumatic.

39540

Code __________ is used for repair of a chronic diaphragmatic hernia.

39541

Using the CPT manual, select the appropriate code for the following procedure. Transabdominal nonparalytic imbrication of the diaphragm

39545

Using the CPT manual, select the appropriate code for the following procedure. Simple repair and resection of the diaphragm

39560

Resection and complex repair of diaphragm is represented by code __________.

39561

An unlisted procedure completed on the diaphragm would be reported with code ____________________.

39599

Code __________ reports excision of esophageal lesion with primary repair, abdominal approach.

43101

Mary Jones was diagnosed with carcinoma of the esophagus. She underwent a total esophagectomy with cervical esophagostomy without reconstruction. Select the appropriate CPT code.

43124

Which of the following codes reports a diagnostic procedure?

43200

Dr. Kim performed an esophagoscopy, using a flexible scope, to remove a lesion by snare technique. The appropriate CPT code(s) to report are _____.

43217

Dr. Kapline performed an ERCP with endoscopic retrograde removal of a calculi from the pancreatic duct with sphincterotomy. The appropriate CPT code(s) to report are _____.

43264, 43262

Introduction of a nasogastric tube with fluoroscopic guidance by a physician is reported with code __________.

43752

A duodenotomy for exploration is reported using code __________.

44010

An open appendectomy is coded to __________ when performed on its own and not in conjunction with another abdominal procedure.

44950

Anoplasty for a stricture for an adult is reported using code __________.

46700

Modifier __________ reports anesthesia by surgeon.

47

Code __________ reports open drainage of perirenal abscess.

50020

A partial nephrectomy is reported using code __________.

50240

A partial nephrectomy by means of a laparoscopic approach is reported using code __________.

50543

Code __________ reports a complicated change of cystostomy tube.

51710

Modifier __________ reports reduced services.

52

Code __________ reports a cystourethroscopy with internal urethrotomy, on a male.

52275

A transurethral incision of prostate is reported using code __________.

52450

Dr. Albert is performing a complicated pyeloplasty on Kelly. Kelly was tolerating the procedure fairly well until her blood pressure began to drop dangerously low. After having trouble stabilizing her, Dr. Albert discontinued the procedure because he felt it would be too dangerous to continue. The doctor reported the part of the service he performed with a 50400 and a(n) modifier.

53

Code __________ reports biopsy of urethra.

53200

Biopsy of the penis is reported with code __________.

54100

Foreskin manipulation including lysis of preputial adhesions and stretching is reported using code __________.

54450

Incision and drainage of a scrotal space abscess are reported using code__________.

54700

A unilateral epididymectomy is reported with code __________.

54860

Jamie South was out of town playing football two weeks ago, and he sustained a broken ankle. He was taken to the local hospital, and Dr. Books performed a closed treatment of trimalleolar ankle fracture with manipulation. Today he is being seen by Dr. Thompson for the postoperative care for the fracture treatment. Dr. Thompson should report code 27818 with modifier

55

Code __________ reports a vesiculotomy.

55600

Code __________ reports a perineal radical prostatectomy.

55810

The CPT procedure code for electroejaculation is __________.

55870

Code __________ reports male-to-female surgery.

55970

Code __________ reports female-to-male surgery.

55980

Code __________ is used to report the biopsy of a single lesion from the vulva.

56605

Excision of the Bartholin's gland is reported using code __________.

56740

An Evaluation and Management service that resulted in the initial decision to perform the surgery may be identified by adding modifier __________ to the appropriate level of the E/M service.

57

Sam is a 10-year-old child who has had chronic ear infections for the last year. Today Dr. Abbes has decided that Sam needs to have tubes inserted into his ears. This is scheduled to occur in three weeks. Today's visit was coded with 99214 appended with modifier .

57

An intrauterine cordocentesis is reported with code __________.

59012

Code __________ reports abdominal hysterotomy.

59100

A postpartum scraping (curettage) is reported with code __________.

