Deck 21: Reproductive, Intersex Surgery, Female Genital System, and Maternity Care and Delivery

Question 1

Loop electrode excision procedures are also referred to as:

A)LETZ
B)LEEP
C)cervical loop diathermy
D)all of the above

Answer 1

all of the above

Question 2

A radical vulvectomy is the removal of greater than 80% of the vulvar area.

Answer 2

False

Question 3

When coding a total abdominal hysterectomy with an anterior/posterior colporrhaphy, the correct modifier to add to the second procedure would be:

A)-26
B)-50
C)-51
D)-79

Answer 3

-51

Question 4

The code for a curettage performed after delivery is 58120.

Question 5

This term describes an incision of the vagina to gain access to the peritoneal cul-de-sac to explore or to drain an abscess.

A)perineoplasty
B)colpocentesis
C)colpocleisis
D)oophorectomy

Question 6

Diagnostic amniocentesis includes radiologic supervision and interpretation.

Question 7

Lysis of adhesions is performed on either the fallopian tubes or the:

A)vagina
B)uterus
C)ovaries
D)vulva

Question 8

For medical complications of pregnancy, the physician would report his additional professional services using codes from what section or subsection?

A)Medicine
B)E/M
C)Female Genital System
D)Maternity Care and Delivery

Question 9

You would expect to code a service for an amniocentesis using a code from the Female Genital System subsection and a code from the ____ section.

A)Medicine
B)Anesthesia
C)Radiology
D)E/M

Question 10

Colpotomy is an incision into the vagina.

Question 11

The code for destruction of a vaginal lesion is 17000.

Question 12

Surgical laparoscopy always includes:

A)diagnostic laparoscopy
B)paracervical block
C)biopsy
D)all of the above

Question 13

According to the text, vulvectomy codes are divided based on the ____ and extent of vulvar area removed during the procedure.

A)complexity
B)status (malignant or premalignant lesions)
C)size
D)recurrence

Question 14

Hysterectomy codes are first divided in the CPT manual based on the ____ and then on any secondary procedure(s) that were done.

A)approach
B)severity
C)duration
D)patient age

Question 15

Reporting code 59300 is acceptable when reporting 59400.

Question 16

The code 59400 doesn't include:

A)the delivery
B)a cerclage
C)antepartum care
D)postpartum care

Question 17

Antepartum care includes:

A)initial and subsequent history, physical exams, recording of weight, blood pressures, fetal heart tones, and routine Hgb
B)initial and subsequent history, recording of weight, blood pressures, fetal heart tones, and routine Hgb
C)initial and subsequent history, physical exams, recording of weight, blood pressures, fetal heart tones, and routine UA
D)initial and subsequent history, recording of weight, blood pressures, fetal heart tones, and routine UA

Question 18

The anatomy in the Female Genital System subsection starts with the vulva and progresses upward to the:

A)fallopian tube
B)uterus
C)ovary
D)perineum

Question 19

Incision and drainage of these glands are not reported using Female Genital System codes but are instead reported using Surgery section, Urinary System codes.

A)Skene's
B)Bartholin's
C)Weber's
D)Virchow's

Question 20

In which of the following categories would you locate a code for the removal of an IUD?

A)removal
B)introduction
C)manipulation
D)excision

Question 21

Colposcopy of the cervix with a biopsy.
CPT Code: ____________________

Question 22

A fetal non-stress test is completed on a 36-week pregnancy.The correct code would be:

A)59050
B)59012
C)59020
D)59025

Question 23

Biopsy of the vaginal mucosa code is:

A)56605
B)58900
C)57100
D)57110

Question 24

Catheterization and introduction of contrast for a hysterosalpingography.
CPT Code: ____________________

Question 25

What Surgery subheading has only two codes?

A)Urinary System
B)Intersex Surgery
C)Laparoscopy
D)Delivery

Question 26

Code the vaginal removal of a 230-gram uterus.
CPT Code: ____________________

Question 27

Partial removal of the vaginal wall, vaginectomy.
CPT Code: ____________________

Question 28

Code the treatment of a septic abortion that was completed surgically.
CPT Code: ____________________

Question 29

Cesarean delivery with postpartum care and a ligation of fallopian tubes performed at the same operative session.
CPT Codes: _______________________________________ (two codes)

Question 30

Treatment of an incomplete abortion that was treated surgically during the second trimester.
CPT Code: ____________________

Question 31

Total abdominal hysterectomy with an anterior/posterior colporrhaphy and an enterocele repair.
CPT Codes: ____________________ (two codes)

Question 32

Colposcopy of the vulva with six biopsies.
CPT Code: ____________________

Question 33

If a patient has had a previous cesarean delivery and then has a vaginal delivery, the correct code would be:

