1.
A physician performs a flexible
Transoral esophagoscopy procedure to remove a polyp from the patient's mid
esophagus and a polyp from the lower esophagus by hot forceps technique. In the
same encounter, he did a biopsy of the same lesions prior to the removal
procedure. How would you report these services?
A.
43216, 43193 - 59
B.
43216
C.
43216, 43216 - 59
D.
43216, 43216 – 59,
43202 – 59
2.
A 46 yrs male patient admitted to
the hospital with severe RLQ pain was scheduled for diagnostic laparoscopic, following the prep and drape the surgeon made small incisions to introduce Trocar, during the encounter he found that the inflamed appendix was ruptured hence he decided to remove the appendix and it
was successful. How would you report these services?
A.
49320
B.
44970, 49320 – 51
C.
44960
D.
44970
3.
A 55yrs male patient admitted to
the hospital with piles problem is scheduled for hemorrhoidectomy procedure. Anoscope
is used during the procedure; both internal and external hemorrhoids are
removed using a rubber band ligation technique. How would you report these
services?
A.
46255
B.
46260
C.
46255, 46600 – 51
D.
46221, 46250 – 51
4.
A 19 yrs male patient scheduled
for bilateral ventral hernia repair, a general surgeon performed the procedure
followed by implantation of the mesh in both the sites. How would you report
these services?
A.
49560, 49568
B.
49560 - 50, 49568 - 50
C.
49560 - 50
D.
49560
- 50, 49568 x 2
5.
A patient is diagnosed with
descending colon cancer and hepatomegaly, a physician is planning to do partial
colectomy procedure and percutaneous liver biopsy under ultrasound. Following standard
prep, he made an incision in the abdomen to perform partial colectomy in
conjunction with a takedown of the splenic flexure. Following that, a 16 gauge
core needle is inserted under ultrasound guidance to take tissue from the
liver. How would you report these
services for the surgeon?
A.
44140, 47001, 76942 - 26
B.
44140,
44139, 47001, 76942 - 26
C.
44140, 44139,
47001
D.
44140, 44139,
47000, 76942 - 26
6.
51 yrs known patient with two external
biliary drainage catheter is scheduled for diagnostic Cholangiography, Images
shows there is an obstruction in both drainage catheter hence the surgeon
decided to remove and replace with new drainage catheters under fluoroscopy, following
the exchange the post-operative images show good results, how would you report these services?
A.
47536, 47536 – 59,
47531 - 59
B.
47536
C.
47536, 47536 - 59
D.
47536, 77002 - 26
7.
Preoperative diagnosis: Ascites.
Procedure: Paracentesis under ultrasound guidance. Interventional Technique:
The left lower quadrant was sterile prepped, draped and infiltrated with 1%
Lidocaine. Using US guidance an 8 French
sheath was advanced over a needle into a packet of fluid and placed to suction
drainage. The sheath was then removed and a sterile dressing applied. Findings:
US-guided paracentesis with the removal of 5200 ml of serous fluid. No
complications. How would you report this service?
A.
49082, 76942 – 26
B.
49083, 76942 – 26
C.
49083
D.
49406
8.
A patient is scheduled for
salivary gland biopsy procedure due to swelling in his right parotid gland for
the past two weeks. After prep and drape, with local anesthesia a biopsy needle
is passed under fluoroscopic guidance in the parotid gland, three samples were
taken and sent to the pathologist, how would you report the service?
A.
42400,
77002 - 26
B.
42400, 76942 - 26
C.
42410, 77002 - 26
D.
42450
Answers: