Practicum: Module 11: Endocrine and Nervous System Coding (60000
Codes) Questions and Answers
An extracapsular cataract removal is performed 69210
on the right eye by manually using an iris 69433-RT
expansion device to expand the pupil. A 69436, 69210-51
phacoemulsification unit was used to remove the 69436 - ANSWER -69433-RT
nucleus and irrigation and aspiration were used
to remove the residual cortex allowing the
insertion of the intraocular lens. Incision was started at the flexor surface of the
66984-RT left wrist, the transverse carpal ligament incised,
66982-RT a groove director inserted, and the carpal
66985-RT ligament released. After this completed, the
66983-RT - ANSWER -66982-RT median nerve was identified and the constricted
portion of the median nerve was injected with
normal saline solution to accomplish interneural
Epidural steroid injection, C1-C2 neurolysis.
62320 64721-LT
62325 64727-LT
62322 64721-LT, 64727-51-LT
62323. - ANSWER -62320 64727-LT, 64722-51-LT - ANSWER -
64721-LT
General occipital nerve blocks on left and right.
64455-50 Lumbosacral area prepped and a 20-gauge
64405-50 epidural needle was introduced into the L4-L5
64455, 64455-50 interspace. Epidurogram was performed using 5
64405 x2 - ANSWER -64405-50 ml of Isovue dye. After epidurogram performed,
additional 5 ml of 0.9% normal saline with 80 mg
of Kenalog was injected into the interspace.
Topical tetracaine was applied along with YAG 62322 x2
capsulotomy lens for cataract extraction. Good 62324
visualization of posterior capsular opacification 62322
was obtained and a total of 41 shots at 2 62324 x2 - ANSWER -62322
millijoules were utilized to open the posterior
capsule.
66984-LT Release of the right ulnar nerve at the wrist and
66982-LT elbow, carpal tunnel release
66820-LT 64721-RT, 64718-51-RT
66821-LT - ANSWER -66821-LT 64719-RT, 64718-51-RT, 64721-RT
64719-RT, 64718-RT, 64721-RT
64721-RT, 64719-RT, 64718-RT -
Local anesthesia was performed in preparation ANSWER -64721-RT, 64718-51-RT
for the placement of a tympanostomy tube. The
right tympanic membrane was very sclerotic, and Neuroplasty/decompression is performed on
as such a myringotomy incision was made and a three locations, the carpal ligament (64721-RT)
bobbin tympanostomy tube was placed without and the ulnar nerve at the elbow (64718-51-RT).
difficulty. The ulnar nerve at the wrist would be included in
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, Practicum: Module 11: Endocrine and Nervous System Coding (60000
Codes) Questions and Answers
the carpal tunnel release, unless documentation puncture. A blood patch by epidural injection is
indicated it was performed for a distinct, separate performed to repair the leak.
purpose per NCCI guidelines. 62273
62270, 62273
62270, 62287
Removal of a previously implanted Medtronic 62272 - ANSWER -62273
pain pump and catheter due to a possible
infection. The back was incised; dissection was Blood patch was performed, reported with code
carried down to the previously placed catheter. 62273 from the Spine/Spinal Cord,
There was evidence of infection with some fat Injection/Drainage/Aspiration section of the
necrosis in which cultures were taken. The Nervous Surgery section.
intrathecal portion of the catheter was removed.
Next, the pump pocket was opened with
evidence of seroma. The pump was dissected Bilateral lumbar medial branch block performed
from the anterior fascia. A 7 mm Blake drain was under fluoroscopy for the L4-L5, L5-S/1 facets for
placed in the pump pocket through a stab diagnostic and therapeutic purposes. injected. A
incision and secured to the skin with interrupted total of 80 mg of Depo-Medrol was divided
Prolene. The pump pocket was copiously between all six spots.
irrigated with saline and closed in two layers. 64493-50, 64494-50, 64495-50
62365, 62355-51 64483, 64484
62360, 62355 64493, 64494, 63395 x4
62365, 62350-51 64493-50, 64494-50v - ANSWER -64493-
36590 - ANSWER -62365, 62355-51 50, 64494-50
Intrathecal pump and catheter are being Assign code 64493 for facet joint injections.
removed, which is assigned code 62365 for the Since performed bilaterally, assign 64493 and
pump removal and 62355-51 for the catheter. 64493-50 as well as 64494 and 64494-50.
What is the CPT code for the decompression of A patient with Bell's palsy is unable to squint,
the median nerve found in the space in the wrist blink, or close her left eyelid. To protect the eye,
on the palmar side? a temporary tarsorrhaphy with a Frost suture
64704 technique is used.
