CPC Exam Question 11
(A 1-year-old patient was born with twosupernumerary digits, one extending from the right pinky and one extending from the left pinky. The digit from his left pinky is larger and includes themetacarpal bone with a jointand is amputated. The one on the right is anubbinand containsno bony structure. The hand surgeon removes the extra digit containingsoft tissueby a simple excision. What is the CPTcoding for the procedures performed?)
CPC Exam Question 12
(Procedure date:01/12/20XX
Surgeon:MD |Assistant:PA
Preoperative diagnosis:Dry gangrene of the left foot in the setting of peripheral vascular disease. Non- pressure chronic ulcer on toe.
Postoperative diagnosis:Dry gangrene of the left foot in the setting of peripheral vascular disease. Non- pressure chronic ulcer on toe.
Procedure:Amputation at the metatarsophalangeal joint of the left third toe Indication:63-year-old female with peripheral vascular disease; vascular workup determined no further interventions to improve vascularity; third toe became progressively dusky; wound formed distally with chronic ulcer; amputation necessary; risks/benefits discussed.
Description:Left foot and third toe marked; 1 g Ancef given; general anesthesia; supine; calf tourniquet; timeout; tourniquet inflated (no Esmarch); total tourniquet time 5 minutes; tennis racquet incision with longitudinal arm over third metatarsal encircling joint proximal to closure; extensor/flexor tendons and collateral ligaments excised sharply; toe removed; tourniquet released; superficial bleeders cauterized; washed out; skin closed with 3-0 nylon; dry dressing; to PACU in good condition; signed 01/19/20XX 09:41.
Question:What CPT and ICD-10-CM coding is reported?)
Surgeon:MD |Assistant:PA
Preoperative diagnosis:Dry gangrene of the left foot in the setting of peripheral vascular disease. Non- pressure chronic ulcer on toe.
Postoperative diagnosis:Dry gangrene of the left foot in the setting of peripheral vascular disease. Non- pressure chronic ulcer on toe.
Procedure:Amputation at the metatarsophalangeal joint of the left third toe Indication:63-year-old female with peripheral vascular disease; vascular workup determined no further interventions to improve vascularity; third toe became progressively dusky; wound formed distally with chronic ulcer; amputation necessary; risks/benefits discussed.
Description:Left foot and third toe marked; 1 g Ancef given; general anesthesia; supine; calf tourniquet; timeout; tourniquet inflated (no Esmarch); total tourniquet time 5 minutes; tennis racquet incision with longitudinal arm over third metatarsal encircling joint proximal to closure; extensor/flexor tendons and collateral ligaments excised sharply; toe removed; tourniquet released; superficial bleeders cauterized; washed out; skin closed with 3-0 nylon; dry dressing; to PACU in good condition; signed 01/19/20XX 09:41.
Question:What CPT and ICD-10-CM coding is reported?)
CPC Exam Question 13
A 56-year-old female patient with a history of degenerative disc disease at levels T2-T3 and T4-T5 underwent a surgical repair procedure. Two surgeons will be working together as primary surgeons Surgeon X: Carried out the anterior exposure of the spine and mobilized the great vessels, assisted Dr. Z. and performed the closure.
Surgeon Z: Performed a minimal anterior discectomy and fusion at T2-T3 and T4-T5 levels using an anterior interbody technique and solely performed utilizing a structural allograft.
What is the CPT coding for the two surgeons?
Surgeon Z: Performed a minimal anterior discectomy and fusion at T2-T3 and T4-T5 levels using an anterior interbody technique and solely performed utilizing a structural allograft.
What is the CPT coding for the two surgeons?
CPC Exam Question 14
Provider performs staged procedures for gender reassignment surgery converting female anatomy to male anatomy.
What CPT code is reported?
What CPT code is reported?
CPC Exam Question 15
A patient has nausea with several episodes of emesis along with severe stomach pain due to dehydration.
Normal saline is infused in the same bag with 2 mg ondansetron to help with the nausea. Then a dose of 15 mg ketorolac tromethamine was given for the stomach pain.
What J codes are reported for these services?
Normal saline is infused in the same bag with 2 mg ondansetron to help with the nausea. Then a dose of 15 mg ketorolac tromethamine was given for the stomach pain.
What J codes are reported for these services?
