Preoperative 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, including but not limited to the 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 its location and the 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, D22.71A male patient passes out while jogging in the park. Upon examination at the hospital, he is found to have a wide complex tachycardia and undergoes an electrophysiologic study and radiofrequency ablation. For this procedure, he is placed under general anesthesia.
What is the anesthesia coding for this otherwise healthy 35-year-old?
A. 01926-P1Patient presents to the office for the removal of 15 actinic keratoses lesions. The provider destroys these lesions with laser surgery.
What CPT(R) coding is reported for this visit?
A. 17000, 17003A 55-year-old female patient is diagnosed with renal cell carcinoma. She is having a resection of the affected kidney, a portion of the ureter, and rib resection, open aproach. The procedure is complicated due to a prior surgical procedure performed on the same kidney.
What CPT(R) coding is reported?
A. 50548A patient has nausea with several episodes of emesis and severe stomach pain due to dehydration.
Normal saline is infused in the same bag with 2 mg ondansetron. Then 15 mg ketorolac tromethamine is given for stomach pain.
What J codes are reported for these services?
A. J2405 x 2, J1885Which one of the following is a commercial or private payer?
A. Blue Cross Blue ShieldA 65-year-old man had a right axillary block by the anesthesiologist. When the arm was totally numb, the arm was prepped and draped, and the surgeon performed tendon repairs of the right first, second, and third fingers. The anesthesiologist monitored the patient throughout the case.
What anesthesia code is reported?
A. 01830A 25-year-old woman underwent percutaneous breast biopsy on the right breast with placement of a Gelmark clip. The procedure was performed using stereotactic imaging.
What CPT codes will be reported?
A. 19081A 4-week-old premature infant receives a 100 mg IM injection of RSV monoclonal antibody.
What CPT(R) codes are reported?
A. 90378 x2, 90471A 58-year-old with type 1 diabetes mellitus comes in for a comprehensive eye examination. She is diagnosed with mild nonproliferative diabetic retinopathy with macular edema in the right eye.
What ICD-10-CM coding is reported?
A. E10.3211Nowadays, 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.