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True

(5-55) True or False: Removal of an existing pacing cardioverter-defibrillator device is not included in the replacement code and should be separately reported.(186)

True

(5-56) True or False: Code 93640 or 93641 may be reported in addition to code 33240. (187-188)

False

(5-57) True or False: Procurement of an upper extremity vein is included when a coronary artery or lower extremity bypass procedure is reported.196)

+33141

(5-58) Assign the appropriate code for the following procedure: Transmyocardial laser revascularization by thoracotomy performed at the same time of other open cardiac procedure. (185 / CPT 117)

33208 (insertion dual-chamber), 33235 (transvenous electrodes), 33233 (removal)

(5-59) Assign the appropriate code for the following procedure: Replacement of a dual-chamber permanent pacemaker and transvenous electrodes with a new dual-chamber permanent pacemaker and electrodes. (190/193, CPT 118/119)

+35600

(5-60) Assign the appropriate code for the following procedure: Radial artery harvesting for coronary artery bypass procedure. (196)

33533, +33517, +33530 (> 2Yr)

(5-61) Assign the appropriate code for the following procedure: Redo CABG X 2, original procedure two years ago. Current procedure involves left internal mammary artery to left anterior descending artery and saphenous vein graft to right coronary artery. (195/197, CPT 122)

34812 50

(5-62) Assign the appropriate code for the following procedure: Bilateral open surgical exposure of the femoral arteries for passage of endovascular sheath to repair an abdominal aortic aneurysm. (201)

36831, 36833

(5-63a) Assign the appropriate code for the following procedure: Thrombectomy of autogenous or nonautogenous dialysis graft performed by open technique with or without revision. (206, CPT 141)

36870

(5-63b) Assign the appropriate code for the following procedure: Thrombectomy of autogenous or nonautogenous dialysis graft performed by percutaneous technique. (206, CPT 141)

36860 or 36861

(5-63c) Assign the appropriate code for the following procedure: Thrombectomy of autogenous or nonautogenous dialysis graft performed on external types of dialysis devices. (206, CPT 141)

37204, 75894 (How do we find?)

(5-64) Assign the appropriate code for the following procedure: Therapeutic occlusion of an artery and SS&I component. (209, CPT 143)

33226

(5-65) Assign the appropriate code for the following procedure: Repositioning of left ventricular pacing electrode two days after initial placement. (

36578 X 2

(5-66) Assign the appropriate code for the following procedure: Replacement of the catheter portions only of a dual-catheter subcutaneous pump involving two separate access sites. (205, CPT 139)

False

(5-67) True or False: If a laparoscopic procedure is performed, but there is not a CPT code that accurately describes the laparoscopic procedure, the open procedure code should be reported. (214)

False

(5-68) True or False: Diagnostic laparoscopy or laparoscopic lysis of adhesions is separately reported when a laparoscopically assisted small bowel resection is performed. (214)

True

(5-69) True or False: A separate code is usually not reported when an incidental appendectomy is performed during intra-abdominal surgery. (214)

True

(5-70) True or False: Transendoscopic ultrasound guidance is included in transendoscopic biopsy of the esophagus. (219, CPT 156)

False

(5-71) True or False: Placement of an anal seton may be reported in addition to codes 46060, 46280, and 46600. (225, CPT 169)

True

(5-72) True or False: Code 43201 should be reported one time, regardless of the number of injections performed. (218)

49507 50

(5-73a) Assign the appropriate code for the following procedure: Bilateral initial inguinal hernia repair, strangulated, on 55-year-old patient. (229?, CPT 178)

49521

(5-73b) Assign the appropriate code for the following procedure: Right recurrent inguinal incarcerated hernia. (229?, CPT 178)

49520

(5-73c) Assign the appropriate code for the following procedure: Left recurrent inguinal hernia, reducible.

55040

(5-73d) Assign the appropriate code for the following procedure: Right hydrocelectomy. (230)

44127

(5-74) Assign the appropriate code for the following procedure: Resection of a segment of small intestine to correct congenital atresia with tapering of the intestine. (213)

43239

(5-75) Assign the appropriate code for the following procedure: EGD with biopsy of esophagus and stomach. (220, CPT 156)

49440 (How do we find?)

