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CPT SURGERY CODING QUESTIONS AND ANSWERS

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physician removed the old cast and applied a replacement cast for the remaining three weeks of healing time. Report code(s) _____. - answer-29405-58-LT A patient undergoes ERCP, during which a stone is identified in the patient's common bile duct. The stone is removed, and the procedure is concluded. Report code(s) _____. - answer-43264 A patient undergoes platelet apheresis and is discharged after the platelets are retransfused. Report code _____. - answer-36513 A patient undergoes urodynamic study with calibrated electronic equipment to record peak flow and to measure mean and time to reach peak flow during continuous urination. Report code _____. - answer-51741 A patient underwent bone marrow aspiration only. Report code _____. - answer-38220 A patient underwent closed reduction of a closed fracture of the right clavicle as the result of an automobile accident. Report code _____. - answer-23500-RT A patient underwent coronary artery bypass graft, three venous vessels. This is a repeat CABG because the patient previously underwent CABG surgery five years ago during which two coronary venous grafts were performed. Report code(s) _____. - answer-33512, 33530 A patient underwent decompression of the spinal cord and nerve roots via transpedicular approach for herniated intervertebral disk, T1, T2, and T3. The patient tolerated the procedure well. Report code(s) _____. - answer-63055, 63057, 63057 A patient underwent endoscopic right maxillary antrostomy. Report code _____. - answer-31256-RT A surgeon performed bilateral breast biopsies; the left breast mass was completely removed, but only a portion of the right breast was removed due to its large size. Frozen section revealed the right breast mass to be malignant; a modified radical mastectomy was performed during the same operative session. Report code(s) _____. - answer-19307-RT, 19120-51-LT Adjacent tissue transfer (1 sq cm) of skin defect of the chin, which was the result of an excision of benign skin lesion (1 cm) of the chin (performed during the same operative procedure). Report code(s) _____. - answer-14040 Allogenic stem cell transplant. Report code _____. - answer-38240 Appendectomy using laparoscope. Report code _____. - answer-44970 Arthrodesis of two interphalangeal joints. Report code(s) _____. - answer-26860, 26861 Bilateral mastectomy for gynecomastia. Report code _____. - answer-19300-50 Bilateral sinus endoscopy performed with partial resection of ethmoid. Report code _____. - answer-31254-50 Biopsy of mediastinal space performed via thoracoscopy. Report code(s) _____. - answer-32606 Carl is a 6-year-old male who is admitted to the ambulatory surgical unit of a local hospital on May 4 and who undergoes removal of bilateral ventilating tubes. Dr. White had inserted the tubes in November of the previous year. Dr. White removed them after administering general anesthesia to the patient. Report code(s) _____. - answer-69424-50 Carol Maddox is diagnosed with a large bladder stone that measures 4 cm. A procedure is performed to crush the stone and remove the fragments. Report code(s) _____. - answer-52318 Charles Joseph, a 2-day-old infant weighing just 3 kg, underwent a blood transfusion. Report code _____ - answer-36430-63 Clamp circumcision of a 2-day-old infant. Report code _____. - answer-54150 Complete removal of thyroid gland with radical neck dissection due to thyroid cancer. Report code _____. - answer-60254 Cut down of vein for venipuncture, 55-year-old male patient. Report code - answer-36425 Cystourethroscopy and removal of 2.2-cm bladder tumor using a laser knife. Report code(s) _____. - answer-52235 Direct laryngoscopy for the removal of a fish bone stuck in the patient's throat. The physician used an operating microscope during this procedure. Report code(s) _____. - answer-31531 Direct laryngoscopy of a newborn male weighing 3500 grams with tracheoscopy performed to aspirate fluid. Report code _____. - answer-31515-63 Electrodesiccation basal cell carcinoma (1 cm), face. Report code _____. - answer-17281 Epidural injection of phenol into C5. Report code _____. - answer-62281 Excision of two 1-cm benign skin lesions of the face. Report code(s) _____. - answer-11441, 11441-59 Initial subdural tap of skull suture of a 15 day old infant. The operating microscope was used during the procedure. - answer-61000, 69990 Internal and external hemorrhoidectomy (2 columns). - answer-46260 Kevin James is admitted to the same-day surgical unit. Kevin was diagnosed with cholelithiasis with cholecystitis and undergoes laparoscopic removal of his gallbladder for these conditions. Report code _____. - answer-47562 Laser surgery to remove a molluscum contagiosum lesion of the anus. Report code _____. - answer-46917 LEEP electrodissection conization. Report code _____. - answer-57522 Left tympanostomy with insertion of a ventilating tube, under local anesthesia. Report code _____. - answer-69433-LT Ligation and stripping of bilateral short saphenous veins and ligation of long saphenous veins from the saphenofemoral junction to the knee of the left leg. Report code(s) _____. - answer-37718-50, 37722-LT Liza Mills was diagnosed at birth with atresia of her tricuspid valve. Liza is now 3 years old, and today she underwent tricuspid valve repair, which involved closure of the atrial septal defect and anastomosis of the vena cava to the pulmonary artery. Report code _____. - answer-33615 Liza Moore had normal antepartum care, vaginal delivery, episiotomy, and normal postpartum care, all provided by Dr. Thomas. Report code(s) _____. - answer-59400 Mary fell down the stairs and was taken to the emergency department where she was examined and found to have a right tibial shaft fracture, which was treated with a closed reduction and plaster casting. Report code(s) _____. - answer-27750-RT Max Wilcox underwent a thoracotomy to implant a patient-activated cardiac event recorder. Report code(s) _____. - answer-33285

