Question

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[LO 5.2] Case 5.3 Procedure Codes Find the correct procedure codes for the following: 1. Insertion, LeVeen shunt. 2. Ms. Silvers is referred to Dr. Valentine for chest pain. The patient's encounter form on her second appointment shows a cardiovascular stress test using submaximal treadmill, with continuous electrocardiographic monitor- ing, with physician supervision, interpretation, and report. Find the procedure code for the procedure cardio- vascular stress test. (Hint: Look under the heading “Cardiology.") 3. Patient Amy Wan had surgery for ingrown toenails on the great toe of each foot. Find the procedure code for the service, including any applicable modifier. 4. Patient Judi Goldfarb had a partial mastectomy of the left breast. 5. Patient Tonisha Williams had a total abdominal hysterectomy and removal of tubes and ovaries for submucous leiomyoma of the uterus and severe polycystic disease of the ovaries. 6. Established patient: Randy Kane. Visit to Ashworth Dermatology Clinic for recurrence of forearm rash. He is a previous patient who presented with this condition twenty days ago. I saw him for a ten-minute follow-up examination because of the flare-up. Has 4 X 6 cm rash over mid-forearm with scaly, erythematous, raised papules. 7. Dr. LaFarge is called to the home of the BeGeorgs family. She is the family physician and has taken care of the patient, Ralph, since birth. He is now thirteen years old and is recovering well from a recent broken leg. She decided to visit this established patient at home to check on possible swelling or soreness due to the cast. 8. Juanita Escobar, age two, has an intramuscular injection for immunization with diphtheria and tetanus toxoids (DT). (Hint: Check the possible codes for patients' ages.)

Answer 1

1. LeVeen shunt is peritoneovenous shunt . It is used to drain ascite into the jugular or superior vena cava. Procedure code for insertion of this shunt is 49425.
2. Procedure code for cardiovascular stress test is 93015 (with supervision, interpretation and report). 93016 is same but without interpretation and report.
3. Procedure code for excision of ingrown nail is 11750. It can be partial, complete or permanent removal. 11750 is reported only once for each digit.
4. Partial mastectomy of the left breast is coded by 19302.