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Exam 2: Series

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Question 71

Multiple Choice

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A patient with chronic sinus pain and swelling presented to the office for a diagnostic endoscopy of the nasal sinuses. During the procedure, the surgeon excised two polyps on the left sphenoid sinus. What is the correct code for this procedure?

A) 31231, 31235
B) 31231, 31237
C) 31235
D) 31237

E) B) and D)
F) None of the above

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Question 72

Multiple Choice

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A 35-year-old man decides to have a bilateral vasectomy. What CPT code should be used for this procedure?

A) 55200
B) 55250
C) 55300
D) 55400

E) None of the above
F) C) and D)

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Question 73

Multiple Choice

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Thymoma are present in a woman's thymus. She is scheduled for a transthoracic total thymectomy with radical mediastinal dissection. What is the correct CPT code for this procedure?

Surgeries of the skull base are often categorized according to three things. Which of the following includes the three things by which surgeries of the skull base are categorized?

A 34-year-old man has a spermatocele that has been getting larger and is now causing constant discomfort. He needs to have this removed but fortunately will not need to have an epididymectomy. What CPT code should be used for this procedure?

A 50-year-old woman is scheduled for a unilateral biopsy of the right ovary. What is the correct CPT code for this procedure?

A 27-year-old male was cutting wood, using a circular saw, when he accidentally cut off the end of his 3rd digit. On x-ray it showed that he cut the distal phalange and partially cut the middle phalange of the 3rd digit. Due to bone splinters and need for debridement, the 3rd digit middle phalange was amputated back to the proximal phalange, leaving a wide border of healthy bone and tissue. What is the correct CPT code for this procedure?

A 27-year-old pregnant woman presented to the hospital maternity ward to deliver her third baby. She was 39 weeks pregnant and has had no complications so far. The patient planned on a vaginal delivery. Her oldest child was born vaginally and her second was born via cesarean section. Her OB, who had provided her antepartum care, was able to successfully complete a vaginal delivery with no complications. Her OB also provided postpartum care to the patient. What procedure code should be reported by the OB?

A 3-year-old boy swallowed a small rounded block, which became lodged in the larynx causing difficulty breathing. The foreign body has to be removed immediately and the patient is prepped for a laryngoscopy with removal of the foreign body. What is the code for this procedure?

A patient is undergoing a routine colonoscopy. During his procedure three polyps were removed by snare technique and sent for biopsy. What CPT code should be used for this procedure?

A 28-year-old man who had a vasectomy wishes to have this reversed. He is scheduled for a bilateral epididymovasostomy. What CPT code should be used for this procedure?

A 24-year-old college football player injured his knee during practice. The MRI shows a torn medial and lateral meniscus. The orthopedist reviewed the films and decides to proceed with an arthroscopy with meniscectomy to remove the torn pieces of the meniscus from the knee. What is the best code for this procedure?

PRE-PROCEDURAL NOTE PATIENT: Carter, Clara AGE: 46 DATE: 04/10/2014 PREOPERATIVE DIAGNOSIS: Primary Malignancy, Thyroid PROCEDURE PLANNED: Thyroidectomy Patient is being treated unsuccessfully for primary malignancy of the thyroid and has elected to have a subtotal removal of the left thyroid. The physician will perform a partial thyroid lobectomy without isthmusectomy. How should the physician code for the procedure?

A 52-year-old man presents to the ER with severe abdominal pain. He has had abdominal pain for about six months, which has been coming and going. The pain increased one week ago, and today the patient was unable to bend without becoming short of breath due to the pain. A CT scan was performed and patient was noted to have a large, 7.5 cm soft tissue tumor attached to his abdominal wall. The patient underwent surgery to have it removed and it was found to be a sarcoma. During surgery, the patient also had a large margin removed from around the tumor site. What is the correct code for this procedure?

A patient is scheduled for a thymectomy for myasthenia gravis without radical mediastinal dissection and will be performed through a sternal split. What is the CPT code for this procedure?

A 12-year-old boy presents to his pediatrician's office with multiple molluscumcontagiosum on his face, neck and upper right shoulder. They have been present for about 15 months and are getting larger. His parents are concerned about his appearance and that he keeps scratching them. He was treated once for a local infection on his neck, about three months ago. His parents would like to have these removed or be referred to dermatology. The pediatrician discusses options and the parents opt to use cryotherapy with Histofreeze that the pediatrician has in his office. In total, there are six lesions on his right shoulder, eight on his neck and five on his cheek. What CPT code would you use?

A recently diagnosed rectal cancer patient requires a partial proctectomy with anastomosis, using both the abdominal and transsacral approach. What CPT code should be used for this patient?

A physician performed a revision of a gastrojejunostomy with intestine resection and vagotomy. What is the correct code for this procedure?

A 23-year-old male received a testicular injury and as a result ended up with bilateral hydroceles. Over time these began to become painful and he has elected to have both of these hydroceles removed. What CPT code should be used for this procedure?

A 66-year-old woman has been having a chronic cough for three years, which is worsening. She was finally sent to pulmonology where a chest x-ray indicated inflammation. A flexible bronchoscopy was scheduled to be performed with multiple bronchial biopsies performed. This was done under fluoroscopic guidance in the OR and the patient tolerated the procedure well.