1.
Question 1
1 Point
Code the following case study. One code is required.
Preoperative Diagnosis: Carpal tunnel compression, left, severe
Postoperative Diagnosis: Carpal tunnel compression, left, severe
Operation: Release, left carpal tunnel
Procedure Notes: After successful axillary block was placed, the patient's left arm was
prepared and draped in the usual sterile manner. Tourniquet was inflated. A curvilinear
hypothenar incision was made, and the palmaris retracted radially. The carpal tunnel
and the transverse carpal ligament were then opened and completely freed in the
proximal directions. It was noted to be severely tight in the palm with flattening and
swelling of the median nerve. The carpal tunnel was opened distally in the hand and
noted to be clear, out to the transverse palmar crease. The wound was then closed with
4-0 Dexon in subcuticular tissues. Sterile bulky dressing was applied, and the patient
was awakened and taken to the recovery room in satisfactory condition.
CPT code:
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2.
Question 2
Question 2
1 Point
Code the following case study. One code is required.
Preoperative Diagnosis: Chalazion, left lower lid
Postoperative Diagnosis: Chalazion, left lower lid
Operation: Excision of mass, left lower lid
Procedure Notes: Under adequate topical anesthesia and block anesthesia, the eye
was prepared and draped in the usual manner. Chalazion speculum was applied. The
left lower lid was everted, and a vertical incision made. Excision of the mass was
performed using curet. and a biopsy of the capsule of this 9-mm mass was made, as
requested. Patient tolerated the procedure well and left the operating room in good
condition after application of Cortisporin ointment and pressure patch.
CPT code:
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3.
Question 3
Question 3
, 1 Point
The physician performs a posterior laminectomy, facetectomy, and foraminotomy on C3, C4, and
C5. Provide the CPT code(s).
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4.
Question 4
Question 4
1 Point
Flexible sigmoidoscopy with decompression of volvulus. Provide the CPT code:
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5.
Question 5
Question 5
1 Point
Orchiectomy for tumor removal, abdominal exploration. Provide the CPT code:
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6.
Question 6
Question 6
1 Point
Code the following case study. One code is required.
Preoperative Diagnosis: History of colon polyps
Postoperative Diagnosis: Polyp of colon
Procedure: Colonoscopy with polypectomy
Indications: The patient is a 46-year-old who had a polyp removed a little over a year
ago and presents for a follow-up at this time.
Findings: The patient was taken to the procedure room and placed in the supine
position. The patient was initially given 50 mg of Demerol and 3 mg of Versed. Next, a
rectal exam was performed, and the scope was introduced through the rectum. The
scope could be passed up to an area of about 35 cm and a polyp was found. It was
removed with a snare and then brought out with the biopsy forceps through that port.
This specimen was sent on to the pathologist for further evaluation. Good hemostasis
was found at the site of the polypectomy. The scope was then carefully withdrawn. The
patient tolerated the procedure reasonably well. There were no complications. The
patient left the procedure room in stable condition.
Question 1
1 Point
Code the following case study. One code is required.
Preoperative Diagnosis: Carpal tunnel compression, left, severe
Postoperative Diagnosis: Carpal tunnel compression, left, severe
Operation: Release, left carpal tunnel
Procedure Notes: After successful axillary block was placed, the patient's left arm was
prepared and draped in the usual sterile manner. Tourniquet was inflated. A curvilinear
hypothenar incision was made, and the palmaris retracted radially. The carpal tunnel
and the transverse carpal ligament were then opened and completely freed in the
proximal directions. It was noted to be severely tight in the palm with flattening and
swelling of the median nerve. The carpal tunnel was opened distally in the hand and
noted to be clear, out to the transverse palmar crease. The wound was then closed with
4-0 Dexon in subcuticular tissues. Sterile bulky dressing was applied, and the patient
was awakened and taken to the recovery room in satisfactory condition.
CPT code:
Text Editor
2.
Question 2
Question 2
1 Point
Code the following case study. One code is required.
Preoperative Diagnosis: Chalazion, left lower lid
Postoperative Diagnosis: Chalazion, left lower lid
Operation: Excision of mass, left lower lid
Procedure Notes: Under adequate topical anesthesia and block anesthesia, the eye
was prepared and draped in the usual manner. Chalazion speculum was applied. The
left lower lid was everted, and a vertical incision made. Excision of the mass was
performed using curet. and a biopsy of the capsule of this 9-mm mass was made, as
requested. Patient tolerated the procedure well and left the operating room in good
condition after application of Cortisporin ointment and pressure patch.
CPT code:
Text Editor
3.
Question 3
Question 3
, 1 Point
The physician performs a posterior laminectomy, facetectomy, and foraminotomy on C3, C4, and
C5. Provide the CPT code(s).
Text Editor
4.
Question 4
Question 4
1 Point
Flexible sigmoidoscopy with decompression of volvulus. Provide the CPT code:
Text Editor
5.
Question 5
Question 5
1 Point
Orchiectomy for tumor removal, abdominal exploration. Provide the CPT code:
Text Editor
6.
Question 6
Question 6
1 Point
Code the following case study. One code is required.
Preoperative Diagnosis: History of colon polyps
Postoperative Diagnosis: Polyp of colon
Procedure: Colonoscopy with polypectomy
Indications: The patient is a 46-year-old who had a polyp removed a little over a year
ago and presents for a follow-up at this time.
Findings: The patient was taken to the procedure room and placed in the supine
position. The patient was initially given 50 mg of Demerol and 3 mg of Versed. Next, a
rectal exam was performed, and the scope was introduced through the rectum. The
scope could be passed up to an area of about 35 cm and a polyp was found. It was
removed with a snare and then brought out with the biopsy forceps through that port.
This specimen was sent on to the pathologist for further evaluation. Good hemostasis
was found at the site of the polypectomy. The scope was then carefully withdrawn. The
patient tolerated the procedure reasonably well. There were no complications. The
patient left the procedure room in stable condition.
