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NEW QUESTION # 314
A surgeon removes the right and left fallopian tubes and the left ovary via an abdominal incision. How is this reported?
Answer: C
NEW QUESTION # 315
A cardiologist uses the hospital's equipment for a cardiac stress test as he doesn't own equipment for the test. He supervises the test and provides the interpretation and report of the test.
What CPT codes are reported?
Answer: B
NEW QUESTION # 316
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 with ossicular chain reconstruction.
What CPTcode is reported for this surgery?
Answer: C
Explanation:
1. Procedure and CPTCode Selection:
The procedure involves a tympanoplasty with a radical mastoidectomy to remove a cholesteatoma in the middle ear. Additionally, the procedure includes ossicular chain reconstruction and grafting to repair the eardrum.
CPTCode 69646 is appropriate for tympanoplasty with a radical mastoidectomy, including removal of the cholesteatoma and ossicular chain reconstruction. This code accurately describes the combination of tympanoplasty, radical mastoidectomy, and ossicular chain reconstruction, making it the correct choice.
2. Rationale for Excluding Other Options:
Code 69643 describes a tympanoplasty with a simple mastoidectomy, which is not appropriate since a radical mastoidectomy was performed.
Code 69645 covers a tympanoplasty with radical mastoidectomy but does not include ossicular chain reconstruction, which was part of this procedure.
Code 69641 is for a tympanoplasty without mastoidectomy, making it incorrect for this case.
3. AAPC and CPTCoding Guidelines:
According to AAPC and CPTguidelines, 69646 is the appropriate code when a tympanoplasty includes a radical mastoidectomy with ossicular chain reconstruction, as documented in this case.
Therefore, the correct answer based on CPTguidelines is D. 69646.
NEW QUESTION # 317
A business requires drug testing for cocaine and methamphetamines prior to hiring a job candidate. A single analysis with direct optical observation is performed, followed by a confirmation for cocaine.
Which codes are used for reporting the testing and confirmation?
Answer: A
NEW QUESTION # 318
A patient presents with recurrent spontaneous episodes of dizziness of unclear etiology. Caloric vestibular testing is performed irrigating both ears with warm and cold water while evaluating the patient's eye movements. There is a total of three irrigations.
What CPT coding is reported?
Answer: A
Explanation:
Procedure: Caloric vestibular testing performed on both ears with three irrigations.
CPT Code:
92537: Caloric vestibular test with recording, bilateral; bithermal (i.e., one warm and one cool irrigation in each ear).
Modifier -50: Bilateral procedure.
Code Selection Justification: The procedure performed was bilateral caloric vestibular testing with bithermal irrigation, appropriately coded with 92537 and modifier -50 for bilateral procedures.
AMA CPT Professional Edition (current year)
NEW QUESTION # 319
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