Exam 27: Coding and Surgical Procedures

The cerebral lobe that controls taste, hearing, and emotions is the _____ lobe.

Mary underwent removal of 20 skin tags on her neck with use of ligature strangulation and cauterization. Select the appropriate ICD-10-CM and CPT code(s):

A 28-year-old was in a car accident and is now in the ED due to 3 fingers on his left hand being completely amputated above the metacarpophalangeal joint during the crash. The ED physician calls in an orthopedic surgeon and the patient is taken to surgery. Under surgical microscope his index finger and middle finger were reconnected; however, his 3rd finger was not able to be reconnected due to extensive crush injuries to that finger, so that finger was surgically amputated. Select the appropriate CPT and ICD-10-CM codes.

George, a 73-year-old male, is hospitalized for epileptic seizure disorder. He experiences anoxic brain damage, and anesthesia was called to insert the endotracheal tube in order to put the patient on the ventilator. Select the appropriate CPT and ICD-10-CM codes for the anesthesiologist.

Jeremy presented to the ED complaining of severe odynophagia after eating chicken wings. Upon initial x-rays, no perforation of the esophagus was noted. The gastrointestinal specialist was called, and the patient was taken to the endoscopy suite. There, with the patient under moderate sedation, the gastroenterologist performed an esophagoscopy and removed a small chicken bone lodged in the esophagus above the diaphragm. Select the appropriate ICD-10-CM and CPT code(s):

Pyogenic arthritis in the right elbow due to methicillin susceptible staphylococcus aureus has caused continual extreme pain to the patient. Elbow replacement, arthroplasty, is recommended. The physician began the replacement procedure by removing the damaged joint components. They were then replaced with plastic implants. One implant was attached to the humerus, the other to the ulna, and the two were connected to form a hinge. The patient tolerated the procedure well and was released to the recovery room. Select the appropriate CPT and ICD-10-CM codes.

Tom Smith, who is 45 years old, was recently diagnosed with a liver mass. The family physician ordered a liver biopsy to be performed. At the outpatient surgery area the patient was treated by Dr. Jane, who performed a percutaneous liver biopsy. Select the appropriate CPT and ICD-10-CM codes for the anesthesia for this procedure.

A 76 year old female is admitted for IV antibiotic therapy to treat pneumonia due to pseudomonas bacteria and a level 3 initial inpatient visit was provided. On days 2 and 3, the patient had not yet responded to treatment as noted after an expanded problem-focused exam and history. On day 4, the patient showed significant improvement and the physician recorded a problem-focused history and exam. On day 5, the patient was discharged to home and the physician spent 30 minutes in discharge day management. Select the appropriate CPT codes for the physician visits from the admit to the discharge.

Preoperative Diagnosis: Reduced inguinal hernia Postoperative Diagnosis: Reduced inguinal hernia Operation: Repair of the reduced hernia Operation Description: A 3-year-old boy was diagnosed with a reduced inguinal hernia within the past month. The surgeon explained the procedure of a reduced hernia repair and parents understood risks. The consent was obtained and signed. This is the first initial attempt to surgically repair the inguinal hernia. Patient was admitted for a reduced hernia repair. The hernia was manually reduced back into its correct cavity location. Upon completion of the procedure the patient went to the recovery room in stable condition. Select the appropriate CPT and ICD-10-CM codes.

A 64-year-old female was brought to the ED with a severe nosebleed. The medical term for nosebleed is

The cerebral lobe that controls taste, hearing, and emotions is the _____ lobe.

Clarkston visited the nursing home today to see how the stage 3 pressure ulcer he debrided was doing. He also changed the dressing on the pressure ulcer. The original damage was through the full thickness of the dermis and into the subcutaneous tissue on the right buttock. Select the appropriate CPT and ICD-10-CM codes.

Shelley presents to her endocrinologist for final determination on how the physician will proceed with her hyperthyroidism. He orders a thyroid uptake and scan for single determination to be done at the radiology department in his building. Choose the appropriate CPT and ICD-10-CM codes for the radiologist.

John, age 45, was seen in the office today for interim medical evaluation and management of his type II diabetes. The physician performed an expanded problem-focused history and examination. At the same visit, the physician also administered a flu shot, split virus 0.5ml, intramuscularly. Select the appropriate CPT and ICD-10-CM codes.

Which of the following statements is false for Diagnostic Ultrasound?

Preoperative Diagnosis: Uterine Mass Postoperative Diagnosis: Uterine Mass Operation: Hysteroscopy Operation Description: A 43-year-old patient was diagnosed with a uterine mass as noted on an ultrasound. Patient was administered general anesthesia upon arrival to the operating room. The patient was prepped. The hysteroscope was introduced and biopsy was obtained. Specimen was sent to pathology. Patient tolerated the procedure well. Select the appropriate CPT and ICD-10-CM codes.

Dr. Smith works for "Doctors to You" and visits Jane, an established patient with this company, in her home. Jane is complaining of nausea, vomiting, and diarrhea for the past three days after eating tuna fish purchased from a local restaurant. After an expanded problem-focused interval history and expanded problem-focused examination, the diagnosis of food poisoning is made, and Jane is administered medication to treat the nausea and given instructions to prevent dehydration and reduce the diarrhea. Select the appropriate CPT and ICD-10-CM codes.

A patient with stage V CKD and on hemodialysis was seen for an access flow study. The physician used the indicator method to evaluate blood flow in the AV fistula. Select the appropriate CPT and ICD-10-CM codes.

A 53-year-old male has been plagued by intermittent severe pain caused by his trigeminal neuralgia which interferes with his common daily activities. He has developed sleep deprivation, depression, and loss of appetite. Today he presents for destruction of the trigeminal nerve by neurolytic agent. Select the appropriate CPT and ICD-10-CM codes.

The patient, who has complained of lower back pain and numbness of her legs, underwent an EMG of both legs with related spinal areas and 8 individual nerve conduction studies were performed. Interpretation and report revealed myelopathy. Select the appropriate CPT and ICD-10-CM codes.