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NEW QUESTION # 295
The documentation states:
He was then sterilely prepped and draped along the flank and abdomen in the usual sterile fashion. I first made a skin incision off the tip of the twelfth rib, extending medially along the banger's lines of the skin. This was approximately 3.5 cm in length. Once this incision was carried sharply, electrocautery was used to gain access through the external oblique, internal oblique, and transverse abdominis musculature and fascia.
What surgical approach was used for this procedure?
Answer: C
Explanation:
The documentation describes making a skin incision off the tip of the twelfth rib and extending medially along the banger's lines of the skin. The use of electrocautery to gain access through multiple layers of musculature and fascia indicates an open surgical approach. Open surgery involves making a large incision to expose and directly view the surgical site. This is distinct from percutaneous (which involves needles or catheters), laparoscopic (which uses small incisions and a camera), and other minimally invasive techniques.References:
AMA's CPT Professional Edition, ICD-10-CM, and HCPCS Level II (current year)
NEW QUESTION # 296
A flexible sigmoidoscopy is performed with ablation of two sigmoid colon polyps.
What CPT and ICD-10-CM codes are reported?
Answer: C
Explanation:
45346 = Sigmoidoscopy with ablation (reported once)
K63.5 = Polyp of colon
NEW QUESTION # 297
A complete cardiac MRI for morphology and function without contrast, followed by contrast with four additional sequences and stress imaging, is performed on a patient with systolic left ventricular congestive heart failure and premature ventricular contractions.
What CPT and ICD-10-CM codes are reported?
Answer: A
NEW QUESTION # 298
Multiple laceration repairs were performed:
Simple: cheek (2.5 cm), nose (3 cm)
Intermediate: left leg (9 cm), right leg (11.5 cm)
Complex: left upper arm (4 cm)
What CPT codes are reported?
Answer: B
Explanation:
Complex (arm, 4 cm) # 13121
Intermediate legs total = 20.5 cm # 12036
Simple face closures coded separately:
12013 (cheek)
12011 (nose)
Modifiers allow separate anatomical reporting.
Correct answer: A
NEW QUESTION # 299
A patient has chronic cholesteatoma in the right middle ear. The otolaryngologist performed a tympanoplasty with a radical mastoidectomy, removing the middle ear cholesteatoma. Grafting technique was used to repair the eardrum without ossicular chain reconstruction.
What CPT code is reported for this surgery?
Answer: D
Explanation:
The procedure involves a tympanoplasty with a radical mastoidectomy and removal of a cholesteatoma from the middle ear, including grafting of the eardrum without ossicular chain reconstruction.
Procedure Description:
Tympanoplasty.
Radical mastoidectomy.
Removal of cholesteatoma from the middle ear.
Grafting technique used to repair the eardrum without ossicular chain reconstruction.
CPT Coding:
69645: Tympanoplasty with mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), radical or complete, with removal of cholesteatoma; with mastoid obliteration.
AMA's CPT Professional Edition (current year).
CPT Assistant for detailed coding guidelines on otolaryngology procedures.
NEW QUESTION # 300
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