59160

Routine obstetric care, including antepartum care, vaginal delivery, without episiotomy, and with postpartum care, is reported using code __________.

59400

Code __________, delivery of the placenta, as a separate procedure code.

59414

Antepartum care only, seven or more visits, is reported with code __________.

59426

Code __________ reports a cesarean delivery only.

59514

The CPT manual contains-------main sections.

6

A unilateral total thyroid lobectomy is reported using code __________.

60220

A complete thyroidectomy is reported using code __________.

60240

Procedures on the parathyroid, thymus, adrenal glands, pancreas, and carotid body, are in code range __________.

60500-60650

The add-on code used in conjunction with code 60500 is __________.

60512

For a bilateral complete adrenalectomy, report code __________ with modifier __________.

60540, 50

A laparoscopic adrenalectomy is reported using code __________.

60650

The code range for the nervous system is __________.

61000-64999

Code __________ is reported for a balloon dilatation of an intracranial vasospasm, percutaneous, initial vessel.

61640

Surgery for a simple intracranial aneurysm, intracranial approach, carotid circulation, is reported using code __________.

61700

Code range __________ applies to both simple and complex neurostimulators.

61850-61888

A ventriculocisternostomy is reported using code __________.

62180

Mary Beth is a 19-day-old neonate who weighs 3.2 kg and who is undergoing an arthrotomy with biopsy of the interphalangeal joint. The surgeon reports code 28054 with modifier .

63

The CPT procedure code for biopsy of the cornea is __________.

65410

Laser severing of adhesions of the anterior segment of the anterior chamber is reported using code __________.

65860

The insertion of an intraocular lens after intracapsular cataract removal is reported using code __________.

66983

Release of encircling material of the posterior chamber is reported with code __________.

67115

Code __________ reports destruction of localized lesion of the retina by photocoagulation.

67210

Code __________ reports a scleral reinforcement.

67250

Code __________ reports biopsy of the extraocular muscle.

67346

Drainage of an external auditory abscess would be reported with code __________.

69020

The CPT code for ear piercing is reported using code __________.

69090

Code __________ reports a modified radical mastoidectomy.

69505

Excision of an aural polyp is reported using code _________

69540

Cochlear device implantation is reported using code __________.

69930

An anteroposterior x-ray of the abdomen is reported with code __________.

74000

Code __________ reports an ultrasound of the scrotum and contents.

76870

The use of fluoroscopic guidance for placement of a needle is reported using code __________.

77002

CT guidance for the placement of radiation therapy fields is reported using code __________.

77014

Tissue typing is reported using code range __________.

86805-86849

Bone age studies are reported using code __________.

77072

Code __________ reports externally generated, superficial hyperthermia.

77600

Myocardial imaging (PET) for metabolic evaluation is reported using code __________.

78459

Radiopharmaceutical therapy by oral administration is reported using code __________.

79005

Acute hepatitis panel is reported with code __________.

80074

The CPT code for a digoxin assay is __________.

80162

A screen for heavy metals (arsenic, barium bismuth, beryllium, etc.) is reported using code __________.

83015

Code __________ reports bone marrow smear interpretation.

85097

In vivo lab procedures are reported using code range __________.

88720-88749

Use code __________ to report cryopreservation of embryo(s).

89258

Post-coital semen analysis including Huhner test is reported using code __________.

89300

A psychiatric diagnostic evaluation is reported with code __________.

90791

Psychotherapy for crisis, first 60 minutes, is reported using code __________.

90839

Hemodialysis with a single physician evaluation is reported using code __________.

90935

Code __________ reports a determination of refractive state.

92015

In the subsection Vestibular Function Tests Without Electrical Recording, code(s) __________ cannot be reported with Evaluation and Management services.

92531 and 92532

Cardiopulmonary resuscitation is reported with code __________.

92950

Modifier __________ is used to denote multiple modifiers.

99

Anesthesia complicated by utilization of total body hypothermia would be assigned the add-on code .

