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NEW QUESTION # 44
When a patient has ESRD, which system is affected?
Answer: D
NEW QUESTION # 45
A 50-year-old patient presented with a persistent cough has not responded to standard treatments. The patient's physician decides to perform a flexible bronchoscopy with bronchial biopsies to further investigate the cause. A flexible bronchoscope is inserted through the patient's mouth and into the bronchial tubes. Five biopsies are taken for further testing. The biopsies were sent to the lab for analysis to determine the next steps in the patient's treatment plan.
What CPT coding is reported?
Answer: B
Explanation:
The procedure described is flexible bronchoscopy with bronchial biopsy (biopsy taken from the bronchi
/bronchial tubes).
31625 = Bronchoscopy, flexible, with biopsy (single or multiple)
Important CPC concept: when the CPT descriptor is "single or multiple", you code it once, even if multiple biopsies are taken.
31628 is for transbronchial lung biopsy, which is not what is described (the question specifies bronchial tubes
/bronchial biopsies).Therefore, A is correct.
NEW QUESTION # 46
A patient has suspicious lesions on his feet. Biopsies confirm squamous cell carcinoma. The patient elects to destroy a 0.6 cm lesion on the right dorsal foot and a 2.0 cm lesion on the left dorsal foot using cryosurgery.
What CPT coding is reported?
Answer: D
Explanation:
Malignant lesion destruction → CPT 17260-17286
Trunk/extremities
0.6-1.0 cm → 17261
1.1-2.0 cm → 17262
Both lesions are reported separately.
NEW QUESTION # 47
A 64-year-old with congestive heart failure (CHF) has pericardial effusion. The provider inserts a needle under ultrasound guidance, aspirating the fluid from the pericardial sac.
What CPT coding is reported?
Answer: C
Explanation:
33016 = Pericardiocentesis, including imaging guidance (e.g., ultrasound) when performed.Because the code already includes imaging guidance, you do not separately report 76942.So the correct coding is 33016 only # B).
NEW QUESTION # 48
A patient had surgery a year ago to repair two extensor tendons in his wrist. He is in surgery for a secondary repair for the same two tendons with free graft. What CPTcoding is reported?
Answer: C
Explanation:
1. Procedure Type: This scenario describes a secondary repair of two extensor tendons in the wrist with a free graft. According to CPTcoding guidelines, the secondary repair with a free graft suggests a more complex repair than primary closure.
2. CPTCode Selection:
Code 25270 is used for a primary repair of an extensor tendon in the forearm or wrist. Since this is a secondary repair, 25270 does not apply, ruling out options A and C.
Code 25272 represents the repair of a single extensor tendon in the forearm or wrist, which includes both primary and secondary repairs. However, it does not involve free grafts, ruling out option D.
Code 25274 specifically addresses the secondary repair of an extensor tendon with free graft in the forearm or wrist, which is the correct scenario described in the question.
3. Applying the Code for Multiple Tendons:
Since the procedure involves two tendons, 25274 should be reported twice (25274 x 2) to account for the secondary repair on each tendon individually.
4. Reference from AAPC CPC Guidelines:
In AAPC CPC and CPTcoding principles, tendon repair codes require careful distinction between primary repairs and secondary repairs with grafts. The guidelines specify that multiple tendons should be coded with individual codes when performed on separate anatomical structures, hence the use of 25274 twice for both tendons.
Therefore, the verified and precise answer based on CPTguidelines and AAPC coding standards is B.
25274 x 2.
NEW QUESTION # 49
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