- Study guides, Class notes & Summaries

A 2-month-old male for circumcision. An incision was made at the level of the corona. The foreskin was removed from the shaft of the penis with pickups and Matzenbaum scissors after dividing the frenular band with mosquito clamps. - Answer 54161 (Circumcision was performed by surgical excision, which codes to 54161 when performed to other than an infant.) WRONG Subumbilical incision and blunt cannula placed. The liver, bowel, and appendix appeared normal. Right ovary had a 4 cm cyst whi...

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15 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

OST-249 - Chapters 3 & 4 - ICD-10 Diagnosis Codes & HCPCS Codes

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11 pages

Written in 2023/2024

Grade A+

EvaTee

Right hand, Three views. Hand pain, R/O Fracture from slip and fall. The specific area of clinical concern was not indicated. No fracture, misalignment, or foreign body is evident. - Answer 73130-RT (Assign 73130 for hand X-ray from diagnostic X-ray, Upper extremity, hand section. Append modifier -RT to indicate right hand.) Therapeutic radiation treatment planning, single treatment area - Answer 77261 (Assigned 77261 for single/simple therapeutic radiation treatment planning) ...

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12 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

Trigger point injections. Patient with myofascial pain syndrome in the lower lumbar and upper sacral areas. Palpation of the longissimus muscle and the multifidus muscle for a total of eight trigger points. Trigger points were marked, and Marcaine 0.25% was injected into each trigger point. - Answer 20552 (Two muscles were injected; therefore, code 20552 should be assigned, located in the Musculoskeletal section, General Introduction/Removal section.) Cervical epidural steroid injection...

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15 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

Arthroscope was inserted into the right shoulder. The rotator cuff showed fraying; however, not significant enough to require repair. Will follow patient if progresses and surgical intervention needed. - Answer 29805-RT (Diagnostic shoulder arthroscopy only performed; therefore, 29805-RT only assigned.) Bunionectomy with distal first metatarsal osteotomy including K wire fixation, right foot. Curvilinear incision made over the first metatarsal joint. Prominent hyperostosis was then remo...

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15 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

Patient presents to the ED with a 1 cm laceration of the scalp for repair. Area was prepped and draped and the wound cleansed. Skin closure was accomplished with the two sutures. - Answer 12001 (Assigned 1 cm repair/scalp as complexity not stated would assume simple.) Excision of benign lesion: 4.0 cm arm, 2.0 cm leg, and 2.0 cm back - Answer 11404, 11402-51, 11402-59 (Three lesions were excised; therefore, three codes are needed. Arm lesion largest, therefore, most significant, 1...

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16 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

When wound debridement is performed by curette to fibrin and slough, what code series would be utilized? - Answer (Codes from the Medicine Section, Active Wound Care Management would be assigned. The surgery debridement codes are for surgical excision with surgical instrumentation only and therefore not appropriate in this instance.) A complete abdominal ultrasound is ordered, and all structures are identified, the appendix is documented as "surgically absent." What service(s) sh...

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10 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

Placement of ventilation tube, left ear, with local anesthesia - Answer 69433-LT (Placement of a ventilation tube, also known as a tympanostomy (create an artificial opening), is assigned 69433-LT when performed with local anesthesia only.) Left renal stone was seen, which was right next to the stent placed previously. Stone was targeted in both AP and lateral views. Starting at an energy of 2 Kv and going to 9 Kv, the stone was fragmented utilizing ESWL. Additional 500 shocks were requ...

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56 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

Repair of umbilical hernia for a 62-year-old male. Incision was carried through subcutaneous tissue to the fascia level. The hernia sac was opened and excised along the umbilicus, and the incision was closed. - Answer 49585 (Open umbilical hernia repair is assigned code 49585 for 62 year old.) Planned colonoscopy with biopsy is not completed to reach the cecum due to tortuous colon. - Answer 45380-52 (Colonoscopy with biopsy was planned, code 45380. The procedure was not completed...

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17 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

Patient arrived at the outpatient facility earlier in the morning and a localization wire was placed by the radiologist under mammographic guidance in the x-ray suite. The surgeon infiltrated around the wire and an incision was made between the left areola and the wire. A generous excision was made at least 2 cm around the wire, removing the lesion in question in toto. The margins were marked and specimen sent to pathology. The following codes were coded/billed by the surgeon's office: 19125-...

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8 pages

Written in 2025/2026

Grade A+

COCOSOLUTIONS

OST-249 - CPC Exam Prep - Combined #1 OST-249 - CPC Exam Prep - Combined #1 OST-249 - CPC Exam Prep - Combined #1

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52 pages

Written in 2024/2025

Grade A+

lectjoseph

OST-249 - Chapter 12 - Evaluation and Management

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20 pages

Written in 2023/2024

Grade A+

EvaTee

OST-249 - CPC Exam Prep - Combined #1

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34 pages

Written in 2023/2024

Grade A+

EvaTee

OST-249 - CPC Exam Prep - Chapter 5 - Compliance

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8 pages

Written in 2023/2024

Grade A+

EvaTee

OST-249 - CPC Exam Prep - Chapter 2 Questions And Answers.

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9 pages

Written in 2023/2024

Grade A+

EvaTee

OST-249 - Medical Coding Prep - Mock Exams

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48 pages

Written in 2023/2024

Grade A+

EvaTee