99116

Office Visit This patient has been a patient of mine for six years, and I saw him three months ago for his annual physical. Today he presents with a cough, which he has had for the last two days with a fever of 101 and is short of breath. Personal medical history is significant for appendicitis in 2003. This well-nourished, well-developed 25-year-old patient presents with a cough and fever.BP 120/70. Height: 5 feet 9 inches. Weight: 175 lb.Ears: Auditory canals and tympanic membranes within normal limits.Oropharynx: No significant findings.Lungs: Bilaterally congested.Heart: Regular sinus rhythm.Abdomen: Soft.Liver and spleen: Not palpable.Assessment: Acute bronchitis.Plan: Patient was prescribed an antibiotic. See medication order for details.CPT code(s):

99213

The CPT coding system was first published in 1966 by the (abbreviated)

american medical Association AMA

Nick was riding his dirt bike and collided with a tree. The EMTs stabilized Nick at the scene and transported him to the nearest hospital. His doctor, Dr. Shanequa, had been contacted by the family and would meet them at the hospital emergency room. In the emergency room, Dr. Shanequa took a detailed history, did a comprehensive physical, and ordered lab work and x-rays of the head, neck, and back, along with the right leg, because Nick was complaining of severe pain in the lower portion of the leg. Dr. Shanequa determined that although Nick was pretty banged up and should not ride the dirt bike for a while, he was fine. The x-rays showed a bad sprain in the ankle area, but nothing was broken.CPT code(s):

99214

Daisy, a 10-year-old girl, was very sick when she presented for an office visit at her pediatrician's office. She was running a high fever, was very lethargic, had swollen glands, and showed signs of dehydration because of the vomiting she had been doing the previous night. The doctor decided, after a comprehensive history and physical, that Daisy needed to be admitted to the hospital for lab workup, rehydration, antibiotics, and monitoring. Daisy's pediatrician stopped in to the hospital that evening to evaluate her condition and check on lab results. Medical decision making was high complexity.CPT code(s):

99223

Codes in range------- to------ are used when a patient is admitted and discharged on the same date of service.

99234, 99236

Megan was admitted to the hospital on May 31 at 5:00 a.m. for chest pain with nausea and heartburn. A comprehensive history was taken, and a comprehensive exam was done. Another 12 hours later, after labs, x-rays, and monitoring had been completed, and with no repeat in symptoms, it was determined that Megan had suffered a bout of GERD, and she was released to go home.CPT code(s):

99235

Code __________ is assigned for two-way communication between the doctor and the EMT or other emergency personnel during a transport that involves advanced life support.

99288

Colin was having great difficulty living alone since his recent fall down the back steps of his house. His family decided that Colin should move to a skilled nursing facility (SNF), which he finally agreed to do. The physician at the SNF did a comprehensive history and physical. The medical decision making was of moderate complexity, and there was a very detailed plan of care implemented that would work on building Colin's strength and reteaching him how to get around in a safer manner.CPT code(s):

99305

Skilled Nursing Facility Discharge SummaryThis 83-year-old has been a resident for the past 1½ years. She was admitted because she had polio with left hemiparesis with speech impediment. She was hospitalized four months ago with an exacerabation of COPD, dehydration, and low blood pressure. After physical, speech, and occupational therapy, the patient has now become more independent and is able to walk behind her wheelchair. She is able to perform all of her ADLs. Routine lab work was completed last week and was found to be within normal ranges. The patient is being discharged to her daughter's home. Final Examination of Patient The patient is alert. Vital signs: BP 120/66, P-64, R-12 weight -165 lb.HEENT: Head—normocephalic EENT: clear.NECK: No lymphadenopathy or thyromegaly.LUNGS: Clear, good air entry.HEART: Regular rhythm, no murmurs. Distal pulses palpable.ABDOMEN: Soft, nondistended.NEUROLOGICAL: Cranial nerves 2-12 grossly intact except for speech impediment. Has left hemiparesis. Discharge records were completed, and instructions and prescriptions were given to the patient's daughter.CPT code(s):

99315

Domiciliary, rest home, or custodial care services for an established patient are reported with code range __________.

