Chapter 9 AAPC Questions with Correct Answers

The provider performs a diagnostic thoracoscopy followed by the thoracoscopic excision of a pericardial cyst. What CPT® code(s) is/are reported? CORRECT ANSWER 32661 In the CPT® Index look for Thoracoscopy/Surgical/with Excision Pericardial Cyst, Tumor and/or Mass and you are directed to 32661. A patient's nose was hit with a baseball during a high school baseball game. At that time reconstruction was performed with local grafts. Patient returns now as an adult, discontent with the bony prominence along the bony pyramid and flat look of the tip of the nose. He underwent major repair with osteotomies and nasal tip work. What CPT® code is reported? CORRECT ANSWER 30450: Rationale: The procedure performed now is a secondary rhinoplasty due to unfavorable results from the initial rhinoplasty. In the CPT® Index look for Rhinoplasty/Secondary directing you to code range . Code selection is based on the reason for the repair and the extensiveness of the repair. 30450 reports a major secondary revision including osteotomies and nasal tip work A patient with AML (Acute Myelogenous Leukemia) has just learned his sister is an HLA (Human Leukocyte Antigen) match for him. Stem cells taken from the donor (the patient's sister) will be transplanted into the patient to help with his treatment. What CPT® code is used to report the harvesting of the stem cells from the donor (his sister)? CORRECT ANSWER 38205: Rationale: In the CPT® Index look for Stem Cell/Harvesting. This directs you to code range 38205, 38206. Code selection is based on whether it is allogenic (from a donor) or autologous (from the patient). This is allogenic making 38205 the correct code choice. A patient is seen in the OR for removal of a hepatic adenoma, which has invaded the diaphragm. The resection of the diaphragm portion of the mass was repaired with primary sutures. What CPT® code is reported for the diaphragmatic mass resection CORRECT ANSWER 39560: Rationale: In the CPT® Index, look up Resection/Diaphragm, which directs you to code range . Code selection depends on the type of repair. The repair is with primary sutures which is considered a simple repair making 39560 the correct code choice.