100% Verified Graded A+
1. A patient with uncontrolled low back pain presents and has implantation of a
nonprogrammable intrathecal morphine pump.
a. 62361
b. 62365
c. 62360
d. 62350
Answer> a. 62361Implantation of a nonprogrammable intrathecal pump is assigned 62361
for nonprogrammable pump located in the Spine and Spinal Cord section of the Nervous
System. The remaining selections are for placement of an intrathecal catheter, removal or
subsequent reservoir placement, none of which were performed in this instance.
2. CAD would be coded as
a. I25.10.
b. I77.9.
c. I25.119.
,d. I25.110.
Answer> a. I25.10.
Since the documentation did not indicate that the coronary artery disease was with angina,
is assigned a code for coronary artery disease (ASHD) without angina, code I25.10. I25.110 i
for ASHD, but with unstable angina, which was not stated. I25.119 is for ASHD with
unspecified angina, which was not stated. I77.9 is for disorder of arteries or arterioles,
unspecified which would also be incorrect.
3. A child with chronic otitis media and fluid buildup in both ears was admitted by her
otolaryngologist for a bilateral tympanostomy.The procedure was per- formed with
placement of ventilating tubes. The procedure required general anesthetic due to the
patient's age.
a. 69420-50
b. 69421, 69421-50
c. 69433-50
d. 69436-50
Answer> d. 69436-50
Assign code 69436-50 for bilateral placement of tympanostomy tubes. The remain- ing
,selections are for a myringotomy only, or tympanostomy with tubes under local rather
than general anesthesia.
4. When multiple lesions are excised during the same surgical session they are coded as
a. All lesions are assigned a separate CPT code, and, any with more than a simple
closure are assigned additional code(s)
b. All lesions from the same anatomical area are combined
c. All lesions are combined if same type (benign/malignant)
d. Each lesion is assigned a separate CPT code
Answer> a. All lesions are assigned a separate CPT code, and, any with more than a
simple closure are assigned additional code(s)
Per CPT guidelines, each lesion is assigned a separate code. In addition, if more than a simple
closure
are assigned, an additional code(s) may also be assigned for that service as well.
5. OPERATIVE REPORT
Preoperative Diagnosis
Anemia Postoperative Diagnosis
Anemia Procedure(s) Performed
EGD, Colonoscopy
, EGD and attempted dx colonoscopy. A gastroscope was inserted and passed into the
second portion of the duodenum. Colonoscope was inserted into the rectum, and the
scope could not be advanced to the splenic flexure. Therefore, the procedure was
terminated.
a. 45330, 43235
b. 45378-53
c. 43239
d. 43239, 45330-51
Answer> a. 45330, 43235
Since two (2) separate procedures were performed, a total of two (2) proce- dures will be
performed. EGD was completed; therefore, 43235 is appropriate. The colonoscopy could
not be advanced to the splenic flexure. According to the colonoscopy decision tree in CPT,
the colonoscopy is assigned 45330.
Two of the remaining selections include an EGD with biopsy which was not per- formed in th
instance
6. OPERATIVE REPORT
Preoperative Diagnosis Chronic ethmoid sinusitis, Maxillary sinusitis Postoperative