99334-99337

This 93-year-old was seen today in her home to reevaluate a rash that she has had for the last three weeks.Patient appears alert and responsive. BP: 130/80.Heart: Normal rate and rhythm.Abdomen: Soft with no masses present.Skin: The rash that was previously present on the patient's left arm and shoulders is resolved.Patient was instructed to call if the rash reappears.CPT code(s):

99347

Code __________ reports standby service, requiring prolonged attendance, each 30 minutes.

99360

Office NoteThis 16-year-old presents today for his annual physical. This patient has been under my care since he was 6 years old.This patient has no known medical problems.Please see previous family history taken in May of last year. There are no additional items to add to that history.Social History The patient is a junior in high school and denies use of drugs or alcohol. He is a swimmer and trains year round and is hoping to secure a college swimming scholarship. Denies any other social risk factors at this time. Patient was given patient educational materials on social risks that are relevant to his age.Physical Exam Vital Signs: As recorded by nurse.HEENT: Within normal limits.Neck: Examination and thyroid are normal.Abdomen: There are no masses or tenderness noted. Scar from previous appendectomy at age 12.Heart: Normal sounds, no murmurs.Musculoskeletal: There are no significant findings. Patient has better than average muscle strength and tone.No laboratory tests or procedures were ordered. Patient is current on all immunizations. Patient instructed to return in one year for physical, or sooner if an acute condition occurs.CPT code(s):

99394

Smoking Cessation Program NoteThis 30-year-old male patient presents today for his fifth counseling visit as part of the Smoking Cessation Program. Reviewed self-relaxation techniques and monitoring of physical symptoms of stress that precede cravings for nicotine. Client reports reduction of three to five cigarettes per day since last visit. Patient was instructed to continue to record nicotine use and stress levels. Patient to schedule appointment in two weeks.Time of today's session: 10:00 a.m. to 10:35 a.m.CPT code(s):

99407

Mrs. Edison was having trouble eating some of the foods the nutritionists had set up on her diabetic diet menu. Mrs. Edison talked with her doctor who in turn called the nutritionist overseeing Mrs. Edison's diet. The doctor and the nutritionist were on the phone, had a lengthy phone conversation, and decided to integrate a new menu that both of them felt would be more beneficial to Mrs. Edison and for the management of her diabetes. The doctor then called the patient to discuss the diet changes and decided to bill for the telephone call with the patient. The call length was 24 minutes.CPT code(s):

99443

A complete and detailed description of all modifiers used in CPT is found in Appendix

A

Tears are a secretion of the __________.

lacrimal glands

Mary's PCP, Dr. Langdon, is an internal medicine specialist at Cedar Grove Physicians, a large multispecialty practice. Mary sees Dr. Langdon annually for regular checkups. However, lately Mary has been experiencing headaches and a change in her vision. She decides to make an appointment with Dr. Franco, an ophthalmologist within the Cedar Grove Physicians practice, whom she saw four years ago for an unrelated issue. An Evaluation and Management code must be assigned for her encounter with Dr. Franco. Would she be considered a new patient or an established patient?

A new patient because Dr. Franco's specialty differs from Dr. Langdon's, and it has been over three years since she last had an encounter with Dr. Franco.

The __________ modifier reports anesthesia services performed by an anesthesiologist.

AA

Modifier __________ is a pricing modifier.

AH

CPT is developed by the _

American Medical Association

Complete descriptions of all CPT modifiers are found in __________.

Appendix A

Dr. Dawson has performed extracapsular cataract removal with insertion of intraocular lens prosthesis (one-stage procedure) on a patient's right and left eyes. CPT codes often require modifiers that help clarify the extent and manner in which procedures are performed. In what section of the CPT manual would Dr. Dawson's coder find the modifier needed to accurately represent the bilateral aspect of this procedure?

