Exam 27: Coding and Surgical Procedures

Sam, a 26-year-old male with Down syndrome, undergoes lithotripsy with a water bath for lodged ureteral stones. The procedure was supervised by the anesthesiologist under general anesthesia due to the patient's Down syndrome and associated anxiety. Select the appropriate CPT and ICD-10-CM codes.

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was designed to do which of the following?

Dr. Helter, a gastroenterologist, is placing a feeding tube for a patient with gastroparesis in the outpatient surgery department of Community General Hospital. After the long gastrointestinal tube feeding tube was inserted, a KUB was done to verify the position in the duodenum. Select the appropriate CPT and ICD-10-CM codes.

A 14-year-old boy who is a new patient presents with acute contact dermatitis. During the expanded problem-focused history, the doctor learns that the boy just came back from a camping trip and was out in the woods when his skin began to itch. The examination was also expanded. The physician sends the patient home with a prescription and instructs him to return if the condition does not improve in a few days. While checking all of the patient's immunizations, the physician notes that the patient is in need of a tetanus vaccination, so that is also given. Select the appropriate CPT and ICD-10-CM codes.

Spread of a disease from one part of the body to another is:

Spread of a disease from one part of the body to another is:

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

Jane Smith, a 54-year-old female, was diagnosed with gallstones. She was admitted for an outpatient procedure of a cholecystectomy to be performed. Due to safety reasons of the patient, the laparoscopic procedure became an open session in which the gallbladder was removed. The patient was admitted and left the hospital in three days in good recovery. Select the appropriate CPT and ICD-10-CM codes.

The jellylike substance found inside the eye is called the:

Preoperative Diagnosis: Phimosis Postoperative Diagnosis: Phimosis Operation: Circumcision Operation Description: A four-year-old male who had spraying of urine when voiding was diagnosed with phimosis. It seemed the urine collected in the foreskin when voiding. Risks of the operation, such as infection and bleeding were discussed. In addition, the options of a dorsal slit were reviewed. The family understood all risks and wanted to proceed with the operation. Consent was obtained. The patient was prepped and draped in the usual sterile fashion in the operating room. LMA general anesthesia applied. The extra foreskin was marked; 1x3 Gamco clamp used. Then, using 5-0 Monocryl, 4 stitches were placed and suturing was done. Hemostatis was good and dermabond applied. The patient was in good, stable condition and was brought to the recovery room. The entire procedure was completed as discussed with family. Select the appropriate CPT and ICD-10-CM codes.

The patient underwent partial excision of the posterior C7 and L1 and L2 vertebrae to remove intrinsic bony lesions. Two surgeons worked simultaneously as primary surgeons to remove the lesions. Surgeon A removed the lesion at C7, and surgeon B removed the lesions at L1 and L2. Code the services of surgeon B with the appropriate ICD-10-CM and CPT code(s):

Examination of the interior of the tracheobronchial tree with an endoscope is a:

Jones is seen today for puncture aspiration of three cysts on the left breast and one on the right. The pathology report revealed cystic breast disease. Select the appropriate ICD-10-CM and CPT code(s):

Diagnostic esophagogastroduodenoscopy was performed for a patient with suspected ulcers. The endoscope was inserted in the pharynx and was passed all the way through to the jejunum, which revealed ulcers of the stomach, pylorus, and duodenum. The patient tolerated the procedure well and was sent home with prescriptions and a referral to a nutritionist. Select the appropriate CPT and ICD-10-CM codes.

A 45-year-old female with chronic bladder and kidney infections undergoes an IVP. This abbreviation stands for

Clinical History: Symptoms of SOB, chest pain on inspiration, as well an oxygen saturation of 84. Study performed: Ventilation and perfusion studies of the lungs. Interpretation: Particularly positive ventilation and perfusion lung scan. There are no segmental defects to suggest a pulmonary embolus. Select the appropriate CPT and ICD-10-CM codes.

Sally was seen today for repair of four lacerations following a fall on some broken glass. The physician evaluated and performed simple repair on the following: a 6-cm laceration on the right forearm, a 2.5-cm laceration on the right forearm, a 0.5-cm laceration on the left hand, and a 20-cm laceration on the left upper arm. Select the appropriate ICD-10-CM and CPT code(s):

Which of the following represents the relationship between a PPO and an HMO under Medicare Advantage?

Which of these combining forms does not refer to part of the intestine?

A 50-year-old male patient presents to the office today for his annual preventive visit. During the visit, Dr. Jones becomes concerned about the patient's hypertension and believes that this needs some evaluation and management beyond the preventive visit. Dr. Jones changes the patient's medications and orders lab work. Which modifier would be reported to the payer in order to be reimbursed for both the preventive visit and the office visit?