A)59618
B)59400
C)59410
D)59610

Question 34

External cephalic version without tocolysis.
CPT Code: ____________________

Question 35

Colposcopy of the vulva with biopsy.
CPT Code: ____________________

Question 36

The marsupialization of a Bartholin's gland cyst.
CPT Code: ____________________

Question 37

Unlisted procedure, maternity care and delivery.
CPT Code: ____________________

Question 38

Artificial insemination performed via intrauterine is reported using:

A)58321
B)58322
C)58323
D)58350

Question 39

Fitting and insertion of a pessary.
CPT Code: ____________________

Question 40

Removal of cerclage sutures under general anesthesia.
CPT Code: ____________________

Question 41

The patient presents with a perineal abscess of the vulva.The physician performs incision and drainage.
CPT Code: ____________________

Question 42

Code a diagnostic hysteroscopy.
CPT Code: ____________________

Question 43

Patient presents for a laparoscopic salpingostomy.
CPT Code: ____________________

Question 44

Drainage of left ovarian cyst, abdominal approach.
CPT Code: ____________________

Question 45

The patient is undergoing clinical brachytherapy with insertion of Heyman capsules.
CPT Code: ____________________

Question 46

Antepartum care only after vaginal delivery by another physician, eight visits.
CPT Code: ____________________

Question 47

Match each term with the correct phrase below.

Loop electrode excision procedure

A)Hysterosonography
B)LEEP
C)Prostaglandin
D)VBAC
E) Cerclage

Question 48

____________________ describes cutting into the vagina to gain access to the pelvic cavity.

Question 49

Induced abortion by dilation and evacuation.
CPT Code: ____________________

Question 50

D&C was performed on a patient with dysfunctional uterine bleeding.
CPT Code: ____________________

Question 51

Amniocentesis.Code only the procedure, not the radiological service.
CPT Code: ____________________

Question 52

Total prenatal care for vaginal delivery after a previous cesarean delivery and postpartum services.
CPT Code: ____________________

Question 53

Intrauterine cordocentesis.Do not code the radiological portion of the procedure.
CPT Code: ____________________

Question 54

The physician performs a surgical laparoscopy with fimbrioplasty.
CPT Code: ____________________

Question 55

Vaginal delivery with episiotomy and use of forceps.
CPT Code: ____________________

Question 56

Location: Inpatient Hospital
OPERATIVE REPORT
PRE/POSTOPERATIVE DIAGNOSIS: Postmenopausal bleeding with probable polyp seen on saline sonohysterogram.
OPERATIVE FINDINGS: Endometrial polyp seen arising from the left cornual region.Otherwise, benign uterine cavity.
PROCEDURE: The patient was taken to the operating room and a general anesthetic was administered.The patient was then prepped and draped in the usual manner in lithotomy position and the bladder was emptied with a straight catheter.
A weighted speculum was placed to allow for visualization of the cervix, which was grasped anteriorly using single toothed tenaculum.The uterus was then sounded to 9 cm in depth.The cervix was dilated to allow for insertion of the diagnostic hysteroscope.The uterine cavity was then inspected.Immediately apparent was a polyp arising from the left cornual region.Remainder of uterine cavity was inspected and appeared to be benign.Minimal endometrial tissue was otherwise present.
At this point, the hysteroscope was removed and polyp forceps were placed within the uterus.Attempt was made to grasp the polyp but this could not be grabbed with the polyp forceps.Therefore, a sharp curet was used and the polyp was thereby obtained and removed.A small amount of endometrial tissue was also obtained by curettage.Once this had been completed, the hysteroscope was reinserted and the cavity was re-inspected.It was confirmed that the polyp was removed.Otherwise, the endometrial canal then appeared normal.At this point, the procedure was terminated.Tenaculum was removed and good hemostasis was ensured at the cervix.The patient tolerated this procedure well.
There were no complications.Fluid in was 325 cc and was equal to fluid out at the end of the procedure.Estimated blood loss was minimal.
CPT Code: ____________________

Question 57

A patient who has delivered twice by means of cesarean section receives complete obstetrical care and vaginal delivery services that include the postpartum care.
CPT Code: ____________________

Question 58

Dilation and curettage of cervical stump.
CPT Code: ____________________

Question 59

Surgical hysteroscopy with lysis of multiple intrauterine adhesions.
CPT Code: ____________________

Question 60

Colpocentesis.
CPT Code: ____________________

Question 61

Match each term with the correct phrase below.

Vaginal birth after cesarean

A)Hysterosonography
B)LEEP
C)Prostaglandin
D)VBAC
E) Cerclage

Question 62

Match each term with the correct phrase below.

Introduction of saline into tubes/ovaries to determine patency

A)Hysterosonography
B)LEEP
C)Prostaglandin
D)VBAC
E) Cerclage

Question 63

Match each term with the correct phrase below.

Suturing of uterine cervix

A)Hysterosonography
B)LEEP
C)Prostaglandin
D)VBAC
E) Cerclage

Question 64

Match each term with the correct phrase below.

Cervical dilator

A)Hysterosonography
B)LEEP
C)Prostaglandin
D)VBAC
E) Cerclage