Exam 27: Coding and Surgical Procedures

A patient with a recent total detached retina on the left eye underwent scleral buckling. A vitrectomy was also performed in order for the surgeon to adequately visualize the structures using the operating microscope. Select the appropriate CPT and ICD-10-CM codes.

Which of the following are NOT true for a non-PAR provider? Choose all that apply.

A patient with chronic recurrent acute sinusitis and nasal polyps presented to the outpatient surgical center for endoscopic frontal sinus exploration with osteomeatal complex resection, anterior ethmoidectomy, and removal of nasal polyps. Select the appropriate CPT and ICD-10-CM codes.

Medicare Part A pays for all of the following except:

Patient underwent nasal endoscopy in the office of the ENT physician with removal of two pedunculated nasal polyps from the R nasal cavity. The patient tolerated the procedure well and was given an appointment to RTC in two weeks for follow up. Select the appropriate CPT and ICD-10-CM codes.

Jim went to the doctor for removal of his skin tags. The physician noted 32 skin tags on his back. Using a scalpel the physician removed all of the skin tags and gave Mr. Evans an antibiotic cream prescription to use for the next 7-10 days. Select the appropriate CPT and ICD-10-CM codes.

A physician interprets and writes a report on a tier 1 molecular pathology procedure for BRCA1 and BRCA2 gene analysis for a 20-year-old female with a family history of breast cancer. Select the appropriate CPT and ICD-10-CM codes.

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.

A 54-year-old patient made an emergency department visit for gastritis, and it was also noted that the patient had melena based on the laboratory diagnostic tests. The patient was treated and released to follow up with the primary physician. History and examination are detailed. The medical decision making was noted at a moderate complexity. Select the appropriate CPT and ICD-10-CM codes.

Practice management programs are used to:

A 75-year-old female recently underwent a stroke assessment of her aphasia. The following assessments were performed using Boston diagnostic aphasia examination: expressive and receptive speech, language function, language comprehensive, speed production ability, reading, spelling, and writing skills. Total time 60 minutes. Select the appropriate ICD-10-CM and CPT code(s):

A 10-year-old male is seen in the emergency department for epistaxis. The hemorrhaging was controlled with nasal packing. The physician performs a detailed history and examination. The MDM complexity is moderate. Selectthe appropriate CPT and ICD-10-CM codes.

Preoperative diagnoses: 1)Sick sinus syndrome, status post-pacemaker insertion. 2)Infected pacemaker with exposed wires. 3)Coronary artery disease with history of coronary artery bypass graft. 4)Essential hypertension. Postoperative diagnoses: 1)Sick sinus syndrome, status post-pacemaker insertion. 2)Infected pacemaker with exposed wires. 3)Coronary artery disease with history of coronary artery bypass graft. 4)Essential hypertension. Operations performed: 1)Explant of pacemaker generator and two wires under fluoroscopic guidance and xenon laser. 2)Pocket revision. 3)Intraoperative transesophageal echocardiography with interpretation. Select the appropriate ICD-10-CM and CPT code(s):

Tommy was climbing the tree in front of his house, fell, and sustained a greenstick fracture of the ulna of his left arm. The orthopedic surgeon performed a closed manipulation and applied a short arm cast. Select the appropriate ICD-10-CM and CPT code(s):

A patient with pulmonary artery stenosis was treated with balloon angioplasty of the pulmonary artery to crush the plaque into the walls of the artery. To accomplish this, a catheter was inserted through the skin into the femoral artery and threaded up to the pulmonary artery. Select the appropriate CPT and ICD-10-CM codes.

Which CPT Level I modifier is the appropriate one to use when a radiologist reads an x-ray but is not employed by the facility where the x-ray was taken?

Tina, age 31, gravida 2, Para 1, is pregnant with twins and has been seeing Dr. Smidley. At 41 weeks she experiences labor and is taken directly to the hospital by her husband. After 14 hours of extremely hard labor the first twin is born; it is a male weighing 6lbs 3ozs. Dr. Petrowski, the attending OB-GYN, orders a cesarean section because the second twin is large for dates, causing cephalopelvic disproportion. The second twin, a female weighing 9lbs 2ozs, was delivered via C-section. Select the appropriate CPT and ICD-10-CM codes.

Dr. Mathis has been called to the ICU to provide care for a 37-year-old male patient who has received second-degree burns over 50% of his body. Dr. Mathis provides support from 1 p.m. to 3 p.m. After leaving the unit to do his rounds, Dr. Mathis is called back around 5 p.m., and he provides critical care support to the patient until 6 p.m. Select the appropriate CPT codes.

One of the largest veins in the body is the:

Jeremy is seen at the clinic today by his regular physician for a rash on his arm that developed while camping in the woods this past weekend. After the problem-focused history and examination the physician determines that the problem was caused by poison oak, and Jeremy is diagnosed with allergic contact dermatitis and prescribed corticosteroid skin cream to reduce the inflammation. Select the appropriate ICD-10-CM and CPT code(s):