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,A 67-year-old patient with known CAD and a history of 33511, 35500
MI was admitted for CABG. A portion of the right radial
vein was procured for bypass grafting, and then Assign one code for the vein grafting, 2 vessels (code 33511), as well as a code for
proceeded to perform two coronary venous bypass harvesting the radial vein (code 35500).
grafts.
33511, 35500
33511
33510, 33534
33510, 35500
Surgical pathology submitted to the pathologist is as 88307 × 3
follows: three surgical specimens taken from a liver
biopsy. Code 88307 only is assigned for the liver biopsy, as each specimen was not
individually identified. The coder should refer to the Surgical Pathology listing by
88305 × 3 specimen to determine the correct surgical pathology level for testing. Liver
88305 biopsy is listed under CPT code 88307.
88307 × 3
88307
Arthroscope was inserted and there were areas of diffuse 29880
chondromalacia, Grade III that was treated with
chondroplasty. The lateral meniscus was torn on its inner Meniscectomy of both medial and lateral compartments was performed.
third and partial lateral meniscectomy was performed. Chondroplasty is included per CPT.
There was an unrepairable tear on the posterior horn of CPT code 29880 only would be appropriate as code 29881 is for only the medial
the medial meniscus and this was also excised. OR lateral compartment.
29881, 29877-51
29880, 29877-51
29881
29880
CT brain is performed with and without contrast. 70470
70482 CT brain with and without contrast is assigned CPT code 70470 from Diagnostic
70470 Radiology, head/brain section. Only CPT code 70470 is for a CT of the brain both
70480 with and without contrast. The remaining choices are for a CT of the brain,
70450 however, without contrast (CPT code 70450) or CT of the orbit, middle or inner
ear.
, Anesthesia coding and billing always require the CPT code, physical status modifier, and time units
following elements:
CPT code, physical status modifier, and time units A CPT code, physical status modifier, and time will always be reported.
CPT code and modifier code
CPT code, physical status modifier, and qualifying
circumstance
CPT Code
Office visit for follow-up for stable diabetes mellitus. 99213
Patient has multiple medical problems; however, all
appear stable at this time. No complaints of diplopia, For an established patient, only 99213 and 99214 would be correct. Since the
excessive thirst. She has been symptom-free except for MDM was stated as low, CPT code 99213 would be correct in this instance.
some lower back pain in the past few weeks. Exam
completed for back, heart, and lungs. Glucose level
normal. Assessment: diabetes type II stable. MDM was
documented as low.
99203
99214
99213
99202
Diagnostic cystourethroscopy is performed, which 52000
reveals 2 cm ureter stone.
Only diagnostic cystourethroscopy was performed, therefore, 52000 would be
52310 assigned.
52000
52317
50590
Surgical pathology, oophorectomy, non-neoplastic 88305
88300 Surgical pathology for oophorectomy is assigned code 88305 per surgical
88305 pathology examples in CPT. The coder should refer to the Surgical Pathology
88307 code listing for each level to determine the most appropriate level for the specific
88304 specimen. Ovary with or without tube(s) is listed under CPT code 88305.
A 45-year-old man presents with severe neck pain. The 64999
physician examines the patient and makes the diagnosis
of cervical nerve impingement and injects an anesthetic Injection into the cervical plexus is assigned code 64999 as the three injections
agent into the cervical plexus using three injections. are considered one procedure. In addition, an unlisted procedure is assigned only
once to describe the complete procedure. The remaining selections are for nerve
64999 injections as well, however, to the occipital nerve (CPT code 64405) and
64413 × 3 trigeminal nerve (CPT code 64400). CPT notation indicates assign 64999 for
64405 injections into the cervical plexus.
64400 × 3