A child returns for stage 2 surgical repair of double outlet right ventricle, including removal of a pulmonary artery band, arterial switch repair, and ECMO cannulation.
What CPT(R) codes are reported?
A. 33778-78, 33953-78, 33985-78An interventional radiologist performs an abdominal paracentesis using fluoroscopic guidance to remove excess fluid. The procedure is performed in the hospital.
What CPT(R) coding is reported?
A. 49082When a provider's documentation refers to use, abuse, and dependence of the same substance, such as alcohol, which statement is correct?
A. If both use and abuse are documented, assign abuse as the first code and use as the additional code.A cystic lesion on the chest is excised with margins totaling 2.5 cm. Simple closure performed.
What CPT(R) coding is reported?
A. 11403A patient suffers a ruptured infrarenal abdominal aortic aneurysm requiring emergent endovascular repair.
An aorto-aortic tube endograft is positioned in the aorta and a balloon dilation is performed at the proximal and distal seal zones of the endograft. The balloon angioplasty is performed for endoleak treatment.
What CPT code does the vascular surgeon use to report the procedure?
A. 34702View MR 002395
MR 002395
Operative Report
Pre-operative Diagnosis: Acute rotator cuff tear
Post-operative Diagnosis: Acute rotator cuff tear, synovitis
Procedures:
1. Rotator cuff repair
2. Biceps Tenodesis
3. Claviculectomy
4. Coracoacromial ligament release
Indication: Rotator cuff injury of a 32-year-old male, sustained while playing soccer.
Findings: Complete tear of the right rotator cuff, synovitis, impingement.
Procedure: The patient was prepared for surgery and placed in left lateral decubitus position. Standard posterior arthroscopy portals were made followed by an anterior-superior portal. Diagnostic arthroscopy was performed. Significant synovitis was carefully debrided. There was a full-thickness upper 3rd subscapularis tear, which was repaired. The lesser tuberosity was debrided back to bleeding healthy bone and a Mitek 4.5 mm helix anchor was placed in the lesser tuberosity. Sutures were passed through the subcapulans in a combination of horizontal mattress and simple interrupted fashion and then tied. There was a partial-thickness tearing of the long head of the biceps. The biceps were released and then anchored in the intertubercular groove with a screw. There was a large anterior acromial spur with subacromial impingement. A CA ligament was released and acromioplasty was performed. Attention was then directed to the supraspinatus tendon tear. The tear was V-shaped and measured approximately 2.5 cm from anterior to posterior. Two Smith & Nephew PEEK anchors were used for the medial row utilizing Healicoil anchors. Side-to-side stitches were placed. One set of suture tape from each of the medial anchors was then placed through a laterally placed Mitek helix PEEK knotless anchor which was fully inserted after tensioning the tapes. A solid repair was obtained. Next there were severe degenerative changes at the AC joint of approximately 8 to 10 mm. The distal clavicle was resected taking care to preserve the superior AC joint capsule. The shoulder was thoroughly lavaged. The instruments were removed and the incisions were closed in routine fashion. Sterile dressing was applied. The patient was transferred to recovery in stable condition.
What CPT coding is reported for this case?
A. 29827, 29828-51, 29824-51, 29826A planned partial meniscectomy of the temporomandibular joint is cancelled after anesthesia and incision due to respiratory distress.
What CPT(R) coding is reported for the oral surgeon?
A. 21060-47A female patient underwent a mastectomy on her left breast last year due to breast cancer. The surgery was successful in eliminating the cancer, and no further treatment was required. However, a recent diagnosis now includes cancer that metastasized to her liver.
What ICD-10-CM coding is reported?
A. C22.9, C50.912An inpatient, suffering from hypertension and chronic kidney disease, is administered continuous venovenous hemofiltration. The on-duty nephrologist performs a series of repeated low-level evaluation and management services to monitor the patient's status.
What is the CPT(R) and ICD-10-CM coding?
A. 90935, I12.9, N18.9Preoperative diagnosis: Right thigh benign congenital hairy nevus.
Postoperative diagnosis: Right thigh benign congenital hairy nevus.
Operation performed: Excision of right thigh benign congenital hairy nevus, excision size with margins 4.5 cm and closure size 5 cm.
Anesthesia: General.
Intraoperative antibiotics: Ancef.
Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and was thought to have changed over the past year.
The family requested excision. They understood the risks involved, which included but were not limited to risks of general anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location and age of the patient.
They consented to proceed.
Description of procedure: The patient was seen preoperatively in the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an
adequate amount of time, a #15 blade was used to sharply excise this full thickness. This was passed to
pathology for review. The wound required limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin. The wound was cleaned and dressed with Dermabond and Steri-Strips. The patient was then cleaned and turned over to anesthesia for extubation. She was extubated successfully in the operating room and taken to the recovery room in stable condition. There were no complications.
What CPT(R) and ICD-10-CM codes are reported?
A. 11406, 12032, D22.71Nowadays, the certification exams become more and more important and required by more and more enterprises when applying for a job. But how to prepare for the exam effectively? How to prepare for the exam in a short time with less efforts? How to get a ideal result and how to find the most reliable resources? Here on Vcedump.com, you will find all the answers. Vcedump.com provide not only AAPC exam questions, answers and explanations but also complete assistance on your exam preparation and certification application. If you are confused on your AAPC-CPC exam preparations and AAPC certification application, do not hesitate to visit our Vcedump.com to find your solutions here.