64713 67710-LT
64719 67875-LT
64721 - ANSWER -64721 67840-LT
67950-LT - ANSWER -67875-LT
A patient returns to the hospital neurology clinic
for follow-up. He was evaluated 3 days prior to Repair ulnar nerve at wrist, right
this visit where a lumbar puncture was done to 64718-RT
find the ethology of the patient's headaches. The 64719-RT
headaches have increased in intensity over the 64721-RT
past 3 days. The neurologist examines the 64722-RT - ANSWER -64719-RT
patient and finds a CSF leak from the lumbar
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Codes) Questions and Answers
An extracapsular cataract removal is performed 69210
on the right eye by manually using an iris 69433-RT
expansion device to expand the pupil. A 69436, 69210-51
phacoemulsification unit was used to remove the 69436 - ANSWER -69433-RT
nucleus and irrigation and aspiration were used
to remove the residual cortex allowing the
insertion of the intraocular lens. Incision was started at the flexor surface of the
66984-RT left wrist, the transverse carpal ligament incised,
66982-RT a groove director inserted, and the carpal
66985-RT ligament released. After this completed, the
66983-RT - ANSWER -66982-RT median nerve was identified and the constricted
portion of the median nerve was injected with
normal saline solution to accomplish interneural
Epidural steroid injection, C1-C2 neurolysis.
62320 64721-LT
62325 64727-LT
62322 64721-LT, 64727-51-LT
62323. - ANSWER -62320 64727-LT, 64722-51-LT - ANSWER -
64721-LT
General occipital nerve blocks on left and right.
64455-50 Lumbosacral area prepped and a 20-gauge
64405-50 epidural needle was introduced into the L4-L5
64455, 64455-50 interspace. Epidurogram was performed using 5
64405 x2 - ANSWER -64405-50 ml of Isovue dye. After epidurogram performed,
additional 5 ml of 0.9% normal saline with 80 mg
of Kenalog was injected into the interspace.
Topical tetracaine was applied along with YAG 62322 x2
capsulotomy lens for cataract extraction. Good 62324
visualization of posterior capsular opacification 62322
was obtained and a total of 41 shots at 2 62324 x2 - ANSWER -62322
millijoules were utilized to open the posterior
capsule.
66984-LT Release of the right ulnar nerve at the wrist and
66982-LT elbow, carpal tunnel release
66820-LT 64721-RT, 64718-51-RT
66821-LT - ANSWER -66821-LT 64719-RT, 64718-51-RT, 64721-RT
64719-RT, 64718-RT, 64721-RT
64721-RT, 64719-RT, 64718-RT -
Local anesthesia was performed in preparation ANSWER -64721-RT, 64718-51-RT
for the placement of a tympanostomy tube. The
right tympanic membrane was very sclerotic, and Neuroplasty/decompression is performed on
as such a myringotomy incision was made and a three locations, the carpal ligament (64721-RT)
bobbin tympanostomy tube was placed without and the ulnar nerve at the elbow (64718-51-RT).
difficulty. The ulnar nerve at the wrist would be included in
1/7
, Practicum: Module 11: Endocrine and Nervous System Coding (60000
Codes) Questions and Answers
the carpal tunnel release, unless documentation puncture. A blood patch by epidural injection is
indicated it was performed for a distinct, separate performed to repair the leak.
purpose per NCCI guidelines. 62273
62270, 62273
62270, 62287
Removal of a previously implanted Medtronic 62272 - ANSWER -62273
pain pump and catheter due to a possible
infection. The back was incised; dissection was Blood patch was performed, reported with code
carried down to the previously placed catheter. 62273 from the Spine/Spinal Cord,
There was evidence of infection with some fat Injection/Drainage/Aspiration section of the
necrosis in which cultures were taken. The Nervous Surgery section.
intrathecal portion of the catheter was removed.
Next, the pump pocket was opened with
evidence of seroma. The pump was dissected Bilateral lumbar medial branch block performed
from the anterior fascia. A 7 mm Blake drain was under fluoroscopy for the L4-L5, L5-S/1 facets for
placed in the pump pocket through a stab diagnostic and therapeutic purposes. injected. A
incision and secured to the skin with interrupted total of 80 mg of Depo-Medrol was divided
Prolene. The pump pocket was copiously between all six spots.
irrigated with saline and closed in two layers. 64493-50, 64494-50, 64495-50
62365, 62355-51 64483, 64484
62360, 62355 64493, 64494, 63395 x4
62365, 62350-51 64493-50, 64494-50v - ANSWER -64493-
36590 - ANSWER -62365, 62355-51 50, 64494-50
Intrathecal pump and catheter are being Assign code 64493 for facet joint injections.
removed, which is assigned code 62365 for the Since performed bilaterally, assign 64493 and
pump removal and 62355-51 for the catheter. 64493-50 as well as 64494 and 64494-50.
What is the CPT code for the decompression of A patient with Bell's palsy is unable to squint,
the median nerve found in the space in the wrist blink, or close her left eyelid. To protect the eye,
on the palmar side? a temporary tarsorrhaphy with a Frost suture
64704 technique is used.
64713 67710-LT
64719 67875-LT
64721 - ANSWER -64721 67840-LT
67950-LT - ANSWER -67875-LT
A patient returns to the hospital neurology clinic
for follow-up. He was evaluated 3 days prior to Repair ulnar nerve at wrist, right
this visit where a lumbar puncture was done to 64718-RT
find the ethology of the patient's headaches. The 64719-RT
headaches have increased in intensity over the 64721-RT
past 3 days. The neurologist examines the 64722-RT - ANSWER -64719-RT
patient and finds a CSF leak from the lumbar
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