Question

A. Anesthesia for upper gastrointestinal endoscopic procedures 

B. Anesthesia services for patient age seventy-six, healthy, for open procedure on wrist  and 

C. Incision and drainage of infected wound after surgery 

D. Destruction of flat wart 

E. Closed treatment of acromioclavicular dislocation with manipulation 

F. Midface (zygomaticofacial) flap 

G. Paring of three skin lesions 

H. Postpartum D&C 

 I. Excision of chest wall tumor including ribs 

J. Transurethral electrosurgical resection of the prostate (TURP); patient has mild systemic disease; payer requires surgery codes 

K. Amniocentesis, diagnostic 

L. Ureterolithotomy on lower third of ureter 

M. Tonsillectomy and adenoidectomy, patient age fifteen 

N. Flexible exploratory sigmoidoscopy with specimen collection, separate procedure 

O. Diagnostic bone marrow biopsy and aspriation 

P. Application of short leg splint 

Q. Unilateral transorbital frontal exploratory sinusotomy 

R. Puncture aspiration of three cysts in breast  , 

S. Posterior arthrodesis for scoliosis patient, eleven vertebral segments 

T. Routine obstetrical care, vaginal delivery 

Answer 1

A. 01960

Anesthesia; Vaginal Delivery

B. 01830 P1, 99100

Anesthesia; Wrist

Anesthesia; Special Circumstances; Extreme Age

Note: The correct code must be selected by reviewing the choices given in the Anesthesia section from the CPT Index (00400, 01810-01860); this is an open procedure for a healthy patient older than 70.

C. 10180

Incision and Drainage; Wound Infection; Skin

D. 17110

Destruction; Warts; Flat

Note: The correct code must be selected by reviewing the choices given in the Surgery section from the CPT Index (17110-17111).

E. 23545

Dislocation; Acromioclavicular Joint; Closed Treatment

Note: This procedure is performed via closed treatment.

F. 26011

Incision and Drainage; Abscess; Finger

Note: This incision is complicated.

G. 11056

Lesion; Skin; Paring or Curettement

Note: The correct code must be selected by reviewing the choices given in the Surgery section from the CPT Index (11055-11057); the paring falls in the 2 to 4 lesions range.

H. 59160

Curettage; Uterus; Postpartum

I. 19260

Excision; Chest Wall; Tumor

Note: The correct code must be selected by reviewing the choices given in the Surgery section from the CPT Index (19260-19272); the ribs are included in the excision.

J. 52601 P2

Prostatectomy;Transurethral

Note: This patient has mild systemic disease, requiring a modifier.

K. 59000

Aminocentesis;Diagnostic

L. 50630

Ureterolithotomy

Note: The correct code must be selected by reviewing the choices given in the Surgery section from the CPT Index (50610-50630); the procedure is on the lower one-third of the ureter. M. 42821

Tonsillectomy

Note: The correct code must be selected by reviewing the choices given in the Surgery section from the CPT Index (42820-42826); the patient is over age 12.

N. 45330

Sigmoidoscopy; Exploration

Note: The correct code must be selected by reviewing the choices given in the Surgery section from the CPT Index (45330, 45335); this procedure is diagnostic. O. 28238

Kidner Procedure

P. 29515

Splint; Leg; Short

Q. 31075

Sinusotomy; Frontal Sinus; Exploratory

Note: The correct code must be selected by reviewing the choices given in the Surgery section from the CPT Index (31070-31075).

R. 19000, 19001 X 2

Puncture Aspiration; Cyst; Breast

Note: Each additional cyst must be reported separately.

S. 22802

Arthrodesis; Vertebra; Spinal Deformity; Posterior Approach

Note: The correct code must be selected by reviewing the choices given in the Surgery section from the CPT Index (22800-22804); this procedure is in the range of 7 to 12 vertebral segments.

T. 59400

Vaginal Delivery; Routine Care