Appendix A

The __________ is defined as the reason for the patient encounter usually stated in the patient's words.

Chief Complaint

CPT is an abbreviation for __________.

Current Procedural Terminology

Modifier __________ is a statistical/informational modifier.

E1

__________ is the freeing of intestinal adhesions.

Enterolysis

Section Numbers and Their Sequences

Evaluation and Management- 99201-99499 Anesthesiology 00100-01999,99100-99140 Surgery 10021-69990 Radiology 70010-79999 Pathology and Laboratory 80047-89398 Medicine (except anesthesiology) 90281-99199, 99500-99607

To identify the exact nature of a service, a(n) __________ is attached to the anesthesia code.

HCPCS Level II modifier

Qualifying circumstances, codes 99100-99140, are explained in the guidelines of the __________ section.

anesthesia

Check My Work The CPT Coding Manual contains multiple subdivisions, all of which contain valuable information needed to properly determine procedure codes. Information is organized in the Introduction, the main text, which is divided into six sections (Evaluation/Management, Anesthesia, Surgery, Radiology, Pathology and Laboratory, and Medicine), the Appendices, and the Index. In which would you find procedures, anatomic sites, conditions, and abbreviations listed in alphabetical order?

Index

The procedure in which a balloon is inflated in a vessel to push and flatten plaque against the vessel wall is called a(n) __________.

angioplasty

The cornea is found on the __________.

anterior portion of the sclera

Code 95800 is found in the __________ section of CPT.

Medicine

A type of chemosurgery is __________.

Mohs micrographic surgery

Drs. Jones and Smith work as a surgical team to perform a double lung transplant with cardiopulmonary bypass. Dr. Jones would report code 32854, and Dr. Smith would report code 32854-66. Is this correct, yes or no?

NO

NCCI is the abbreviation for __________.

National Correct Coding Initiative

The __________ move oxygen-rich blood throughout the body with the exception of the pulmonary artery.

arteries

An aneurysm is a weakened area of a(n) __________ that balloons out with each pulse of blood.

artery

An instructional note follows code 69424 that __________.

lists codes that are not to be reported with code 69424

The HCPCS modifier used for monitored anesthesia care services is __________.

QS

Modifier __________ reports when an anesthesiologist is medically directing one CRNA.

QY

Code 70015 is found in the __________ section of CPT.

Radiology

Modifier __________ reports right foot, second digit.

T6

The definition for a new patient states that the patient is one who has not received professional services from the physician or another physician of the same specialty who belongs to the same group practice within the past __________ years.

THREE

Dr. Jones completed an extensive drainage for lymphadenitis. Prior to assigning the code for the extensive drainage, the coder should

assign the code if there is documentation in the patient's record that records the reason for the extensive treatment and a description of the extent of the treatment

Add-on codes

a + (plus) sign are codes that are listed as secondary to a main procedure and are used in conjunction with the main code. Add-on codes are NOT to be reported alone

Unlisted procedure or service

a service that may be provided that is not specifically listed in the CPT manual.

Code 95801 is a code for an unattended sleep study and also notes that this is a resequenced code by the use of the __________ symbol.

asterisk (*)

Guidelines for the pathology and laboratory section are found __________.

at the beginning of the section

CABG is the abbreviation for __________.

coronary artery bypass graft

The plus sign (+) in front of code 20930, a morselized allograft, means that this code is a(n) __________.

add-on code

The hormone, __________, aids in regulating the levels of salt and water in the body.

aldosterone

Preparation of a donor cadaver for lung transplant is called __________.

backbench work

Gastric bypass surgery is a(n) __________ surgery procedure.

bariatric

Surgical incision into the breast is called a

mastotomy

A lighted scope used to visualize the mediastinum, the trachea, and the major vessels of the mediastinum is known as a(n) ____________________.

mediastinoscope

The __________ is the space between the two pleural sacs behind the sternum.

mediastinum

The process used to determine a diagnosis and then decide on a plan of care for the patient is __________.

