CPT Coding Ch 5 Quest 20-54

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No

(5-20) If a frozen section pathology report comes back during the same operative session showing that the margins of excision are not adequate and an additional excision is performed to remove the entire tumor, should two excision of lesion codes be reported? (126)

17000, 17003 X 13

(5-26) Fourteen premalignant lesions removed by cryosurgical destruction from the back. (130)

15100, 15101 X 2

(5-27) Assign the appropriate code(s) for the following procedure: A split-thickness graft measuring 230 Sq cm applied to a defect on the leg. (135)

16035, 16035 59

(5-23) Assign the appropriate code(s) for the following procedure: Initial escharotomy of two different anatomic areas. (139)

17311-17315

(5-24) Assign the appropriate code(s) for the following procedure: These codes combine both surgical and pathological services. (139)

True

(5-22) True or False: Mohs micrographic surgery of the eyelid is reported using code(s) 17311-17315. (139)

True

(5-21) True or False: A tissue block on Mohs surgery is defined as an individual tissue piece embedded in a mounting medium for sectioning.( 140 )

19102, 77031

(5-28) Assign the appropriate code(s) for the following procedure: Image-guided stereotactic percutaneous needle core biopsy of breast. (143)

19103, 77032 (Question: Book answer is 77031?)

(5-29) Assign the appropriate code(s) for the following procedure: Image-guided mammographic percutaneous biopsy utilizing automated vacuum-assisted or rotating device. (143)

Manipulation

(5-30) Which term is applicable only to codes appearing in the fracture and dislocation subsection of the Musculoskeletal System? (150)

True

(5-31) True or False: Codes 20552 and 20553 should be reported once per session, regardless of the number of trigger points injected. (150)

77002, 77021, 76942

(5-32) What radiology codes for imaging guidance may be reported in conjunction with trigger points? (150)

One

(5-33) How many times should code 20550 be reported when multiple injections are administered to the same tendon? (150)

A vertebral interspace is the non-bony compartment between adjacent vertebral bodies that contains the intervertebral disc and includes the nucleus pulposus, annulus fibrosus, and two cartilaginous endplates. A vertebral segment describes the basic constituent part into which the spine may be divided. It represents a single complete vertebral bone with its associated articular processes and laminae.

(5-38) For CPT spine surgery reporting purposes, what are the defining differences of a vertebral interspace and a vertebral segment? (151)

Both surgeons should add modifier 62 to the primary procedure code (and add-on codes). If the second doctor actually assisted with another procedure, modifier 80 would be appended to that procedure.

(5-39) An approach surgeon opens and closes the operative site. To which procedure(s) should modifier 62 be appended? When may modifier 80 be used by the co-surgeon? (152-153)

True

(5-40) True or False: Modifier 62 is not to be used with instrumentation or bone graft codes. (152)

31624

(5-50) Assign the appropriate code(s) for the following procedures: Bronchoscopy with bronchial alveolar lavage. ( ? )

False

(5-34) True or False: Synovial biopsy, when performed at the first MTP joint in conjunction with a bunion correction procedure, is reported separately? (165)

29075 for cast; 99281-99285 w/ modifer 25

(5-37) Patient presents to the emergency department after falling off a ladder. The emergency department physician determines that her left forearm is fractured. He applies a short arm cast and instructs her to follow up with an orthopedic surgeon. Code for the emergency department physician's services. (170-171)

When the same physician is responsible for the cast, follow-up evaluation, and the management of the fracture/dislocation until healed.

(5-41) Under what circumstances are the codes for treatment of fracture and/or dislocation reported? (170)

False

(5-42) True or False: If there is no specific code for an endoscopic, arthroscopic, or laparoscopic procedure, the corresponding open surgical procedure code should be reported. (171)

29811, 29874 59 (Question: How do we find "loose bodies"?)

(5-35) What codes are used to report arthroscopic medial meniscectomy with removal of loose bodies from the lateral compartment in the right knee? (172)

The interior of the nasal cavity, the middle and superior meatus, the turbinates, and the spheno-ethmoid recess.

(5-46) For diagnostic nasal/sinus endoscopy codes 31231-31235, the endoscope is used to inspect what nasal.sinus anatomy? (174)

Bronchial mucosal, transbronchial lung, and transbronchial needle aspiration.

(5-47) What are the three distinct types of biopsies performed via bronchoscopy? (178)

False

(5-48) True or False: Transbronchial needle aspiration biopsy code 31633 may be reported in conjunction with 31629 for multiple biopsies within the same lobe. (179)

17380

(5-25) Assign the appropriate code(s) for the following procedure: Thirty minutes of electrolysis epilation. ( ? )

24516

(5-36) Surgical treatment is performed for a patient who has sustained a humeral shaft fracture. The orthopedic surgeon peforms open treatment of the fracture by using an intramedullary implant and locking screws. After the surgical procedure, a cast is applied. Assign the appropriate code(s). (CPT 81)

22558, +22585, + 20937, +22845 (Need explained)

(5-43) Assign the appropriate code(s) for the following procedures: Anterior arthrodesis L2-L4 utilizing morselized autogenous iliac bone graft harvested through a separate facial incision with anterior instrumentation. (?157?)

22521, +22522

(5-44) Assign the appropriate code(s) for the following procedures: Vertebroplasty of L1 and L2. (CPT 173)

63042 (Question: How do I know this is a laminectomy?)

(5-45) Assign the appropriate code(s) for the following procedures: Re-exploration of recurrent herniated nucleus pulposus as a single, previously explored lumbar space. (CPT 218)

31628

(5-49) Assign the appropriate code(s) for the following procedures: Diagnostic bronchoscopy with multiple transbronchial lung biopsies of a single lobe.

32442

(5-51) Assign the appropriate code(s) for the following procedures: Sleeve pneumonectomy (including resection of the tracheal carina with end-to-end anastomosis of the trachea and contralateral main stem bronchus).

32486

(5-52) Assign the appropriate code(s) for the following procedures: Sleeve lobectomy (including removal of a portion of bronchus going to the remaining lung).

31571

(5-53) Assign the appropriate code(s) for the following procedures: Direct laryngoscopy with injection of vocal cords, requiring the use of an operating microscope or telescope.

31505

(5-54) Assign the appropriate code(s) for the following procedures: Diagnostic laryngoscopy performed with the use of a mirror.

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