(5-76) Assign the appropriate code for the following procedure: Percutaneous placement of gastrostomy tube under fluoroscopic guidance. (220, CPT 177)

45315

(5-77) Assign the appropriate code for the following procedure: Proctosigmoidoscopy with removal of two polyps by snare technique. (223)

45384, 45385

(5-78) Assign the appropriate code for the following procedure: Colonoscopy with removal of a polyp from the transverse colon by hot biopsy forceps and polyp removal from ascending colon by snare technique. (224)

49561, +49568

(5-79) Assign the appropriate code for the following procedure: Repair of initial incisional hernia, incarcerated, with implantation of mesh. (229)

True

(5-80) True or False: Renal pelvic stent procedures are usually performed for the treatment of ureteral strictures and obstructions. (232)

50590 50

(5-81a) Assign the appropriate code for the following procedure: Bilateral extracorporeal shockwave lithotripsy of the kidneys. (234)

51701

(5-81b) Assign the appropriate code for the following procedure: Insertion of a non-indwelling bladder catheter to obtain postvoid residual urine. (234)

52320

(5-81c) Assign the appropriate code for the following procedure: Cystourethroscopy with removal of ureteral calculus. (239)

52332

(5-81d) Assign the appropriate code for the following procedure: Cystourethroscopy with insertion of indwelling right ureteral stent. (239)

51701 is used for straight catheterization and removed. 51702 and 51703 are used for temporary catheterization

(5-82) Explain the difference between code 51701 and codes 51702 and 51703. (234)

57288, 55875 (?)

(5-83) Provide two examples where the use of cystourethroscopy before, after, or during the urologic procedure is not separately reported. (237)

True

(5-84) True or False: Cystourethroscopy codes 52005, 52007, and 52320-52355 are unilateral procedures. (237)

52000, 52010, 52204-52285, 52305-52318, and 52402

(5-85) List the cystourethroscopy codes that are never reported with the modifier 50. (237)

53853 has been deleted, 53899. (CPT book has 55899?)

(5-86) Assign the appropriate code for the following procedure: Transurethral destruction of prostate tissue by water-induced thermotherapy. (?, CPT 191)

52647

(5-87) Assign the appropriate code for the following procedure: Laser coagulation of prostate with vasectomy.

58544

(5-88) Assign the appropriate code for laparoscopic supracervical hysterectomy, 300-g uterus, with removal of ovaries. (249)

True

(5-89) True or False: The following two procedures are not reported separately - pelvic examination with local anesthetic or without anesthesia; removal of impacted foreign body performed without anesthesia. (245, CPT 201)

False

(5-90) True or False: When colposcopy with biopsy(s) of the cervix is performed, code 57454 may be reported for each biopsy performed.

57023

(5-91) Assign the appropriate code for the following procedure: Incision and drainage of vaginal hematoma unrelated to delivery. (244)

58346

(5-92) Assign the appropriate code for the following procedure: Insertion of Heyman capsules into uterus for clinical brachytherapy. (249)

58353

(5-93) Assign the appropriate code for the following procedure: Thermal endometrial ablation without hysteroscopic guidance. (249)

56630

(5-94) Assign the appropriate code for the following procedure: Vulvectomy with removal of 50% of the skin and deep subcutaneous tissue of the vulva. (244)

58150

(5-95) Assign the appropriate code for the following procedure: Total abdominal hysterectomy with right salpingo-oophorectomy. (246)

57160, 99070 or A4561 or A4562

(5-96) Assign the appropriate code for the following procedure: Patient visit for fitting and insertion of pessary. (251)

False

(5-97) True or False: Fetal monitoring during labor may be reported by the attending physician. (252)

59897

(5-98) Assign the appropriate code(s) for fetal invasive procedure(s) not listed in the 59070-59076 series. (252)

59610

(5-99a) Assign the appropriate code(s) for the following procedure: Vaginal delivery after previous cesarean delivery, including provision of antepartum and postpartum care. (

58605

(5-99b) Assign the appropriate code(s) for the following procedure: Postpartum bilateral tubal ligation during same hospitalization. (250)

59414, 59430

(5-99c) Assign the appropriate code(s) for the following procedure: A patient delivers a baby vaginally before admission. The physician delivers the placenta and provides postpartum care but not antepartum care. (254 / 255?)

Hospital and office visits following vaginal and cesarean section delivery.

(5-100) What services are included in postpartum care? (254)

True

(5-101) True or False: Delivery of the placenta is an integral component ot the total vaginal or cesarean delivery. (254)

Complete abortion, incomplete abortion, missed abortion, septic abortion, and blighted ovum

(5-102) List the types of spontaneous abortion. (257)

The physician reports the appropriate level of E/M code...99201-99233.

(5-103) How is the physician medical management of a complete spontaneous abortion reported? (257)

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