Quiz 6.4 CPT Coding

Radial keratotomy

65771

Code anesthesia for decortication of left lung.

00542

Patient presents to the operating room for excision of three lesions. The 1.5 cm and 2 cm lesions of the back were excised with one excision. The 0.5 cm lesion of the hand was excised. The pathology report identified both back lesions as squamous cell carcinoma. The hand lesion was identified as seborrheic keratosis.

11604, 11420

Patient presents to the emergency room with lacerations sustained in an automobile accident. Repairs of the 3.3 cm skin laceration of the left leg that involved the fascia, 2.5 cm and 3 cm lacerations of the left arm involving the fascia, and 2.7 cm of the left foot, which required simple sutures, were performed. Sterile dressings were applied.

12034, 12002-59

Patient presents to the emergency room following an assault. Examination of the patient reveals blunt trauma to the face. Radiology reports that the patient suffers from a fracture to the frontal skull and a blow-out fracture of the orbital floor. Patient is admitted and taken to the operating room where a periorbital approach to the orbital fracture is employed and an implant is inserted.

21390

Chronic nontraumatic rotator cuff tear. Arthroscopic procedure of the shoulder with removal of foreign body and open rotator cuff repair

23412, 29819-59

Patient with laryngeal cancer has a tracheoesophageal fistula created and has a voicebox inserted.

31611

Patient was admitted with hemoptysis and underwent a bronchoscopy with transbronchial lung biopsy. Following the bronchoscopy, the patient was taken to the operating room where a left lower lobe lobectomy was performed without complications. Pathology reported large cell carcinoma of the left lower lobe.

31628, 32480

Patient is admitted with alcohol cirrhosis and has a TIPS procedure performed.

37182

Laparoscopic retroperitoneal lymph node biopsy

38570

Hydrocelectomy of spermatic cord

55500

Patient underwent anoscopy followed by colonoscopy. The physician examined the colon to 60 cm.

45378

Patient was admitted for right upper quadrant pain. Workup included various X-rays that showed cholelithiasis. Patient was taken to the operating room where a laparoscopic cholecystectomy was performed. During the procedure, the physician was unable to visualize through the ports, and an open cholecystectomy was elected to be performed. An intraoperative cholangiogram was performed. Pathology report states acute and chronic cholecystitis with cholelithiasis.

47605

Nephrectomy with resection of half of the ureter

50220

Male with urinary incontinence. Sling procedure was performed 6 months ago, and now the patient has returned for a revision of the sling procedure.

53442

Patient has been diagnosed with carcinoma of the vagina, and she has a radical vaginectomy with complete removal of the vaginal wall.

57111

Patient is 24 weeks pregnant and arrives in the emergency room following an automobile accident. No fetal movement or heartbeat noted. Patient is taken to the OB ward where prostaglandin is given to induce abortion.

59855

Unilateral partial thyroidectomy

60210

Patient with Parkinson's disease is admitted for insertion of a brain neurostimulator pulse generator with one electrode array.

61885

Myringoplasty

69620

Insertion of cochlear device inner ear

69930

Patient undergoes X-ray of the foot with three views.

73630

A physician orders a lipid panel on a 54-year-old male with hypercholesterolemia, hypertension, and a family history of heart disease. The lab employee in his office performs and reports the total cholesterol and HDL cholesterol only.

82465, 83718

Patient presents to the emergency room complaining of right forearm/elbow pain after racquetball last night. Patient states that he did not fall but overworked his arm. Past medical history is negative and the physical examination reveals the patient is unable to supinate. A four-view X-ray of the right elbow is performed and is negative. The physician signs the patient out with right elbow sprain. Prescription of Motrin is given to the patient.

99281-25, 73080

The physician provided services to a new patient who was in a rest home for an ulcerative sore on the hip. A problem-focused history and physical examination were performed, and a straightforward medical decision was made.

99324