CPC Exam Question 151

A 67-year-old patient has osteomyelitis of the shoulder blade and is in surgery to remove the sequestered section of dead infected fragment bone from surrounding bone.
What CPT code is reported?
  • CPC Exam Question 152

    Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1
    Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.
    Operation performed: Excision of right thigh benign congenital>1
    nevus, excision size with margins 4.5 cm and closure size 5 cm.
    Anesthesia: General.0
    Intraoperative antibiotics: Ancef.0
    Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.
    Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.
    This was passed to pathology for review. The wound required limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.
    The patient was then cleaned and turned over to anesthesia for S extubation.
    She was extubated successfully in the operating room and taken S to the recovery room in stable condition. There were no complications.
    What CPT and ICD-10-CM code is reported?
  • CPC Exam Question 153

    Adenoids, tonsils, appendix, and spleen belong to which organ system?
  • CPC Exam Question 154

    A 10-year-old had a cochlear implant in his left ear few weeks ago. Today he sees the audiologist to initialize and program the implant.
    What CPT code is reported?
  • CPC Exam Question 155

    A cystic lesion on the chest is excised with margins totaling 2.5 cm. Simple closure performed.
    What CPT coding is reported?
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