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1. Assign the CPT codes for the following surgical note:
A patient who is confirmed to have lymphoma is placed under general anesthesi a. A flexible bronchoscope is first inserted through the oral cavity to determine if the primary carcinoma has spread to the lung tissue. No lesions are observed in the bronchus, and the bronchoscope is removed. An incision is then made in the parasternal second left intercostal space, thus exposing the anterior mediastinal lymph nodes. Tissue samples from the lymph nodes are removed without complication. The incision is closed with sutures, and the patient is discharged to recovery.
A) 39010, 31623-51
B) 39402, 31623-51
C) 39010, 31622-51
D) 39402, 31622-51
2. A 22-year-old patient presents with a 5.5 cm gaping laceration on the right forearm and a
2 cm superficial laceration on the right wrist caused by a table saw. A local anesthetic is injected around both laceration sites. The physician irrigates the laceration on the wrist before closing the wound with a tissue adhesive and then performs an extensive cleaning and single-layer closure with sutures on the forearm. What should be coded for this encounter?
A) 12032, S41.111A, S61.411A,W31.2kX.A
B) 12032, 12001-59, S41.111A S61.411A W31.2XXA
C) 12001, 12032-59, S61.411AS41.111A W31.2XXA
D) 12032, 97597, G0168, S41.111A, S61.411A W31.2XXA
3. An extracapsular cataract extraction procedure was performed on a patient with a clouded and discolored lens. The physician uses iris hooks in the right pupil to ensure safe and controlled access to the cataract and blue staining dye to visualize the capsulorhexis. Using suction, the existing lens capsule is removed, and an intraocular lens is inserted. What should the physician report?
A) 66984-RT, H26.8
B) 66982-RT, Q12.8
C) 66982-RT, H27.8
D) 66984-RT, H18.891
4. A 39-year-old female patient has developed a diaphragmatic hernia after an episode of domestic violence. The surgeon repairs the hernia through an incision into the abdomen. The patient is later discharged with no complications. How should this encounter be reported?
A) 39541, K44.O, T76.1 IXA
B) 39541, K44.O, T74.11YA Y07.9
C) 39540, K44.9, T74.11XA Y07.9
D) 39540,K44.9, T 76.1 IXA
5. A physician performs a 6 cm midline celiotomy to remove a patient's enlarged spleen by means of cautery. Abdominal exploration was performed, and the lymph nodes surrounding the inferior mesenteric artery that were noted to be abnormal were also removed. What CPT code(s) describes the surgery performed by the physician?
A) 38120, 49000-51
B) 49000, 38102
C) 43631
D) 38100, 38999-59
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: D |
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