A 46-year-old female had a previous biopsy that indicated positive malignant
margins anteriorly on the right side of her neck. A 0.5 cm margin was drawn out
and a 15 blade scalpel was used for full excision of an 8 cm lesion. Layered
closure was performed after the removal. The specimen was sent for permanent
histopathologic examination. What are the CPT® code(s) for this procedure?
A. 11626
B. 11626, 12004-51
C. 11626, 12044-51
D. 11626, 13132-51, 13133 – ANS C. 11626, 12044-51
A 30-year-old female is having 15 sq cm debridement performed on an infected
ulcer with eschar on the right foot. Using sharp dissection, the ulcer was
debrided all the way to down to the bone of the foot. The bone had to be
minimally trimmed because of a sharp point at the end of the metatarsal. After
debriding the area, there was minimal bleeding because of very poor circulation
of the foot. It seems that the toes next to the ulcer may have some involvement
and cultures were taken. The area was dressed with sterile saline and dressings
and then wrapped. What CPT® code should be reported?
A. 11043
B. 11012
C. 11044
D. 11042 – ANS C. 11044
A 64-year-old female who has multiple sclerosis fell from her walker and landed
on a glass table. She lacerated her forehead, cheek and chin and the total length
of these lacerations was 6 cm. Her right arm and left leg had deep cuts measuring
5 cm on each extremity. Her right hand and right foot had a total of 3 cm
lacerations. The ED physician repaired the lacerations as follows: The forehead,
cheek, and chin had debridement and cleaning of glass debris with the
lacerations being closed with one layer closure, 6-0 Prolene sutures. The arm and
leg were repaired by layered closure, 6-0 Vicryl subcutaneous sutures and
Prolene sutures on the skin. The hand and foot were closed with adhesive strips.
Select the appropriate procedure codes for this visit.
A. 99283-25, 12014, 12034-59, 12002-59, 11042-51
B. 99283-25, 12053, 12034-59, 12002-59
C. 99283-25, 12014, 12034-59, 11042-51
D. 99283-25, 12053, 12034-59 – ANS D. 99283-25, 12053, 12034-59
A 52-year-old female has a mass growing on her right flank for several years. It
has finally gotten significantly larger and is beginning to bother her. She is
brought to the Operating Room for definitive excision. An incision was made
directly overlying the mass. The mass was down into the subcutaneous tissue
and the surgeon encountered a well encapsulated lipoma approximately 4
centimeters. This was excised primarily bluntly with a few attachments divided
with electrocautery. What CPT® and ICD-10-CM codes are reported?
A. 21932, D17.39
B. 21935, D17.1
C. 21931, D17.1
D. 21925, D17.9 – ANS C. 21931, D17.1
Question 5
PREOPERATIVE DIAGNOSIS: Right scaphoid fracture. TYPE OF PROCEDURE:
Open reduction and internal fixation of right scaphoid fracture. DESCRIPTION OF
PROCEDURE: The patient was brought to the operating room; anesthesia having
been administered. The right upper extremity was prepped and draped in a sterile
manner. The limb was elevated, exsanguinated, and a pneumatic arm tourniquet
was elevated. An incision was made over the dorsal radial aspect of the right
wrist. Skin flaps were elevated. Cutaneous nerve branches were identified and
very gently retracted. The interval between the second and third dorsal
compartment tendons was identified and entered. The respective tendons were
retracted. A dorsal capsulotomy incision was made, and the fracture was
visualized. There did not appear to be any type of significant defect at the fracture
site. A 0.045 Kirschner wire was then used as a guidewire, extending from the
proximal pole of the scaphoid distal ward. The guidewire was positioned
appropriately and then measured. A 25-mm Acutrak® drill bit was drilled to 25
mm. A 22.5-mm screw was selected and inserted and rigid internal fixation was
accomplished in this fashion. This was visualized under the OEC imaging device
in multiple projections. The wound was irrigated and closed in layers. Sterile
dressings were then applied. The patient tolerated the procedure well and left the
operating room in stable condition. What CPT® code is reported for this
procedure?
A. 25628-RT
B. 25624-RT
C. 25645-RT
D. 25651-RT – ANS A. 25628-RT
An infant with genu valgum is brought to the operating room to have a bilateral
medial distal femur hemiepiphysiodesis done. On each knee, the C-arm was used
to localize the growth plate. With the growth plate localized, an incision was made
medially on both sides. This was taken down to the fascia, which was opened.
The periosteum was not opened. The Orthofix® figure-of-eight plate was placed
and checked with X-ray. We then irrigated and closed the medial fascia with 0
Vicryl suture. The skin was closed with 2-0 Vicryl and 3-0 Monocryl®. What
procedure code is reported?
A. 27470-50
B. 27475-50
C. 27477-50
D. 27485-50 – ANS D. 27485-50