CH. 16: Coding Practice: Operating Microscope
Study online at https://quizlet.com/_e34zo9
1. The patient un- 69801-RT, 69990
derwent transcanal
labyrinthotomy with For code 69801-RT, go to CPT index main term Incision, subterm Ear, Inner,
cryosurgery and qualifier Labyrinth, and qualifier Transcanal. Verify the code in the Incision
multiple perfusion and/or Destruction subcategory of the Inner Ear category in the Auditory
of vestibuloactive System subsection of the Surgery section. Add modifier -RT (Right side) to
drugs. After anesthe- the code.
sia, an incision was
For code 69990, go to CPT index main term Operating Microscope. Verify the
made posterior to
code in the Operating Microscope subsection of the Surgery section.
the ear canal on the
right and the exter-
nal ear was exposed.
The operating micro-
scope was brought
into the field to facili-
tate the placement of
a temporary stapes
plate. The cryolaser
was used to debride
tissue present in the
area.
___ , ___
2. A patient presented 42600-LT, 69990
with a fistula of the
left salivary gland. For code 42600-LT, go to CPT index main term Fistula, subterm Closure, and
This area was incised qualifier Salivary. Verify the code in the Other Procedures subcategory of the
to expose the fistu- Salivary Gland and Ducts category in the Digestive System subsection of the
la, and the operating Surgery section. Add modifier -LT (Left side) to the code.
microscope was used
For code 69990, go to CPT index main term Operating Microscope. Verify the
to get a better view
code in the Operating Microscope subsection of the Surgery section.
of the fistula for the
1/7
, CH. 16: Coding Practice: Operating Microscope
Study online at https://quizlet.com/_e34zo9
purpose of closure.
___ , ___
3. A neonatal patient 39503, 69990
presented with a
diaphragmatic her- For code 39503, go to CPT index main term Hernia Repair, subterm Diaphrag-
nia. Under adequate matic, and qualifier Neonatal. Verify the code in the Repair subcategory of the
anesthesia, an ab- Diaphragm category in the Mediastinum and Diaphragm subsection of the
dominal incision was Surgery section.
made. The operating
For code 69990, go to CPT index main term Operating Microscope. Verify the
microscope was used
code in the Operating Microscope subsection of the Surgery section.
to identify all ves-
sels and small arter-
ies. This was in part
due to the size of
the infant. The hernia
sac was exposed and
dissected free, su-
tures were placed to
close the diaphrag-
matic hernia defect,
and the external in-
cision was closed in
layers.
___ , ___
4. Patient underwent 22551
arthrodesis, anterior
interbody, with C3 For code 22551, go to CPT index main term Arthrodesis, subterm Vertebra,
nerve root decom- qualifier Anterior/Anterolateral Approach, qualifier Cervical below C2 (or go
pression, disc space to CPT index main term Decompression, subterm Nerve, and qualifier Root).
preparation, discec- Review codes in the Anterior or Anterolateral Approach Technique heading
2/7
Study online at https://quizlet.com/_e34zo9
1. The patient un- 69801-RT, 69990
derwent transcanal
labyrinthotomy with For code 69801-RT, go to CPT index main term Incision, subterm Ear, Inner,
cryosurgery and qualifier Labyrinth, and qualifier Transcanal. Verify the code in the Incision
multiple perfusion and/or Destruction subcategory of the Inner Ear category in the Auditory
of vestibuloactive System subsection of the Surgery section. Add modifier -RT (Right side) to
drugs. After anesthe- the code.
sia, an incision was
For code 69990, go to CPT index main term Operating Microscope. Verify the
made posterior to
code in the Operating Microscope subsection of the Surgery section.
the ear canal on the
right and the exter-
nal ear was exposed.
The operating micro-
scope was brought
into the field to facili-
tate the placement of
a temporary stapes
plate. The cryolaser
was used to debride
tissue present in the
area.
___ , ___
2. A patient presented 42600-LT, 69990
with a fistula of the
left salivary gland. For code 42600-LT, go to CPT index main term Fistula, subterm Closure, and
This area was incised qualifier Salivary. Verify the code in the Other Procedures subcategory of the
to expose the fistu- Salivary Gland and Ducts category in the Digestive System subsection of the
la, and the operating Surgery section. Add modifier -LT (Left side) to the code.
microscope was used
For code 69990, go to CPT index main term Operating Microscope. Verify the
to get a better view
code in the Operating Microscope subsection of the Surgery section.
of the fistula for the
1/7
, CH. 16: Coding Practice: Operating Microscope
Study online at https://quizlet.com/_e34zo9
purpose of closure.
___ , ___
3. A neonatal patient 39503, 69990
presented with a
diaphragmatic her- For code 39503, go to CPT index main term Hernia Repair, subterm Diaphrag-
nia. Under adequate matic, and qualifier Neonatal. Verify the code in the Repair subcategory of the
anesthesia, an ab- Diaphragm category in the Mediastinum and Diaphragm subsection of the
dominal incision was Surgery section.
made. The operating
For code 69990, go to CPT index main term Operating Microscope. Verify the
microscope was used
code in the Operating Microscope subsection of the Surgery section.
to identify all ves-
sels and small arter-
ies. This was in part
due to the size of
the infant. The hernia
sac was exposed and
dissected free, su-
tures were placed to
close the diaphrag-
matic hernia defect,
and the external in-
cision was closed in
layers.
___ , ___
4. Patient underwent 22551
arthrodesis, anterior
interbody, with C3 For code 22551, go to CPT index main term Arthrodesis, subterm Vertebra,
nerve root decom- qualifier Anterior/Anterolateral Approach, qualifier Cervical below C2 (or go
pression, disc space to CPT index main term Decompression, subterm Nerve, and qualifier Root).
preparation, discec- Review codes in the Anterior or Anterolateral Approach Technique heading
2/7