medical decision making

The thickest layer of the heart is the __________.

myocardium

The abbreviation Ca stands for __________.

calcium

The __________ consists of a layer of neurons on the surface of the brain.

cerebral cortex

C1 is an abbreviation for __________.

cervical vertebra 1

The hemic and lymphatic systems are viewed as subsets of the __________ system.

circulatory

When attempting to locate a main term in the Index, the coder should first attempt to locate the main term by the __________.

name of the procedure or service

SOB is an abbreviation for __________.

shortness of breath

The __________, __________, and __________ are the three regions of the auditory system.

external ear, middle ear, inner ear

The __________ controls the release of urine to be excreted from the body.

external sphincter

The __________ protect the eye from foreign materials.

eyelashes

The middle layer of the skin is called the __________.

dermis

The code set 17000-17250 reports the __________ of benign or premalignant lesions.

destruction

The __________ is a domed-shaped muscle that separates the thoracic and abdominal cavities.

diaphragm

EMG is the abbreviation for __________.

electromyogram

The removal of a clot in a vessel is called a(n) __________.

embolectomy

Code range 90951-90970 is used to report ESRD, or __________.

end-stage renal disease

The procedure that creates two anastomoses in the intestine is called a(n) __________.

enteroenterostomy

The incision made at the vaginal opening during delivery to prevent tearing is called a(n) __________.

episiotomy

The __________ sinuses are located between the eyes.

ethmoid

To locate codes for excision of lymph nodes, reference the main entry __________ first.

excision

The abbreviation FSH stands for __________.

follicle-stimulating hormone

G is the abbreviation for __________.

gravida

The __________ symbol means that the text is new or revised.

horizontal double triangles

Chemical substances produced by the body to keep organs and tissues functioning properly are called __________.

hormones

The procedure in which the hymen is removed is called a(n) __________.

hymenectomy

The abbreviation IVF stands for __________.

in vitro fertilization

The __________ is (are) located in the back of the CPT manual and is (are) organized by main terms that are used to locate codes. a. Introduction

index

the------ is organized by main terms.

index

CPT is updated annually on __________.

january 1

Medicare does not accept __________.

physical status modifiers

The abbreviation PET stands for __________.

positive emission tomography

The abbreviation PE tube stands for __________.

pressure equalization tube

The examination of the lower intestines by the use of a scope is called a __________.

proctosigmoidoscopy

The study of mental, emotional, and behavioral disorders is called __________.

psychiatry

A(n) __________ is an incision made into the renal pelvis.

pyelotomy

Anesthesia administered to a particular body area is called __________.

regional anesthesia

Nasal polyps are commonly associated with __________.

rhinitis

Surgical repair of the nose is known as __________

rhinoplasty

The testes are found in the __________.

scrotum

The--------- separates the common portion of the code description from additional portions of the code.

semicolon

The __________ separates the common portion of the procedure description from the unique portion of the procedure description.

semicolon (;)

The __________ is the largest organ in the lymphatic system.

spleen

The---- is the largest organ of the hemic and lymphatic systems.

spleen

The spleen is located behind the __________.

stomach

Which of the following anatomical areas does not have a major concentration of lymph nodes?

submandibular

Anesthesia means "__________" and is administered to patients to relieve pain.

the loss of sensation

In addition to the operation performed, E&M services performed the day of surgery, through and including normal post op management, are referred to as __________.

the surgical package

TAB is the abbreviation for __________.

therapeutic abortion

The endocrine structure that secretes the hormone that promotes T-cell formation in the bone marrow is the __________.

thymus

TPN is an abbreviation for __________

total parenteral nutrition

The cerebrum is separated from the cerebellum by the __________ and the __________.

transverse fissure, tentorium cerebelli

The valve that lies between the right atrium and the right ventricle is the __________.

tricuspid valve

A tympanoplasty is the repair of the __________.

tympanic membrane

The __________ is a reservoir for urine.

urinary bladder