1.
A 63 yrs old
female patient is suffering from right OA knee and the physician suggested for
Intraarticular steroid injection for pain relief, after sterile prep and local
anesthesia using ultrasound guidance the needle is placed into the right knee
joint space and 40mg of Kenalog is injected into the joint for pain relief,
following the procedure the patient was stable and left the physician office
with good condition. How would you report the service?
A. 20610, 76942 - 26
B.
20611
C. 20610, 76942
D. 20611, 76942
2.
A 54 yrs old
male Patient is having a soft tissue tumor on his right forearm near to the elbow
and one in the posterior aspect of the right forearm near to the wrist, The surgeon
performed a radical resection of the tumor from his forearm about 3.8cm in size
and excision of the posterior intramuscular tumor from his forearm about 2.8 cm
in size. What are the correct codes for these services?
A. 25078, 25075
– 59
B.
25078, 25076
– 59
C. 25071, 25076
– 59
D. 24077, 25076
– 59
3. A 34 yrs old male Patient met with an accident and
end up with the midshaft fracture of the Left Tibia, He was taken to the operating
room to perform IM nailing procedure, after general anesthesia following
standard prep Intramedullary rodding was carried out with proximal and distal
locking screws were secured in place. The incision was closed and a long leg cast
was applied. The patient tolerates the procedure well. Transferred to the ward
in stable condition. What is the correct CPT’s for these procedures?
A. 27759
B.
27759, 29345
– 51
C.
27756
D.
27756, 29345
– 51
4. A 49 yrs patient is suffering with lumbar disc herniation at L2-L3 and L4-L5, orthopedic
surgeon decided to perform Arthrodesis using an interbody technique, Patient was
brought to the operating room after general anesthesia and standard
preparation, the physician performed anterior Arthrodesis with morselized iliac
bone graft harvested through a separate incision and anterior instrumentation
(L2-L5) was done. How would you report these services?
A. 22554,
22558, 22845, 20930
B. 22551,
22552, 22845, 20930
C. 22554,
22558, 22846, 20937
D.
22551,
22552, 22846, 20937
5. A 62 yrs old
female fall in the bathroom and not able to move her right leg was brought to
Emergency department. ED physician ordered for Hip x-ray that shows, Neck of
femur fracture, which requires replacement with artificial Joint prosthesis. The patient was brought to the operating room with standard prep following
anesthesia, the orthopedic surgeon removed the damaged portions of the bone and
replaced both the articulating surface with a prosthetic implant. The patient was
in stable condition shifted to the ward. How would you report the orthopedic surgeon’s
service?
A. 27093
B.
27130
C. 27125
D. 27134
6. A 37yrs old patient
was brought to the operating room due to stab injury in his right thigh. After standard
prep and drape, the surgeon widened the wound to achieve proper visualization he
did debridement and ligation of minor blood vessels. The wound was closed and
dressed in the usual fashion. The patient tolerated the procedure well and was
returned to the recovery room in good condition. What is the correct code for this
procedure?
A. 20103, 11042, 12001
B. 20103, 12001 -51
C. 20103, 11042 - 51
D.
20103
7. A 48yrs male patient is suffering from chronic neck pain, The physician performs
trigger point injection using ultrasound guidance. Two injections on his
Trapezius muscle and 3 injections on his Levator scapulae muscles. The patient
tolerated the procedure well. How would you report these services?
A. 20552
B. 20553
C.
20552, 76942
D. 20553, 76942
8. A 59 yrs old
lady with right elbow pain and swelling was brought to the emergency department
following a fall in her house. X-ray of the right elbow shows there is a posterior
dislocation of the elbow joint. Orthopedic surgeon did closed reduction and applied
POP Cast. Because of the old age of the patient with a history of DM, anesthesia was
not provided to the patient. The patient tolerated the procedure well. How would
you report this service?
A.
24600
B. 24605
C. 24615
D. 24655
9. A 42 yrs old
male patient is suffering from chronic shoulder pain for the past 2 months. The
physician is decided to perform shoulder arthrography procedure. In the ambulatory
surgery center under fluoroscopic guidance, a needle was inserted into the joint
space, once the needle tip position was confirmed the contrast was injected
into the joint cavity, following that images were taken. It shows there is
severe rotator cuff tear and the articulating surface shows mild degeneration. How
would you report this service?
A. 23350, 77002
- 26
B. 23350, 73040
- 26, 77002 - 26
C. 23350, 73040
D.
23350, 73040
- 26
10. A 21 yrs old female patient with knee swelling and pain is brought to the emergency
room after a fall from the
cycle. The Ed physician calls the orthopedic surgeon to the emergency department. The orthopedician diagnosed there is a ligament sprain in her left knee. He places a long
leg cast thigh to toes and instructs the patient to return to his office for
follow-up care. How would you report the service?
A. 29355
B.
29345
C. 29358
D. 29405
___________________________________________
Answers:
1. B
2. B
3. A
4. D
5. B
6. D
7. C
8. A
9. D
10. B