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2024/2025
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CPT SURGERY CODING
QUESTIONS AND ANSWERS




a

, CPT SURGERY CODING
QUESTIONS AND ANSWERS
A 15-year-old patient underwent the insertion of a PICC line. Report code _____. -
answer-36569

A 20-year-old male underwent arthroscopic knee meniscectomy, medial, right,
including meniscal shaving. Report code _____. - answer-29881-RT

A 25-year-old patient presents to have a repair of her recurrent reducible ventral
hernia. The hernia is located in the lower left abdominal quadrant. The physician
repairs the hernia using Prolex mesh. Report code(s) _____. - answer-49565,
49568

A 33-year-old female underwent incision and drainage of infected bursa, right
wrist. Report code - answer-25031-RT

A 35-year-old female weighs 550 pounds. The patient undergoes gastric
restriction with partial gastrectomy. Report code _____. - answer-43845

A 45-year-old female patient presents to the emergency department with severe
epistaxis, causing her to nearly choke on blood pooled in the back of her throat.
Extensive bilateral anterior cautery and packing was performed to control the
hemorrhage. Report code _____. - answer-30903-50

A 50-year-old male patient undergoes a screening sigmoidoscopy and
colonoscopy during the same operative session. Report code(s) _____. - answer-
45378

A 55-year-old female presents to the same-day surgical unit for a sigmoidoscopy.
The physician inserts a flexible scope into the patient's rectum and determines
that the rectum is clear of any polyps. The scope is advanced to the sigmoid
colon, and a total of three polyps are found. Using the snare technique, the
polyps are removed. The flexible scope is withdrawn. Report code(s) _____. -
answer-45338

A 60-year-old patient was admitted with bullous emphysematous nodules.
Patient underwent surgical thoracoscopy surgical with resection-plication of the
left lung for lung volume reduction (LVRS). Report code(s) _____. - answer-32672

A 65-year-old male patient undergoes transurethral resection of the prostate
gland with vasectomy and meatotomy. Report code(s) _____. - answer-52601

A 75-year-old female diagnosed with a cataract in the right eye undergoes ECCE
one-stage procedure to correct this problem. Report code(s) _____ - answer-
66984-RT

A 75-year-old male has been diagnosed with rectal prolapse. The Thiersch
procedure is performed to correct this problem. Report code _____. - answer-
46753
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